COMPARISON OF MORBIDITY AND MORTALITY DUE TO TUBERCULOSIS BETWEEN TWO CITIES WITH SIMILAR CLIMATIC AND GEOGRAPHICAL PROFILES

Abstract

Introduction: Tuberculosis is a disease caused by Mycobacteruim tuberculosis and manifested in respiratory tract and other systems. It is a global attention due to being neglected and to affecting vulnerable populations, in addition, it is influenced by social and geographic perspectives, which requires efforts to reduce incidence and mortality rates, especially in Brazil. Objective: To comprise which factors are associated to incidence and mortality rates of tuberculosis in Imperatriz-MA and Marabá-PA. Methodology: It concerns a quantitative, ecological, descriptive, analytical and longitudinal epidemiological study, in which – within the necessary ethical criteria and calibration – were collected public data of tuberculosis notifications and the socio-geographical aspects relating to Imperatriz/ MA and Marabá/PA in the 2013-2022 decade. Subsequently, these data were analyzed using the Software Jamovi version 2.3.28, aiming to check the statistical significance of the proposed correlations. Results: Marabá presented a higher incidence and less uniformity in the number of cases over the years compared to Imperatriz. Furthermore, among all the analysis, MHDI (Municipal Human Development Index) was the most important factor detected for the difference in incidence between both cities. Male gender was the most affected, as predicted in the literature. The lethality rates did not show a significant association with the municipalities. Conclusion: There was an increase in tuberculosis cases in Imperatriz-MA and Marabá-PA over the decade. MHDI is the factor with the biggest impact on incidence, while the number of healthcare establishments show a weak correlation with it. The differences in lethality between the cities were not statistically significant.