Background
Methods
GBD overview
Case definition of tuberculosis
Geographical location and time period
Data sources and processing
DALY calculation
Risk factor estimation
Ethical considerations
Results
Levels and trends of national TB burden
Region/State | Number of DALYs (95% UI) | Age-standardized DALY rates (per 100.000) (95% UI) | ||||
---|---|---|---|---|---|---|
1990 | 2017 | % Change 1990–2017 | 1990 | 2017 | % Change 1990–2017 | |
Brazil | 535, 981.9 (469,188.8-604,252.6) | 284,323.4 (240,268.9-349,264.8) | -47.0 | 391.68 (347.64-436.53) | 123.53 (104.30-151.83) | -68.5 |
North | ||||||
Acre | 1,977.7 (1,722.4-2,208.0) | 1,434.6 (1,165.6-1,824.0) | -27.5 | 561.46 (505.23-610.72) | 178.30 (146.75-223.63) | -68.2 |
Amapá | 565.0 (482.0-655.5) | 942.9 (765.3-1,185.8) | 66.9 | 272.23 (240.04-309.76) | 126.63 (104.77-156.04) | -53.5 |
Amazonas | 8,866.1 (7,692.3-9,917.7) | 8,600.9 (6,762.4-11,521.5) | -3.0 | 531.36 (476.21-576.02) | 228.32 (183.40-299.05) | -57.0 |
Rondônia | 3,477.5 (2,925.8-4,006.1) | 1,940.5 (1,513.1-2,557.1) | -44.2 | 401.91 (348.83-453.63) | 107.95 (84.68-140.64) | -73.1 |
Roraima | 709.8 (567.3-883.6) | 696.6 (535.3-936.2) | -1.9 | 401.28 (336.58-482.07) | 132.47 (103.72-174.36) | -67.0 |
Pará | 18,987.4 (15,911.5-21,876.8) | 13,829.6 (11,134.5-17,982.8) | -27.2 | 445.16 (388.33-495.99) | 163.64 (133.60-209.64) | -63.2 |
Tocantins | 1,633.6 (1,127.4-2,145.0) | 1,013.4 (802.0-1,309.7) | -38.0 | 197.50 (145.81-249.15) | 62.85 (49.98-80.77) | -68.2 |
Northeast | ||||||
Alagoas | 12,473.6 (9,969.3-15,064.0) | 5,046.4 (4,074.4-6,567.5) | -59.5 | 491.13 (409.32-569.00) | 142.90 (115.66-185.16) | -70.9 |
Bahia | 55,857.5 (47,208.8-64,186.8) | 26,466.2 (21,807.4-33,674.3) | -52.6 | 505.98 (442.08-567.77) | 162.47 (133.75-206.93) | -67.9 |
Ceará | 26,918.9 (21,213.1-32,988.2) | 14,256.9 (11,496.0-18,425.0) | -47.0 | 424.39 (346.17-501.76) | 141.58 (114.20-182.95) | -66.6 |
Maranhão | 26,251.2 (21,977.0-31,624.5) | 11,257.0 (9,070.6-14,604.5) | -57.1 | 572.74 (485.49-681.43) | 151.37 (123.61-193.69) | -73.6 |
Paraíba | 9,098.6 (7,572.5-10,663.2) | 4,779.6 (3,790.8-6,206.6) | -47.5 | 307.20 (261.97-353.76) | 106.80 (84.47-138.80) | -65.2 |
Pernambuco | 46,819.1 (38,723.0-54,060.2) | 24,877.4 (20,157.9-32,231.1) | -46.9 | 673.34 (578.18-761.26) | 237.33 (192.75-307.14) | -64.8 |
