Abstract
The purpose of this study is to better understand the epidemiology of meningitis caused by H. influenzae in the city of São Paulo during the period 1960-77. The survey was perfomed by a group of professors from the dcpartamcnt of social medicine of the "Faculdade de Ciências Médicas da Santa Casa de São Paulo", public heath physicians and medical students, Data were obtained directly frorn the patients records and registered on a pre-coded formo Cases of H. influenzae meningitis were confirmed by culture. During the study, 900 cases of H. influenzae meningitis were confirmed, giving an average rate of 0.89 cases per 100,000 population. Children <5 years old represented 91 % of the cases, 63 percent of them bcing less than one year old. The average rate for childrcn <1 year old was 23.3 cases per 100,000 popnlation. The average case fatality rate for the period 1960-77 was 31 percent. The highest case fatality rate occurred in children <1 year old and was 40 percent. The central, intermediate and peripheria zones didn't show significant differe,:t rates of incidcnce. The age standartized morbidity rates for these zones were, respectively 0.8, and 0.9.
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