THE BURDEN OF DISEASE DUE TO AIDS IN A BRAZILIAN STATE

Monday, 18 August 2014
Exhibit hall (Dena'ina Center)
Helena G Silva, MS , University of Southern Santa Catarina, Tubarão, Brazil
Jane Silva, PhD , University of Southern Santa Catarina, Tubarão, Brazil
Jefferson Traebert, PhD , University of Southern Santa Catarina, Tubarão, Brazil
INTRODUCTION:  The objective of this study was to estimate the burden of disease due to AIDS in the Brazilian Southern state of Santa Catarina. 

METHODS:  An ecological-designed study, composed by death data and AIDS notifications for the year 2009 was performed. The mortality component (YLL) was estimated as the difference between life expectancy from birth, standardized at 80 years of age for men and 82.5 for women, and age at death. A discount rate of 3% per year was applied. The morbidity component (YLD) was estimated as the product of the weight for AIDS of 0.167 and its average duration of 108 months on the incident cases. The burden of disease (DALY) was estimated by the sum of the components of mortality and morbidity. The YLL, YLD and DALY rates were calculated per 100,000 inhabitants, by sex and age group. 

RESULTS:  2034 cases and 689 deaths due to AIDS were reported in 2009 in Santa Catarina. 15,756.5 YLLs were estimated, at a rate of 257.5 YLLs/100,000 inhabitants. 4554.1 YLDs were estimated, at a rate of 74.4 YLDs/100,000 inhabitants. The sum of these values resulted in 20,310.6 DALYs, with a rate of 331.9 DALYs/100,000 inhabitants. The highest rates were seen in males (428.79 DALYs/100,000 men) and in the age groups 30-44 years (811.91 DALYs/100,000 inhabitants) and 45-59 years (501.51 DALYs/100,000 inhabitants). 

CONCLUSIONS:  Burden of disease due to AIDS was high and was seen mainly in the adult age groups, with a slight predominance in males. The inclusion of the burden of disease indicator into health and action policies is recommended to monitor AIDS.