Desenvolvimento, saneamento e saúde: um estudo sobre os custos da Leptospirose grave em Salvador – Bahia

Abstract

Introduction - Leptospirosis, a febrile infectious disease caused by the leptospira bacterium, have been a health problem in urban slums. In Brazil, it is an endemic and epidemic disease usually in the rainy season with mandatory notification. Objective - To evaluate the epidemiology and costs for SUS with admissions for severe leptospirosis in Salvador from 1996 to 2017. Methods - The population consisted of 3,395 individuals who had severe leptospirosis, who were attended at the Hospital Couto Maia between March 1996 and March 2017. To obtain the data was used the project database and information available in the systems Ministry of Health. Results - Considering the analyzes in our the case study, it was identified that the 3,395 cases of leptospirosis occurred in the city of Salvador in 1996 to 2017, the individuals were mostly men, black and with basic education. The estimated cost to the Unified Health System was R $ 12,075,816.24 in hospitalization costs for a single disease. It was also identified the number of potential years of life lost of 11,159 years, which corresponds to an average of 28 years of life lost per death, in addition to 7,628 potential years of lost jobs, which generated the amount of R $ 28,939,934.52 related to loss of income due to death. Conclusion -The estimates presented highlight the need to promote control measures to reduce the costs, incidence, and severity of leptospirosis, through effective and integrated actions by governments.