2301/2012 - CUSTO DAS DOENÇAS ATRIBUÍVEIS A FATORES AMBIENTAIS NA CIDADE DE MANAUS, AMAZONAS COST OF ILLNESS ATTRIBUTABLE TO ENVIRONMENTAL FACTORS IN THE CITY OF MANAUS, AMAZONAS
• Marcilio Sandro de Medeiros - Medeiros, MS - Manaus, AM - Instituto Leônidas e Maria Deane - Fundação Oswaldo Cruz - <muribeka@amazonia.fiocruz.br>
Coautor(es):
• Daniel Souza Sacramento - Sacramento, DS - Centro Universitário do Norte - UNINORTE - <dsacramento@ig.com.br>
• Jose Camilo Hurtado-Guerrero - Hurtado-Guerrero, JC - Escola Superior de Saúde, Universidade do Estado do Amazonas - ESA/UEA - <jhocamhur@yahoo.com.br>
• Ramon Arigoni Ortiz - Ortiz, RA - Basque Center for Climate Change, Espanha. - <ramon_ortiz@ig.com.br>
• Andre Luiz Dutra Fenner - Fenner, ALD - Centro Colaborador da OPAS/OMS em Saúde Pública e Ambiental, Rio de Janeiro - <fenner@fiocruz.br >
Área Temática:
Saúde e Ambiente
Resumo:
O estudo estimou o custo das doenças atribuíveis a fatores ambientais na cidade de Manaus, entre os anos de 1998 a 2009. As causas de internação hospitalar foram agrupadas com base nos estudos de Carga Global de Doença e da Análise Comparativa de Risco da Organização Mundial da Saúde. O valor foi estimado por meio da soma dos (i) gastos hospitalares com tratamento das doenças atribuíveis a fatores ambientais com os (ii) valores dos dias de trabalho perdidos resultante da permanência em leito hospitalar, estimados a partir da remuneração média dos trabalhadores de Manaus. Os dados ainda foram calibrados levando-se em consideração a cobertura da população com plano de saúde privado. O custo das doenças, considerando os valores corrigidos pelo Índice Geral de Preços do Mercado para o ano de 2009, foi estimado em R$ 286.852.666,97, dos quais as doenças cardiovasculares, as infecções respiratórias das vias aéreas inferiores e as doenças diarreicas são responsáveis por 78,6%. As frações atribuíveis a fatores ambientais, as doenças cardiovasculares respondem por 16% (IC: 7—23%), as infecções respiratórias das vias aéreas inferiores por 41% (IC: 32—47%), e as diarreias por 94% (IC: 84—98%) da carga global das doenças.
Palavras-chave:
Morbidade
Custos de cuidados de saúde
Economia da saúde
Abstract:
The study estimated the cost of illness attributable to environmental factors in the city of Manaus, between the years 1998 to 2009. The causes of hospitalization were grouped based on studies of the Global Burden of Disease and Comparative Risk Assessment of the World Health Organization. The value was estimated by the sum of (i) hospital spending on treatment of diseases strongly attributable to environmental factors as (ii) value of lost workdays resulting from the stay in hospital bed, estimated from the average earnings of Manaus workers. The data were still calibrated taking into account the coverage of the population with private health insurance. The cost of illness, considering the values corrected by the General Price Index Market to the year 2009, was estimated at R$ 286,852,666.97, where cardiovascular disease, respiratory infections, of the lower airways and diarrheal diseases are responsible for 78.6% of these values. The fractions attributable to environmental factors, cardiovascular diseases account 16% (CI: 7-23%), respiratory infections, respiratory infections of the lower airways by 41% (CI: 32-47%), and diarrhea by 94% (CI: 84-98%) of the global burden of disease.
COST OF ILLNESS ATTRIBUTABLE TO ENVIRONMENTAL FACTORS IN THE CITY OF MANAUS, AMAZONAS
Resumo (abstract):
The study estimated the cost of illness attributable to environmental factors in the city of Manaus, between the years 1998 to 2009. The causes of hospitalization were grouped based on studies of the Global Burden of Disease and Comparative Risk Assessment of the World Health Organization. The value was estimated by the sum of (i) hospital spending on treatment of diseases strongly attributable to environmental factors as (ii) value of lost workdays resulting from the stay in hospital bed, estimated from the average earnings of Manaus workers. The data were still calibrated taking into account the coverage of the population with private health insurance. The cost of illness, considering the values corrected by the General Price Index Market to the year 2009, was estimated at R$ 286,852,666.97, where cardiovascular disease, respiratory infections, of the lower airways and diarrheal diseases are responsible for 78.6% of these values. The fractions attributable to environmental factors, cardiovascular diseases account 16% (CI: 7-23%), respiratory infections, respiratory infections of the lower airways by 41% (CI: 32-47%), and diarrhea by 94% (CI: 84-98%) of the global burden of disease.
Medeiros, MS, Sacramento, DS, Hurtado-Guerrero, JC, Ortiz, RA, Fenner, ALD. CUSTO DAS DOENÇAS ATRIBUÍVEIS A FATORES AMBIENTAIS NA CIDADE DE MANAUS, AMAZONAS. Cien Saude Colet [periódico na internet] (2013/fev). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/custo-das-doencas-atribuiveis-a-fatores-ambientais-na-cidade-de-manaus-amazonas/12107?id=12107&id=12107
