Doenças infecciosas no sistema prisional : dados dos sistemas de informação de saúde e do sistema prisional

• Ano de defesa: 2019
• Autor(a) principal: Neto, Francisco Job
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Doutorado em Doenças Infecciosas; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Doenças Infecciosas
• Palavras-chave em Português: Vigilância; Prisão; Doenças de notificação obrigatória; Brasil; Surveillance; Prisons; Notified diseases; Brazil; subject.br-rjbn; Doenças Infecciosas e Parasitárias
• Link de acesso: http://repositorio.ufes.br/handle/10/13144

Background: Public health must be combined with criminal justice to offer medical care to prison populations, because, generally, they come from areas of society with significant levels of deficient health and social exclusion. Objective: The goal of this study was to explore the surveillance data about mandatory reporting diseases, included in the official information systems, and evaluate the historical trend in prisoners in Brazil. Methods: A time trend study was performed using secondary data from prisons’ health units. Nationwide representative data of Brazilian prisoners were obtained from 2007 2014 health and prison information systems database were analyzed. These data are managed by units identified as prison health facilities. Diseases diagnosis and individual data were available at the Information System of Disease for Notification (SINAN), Mortality Information System (SIM) and Prison Registration Systems (INFOPEN and GEO prisons). Analyses of the notification data were performed in the SINAN at the national level. SINAN was consolidated with SIM, INFOPEN, and GEO prisons data. Results: A total of 23,235 cases of mandatory notification diseases were reported in prison units in Brazil. Of these cases, 20,003 (85.6%) were men and 3,362 (14.4%) were women. Over time, the proportion of prisoners increased from 1.92 per 1,000 inhabitants in 2007 to 2.77 per 1,000 inhabitants in 2014 (rising trend). From a total of 27 states, 12 of them presented a growth in disease notifications, 14 were stable, and in only one state was there a decrease in notifications. There was an increase in notifications in the country as a whole. Tuberculosis (64.4%), dengue (9.1%), AIDS (9.0%), and viral hepatitis (5.9%) were among the most frequently reported diseases during the study period. Conclusion: Despite showing stable tendencies, our results show high rates of diseases in Brazilian prisons. Prison health services should not be isolated but integrated into regional and national health and justice systems.