Completeness of notifications of accidents involving venomous animals in the Information System for Notifiable Diseases: a descriptive study, Brazil, 2007-2019

Brito, Mariana; Almeida, Ana Caroline Caldas de; Cavalcante, Franciana; Mise, Yukari Figueroa

doi:10.1590/S2237-96222023000100002

Mariana Brito

Designed the study, analyzed and critically reviewed the article. All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brazil

http://orcid.org/0000-0002-2208-8707

Ana Caroline Caldas de Almeida

Designed the study, analyzed and critically reviewed the article. All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brazil

http://orcid.org/0000-0003-0640-4797

Franciana Cavalcante

Designed the study, analyzed and critically reviewed the article. All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brazil

http://orcid.org/0000-0002-7876-1841

Yukari Figueroa Mise

Designed the study, analyzed and critically reviewed the article. All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brazil

http://orcid.org/0000-0002-5273-1548

Correspondence:
Mariana Brito.
E-mail:
marianabritogs@gmail.com

AUTHORS’ CONTRIBUTION

Brito M, Almeida ACC, Mise YF and Cavalcante F designed the study, analyzed and critically reviewed the article. All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

CONFLICTS OF INTEREST

The authors declared that they have no conflicts of interest.

Associate editor:

Taís Freire Galvão - https://orcid.org/0000-0003-2072-4834

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Figure 1
- Distribution of the completeness of snakebite, spider bite and scorpion sting cases notified on the Notifiable Health Conditions Information System (N =1,871,462) by Brazilian macro-region, 2007-2019

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Study contributions Main results In the period, most of the fields showed improved completeness. Completeness was poorer for fields related to the socio-economic dimension, such as those related to health care provision. Implications for services Surveillance data support policymaking, and systematic quality monitoring is essential. Recognizing errors and missing information in the production of data informs training strategies for better notification form completion. Perspectives We recommend studies that explore other dimensions of data quality to reinforce the importance of data reported on the SINAN regarding venomous animals, in order to contribute more robustly to health surveillance, planning and interventions.

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Box 1
- Description of the investigation form fields for venomous animal accidents, on the Notifiable Health Conditions Information System, classified as essential or non-mandatory, 2007-2019

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Table 1
- Distribution of the completeness percentage and score^a for the snakebite, spider bite and scorpion sting investigation form fields, on the Notifiable Health Conditions Information System (N = 1,871,462), Brazil, 2007-2019

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Table 2
- Distribution of proportional change in completeness for the snakebite, spider bite and scorpion sting investigation form fields, on the Notifiable Health Conditions Information System (N = 1,871,462), Brazil, 2007-2019

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Investigation form field	Type	Description
Fields related to the accident
Zone of occurrence	Essential	Zone where accident occurred
Time between sting and care	Essential	Time elapsed between accident and arrival at a health service
Work-related accident	Non-mandatory	Accident occurred in workplace or on the way to or from work
Fields related to health care
Case classification	Non-mandatory	Clinical classification of the injured person at the start of health care
Localized manifestations	Essential	Occurrence of localized clinical manifestations
Systemic manifestations	Essential	Occurrence of systemic clinical manifestations
Case progression	Essential	Clinical outcome of the injured person
Socioeconomic fields
Race/skin color	Non-mandatory	Ethnic-racial characteristics according to the IBGE^a race/skin color classification system
Schooling	Non-mandatory	Grade/year and level of education the person is attending or finished their schooling
Occupation	Non-mandatory	Occupation code as per the Brazilian Classification of Occupations, household survey version

