Epidemiological Surveillance of Mesasles in the Municipality of São Bernardo do Campo-SP Thesis by Keila da Silva Oliveira. Advisor: Oziris Simões

Introduction: Measles is a highly contagious viral communicable exanthematous disease, which in some cases can be a fatal disease. Re-emerging disease with progression in 2019 entering a frank epidemic. The disease affected several municipalities in the state, including the municipality of São Bernardo do Campo located near the metropolitan region, which presented sustained transmission of the disease. Objective: To describe the epidemiological characteristics and epidemiological surveillance actions against measles in the municipality of São Bernardo do Campo in 2019-2020. Method: Descriptive, quantitative study, by analyzing the database of the Notifiable Diseases Information System (SINAN), of exanthematous diseases from January 2019 to December 2020. Results: The epidemiological surveillance system showed good quality, without duplication, low inconsistency, good completeness, and acceptable timeliness. During the study period, there were 2,428 measles notifications, 80.39% of which lived in SBC and 19.60% in other municipalities. A total of 1,438 (78.27%) were discarded, and 13 (0.7%) open cases are still being investigated/opened and come from the late return flow. For the year 2020, 143 notifications were registered, 125 (87.41%) residing in SBC and 20 (13.98%) residing in others. 91 or 72.80% cases were discarded. 420 cases were confirmed, of these 386 (91.90%) in 2019, with an incidence of 47.78/100,000 inhabitants, with 384 autochthonous cases and 2 imported cases. In 2020, there were 34 (8.09%) cases of the disease with an incidence of 4.19 / 100,000 inhabitants, 33 autochthonous cases and 1 imported case. There were no deaths from the disease in the municipality. Conclusion: The evaluation of the surveillance system and the management of information are essential for the identification of the epidemiological situation and decision in the face of outbreaks and epidemics. Different actions such as implementation of the investigation/notification instrument, various types of vaccination campaigns (follow-up campaigns, rapid monitoring, vaccine blocking), training, communication and health education, analysis and monitoring were essential for active surveillance, contributing to disease prevention and control.

Access the full thesis.