Document 2360
 DOCN  M94A2360
 TI    The effect of AIDS on mortality in Rio de Janeiro.
 DT    9412
 AU    Sanches K; Valente K; Sayeg F; AIDS Department of Secretariat of Health
       of Rio de Janeiro State,; Brazil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):321 (abstract no. PC0217). Unique
       Identifier : AIDSLINE ICA10/94370215
 AB    OBJECTIVES: 1--To determine the effect of AIDS on mortality; 2--To
       assess trends of death due to AIDS in Rio de Janeiro; 3--To assess the
       accuracy of AIDS reporting on AIDS surveillance system. METHODS: We used
       final mortality data from Rio de Janeiro State records, for the period
       1990 through 1992, and provisional statistics for 1993. It was analyzed
       all mortality data which had AIDS as underlying cause of death. The data
       from AIDS surveillance system were used to compare AIDS cases reported
       from clinics/hospitals and from death certificates, in order to evaluate
       the extent of underreporting cases. RESULTS: In 1992, there were 1755
       deaths due to AIDS in Rio de Janeiro, accounting for 1.65% of deaths
       from all causes and making it the one of the leading causes of death for
       the total population. The AIDS proportional mortality rate (PMR) has
       been increasing though the years; in 1990 it represented 1.11% and in
       1992 1.65%. During the studied period (1990-1993). AIDS represented 30%
       (40% among adults' population) of all deaths caused by transmissible
       diseases. The risk of dying of AIDS increased from 9.62/100,000 in 1992
       to 15.25/100,000 in 1993. Taking into account only adult population, the
       risk increases to 21.93/100,000 inhab. Using updated death data from
       specific forms applied for reporting AIDS cases, we found significative
       difference in the coefficients when compared with rates obtained through
       mortality statistics: PMR did not reach 1%; AIDS death rate showed a
       descendent trend (6.33/100,000 in 1990 and 4.35/100,000 in 1993).
       CONCLUSION: The difference in the rates obtained through mortality
       statistics and those from the data of State Surveillance System
       reinforce the delaying on case reporting and/or underreporting on AIDS
       cases. The effect of AIDS on profile of death in Rio de Janeiro assumes
       a dynamic pattern. This study point out for the need of a protocol
       aiming the validation of death certificates, and to define strategies to
       improve surveillance system on HIV/AIDS for a better monitoriment of the
       epidemics.
 DE    Acquired Immunodeficiency Syndrome/*MORTALITY  Brazil/EPIDEMIOLOGY
       Human  Mortality  MEETING ABSTRACT

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