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      Impact of the COVID-19 pandemic on compulsory notification of meningitis during the first wave of the pandemic in Brazil: an ecological study using P-score

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          Abstract

          BACKGROUND:

          Meningitis is listed as one of the diseases requiring compulsory notification in Brazil. It can affect all age groups and also has no seasonality. Cases can be recorded in all months of the year and in all states of Brazil. Despite its importance, the obligation of immediate notification may have been compromised by the coronavirus disease 2019 (COVID-19) pandemic.

          OBJECTIVE:

          To analyze the immediate impact of the COVID-19 pandemic on compulsory notifications of meningitis in Brazil and its states during the first wave of the pandemic.

          DESIGN AND SETTING:

          This was an ecological study involving all confirmed cases of meningitis in Brazil, in its regions and in its states.

          METHODS:

          Data for the months from 2015 to 2020 were obtained from the database of the Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação, SINAN), in the Department of Informatics of the National Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS). The P-score was used to obtain the percentage change in the numbers of cases reported in 2020.

          RESULTS:

          A 45.7% reduction in notifications of meningitis in Brazil was observed. Regarding the regions and the states, with the exception of Roraima, all of them showed a negative P-score, with decreasing curves each month.

          CONCLUSION:

          The pandemic caused a negative impact on meningitis notifications in Brazil.

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          Most cited references12

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          COVID-19 in Brazil: advantages of a socialized unified health system and preparation to contain cases

          Abstract The outbreak of new coronavirus disease 2019 (COVID-19) reported for the first time in Wuhan, China in late December 2019 have rapidly spread to other countries and it was declared on January 30, 2020 as a public health emergency of international concern (PHEIC) by the World Health Organization. Before the first COVID-19 cases were reported in Brazil, several measures have been implemented including the adjustment of legal framework to carry out isolation and quarantine. As the cases increased significantly, new measures, mainly to reduce mortality and severe cases, have also been implemented. Rapid and robust preparedness actions have been undertaken in Brazil while first cases have not yet been identified in Latin-American. The outcome of this early preparation should be analyzed in future studies.
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            • Record: found
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            • Article: not found

            Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services, January–April 2020

            Coronavirus disease has disrupted tuberculosis services globally. Data from 33 centers in 16 countries on 5 continents showed that attendance at tuberculosis centers was lower during the first 4 months of the pandemic in 2020 than for the same period in 2019. Resources are needed to ensure tuberculosis care continuity during the pandemic.
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              • Record: found
              • Abstract: not found
              • Article: not found

              Impact of COVID-19 on TB diagnosis in Northeastern Brazil.

                Bookmark

                Author and article information

                Contributors
                Role: conceptualized and designed the study (supporting); involved in data collection (leading); writing-original draft (equal); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Role: conceptualized and designed the study (leading); involved in data collection (supporting); writing-original draft (supporting); data interpretation, critically reviewed the manuscript and approved the final version (supporting)
                Role: conceptualized and designed the study (leading); involved in data collection (equal); writing-original draft (equal); data interpretation, critically reviewed the manuscript and approved the final version (equal).
                Journal
                Sao Paulo Med J
                Sao Paulo Med J
                Sao Paulo Med J
                São Paulo Medical Journal
                Associação Paulista de Medicina - APM
                1516-3180
                1806-9460
                23 February 2022
                2022
                : 140
                : 2
                : 305-309
                Affiliations
                [I ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [II ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [III ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [IV ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [V ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [VI ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [VII ] originalUndergraduate Student, Department of Medicine, Center for Studies on Social and Preventive Medicine, Universidade Federal de Alagoas, Arapiraca (AL), Brazil.
                [VIII ] originalPhD. Adjunct Professor, College of Pharmaceutical Sciences; and Adjunct Professor, Postgraduate Program on Biosciences, Health and Biological Sciences, Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina (PE), Brazil.
                [IX ] originalPhD. Adjunct Professor, Department of Medicine; and Professor, Postgraduate Program on Family Health, Universidade Federal de Alagoas (UFAL), Arapiraca (AL), Brazil.
                Author notes
                Address for correspondence: Carlos Alberto de Oliveira Rocha Universidade Federal de Alagoas (UFAL) Rodovia AL-115, s/n o Bom Sucesso — Arapiraca (AL) — Brasil CEP 57309-005 Tel. (+55 82) 3482-1800. E-mail: carlos.alberto@ 123456arapiraca.ufal.br

                Conflicts of interest: The authors report that they did not have any relationships that could be construed as a conflict of interest

                Article
                10.1590/1516-3180.2021.0732.15092021
                9610245
                35239835
                15b2bbd9-bd5d-48e8-8084-056d69f64f72
                © 2022 by Associação Paulista de Medicina

                This is an open access article distributed under the terms of the Creative Commons license.

                History
                : 28 August 2021
                : 28 August 2021
                : 15 September 2021
                Page count
                Figures: 2, References: 12, Pages: 5
                Categories
                Short Communication

                epidemiology,meningitis,pandemics,public health,coronavirus,disease notification,neurosciences,community health,coronaviruses,covid-19 virus disease

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