Assessment of the timeliness for notification of dengue in the state of Paraná

Normative assessment study of the attribute timeliness, according to the Centers for Disease Control and Prevention and the parameters of the Ministry of Health. The population consists of the total of 132,979 dengue notifications registered in the Notifiable Diseases Information System (SINAN) online in the state of Paraná in the periods of 2011/2012 and 2012/2013. It is a descriptive analysis of the time (in days) elapsed in steps of notification, investigation, typing and closure, median calculation, percentage, and cumulative percentage of intervals.

Results

Ninety percent of cases were notified within 6-12 days (mean: 2-4); 90% and more with investigations initiated on the day of notification; 90% entered in 10-74 days (mean: 10-74); and 80% closed within 38-61 days after notification (mean: 20-45).

Conclusion

Ninety percent and more of cases had their investigations initiated on the day of notification. Improvements are needed in the other steps to help in the control and prevention of dengue.

Dengue; Disease notification; Health evaluation; Public health nursing; Health information systems

Stages of timeliness	Time interval (in days) obtained from the difference between dates	Case assessment parameters
Notification (case knowledge)	Notification and onset of symptoms	90% notified up to seven days after the onset of symptoms
Investigation (beginning of case investigation)	Investigation and notification	90% with investigation started up to seven days after notification
Typing (of data in the system)	Typing and notification	90% typed up to seven days after notification
Closure (case closure)	Closure ad notification	80% closed up to 60 days after notification

Period		2011/2012					2012/2013
Macro-region Timeliness		E	NW	N	W	PR	E	NW	N	W	PR
Notification	Mean	5	5	3	5	4	6	4	3	5	4
	Max	67	375	367	375	375	368	740	731	398	740
	P75	7	6	3	5	4	7	5	4	6	5
	P50	4	3	2	3	2	4	3	2	3	2
	P25	2	1	1	1	1	2	1	1	1	1
	Min	0	0	0	0	0	0	0	0	0	0
Typing	Mean	38	8	21	15	17	19	20	22	5	18
	Max	470	452	769	554	769	758	642	621	482	642
	P75	39	8	29	14	20	19	19	30	5	17
	P50	19	4	7	5	6	8	6	6	2	5
	P25	7	1	3	1	2	4	2	2	0	1
	Min	0	0	0	0	0	0	0	0	0	0
Closure	Mean	26	63	39	43	44	26	44	54	125	45
	Max	372	781	762	509	781	758	653	605	758	758
	P75	34	43	52	57	52	34	57	61	30	61
	P50	21	22	34	20	27	21	29	45	21	30
	P25	11	14	19	12	15	12	16	22	17	17
	Min	0	0	0	0	0	0	0	0	0	0

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author. Dora Yoko Nozaki Goto. Piquiri street, 170, 80230-140, Curitiba, PR, Brazil. doragoto@sesa.pr.gov.br