Impact of vaccination in the reduction of hepatitis B in Paraná

PUDELCO, Priscila; KOEHLER, Andreia Eloize; BISETTO, Lúcia Helena Linheira

doi:10.1590/1983-1447.2014.01.37821

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Original Papers • Rev. Gaúcha Enferm. 35 (01) • Mar 2014 • https://doi.org/10.1590/1983-1447.2014.01.37821 copy

Impact of vaccination in the reduction of hepatitis B in Paraná^a a Article based on the final work of the Nursing Programme at the Pontifical Catholic University of Paraná (PUCPR)

Impacto de la vacunación en la reducción de la hepatitis B en Paraná

Authorship SCIMAGO INSTITUTIONS RANKINGS

This study identified the impact of hepatitis B vaccine over reducing incidence of this disease in Paraná State, between 2001 and 2011, and discussed the role of nursing in immunization. Descriptive documental and quantitative research. Utilized secondary data of hepatitis B, between 2001 and 2011 and vaccination coverage of hepatitis B vaccine between 1995 and 2011 in Paraná State, available in DATASUS, SINAN and Immunization Programs. Data has been collected from May to July 2012. Included cases of hepatitis B confirmed by laboratory testing. Of the 14,434 selected cases, 81,8% was in urban residents, 86,5% belonged to 20 to 59 age group and 45,3% were infected by sexual transmission. In the correlation of vaccine coverage with the incidence, was identified reducing this rate in the range of 0 to 9 years old, in places with vaccination coverage's above 95%. It concludes that hepatitis B vaccination had impact over disease reduction in Paraná State.

Hepatitis B; Vaccination; Epidemiology; Public Health Nursing

Age Group	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	Total
Under 1	0	0	9	3	12	7	5	3	2	4	3	48
1 to 4 years	6	2	4	2	4	3	3	2	1	0	2	29
5 to 9 years	14	4	16	9	10	5	3	2	4	5	8	80
10 to 14 years	10	13	20	11	19	20	9	14	8	15	19	158
15 to 19 years	53	45	115	101	113	80	81	70	68	69	97	892
20 to 29 years	178	183	451	432	466	414	369	322	309	364	448	3936
30 to 39 years	105	151	426	409	445	438	398	377	405	436	591	4181
40 to 49 years	67	75	210	222	299	300	227	265	290	375	535	2865
50 to 59 years	21	30	93	94	142	151	124	160	152	188	348	1503
60 to 69 years	10	8	35	27	40	38	52	61	76	75	138	560
70 to 79 years	1	2	12	11	11	14	16	16	24	16	32	155
over 80 years	1	0	1	3	2	2	4	4	2	4	4	27
Total	466	513	1392	1324	1563	1472	1291	1296	1341	1551	2225	14434

Source/Mech-.of Infection	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	Total
Source/Mech-.of Infection	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	N	%
Sexual	15	34	170	168	187	224	268	258	283	251	333	2191	45,3
Others	63	49	74	78	108	92	45	58	62	69	115	813	16,8
Home	7	6	100	57	61	55	53	51	53	65	154	662	13,7
Vertical	3	4	20	30	40	60	44	55	56	55	76	443	9,1
Dental treat.	--	--	--	--	--	--	33	36	27	67	79	242	5
Dental/Surg. treat.	0	5	25	24	36	22	8	2	1	12	11	146	3
Transfusion	0	1	8	19	20	26	25	25	19	28	44	215	4,5
Inject. Drug use	0	0	6	5	7	6	3	13	8	9	19	76	1,6
Work accident	0	1	3	8	5	5	9	3	8	3	7	52	1
Total	88	100	406	389	464	490	488	501	517	559	838	4840	100

Age Group	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011
Under 1	0,0	0,0	5,0	1,6	6,4	3,7	3,3	2,1	1,4	2,8	2,1
1 to 4 years	0,8	0,3	0,5	0,3	0,5	0,4	0,4	0,3	0,2	0,0	0,3
5 to 9 years	1,5	0,4	1,7	0,9	1,0	0,5	0,3	0,2	0,4	0,7	1,0
10 to 14 years	1,1	1,4	2,1	1,1	1,9	2,0	1,0	1,5	0,9	1,7	2,1
15 to 19 years	5,5	4,6	11,7	10,2	11,1	7,8	8,5	7,4	7,2	7,4	10,4
20 to 29 years	10,5	10,7	26,0	24,6	25,9	22,7	19,7	17,2	16,4	20,4	25,0
30 to 39 years	6,8	9,7	27,2	25,8	27,4	26,6	24,7	23,3	24,7	26,9	36,2
40 to 49 years	5,8	6,4	17,8	18,6	24,5	24,3	16,1	18,4	19,8	25,6	36,2
50 to 59 years	2,8	4,0	12,1	12,1	18,0	18,9	12,7	15,8	14,5	17,4	32,0
60 to 69 years	2,1	1,6	7,1	5,4	7,9	7,4	8,8	9,9	11,9	11,2	20,6
70 to 79 years	0,4	0,8	4,8	4,3	4,2	5,4	4,9	4,7	6,8	4,5	8,9
over 80 years	1,2	0,0	1,1	3,4	2,2	2,2	3,1	2,9	1,3	2,7	2,7
Total	4,8	5,2	14,1	13,2	15,2	14,2	12,3	12,2	12,5	14,8	21,2

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[1] Author's address / Endereço do autor / Dirección del autor Lúcia Helena Linheira Bisetto Escola de Saúde e Biociências, Curso de Graduação em Enfermagem Rua Imaculada Conceição, 1155, Prado Velho 80242-980, Curitiba, PR E-mail: lucia.bisetto@pucpr.br

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Impact of vaccination in the reduction of hepatitis B in Paranáa a Article based on the final work of the Nursing Programme at the Pontifical Catholic University of Paraná (PUCPR)

Impacto de la vacunación en la reducción de la hepatitis B en Paraná

Impact of vaccination in the reduction of hepatitis B in Paraná^a a Article based on the final work of the Nursing Programme at the Pontifical Catholic University of Paraná (PUCPR)