Piauí | 7,458.1 (5,805.0-9,343.2) | 4,334.8 (3,489.1-5,625.6) | -41.9 | 313.95 (253.71-384.98) | 118.29 (95.18-153.32) | -62.3 |
Rio Grande do Norte | 7,403.8 (5,962.7-8,885.1) | 4,655.2 (3,811.4-5,903.2) | -37.1 | 308.99 (259.11-362.18) | 121.79 (99.47-154.40) | -60.6 |
Sergipe | 4,402.6 (3,629.0-5,176.0) | 2,765.5 (2,234.3-3,546.2) | -37.2 | 320.87 (272.12-367.69) | 113.64 (92.14-145.17) | -64.6 |
Southeast | ||||||
Espírito Santo | 5,931.2 (5,029.9-6,956.4) | 3,756.4 (3,007.6-4,863.2) | -36.7 | 257.87 (224.12-295.89) | 86.90 (69.44-112.98) | -66.3 |
Minas Gerais | 30,730.1 (25,901.0-36,521.4) | 16,312.3 (13,450.6-20,883.5) | -46.9 | 214.73 (185.76-249.87) | 67.47 (55.19-87.06) | -68.6 |
Rio de Janeiro | 91,401.2 (77,541.9-100,488.3) | 48,986.9 (38,307.4-66,306.0) | -46.4 | 706.28 (603.15-774.83) | 244.48 (189.72-333.17) | -65.4 |
São Paulo | 11,6276.3 (94,073.8-146,075.9) | 49,176.3 (40,012.2-63,008.1) | -57.7 | 373.85 (307.23-462.04) | 94.65 (76.85-121.54) | -74.7 |
South | ||||||
Paraná | 14,866.1 (12,496.7-17,780.1) | 8,163.6 (6,534.2-10,573.5) | -45.1 | 199.29 (172.07-232.53) | 64.34 (51.23-83.88) | -67.7 |
Rio Grande do Sul | 22,239.8 (19,027.2-26,389.5) | 15,286.4 (11,678.9-20,841.4) | -31.3 | 253.50 (219.01-297.90) | 116.68 (88.59-160.20) | -54.0 |
Santa Catarina | 5,222.8 (4,113.3-6,637.5) | 3,400.1 (2,677.5-4,568.0) | -34.9 | 130.76 (106.43-161.78) | 42.71 (33.44-57.98) | -67.3 |
Central-West | ||||||
Distrito Federal | 1,733.4 (1,391.2-2,152.8) | 1,028.2 (798.5-1,354.0) | -40.7 | 128.29 (108.06-152.81) | 32.73 (25.66-42.87) | -74.5 |
Goiás | 4,964.4 (3,940.3-6,274.2) | 3,687.8 (2,997.5-4,717.5) | -25.7 | 140.63 (116.55-171.75) | 49.51 (40.17-63.32) | -64.8 |
Mato Grosso | 5,714.4 (4,824.4-6,818.8) | 4,382.6 (3,484.5-5,793.1) | -23.3 | 342.34 (295.97-397.75) | 118.24 (94.72-154.88) | -65.5 |
Mato Grosso do Sul | 4,001.8 (3,263.5-4,830.3) | 3,245.4 (2,590.0-4,273.9) | -18.9 | 262.48 (221.50-309.31) | 108.22 (86.47-141.87) | -58.8 |
Region/State | Number of YLLs (95% UI) | Age-standardized YLL rates (per 100.000) (95% UI) | ||||
---|---|---|---|---|---|---|
1990 | 2017 | % Change 1990–2017 | 1990 | 2017 | % Change 1990–2017 | |
Brazil | 526,951.1 (461,029.3-595,085.3) | 273,637.3 (230,441.0-338,133.5) | -48.1 | 385.03 (341.38-429.64) | 118.88 (100.03-146.93) | -69.1 |
North | ||||||
