Diseases related to inadequate environmental sanitation in the Metropolitan Region of Goiânia, Brazil, between 2008 and 2018 / Doenças relacionadas ao saneamento ambiental inadequado na Região Metropolitana de Goiânia, Brasil, entre 2008 e 2018

The main objectives of this study were to describe the occurrence of diseases related to inadequate environmental sanitation (DRIES) in the metropolitan region of Goiânia (RMG), between 2008 and 2018, through the number of hospitalizations, deaths, and the total amount spent on them in the National Health Service; to detail the occurrence of the most significant DRIES in the RMG and to compare two sources of SUS data. The study was descriptive based on secondary data from TabNet and Autorizacoes de Informacoes Hospitalares (AIH), from the Hospital Information System (SIH), considering 15 DRIES in 20 municipalities of the RMG over 11 years. DRIES caused 58,105 hospitalizations, 384 deaths and the total amount of R$ 20.5 million to the public health system. The most frequent DRIES were dengue, diarrhoea and other intestinal infectious diseases, whereas faecal-oral transmission diseases was the most significant group, with 57.3% of the cases. Elderly people aged 80 years and older were the most affected by dengue (4,972 cases); however, 11,355 hospitalizations were of adults between the ages of 20 and 59 years. Children and the elderly were the most affected by diarrhoea, with 40% of hospitalizations of children between the ages of 1 and 4 years. Large discrepancies were observed between the values obtained from TabNet and those obtained from AIH, indicating, in general, underreporting of the latter. DRIES hospitalizations still represent a significant impact on the public health system and are an important indication of the sanitation situation in the RMG municipalities.