Keywords
Mortality
Epidemiological surveillance services
Elderly
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Abstract
Objective: To analyze dengue mortality in the State of São Paulo between 2021 and 2024, identifying temporal trends, age distribution of deaths, and factors associated with lethality, focusing on the vulnerability of the elderly population. Methods: The method used was a descriptive and retrospective quantitative study, based on secondary epidemiological surveillance data extracted from Tabnet (SINAN) in May 2025. The analysis involved the total number of reported cases with clinical outcomes of death and their age distribution. Results: The results revealed a significant and worrying increase in mortality, jumping from 69 deaths in 2021 to 2,200 in 2024, a growth of 648%. The greatest vulnerability was observed among the elderly, especially the group aged 70 or older, which concentrated the highest number of deaths from 2022 onwards. The temporal distribution showed a concentration of deaths in the months of April and May in all years analyzed. Conclusion: The final results indicate that dengue fever in the elderly is marked by a higher risk of death, requiring specific protocols and intensified surveillance. Reducing mortality depends on integrated and intersectoral strategies that prioritize prevention, control of Aedes aegypti, and rigorous monitoring of the elderly population.
References
BENITO LAO, et al. Dengue em idosos no Brasil, 2014-2024: Estudo ecológico de séries temporais. REVISA, 2025; 14(2): 1582–1597.
BIASSOTI AV e ORTIZ MAL. Da dengue, diagnóstico laboratorial. Diagnóstico laboratorial da dengue. Uningá Review, 2017; 29(1): 122-126.
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Departamento de Doenças Transmissíveis. Dengue: diagnóstico e manejo clínico: adulto e criança [recurso eletrônico] / Ministério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Departamento de Doenças Transmissíveis. – 6. ed. – Brasília: Ministério da Saúde, 2024.
BRASIL. Ministério do Desenvolvimento e Assistência Social, Família e Combate À Fome. Secretaria Nacional da Política de Cuidados e Família. Nota Informativa n.º 5/2023 MDS/SNCF: envelhecimento e o direito ao cuidado. Brasília: MDS, 2023.
CHURAKOV M, et al. Dinâmica espaço-temporal da dengue no Brasil: ondas viajantes sazonais e determinantes da sincronia regional. PLoS Neglected Tropical Diseases, 2018.
COCHERO BE, et al. Percepções da dengue na perspectiva de uma comunidade rural da costa caribenha na Colômbia. Mundo Saúde, 2024; 48: 15982024.
FAUZI IS, et al. Tendência temporal e agrupamento espacial da prevalência da dengue em Java Ocidental, Indonésia. Heliyon, 2022; 8.
GUO C, et al. Global Epidemiology of Dengue Outbreaks in 1990–2015: A Systematic Review and Meta-Analysis. Frontiers in Cellular and Infection Microbiology, 2017; 7.
GURGEL-GONÇALVES R, et al. The greatest Dengue epidemic in Brazil: Surveillance, Prevention, and Control. Revista da Sociedade Brasileira de Medicina Tropical, 2024; 57.
HUY B, et al. Epidemiological and Clinical Features of Dengue Infection in Adults in the 2017 Outbreak in Vietnam. BioMedResearchInternational, 2019.
JAMA S, et al. Estudo retrospectivo sobre o surto de dengue no estado de Puntland, Somália. BMC Infectious Diseases, 2024; 24: 735.
JENG M, et al. Prognosis and mortality risk in elderly patients with dengue virus infection: excess fatality and the urgent need for revising current WHO criteria for elderly patients. Travel medicine and infectious disease, 2025; 65: 102855.
LIM J, et al. Características clínicas e epidemiológicas associadas à dengue em Mombasa, Quênia. International Journal of Infectious Diseases, 2020; 100: 207-215.
ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE. Alerta Epidemiológico: Aumento de casos de dengue na região das Américas. Washington, D.C. OPAS/OMS. 2024.
QIN Q, et al. Tendências globais, regionais e nacionais na incidência, mortalidade e incapacidade causadas pela dengue em adultos com 70 anos ou mais: uma análise do Estudo da Carga Global de Doenças de 2021. Journal of travel medicine, 2025; taaf077.
SÃO PAULO. Secretária Municipal de Saúde. Dengue: saiba mais sobre a sazonalidade da doença. Secretária Municipal de Saúde, 2024.
SANSONE N, et al. Dengue outbreaks in Brazil and Latin America: The new and continuing challenges. International journal of infectious diseases: IJID: official publication of the International Society for Infectious Diseases, 2024; 107192.
SAUCEDA-ACOSTA D, et al. Risk factors for dengue mortality: a 7-year retrospective cohort in Honduras. BMC Infectious Diseases, 2025; 25: 147.
VIANA DV e IGNOTTI E. A ocorrência da dengue e variações meteorológicas no Brasil: revisão sistemática. Revista Brasileira de Epidemiologia. 2013; 16(2): 240-256.
WORLD HEALTH ORGANIZATION. Dengue: guidelines for diagnosis, treatment, prevention and control - New edition. Geneva: WHO, 2009.