Acre | 1,946.1 (1,691.4-2,174.0) | 1,376.4 (1,105.2-1,761.3) | -29.3 | 551.92 (495.92-601.19) | 171.46 (139.43-215.56) | -68.9 |
Amapá | 548.3 (466.7-639.3) | 896.3 (725.1-1,135.7) | 63.4 | 264.49 (232.65-301.77) | 120.71 (99.35-149.93) | -54.4 |
Amazonas | 8,697.6 (7,523.3-9,747.0) | 8,224.3 (6,407.4-11,085.7) | -5.4 | 521.16 (466.24-565.99) | 218.72 (174.38-288.54) | -58.0 |
Rondônia | 3,422.5 (2,874.9-3,944.0) | 1,875.4 (1,445.9-2,490.1) | -45.2 | 395.94 (342.91-447.47) | 104.39 (81.20-136.85) | -73.6 |
Roraima | 696.7 (554.5-871.4) | 668.7 (509.5-905.7) | -4.0 | 393.96 (329.15-474.02) | 127.35 (98.78-168.74) | -67.7 |
Pará | 18,683.9 (15,643.5-21,594.6) | 13,309.6 (10,637.2-17,463.0) | -28.8 | 437.56 (381.02-489.01) | 157.71 (127.99-203.77) | -64.0 |
Tocantins | 1,601.1 (1,098.8-2,117.2) | 961.1 (752.7-1,254.2) | -40.0 | 193.12 (140.81-244.76) | 59.65 (46.93-77.44) | -69.1 |
Northeast | ||||||
Alagoas | 12,351.9 (9,846.4-14,957.5) | 4,898.0 (3,921.4-6,388.5) | -60.3 | 485.47 (403.35-563.47) | 138.75 (111.59-180.13) | -71.4 |
Bahia | 55,177.0 (46,505.1-63,496.7) | 25,667.5 (21,009.7-32,883.7) | -53.5 | 499.30 (434.80-559.67) | 157.60 (129.04-202.09) | -68.4 |
Ceará | 26,572.6 (20,886.7-32,615.2) | 13,729.4 (11,010.1-17,866.7) | -48.3 | 418.18 (340.69-494.13) | 136.39 (109.42-177.35) | -67.4 |
Maranhão | 25,964.0 (21,629.1-31,369.9) | 10,873.4 (8,675.4-14,189.7) | -58.1 | 565.59 (476.74-676.26) | 146.29 (118.44-188.40) | -74.1 |
Paraíba | 8,953.4 (7,424.6-10,506.2) | 4,603.9 (3,638.6-6,027.5) | -48.6 | 302.04 (256.98-348.70) | 102.86 (81.10-134.49) | -65.9 |
Pernambuco | 46,333.6 (38,236.4-53,583.3) | 24,240.8 (19,532.0-31,579.9) | -47.7 | 665.73 (569.51-751.96) | 231.23 (186.61-300.69) | -65.3 |
Piauí | 7,339.4 (5,693.8-9,226.8) | 4,170.2 (3,339.7-5,452.9) | -43.2 | 308.52 (248.91-378.82) | 113.81 (91.29-148.67) | -63.1 |
Rio Grande do Norte | 7,297.0 (5,873.9-8,769.3) | 4,487.7 (3,646.0-5,728.2) | -38.5 | 304.01 (254.38-356.30) | 117.43 (95.34-149.83) | -61.4 |
Sergipe | 4,336.0 (3,558.1-5,111.3) | 2,670.1 (2,148.7-3,437.8) | -38.4 | 315.66 (267.16-362.58) | 109.77 (88.65-140.88) | -65.2 |
Southeast | ||||||
Espírito Santo | 5,805.2 (4,919.9-6,828.2) | 3,607.3 (2,864.0-4,698.6) | -37.9 | 252.54 (218.92-290.66) | 83.42 (66.10-109.28) | -67.0 |
Minas Gerais | 29,934.8 (25,038.6-35,638.7) | 15,460.5 (12,598.7-19,979.1) | -48.4 | 209.30 (180.11-244.27) | 63.89 (51.72-83.31) | -69.5 |