Health condition	Investigation form field	Completeness, %
		Brazil		North		Northeast		Southeast		South		Midwest
		%	Score	%	Score	%	Score	%	Score	%	Score	%	Score
Snakebite	Zone of occurrence	96.5	excellent	97.0	excellent	96.6	excellent	95.4	excellent	96.6	excellent	97.0	excellent
	Time between sting and care	93.2	good	94.0	good	90.7	good	93.5	good	95.8	excellent	94.2	good
	Work-related accident	84.5	regular	82.7	regular	80.3	regular	87.9	regular	92.4	good	86.4	regular
	Case classification	93.8	good	94.5	good	91.0	good	94.7	good	96.4	excellent	94.0	good
	Localized manifestations	97.7	excellent	98.0	excellent	96.3	excellent	98.4	excellent	98.5	excellent	97.8	excellent
	Systemic manifestations	93.6	good	93.9	good	91.3	good	94.7	good	96.2	excellent	93.6	good
	Case progression	87.1	regular	86.3	regular	84.3	regular	89.6	regular	91.4	good	87.6	regular
	Race/skin color	90.6	good	95.2	excellent	85.3	regular	88.5	regular	96.2	excellent	90.2	good
	Schooling	65.1	poor	71.4	poor	58.6	poor	59.4	poor	75.9	poor	66.3	poor
	Occupation	49.5	very poor	50.0	poor	46.3	very poor	49.1	very poor	60.7	poor	47.0	very poor
Spider bite	Zone of occurrence	97.2	excellent	97.4	excellent	96.4	excellent	96.1	excellent	97.7	excellent	97.3	excellent
	Time between sting and care	92.7	good	92.7	good	83.7	regular	91.4	good	94.0	good	89.6	regular
	Work-related accident	92.0	good	86.3	regular	78.1	poor	88.2	regular	95.3	excellent	84.4	regular
	Case classification	96.8	excellent	94.5	good	92.1	good	95.1	excellent	98.1	excellent	94.2	good
	Localized manifestations	98.7	excellent	98.0	excellent	96.1	excellent	98.3	excellent	99.1	excellent	97.5	excellent
	Systemic manifestations	96.3	excellent	94.1	good	91.2	good	95.1	excellent	97.4	excellent	93.0	good
	Case progression	92.6	good	90.0	good	86.8	regular	91.4	good	93.8	good	89.3	regular
	Race/skin color	91.3	good	95.2	excellent	77.5	poor	86.8	regular	94.5	good	82.8	regular
	Schooling	72.1	poor	70.7	poor	53.1	poor	60.4	poor	79.2	poor	62.1	poor
	Occupation	53.2	poor	50.2	poor	38.8	very poor	46.0	very poor	58.1	poor	41.3	very poor
Scorpion sting	Zone of occurrence	97.1	excellent	97.7	excellent	96.5	excellent	97.6	excellent	97.8	excellent	97.2	excellent
	Time between sting and care	90.3	good	93.5	good	86.0	regular	94.4	good	96.3	excellent	90.5	good
	Work-related accident	87.3	regular	85.4	regular	82.5	regular	92.7	good	96.0	excellent	82.1	regular
	Case classification	96.0	excellent	94.9	good	94.8	good	97.4	excellent	98.1	excellent	95.4	excellent
	Localized manifestations	97.6	excellent	97.9	excellent	96.3	excellent	98.9	excellent	99.1	excellent	97.1	excellent
	Systemic manifestations	93.8	good	94.1	good	91.1	good	96.6	excellent	97.6	excellent	92.6	good
	Case progression	93.4	good	91.6	good	92.0	good	95.6	excellent	96.6	excellent	89.1	regular
	Race/skin color	82.4	regular	94.8	good	74.4	poor	90.0	good	94.4	good	76.3	poor
	Schooling	59.0	poor	72.7	poor	51.2	poor	65.2	poor	82.1	regular	54.9	poor
	Occupation	44.2	very poor	50.8	poor	38.4	very poor	49.0	very poor	68.1	poor	39.5	very poor

