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      Incidence of viral hepatitis in Brazil from 2009 to 2018: an epidemiological study of confirmed cases of viral hepatitis

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          Abstract

          INTRODUCTION:

          Viral hepatitis is a major public health problem. It is necessary to understand the epidemic, verifying the combination of biological and demographic characteristics.

          METHODS:

          This is an analytical ecological and epidemiological study. Confirmed case data from the Notification Disease Information System (SINAN) were used.

          RESULTS:

          From 2009-2018, SINAN confirmed 404,003 viral hepatitis cases in Brazil, with 12.49%, 37.06%, and 48.28% cases of hepatitis A, B, and C, respectively.

          CONCLUSIONS:

          In Brazil, 4,296 deaths were associated with viral hepatitis, of which 36.66% were associated with acute hepatitis B. The proportional distribution of cases varied among the five Brazilian regions.

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          Most cited references24

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          ICTV Virus Taxonomy Profile: Picornaviridae

          The family Picornaviridae comprises small non-enveloped viruses with RNA genomes of 6.7 to 10.1 kb, and contains >30 genera and >75 species. Most of the known picornaviruses infect mammals and birds, but some have also been detected in reptiles, amphibians and fish. Many picornaviruses are important human and veterinary pathogens and may cause diseases of the central nervous system, heart, liver, skin, gastrointestinal tract or upper respiratory tract. Most picornaviruses are transmitted by the faecal–oral or respiratory routes. This is a summary of the International Committee on Taxonomy of Viruses (ICTV) Report on the taxonomy of the Picornaviridae, which is available at www.ictv.global/report/picornaviridae.
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            Update on global epidemiology of viral hepatitis and preventive strategies

            Viral hepatitis is one of the major public health concerns around the world but until recently it has drawn little attention or funding from global health policymakers. Every year 1.4 million people die from viral hepatitis-related cirrhosis and liver cancer. However, the majority of the infected population are unaware of their condition. This population have significant obstacles to overcome such as lack of awareness, vulnerability, increased migration, disease stigma, discrimination, as well as poor health resources, conflict in policy development and program implementation. Despite implementing infection control measures over the last few decades eradication or significant disease reduction remains elusive. This study aims to present the current global prevalence status and examines potential elimination strategies. The information for this research were obtained through a systematic review, published scientific literatures, the official websites of various government organisations, international public health organisations and internationally recognised regulatory bodies over a period of 40 years between 1978 and 2018.
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              Hepatites virais: aspectos da epidemiologia e da prevenção

              As hepatites virais são doenças causadas por diferentes agentes etiológicos, de distribuição universal, que têm em comum o hepatotropismo. Possuem semelhanças do ponto de vista clínico-laboratorial, mas apresentam importantes diferenças epidemiológicas e quanto à sua evolução. As últimas décadas foram de notáveis conquistas no que se refere à prevenção e ao controle das hepatites virais. Entre as doenças endêmico-epidêmicas, que representam problemas importantes de saúde pública no Brasil, salientam-se as Hepatites Virais, cujo comportamento epidemiológico, no nosso país e no mundo, tem sofrido grandes mudanças nos últimos anos. A melhoria das condições de higiene e de saneamento das populações, a vacinação contra a Hepatite B e as novas técnicas moleculares de diagnóstico do vírus da Hepatite C estão entre esses avanços importantes. As condições do nosso país: sua heterogeneidade socioeconômica, a distribuição irregular dos serviços de saúde, a incorporação desigual de tecnologia avançada para diagnóstico e tratamento de enfermidades, são elementos importantes que devem ser considerados na avaliação do processo endemo-epidêmico das hepatites virais. O números de pacientes infectados é incerto, relacionado geralmente a alguns Estados e municípios brasileiros, e o esclarecimento dos agentes causadores das hepatites, cuja identificação requer técnicas laboratoriais complexas de biologia molecular, é realizado de maneira insuficiente. Por outro lado, "a progressiva integração entre as instâncias gestoras dos programas de vigilância e controle das doenças com grupos de pesquisa e desses com os serviços" e a disponibilização de bancos de dados nacionais mais confiáveis apontam para novos e melhores caminhos. No presente artigo é feita uma revisão sucinta das hepatites A, B e C, as mais freqüentes no nosso país, assim como de sua epidemiologia e das estratégias preferenciais para a prevenção dessas doenças.
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                Author and article information

                Journal
                Rev Soc Bras Med Trop
                Rev Soc Bras Med Trop
                rsbmt
                Revista da Sociedade Brasileira de Medicina Tropical
                Sociedade Brasileira de Medicina Tropical - SBMT
                0037-8682
                1678-9849
                21 December 2020
                2021
                : 54
                : e00892020
                Affiliations
                [1 ] Instituto Evandro Chagas, Centro de Inovações Tecnológicas, Programa de Pós-Graduação Stricto Sensu em Virologia, Ananindeua, PA, Brasil.
                [2 ] Universidade Federal do Pará, Instituto de Ciências da Saúde, Especialização em Hematologia e Imunologia, Belém, PA, Brasil.
                [3 ] Universidade Federal do Pará, Faculdade de Formação e Desenvolvimento do Campo, Abaetetuba, PA, Brasil.
                [4 ] Universidade Federal do Pará, Instituto de Ciências Biológicas, Laboratório de Tecnologia e Biomolecular, Belém, PA, Brasil.
                Author notes
                Corresponding author: Alessandra Pereira da Silva. e-mail: alessandraperasilva@ 123456gmail.com

                Authors’ Contribution: APdaS: Conceptualization, formal analysis, investigation, methodology, supervision, validation, visualization, writing-original draft. APS: Conceptualization, methodology, writing-original draft. LMLS: Conceptualization, writing-original draft. ECG: formal analysis, funding acquisition, project administration, resources, supervision, visualization, writing-original draft, writing-review and editing. JLSGVJ: formal analysis, funding acquisition, project administration, resources, supervision, validation, visualization, writing- review and editing.

                Conflict of Interest: The authors declare that there is no conflict of interest.

                Author information
                http://orcid.org/0000-0002-7982-3071
                Article
                00607
                10.1590/0037-8682-0089-2020
                7747823
                33338106
                bf6619b6-6ed2-4bb7-bf3d-2de3c489c202

                This is an open-access article distributed under the terms of the Creative Commons Attribution License

                History
                : 20 February 2020
                : 13 July 2020
                Page count
                Figures: 1, Tables: 0, Equations: 0, References: 16
                Categories
                Short Communication

                human viral hepatitis,epidemiology,public health,hepatitis a,hepatitis b,hepatitis c

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