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APHA Scientific Session and Event Listing

Joaquim G. Valente, MD, PhD¹, Iuri C. Leite², Angela Gadelha², Joyce Schramm³, Monica R. Campos², and Andreia Oliveira⁴. (1) School of Public Health, University of Nevada, Reno, Lombardi/ 274, Reno, NV 89557, (775)7844041 Ext. 213, valentej@unr.edu, (2) School of Public Health, University of Nevada Reno, 1664 N Virginia St, Lombardi 274, Reno, NV 89502, (3) School of Public Health, Universidade Nevada Reno, 1664 N Virginia St, Lombardi 274, Reno, NV 89502, (4) School of Public Health, University Nevada Reno, 1664 N Virginia St, Lombardi 274, Reno, NV 89502

Introduction. Epidemiologic transition in Brazil has been showing a modified pattern of morbidity and mortality. However, this transition appeared to be heterogeneous throughout the country. The purpose of this research was to study the regional differences of morbidity and mortality as a result of that transition. A comparison of the global burden of disease (GBD) profiles among the five different major regions of Brazil was conducted using the “Disability-Adjusted Life Years” (DALY) indicator. Objectives. Calculate and compare the DALYs per 1,000 inhabitants by major diseases and condition groups, and by major regions of Brazil. Methods. The indicator DALY was calculated, adding Years of Life Lost (YLL) with Years Lived with Disability (YLD). Brazilian Mortality Data System was used to estimate the YLL burden, while several different data sources and parameters were used in the calculation of YLD. YLD parameters were mainly obtained through systematic literature review, by cause, sex, age group and major regions. Results. Brazilian population lost 232 DALYs per1,000, in 1998. Regional variation was detected, with rates of 209 (Northern), 250 (Northeast), 201 (Central-West), 236 (Southeast) and 210 for the (Southern) regions.The table below presents regional rates compared to those estimated for Brazil as a whole, by selected major disease and condition groups, and selected diseases and conditions by major regions of Brazil. Conclusions. The distribution of infectious and cronic-degenerative diseases shows great inequalities among Brazilian regions. These findings suggest that interventions and control programs be directed regionally.

Learning Objectives:

• The participants will be able to understand major aspects of GBD Studies and to learn about epidemiologic transition in Brazil.

Keywords: Health Needs, Evaluation

Presenting author's disclosure statement:

Any relevant financial relationships? No