Análise do Programa de Controle da Tuberculose no estado do Pará, Brasil, de 2005 a 2014

OBJECTIVE: To analyze the indicators of the Brazilian National Tuberculosis Control Program in the Integration Regions of Para State, from 2005 to 2014. MATERIALS AND METHODS: Ecological study using 31,372 cases of pulmonary tuberculosis (TB) in people aged 20 years and older, registered in the Notifiable Diseases Information System. RESULTS: The average incidence in all State was 71.7/10,000 inhabitants. Regiao Metropolitana recorded 49.6% (15,572) of the cases and incidence of 114.7/10,000 inhabitants, with increasing trend in the period (22.3%). The greatest reduction in the number of cases occurred in Regiao Xingu (41.9%). In Para, 70.8% of cases were discharged by cure, with the highest proportion in Regiao Guama (77.9%). Only 72.6% of the cases had laboratory confirmation. The rate of discharge by cure, in confirmed cases, decreased from 73.1% in 2005 to 67.3% in 2014, with the highest rate (85.4%) in 2006, in Regiao Rio Caete; and the lowest rate (48.9%) in 2014, in Regiao Tapajos, with a tendency to increase in Araguaia, Carajas, Lago de Tucurui, and Tocantins Regions. In five Regions, the discontinuing treatment was higher than the State average (13.0%), and, in the period, it increased in Xingu, Tapajos, Marajo, Tocantins, Carajas, Guama, Capim River, and Caete Rivers Regions. The highest mortality occurred in Regiao Metropolitana in 2011; and the lowest, in Regiao Guama in the years 2009 and 2010. CONCLUSION: In the period studied, Para State was far from reaching the indicators proposed for the elimination of TB, contributing to the maintenance of endemic in Brazil.