Impacto epidemiológico e os gastos com hospitalizações associados com dengue e dengue grave na Região Norte do Brasil (2000-2015)

Abstract

Introduction: Dengue is characterized as an important public health problem in Brazil and is endemic in all regions of the country. Understanding the estimates of the epidemiological impact and the costs associated with this arbovirus, from the perspective of Health Unic System (HUS), can contribute to decision making in the context of actions and strategies to cope with this infection. Objective: To evaluate the records applied to dengue and severe dengue in the scenario of notifications and hospitalizations that occurred in the northern region of Brazil, from 2000 to 2015, from the SUS perspective. Methods: To evaluate the profile of records associated with dengue and severe dengue from SUS database such as SINAN and SIH/SUS between 2000 and 2015 for all states of northern Brazil. Dengue (SUS code: 74500457, 74300440, 0303010010) and severe dengue (SUS code: 74300628, 74500627, 0303010029) hospitalization records were tracked in the SIH/SUS databases. Data tabulations (expenditures (US$), notification and hospitalization registers and deaths) were performed in Microsoft Excel 2010. Results: In northern Brazil, 131,091 cases of dengue (128,471) and severe dengue (2,620) were reported, with 135,387 hospitalizations (SIH/SUS). This resulted in direct medical expenditures of, approximately, US$ 29.3 million to the Brazilian public health system during the study period. Conclusion: The economic and epidemiological burden associated with dengue can be characterized as considerable for SUS over the 16-year period, due to the many reported cases and hospitalizations associated with this arbovirus. From the results, the state of Pará stood out against the records, as well as SUS spending involving treatment with DENV infections. The importance of the maintenance and continuous efforts of the authorities and the population to combat the vector of this infection also associated with others like Zika and Chikungunya. Reinforces the relevance of the sanitarist's role in relation to their contributions and potentialities for health actions.