Rio de Janeiro | 90,324.6 (76,365.0-99,367.8) | 47,633.3 (37,023.7-64,945.6) | -47.3 | 698.07 (594.28-765.66) | 237.60 (183.46-326.24) | -66.0 |
São Paulo | 113,956.5 (91,550.1-143,738.6) | 47,034.2 (38,069.7-60,819.3) | -58.7 | 366.47 (299.76-455.00) | 90.41 (72.87-117.13) | -75.3 |
South | ||||||
Paraná | 14,448.2 (12,068.1-17,338.7) | 7,778.0 (6,188.9-10,152.4) | -46.2 | 193.95 (166.45-227.03) | 61.24 (48.51-80.54) | -68.4 |
Rio Grande do Sul | 21,566.2 (18,365.6-25,640.6) | 14,595.7 (11,011.8-20,098.8) | -32.3 | 246.07 (211.23-289.88) | 111.28 (83.00-154.38) | -54.8 |
Santa Catarina | 5,022.9 (3,916.5-6,402.6) | 3,152.8 (2,448.6-4,294.5) | -37.2 | 126.06 (101.51-156.85) | 39.55 (30.59-54.62) | -68.6 |
Central-West | ||||||
Distrito Federal | 1,667.3 (1,328.1-2,079.9) | 932.9 (713.1-1,250.6) | -44.0 | 123.74 (103.51-148.16) | 29.74 (23.03-39.78) | -76.0 |
Goiás | 4,818.2 (3,798.5-6,125.9) | 3,493.7 (2,824.3-4,492.4) | -27.5 | 136.64 (112.41-167.86) | 46.87 (37.87-60.48) | -65.7 |
Mato Grosso | 5,591.3 (4,693.1-6,676.1) | 4,189.9 (3,297.3-5,587.5) | -25.1 | 335.13 (288.48-390.16) | 113.07 (89.62-149.53) | -66.3 |
Mato Grosso do Sul | 3,894.5 (3,156.3-4,720.9) | 3,106.0 (2,447.6-4,122.6) | -20.2 | 255.75 (213.89-302.08) | 103.55 (81.67-136.82) | -59.5 |
Region/State | Number of YLDs (95% UI) | Age-standardized YLD rates (per 100.000) (95% UI) | ||||
---|---|---|---|---|---|---|
1990 | 2017 | % Change 1990–2017 | 1990 | 2017 | % Change 1990–2017 | |
Brazil | 9,030.9 (6,022.1-12,395.5) | 10,686.2 (7,002.8-14,963.4) | 18.3 | 6.64 (4.43-9.05) | 4.65 (3.05-6.50) | -30.0 |
North | ||||||
Acre | 31.6 (20.6-44.7) | 58.1 (37.0-85.0) | 83.7 | 9.54 (6.36-13.25) | 6.83 (4.38-9.85) | -28.4 |
Amapá | 16.7 (10.9-24.2) | 46.6 (29.8-67.0) | 179.1 | 7.74 (5.15-10.90) | 5.91 (3.86-8.38) | -23.6 |
Amazonas | 168.5 (107.7-238.3) | 376.6 (237.6-551.8) | 123.4 | 10.20 (6.71-14.26) | 9.60 (6.17-13.88) | -5.9 |
Rondônia | 54.9 (34.5-79.1) | 65.1 (40.5-96.5) | 18.5 | 5.97 (3.82-8.39) | 3.55 (2.23-5.21) | -40.5 |
Roraima | 13.0 (8.5-18.8) | 27.9 (17.2-40.5) | 113.8 | 7.32 (4.80-10.43) | 5.11 (3.21-7.32) | -30.1 |
Pará | 303.5 (193.9-437.1) | 520.0 (329.5-764.2) | 71.3 | 7.61 (4.97-10.82) | 5.92 (3.78-8.70) | -22.1 |
Tocantins | 32.5 (20.9-46.9) | 52.3 (33.3-75.9) | 60.8 | 4.38 (2.81-6.21) | 3.21 (2.03-4.64) | -26.8 |
