title: [Pulmonary tuberculosis among residents of municipalities in Mato Grosso do Sul State, Brazil, bordering on Paraguay and Bolivia].
abstract: This study analyzed the epidemiological profile of pulmonary tuberculosis from 2007 to 2010 in municipalities (counties) in Mato Grosso do Sul State, Brazil, that border on Paraguay and Bolivia. In the border region, the incidence rate (49.1/100,000 inhabitants), mortality rate (4.0/100,000 inhabitants), and treatment dropout rate (11.3%) were 1.6, 1.8, and 1.5 times higher than in the non-border region. Among indigenous individuals in the border region, the rates for incidence (253.4/100,000 inhabitants), mortality (11.6/100,000 inhabitants), and HIV/TB co-infection (1.9/100,000 inhabitants) were 6.4, 3.2, and 1.9 times higher than in non-indigenous individuals in this region. Living in the border regions was inversely associated with HIV/TB co-infection. Indigenous ethnicity was associated statistically with not abandoning TB treatment. The study concludes that the population residing in these municipalities along the border is exposed to high risk of pulmonary TB and TB mortality and treatment dropout, thus requiring special health surveillance interventions.
authors.affiliation: Universidade Federal de Mato Grosso do Sul, Campo Grande, Brazil.
authors.forename: Marli
authors.initials: M
authors.lastname: Marques
authors.affiliation: Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil.
authors.forename: Antonio
authors.initials: A
authors.lastname: Ruffino-Netto
authors.affiliation: Universidade Anhanguera, Campo Grande, Brazil.
authors.forename: Ana Maria Campos
authors.initials: AM
authors.lastname: Marques
authors.affiliation: Universidade Federal de Mato Grosso do Sul, Campo Grande, Brazil.
authors.forename: Sonia Maria Oliveira de
authors.initials: SM
authors.lastname: Andrade
authors.affiliation: Universidade Federal de Mato Grosso do Sul, Campo Grande, Brazil.
authors.forename: Baldomero Antonio Kato da
authors.initials: BA
authors.lastname: Silva
authors.affiliation: Universidade Federal de Mato Grosso do Sul, Campo Grande, Brazil.
authors.forename: Elenir Rose Jardim Cury
authors.initials: ER
authors.lastname: Pontes
mesh_terms: D001838:Bolivia; D001938:Brazil / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007199:Indians, South American / Q000706:statistics & numerical data; D010239:Paraguay; D012189:Retrospective Studies; D012307:Risk Factors; D016312:Treatment Refusal; D014397:Tuberculosis, Pulmonary / Q000208:ethnology / Q000401:mortality*