Epidemic of dengue and the occurrence of early neonatal death: an ecological study
International Journal of Development Research
Epidemic of dengue and the occurrence of early neonatal death: an ecological study
Received 16th September, 2017; Received in revised form 20th October, 2017; Accepted 27th November, 2017; Published online 29th December, 2017
Copyright ©2017, Eugênio Oliveira Martins de Barros et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The aim of the present study was to evaluate the effects of dengue virus infection in pregnancy from 2007 to 2016. For this study we used data from the notification systems for live births and mortality in a Brazilian municipality of approximately 900 thousand inhabitants. Epidemic years were compared to endemic years, with rates related to clinical-obstetric and pediatric outcomes being calculated. Statistical difference was found for the coefficient of early neonatal mortality, which presented higher values in the epidemic years for dengue compared to the endemic years. There was no statistical difference in the coefficients of early neonatal deaths between epidemic and endemic years according to the following ICD-10 categories: neoplasias; cardiomyopathies; disorders, infections or conditions of the perinatal period; congenital malformations, deformities and chromosomal abnormalities; and external causes of morbidity and mortality. However, there was a greater notification of congenital syphilis in the epidemic years. There was an association between early neonatal mortality and the epidemic level. The results obtained in this paper are consistent with other studies on the effects of dengue infection during pregnancy and obstetric and pediatric risks.