Northeast | ||||||
Alagoas | 121.7 (79.4-173.9) | 148.4 (92.8-219.4) | 21.9 | 5.66 (3.74-8.09) | 4.16 (2.61-6.13) | -26.5 |
Bahia | 680.5 (441.3-966.4) | 798.6 (502.5-1,165.1) | 17.4 | 6.69 (4.40-9.33) | 4.87 (3.06-7.10) | -27.2 |
Ceará | 346.3 (228.2-495.2) | 527.5 (338.0-758.9) | 52.4 | 6.21 (4.09-8.82) | 5.19 (3.35-7.44) | -16.5 |
Maranhão | 287.1 (184.8-407.3) | 383.6 (237.9-559.8) | 33.6 | 7.16 (4.63-10.14) | 5.08 (3.20-7.37) | -29.1 |
Paraíba | 145.2 (94.2-208.3) | 175.7 (111.4-257.3) | 21.0 | 5.16 (3.33-7.40) | 3.93 (2.49-5.74) | -23.8 |
Pernambuco | 485.5 (316.6-687.5) | 636.5 (406.3-926.7) | 31.1 | 7.61 (5.02-10.71) | 6.10 (3.91-8.89) | -19.8 |
Piauí | 118.7 (77.2-167.9) | 164.6 (103.0-237.8) | 38.7 | 5.43 (3.52-7.67) | 4.48 (2.80-6.46) | -17.4 |
Rio Grande do Norte | 106.8 (69.4-151.5) | 167.5 (105.6-248.1) | 56.9 | 4.98 (3.26-7.10) | 4.36 (2.75-6.42) | -12.5 |
Sergipe | 66.6 (43.3-94.5) | 95.4 (60.2-137.2) | 43.2 | 5.20 (3.37-7.30) | 3.87 (2.44-5.56) | -25.6 |
Southeast | ||||||
Espírito Santo | 126.0 (80.5-181.8) | 149.1 (94.2-213.1) | 18.3 | 5.33 (3.48-7.62) | 3.48 (2.21-4.98) | -34.8 |
Minas Gerais | 795.3 (505.7-1,138.7) | 851.8 (541.2-1,239.0) | 7.1 | 5.43 (3.49-7.64) | 3.58 (2.27-5.190 | -34.0 |
Rio de Janeiro | 1,076.5 (688.3-1,538.1) | 1,353.5 (864.3-1,991.1) | 25.7 | 8.21 (5.31-11.65) | 6.88 (4.40-10.11) | -16.1 |
São Paulo | 2,319.8 (1,434.3-3,299.3) | 2,142.1 (1,374.5-3,108.4) | -7.7 | 7.38 (4.69-10.39) | 4.24 (2.72-6.14) | -42.6 |
South | ||||||
Paraná | 417.9 (265.7-604.1) | 385.6 (240.0-553.7) | -7.7 | 5.34 (3.45-7.66) | 3.09 (1.94-4.42) | -42.1 |
Rio Grande do Sul | 673.6 (436.2-958.3) | 690.7 (441.8-1,008.3) | 2.5 | 7.43 (4.93-10.59) | 5.40 (3.44-7.94) | -27.4 |
Santa Catarina | 199.9 (126.7-287.3) | 247.3 (155.1-364.0) | 23.7 | 4.70 (3.02-6.70) | 3.17 (1.99-4.68) | -32.6 |
Central-West | ||||||
Distrito Federal | 66.1 (43.0-95.4) | 95.3 (59.3-141.2) | 44.3 | 4.55 (3.05-6.48) | 3.00 (1.88-4.39) | -34.1 |
Goiás | 146.2 (94.0-210.3) | 194.1 (121.8-284.4) | 32.7 | 3.99 (2.61-5.70) | 2.63 (1.67-3.84) | -33.9 |
Mato Grosso | 123.1 (79.3-174.6) | 192.7 (119.9-285.1) | 56.6 | 7.20 (4.64-10.09) | 5.17 (3.26-7.61) | -28.2 |
Mato Grosso do Sul | 107.2 (67.0-151.6) | 139.4 (88.4-203.3) | 30.0 | 6.73 (4.34-9.34) | 4.67 (2.99-6.79) | -30.6 |