Health condition	Investigation form field	Completeness (change: %)
		Brazil			North			Northeast			Southeast			South			Midwest
		2007	2019	Change	2007	2019	Change	2007	2019	Change	2007	2019	Change	2007	2019	Change	2007	2019	Change
Snakebite	Zone of occurrence	96.9	96.5	-0.4	97.9	97.0	-1.0	97.4	96.6	-0.9	95.0	95.7	0.7	97.5	96.2	-1.4	96.7	96.8	0.1
	Time between sting and care	92.6	93.9	1.4	93.1	95.3	2.4	91.2	91.6	0.4	92.7	93.8	1.2	95.4	95.9	0.5	91.6	95.5	4.3
	Work-related accident	81.0	85.9	6.0	78.8	86.2	9.4	78.2	80.8	3.4	82.2	89.4	8.7	90.6	90.9	0.3	81.2	88.6	9.1
	Case classification	92.6	94.6	2.2	91.1	96.8	6.2	90.3	91.5	1.3	94.1	95.5	1.5	97.2	94.1	-3.2	93.9	95.1	1.3
	Localized manifestations	96.7	98.4	1.8	93.1	98.7	6.0	96.2	97.6	1.5	97.1	99.0	2.0	97.9	98.6	0.8	95.3	98.5	3.4
	Systemic manifestations	89.6	95.4	6.5	88.6	96.4	8.8	87.6	93.2	6.3	91.5	96.2	5.2	94.5	96.1	1.7	86.7	96.1	10.9
	Case progression	88.8	85.3	-4.0	85.3	87.0	2.0	89.0	81.3	-8.7	90.1	87.6	-2.8	92.8	87.8	-5.4	91.0	84.2	-7.5
	Race/skin color	90.3	94.2	4.4	95.2	97.1	2.0	87.8	90.9	3.6	85.5	93.1	9.0	95.5	97.0	1.6	87.6	94.4	7.7
	Schooling	69.7	65.9	-5.5	75.3	71.9	-4.6	67.6	58.2	-13.9	60.2	63.6	5.8	80.3	73.5	-8.4	69.9	68.2	-2.5
	Occupation	43.9	61.3	39.6	45.4	64.3	41.7	41.2	58.2	41.3	41.5	62.4	50.5	59.2	63.5	7.2	33.8	56.2	66.4
Spider bite	Zone of occurrence	97.5	97.1	-0.4	98.1	97.6	-0.5	96.8	96.6	-0.2	95.8	96.8	1.0	98.0	97.3	-0.7	95.3	98.0	2.8
	Time between sting and care	90.8	93.1	2.5	93.3	92.5	-0.8	81.4	85.2	4.7	88.9	92.6	4.2	91.7	94.5	3.1	85.6	90.5	5.8
	Work-related accident	90.4	92.3	2.1	86.8	89.1	2.7	73.7	80.3	8.9	84.8	91.5	7.9	92.6	94.8	2.3	85.9	88.6	3.1
	Case classification	97.1	96.8	-0.3	94.0	95.2	1.3	91.7	91.9	0.2	95.6	96.6	1.1	97.7	97.7	-0.1	94.9	95.0	0.1
	Localized manifestations	98.6	98.7	0.1	97.4	98.3	1.0	96.9	97.0	0.1	97.3	98.8	1.6	99.1	99.0	-0.1	98.1	98.3	0.2
	Systemic manifestations	95.5	96.8	1.4	92.8	95.7	3.2	89.1	93.7	5.1	92.1	97.1	5.4	96.7	97.1	0.4	89.8	96.1	7.0
	Case progression	88.8	92.3	3.9	91.3	89.6	-1.9	90.8	85.0	-6.4	93.9	91.4	-2.7	87.3	94.0	7.7	92.2	89.7	-2.7
	Race/skin color	88.6	93.6	5.7	91.6	96.6	5.5	76.2	86.0	13.0	79.4	91.7	15.5	91.5	95.8	4.8	79.7	89.2	12.0
	Schooling	72.1	73.1	1.5	76.4	70.8	-7.3	54.6	56.4	3.3	55.4	67.1	21.2	76.9	79.3	3.1	68.4	65.9	-3.6
	Occupation	48.5	58.5	20.6	41.9	64.2	53.1	31.0	47.9	54.7	37.6	56.6	50.5	52.3	61.3	17.2	32.4	46.7	44.1
Scorpion sting	Zone of occurrence	97.6	97.4	-0.1	97.9	98.1	0.3	98.1	97.0	-1.1	96.9	97.8	0.9	98.3	97.6	-0.7	96.2	97.5	1.4
	Time between sting and care	87.3	92.1	5.6	94.2	93.6	-0.7	82.7	89.1	7.8	91.7	95.1	3.6	97.4	96.3	-1.1	90.5	90.9	0.5
	Work-related accident	82.4	90.4	9.8	80.8	88.8	9.9	78.3	86.9	11.1	87.5	94.5	8.1	95.5	95.6	0.0	82.1	85.8	4.55
	Case classification	96.1	96.6	0.5	91.3	96.6	5.8	96.2	95.1	-1.2	96.5	98.0	1.6	98.0	98.1	0.2	95.2	96.2	1.1
	Localized manifestations	97.2	98.4	1.2	97.3	98.6	1.3	96.5	97.4	0.9	98.0	99.4	1.4	99.1	99.3	0.2	96.6	98.2	1.7
	Systemic manifestations	92.4	95.3	3.1	90.4	96.7	7.0	91.7	92.7	1.1	93.7	97.9	4.4	97.1	97.9	0.9	89.0	94.5	6.2
	Case progression	95.5	93.4	-2.3	89.8	91.7	2.1	96.0	91.5	-4.7	95.9	95.9	0.0	96.9	95.8	-1.1	93.1	89.1	-4.3
	Race/skin color	79.2	89.5	13.0	94.6	96.5	2.0	74.4	84.2	13.2	83.3	95.2	14.3	92.2	96.7	4.9	74.6	80.9	8.4
	Schooling	57.1	63.5	11.4	80.7	74.7	-7.4	48.0	55.4	15.5	63.6	71.0	11.5	87.6	81.0	-7.6	65.6	56.2	-14.3
	Occupation	34.5	52.3	51.4	44.8	64.3	43.6	30.6	43.7	42.7	37.1	60.4	62.7	57.6	68.3	18.6	32.6	44.0	35.3

[1] Correspondence:
Mariana Brito.
E-mail:
marianabritogs@gmail.com

Brasil

Brasil

Completeness of notifications of accidents involving venomous animals in the Information System for Notifiable Diseases: a descriptive study, Brazil, 2007-2019

Completitud de las notificaciones de accidentes por animales ponzoñosos en el Sistema de Información de Agravamientos de Notificación: estudio descriptivo, Brasil, 2007-2019

Abstract

Objective:

Methods:

Results:

Conclusion: