Análise da distribuição temporal dos casos graves de doenças diarréicas agudas em municípios do Estuário de Santos e São Vicente entre 2000 e 2010""Nossa Pátria, nossa Bandeira, nosso chefe"": as comemorações cívicas nas escolas de Santos durante o Estado Noco (1037-1945)

Abstract

INTRODUCTION: The region of Santos and São Vicente estuary covered by the hospitalization for acute diarrhea disease and their correlation with the distribution of water to the population. In the municipalities of Bertioga, Cubatão, Guarújá, Santos e São Vicente there are many isolated areas with neighborhoods that are not served by the local water and sewer company. The local company serves 100% of the regular areas, but the isolated areas don´t receive any service from the company. OBJECTIVES: Evaluating the temporal distribution of severe cases of diarrhea in the region of Baixada Santista between 2000 and 2010. Analiying the pattern of occurrence of diarrhea cases by age group. Evaluating the annual correlation of the hospitalization for diarrhea disease with the standard of water quality. METHODS: Ecological study of temporal sequence of severe cases of diarrhea occurred in five cities. Standard and nonstandard rates were used for the population considering hospitalizations for acute diarrhea diseases by age group. The Linear regression correlation was analyzed between the standardized and nonstandardized rates and water quality. Pearson product ¿ moment correlation coefficient with the hospitalization cases for diarrhea disease and the water quality parameter. RESULTS: Among 6355 cases of hospital admission for acute diarrhea diseases between 2000 and 2010, a seasonal pattern was observed in all municipalities. Bertioga and Cubatão, mainly in the first years of study, showed the most cases of hospitalization, mainly among children and elderly. There was not significant correlation of the indicator of water quality with the hospitalization rate. There was a reduction of hospital admissions for acute diarrhea diseases throughout the studied period with a higher incidence in Bertioga and Cubatão. Children that are more likely to be infected are those und four years of age. CONCLUSION: There was a reduction of cases of acute severe diarrhea disease throughout the studied period. A more visible reduction was observed in Bertioga and a less visible one in Cubatão.