INCIDÊNCIA DE TUBERCULOSE ASSOCIADO AO PRODUTO INTERNO BRUTO: METANÁLISE DE 81 PAÍSES TROPICAIS

A tuberculose tem como principal patogeno o Mycobacterium Tuberculosis, utilizando o corpo humano como o principal reservatorio de infeccao da TB ativa. A maior transmissao pala tuberculose e feita pessoa-pessoa por via de organismos veiculados pelo ar, assim, ela se prolifera em qualquer lugar que exista aglomeracao e pobreza. O tratamento dessa doenca tem um percentual de 100% de cura dos novos casos, desde que sejam obedecidos os principios basicos da terapeutica medicamentosa e uma operacionalizacao do tratamento, o Tratamento Diretamente Observado. Apesar disso, TB ainda e um grave problema de saude publica em todo mundo, mas considerado uma doenca principalmente tropical que apresenta relacoes com as condicoes socioeconomicas dos paises. Em 2014 foi aprovada a nova estrategia global para o enfrentamento da TB, tendo previsao de extinguir a tuberculose ate 2035. Isso baseado na alta incidencia de tuberculose. No ano de 2015 foram estimados 10,4 milhoes dos novos casos de TB. Nas melhores expectativas morreram 1,4 milhao de pessoas em 2015. A iTB tende a apresentar um maior valor nos paises em desenvolvimento. Seis paises foram responsaveis por 60,0% dos novos casos de tuberculose no mundo em 2015: India, Indonesia, China, Nigeria, Paquistao e Africa do Sul. O Produto Interno Bruto (PIB) consiste na medicao dos valores dos bens e servicos que o pais produz em um determinado periodo, na agropecuaria, industria e servicos. Nesse sentido, o objetivo do estudo foi analisar a incidencia de tuberculose (iTB) nos paises tropicais (PT) relacionado ao Produto Interno Bruto (PIB). Foram coletados dados secundarios atraves do Global Health Observatory data repository que apresentaram a iTB (por 100000 habitantes/ano), de 81 paises tropicais. O PIB foi coletado a partir de dados secundarios da United Nations Development Program. Foram realizadas metaregressoes de efeito randomico pelo metodo de maxima verossimilhanca sem restricoes para entender a associacao entre a iTB e o PIB, acompanhadas pelo intervalo de confianca de 95% (IC95%). Foram notadas associacoes estatisticas significantes entre a iTB e PIB (R² = 12%; β0 = 181.71; β1 = -0.00559; 81 PT). Observou-se que a cada US$200 de variacao no PIB, ha a alteracao de 1 novo caso na iTB Tuberculosis has as main pathogen the Mycobacterium Tuberculosis, using the human body as the main reservoir of infection active TB. The biggest transmission visor tuberculosis is made person by person for way of organisms propagated for air, thus, it proliferates itself in any place that exists agglomeration and poverty. The treatment of this disease has a percentage of 100% success cure in the new cases, since that they areobeyed to the basic principles of the therapeutic drug and a operationalization of the treatment, the Treatment Directly Observed. Although this, TB still is a serious problem of public health in worldwide, considered a mainly tropical disease that presents relations with the socioeconomics conditions of the countries. In 2014 the new global strategy for the confrontation of the TB was approved, having had forecast to extinguish the tuberculosis up to 2035. This is based on the high incidence of tuberculosis. In the year of 2015 10,4 million new cases of TB had been esteem. In the best expectations they had died 1,4 million of people in 2015. iTB tends to present a bigger value in the developing countries. Six countries had been responsible for 60,0% of the new cases of tuberculosis in the world in 2015: India, Indonesia, China, Nigeria, Pakistan and South Africa. The Gross Domestic Product (GDP) consists of the measurement of the values of the goods and services that the country produces in one definitive period, in the farming one, industry and services. In this direction, the objective of the study was to analyze the incidence of tuberculosis (iTB) in the tropical countries (TP) related to The Gross Domestic Product. Secondary data were collected through the Global Health Observatory data repository that presented the iTB (per 100,000 population / year) from 81 tropical countries. GDP was collected from secondary data from the United Nations Development Program. Random metric measurements were performed using the maximum likelihood method with no restrictions to understand the association between iTB and GDP, accompanied by a 95% confidence interval (95% CI). Significant statistical associations between iTB and the GDP (R² = 12%; β0 = 181.71; β1 = -0.00559; 81 TP). It was observed that to each US$200 of variation in the GDP, it has the alteration of 1 new case in iTB.