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Sao Paulo call to action for the prevention and control of high blood pressure: 2020

Citation

Campbell, NRC and Schutte, AE and Varghese, CV and Ordunez, P and Zhang, XH and Khan, T and Sharman, JE and Whelton, PK and Parati, G and Weber, MA and Orias, M and Jaffe, MG and Moran, AE and Plavnik, FL and Ram, VS and Brainin, M and Owolabi, MO and Ramirez, AJ and Barbosa, E and Bortolotto, LA and Lackland, DT, Sao Paulo call to action for the prevention and control of high blood pressure: 2020, Revista Panamericana de Salud Publica (Print), 45 pp. 1-9. ISSN 1020-4989 (2021) [Refereed Article]


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Copyright 2019 Wiley Periodicals, Inc. Licensed under Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO (CC BY-NC-ND 3.0 IGO) https://creativecommons.org/licenses/by-nc-nd/3.0/igo/

DOI: doi:10.26633/RPSP.2021.26

Abstract

Objective. To describe the temporal trends of leprosy indicators among the elderly in Brazil in 2001 2018. Methods. This was an ecological time series study of new leprosy cases in the elderly reported to the Notifiable Diseases Information System. Prais Winsten generalized linear regression was used to estimate temporal variations. Results. There were 687 317 new leprosy cases in Brazil from 2001 2018, of which 129 214 (18.8%) were among elderly people. Overall detection rates in the elderly and of new cases with grade 2 disability showed a falling trend, with an annual percent change of 4.6% (95%CI = 5.1 to 4.0) and 3.9% (95%CI = 4.6 to 3.2). New case and new multibacillary case proportions showed an increasing trend, with an annual percent change of 2.9% (95%CI = 2.6 to 3.3) and 1.4% (95%CI = 1.0 to 1.7), respectively. Detection rates for new leprosy cases in elderly people in Brazil are decreasing, but the proportion of new cases and multibacillary cases are trending upwards. Conclusions. New cases are shifting to older age groups, and demographic transition and immunosenes cence are an influence. Inadequate reduction of grade 2 disability indicates a high risk of physical disability persists. Improved contact tracing and more effective action are needed in this age group.

Item Details

Item Type:Refereed Article
Keywords:hypertension; cardiovascular diseases; global health; diet; sodium-restricted; stroke
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:152915
Year Published:2021
Deposited By:Mathematics
Deposited On:2022-08-26
Last Modified:2022-10-28
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