Health in Brazil

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Health Indicators[1][2][3][4]
Life expectancy 76.76
Infant mortality 1.32%
Fertility 1.65
Sanitation 99%
Smoker 13.8%
Obesity female 34%
Obesity male 33.1%
Malnutrition 1%
HIV 0.0000091%

According to the Brazilian Government, the most serious health problems are:[5]

  • Childhood mortality: about 1.48% of childhood mortality [6].
  • Motherhood mortality: about 44 deaths per 100,000 born children in 2015 [3].
  • Mortality by non-transmissible illness: 16.6% as of 2016 [3]. Furthermore, 65.7 deaths per 100,000 inhabitants is caused by heart and circulatory diseases, along with 26.7 deaths per 100,000 inhabitants is caused by cancer.
  • Mortality caused by external causes (transportation, violence and suicide): 55.7 deaths per 100,000 inhabitants (10.9% of all deaths in the country), reaching 62.3 deaths in the southeast region.

In 2002, Brazil accounted for 40% of malaria cases in the Americas.[7] Nearly 99% are concentrated in the Legal Amazon Region, which is home to not more than 12% of the population.[7]

Life expectancy[edit]

The life expectancy of the Brazilian population increased from 71.16 years in 1998 to 76.76 years in 2018, according to the Brazilian Institute of Geography and Statistics (IBGE),[8] and currently 76.76 years in 2018 [3]. The data indicate a significant progress compared with 59.50 years in 1940.

Demographic projections foresee the continuation of this process, estimating a life expectancy in Brazil around 77.39 years in 2020 [9]. According to the IBGE, Brazil will need some time to catch up with Japan, Hong Kong (China), Switzerland, Iceland, Australia, France and Italy, where the average life expectancy is already over 82. Although, research has shown that Brazil could achieve an expectancy of around 80.12 years by 2030 and pass 82 by 2040 and 2050 will be over 85 years [9].

The decline in mortality at young ages and the increase in longevity, combined with the decline of fecundity and the accentuated increase of degenerative chronic diseases, caused a rapid process of demographic and epidemiological transition, imposing a new public health agenda in the face of the complexity of the new morbidity pattern.[10]

Infant mortality[edit]

Cândido Fontoura Children's Hospital, São Paulo.

Child health is a central issue on the public policy agenda of developing countries. Several policies geared to improving child health have been implemented over the years, with varying degrees of success. In Brazil, such policies have led to a significant decline in infant mortality rates over the last 30 years. Despite this improvement, however, mortality rates are still high by international standards and there is substantial variation across Brazilian municipalities, which suggests that differentiated policies should be devised. For example, mortality among indigenous infants in 2000 was more than triple that of the general population, highlighting the importance of tailored health policies to address disparities in health outcomes for Brazil's Indigenous Peoples.[11] Sanitation, education and per capita income are the most important explanatory factors of poor child health in Brazil.[12] Moreover, ethnographic findings of infant mortality rates (IMR) in northeast Brazil are not accurate because the government tends to overlook infant morality rates in rural areas.[13] These issues tend to be inaccurate due to a huge amount of underreporting and causes us to question the cultural validity and the contextual soundness of these mortality statistics. There is a solution to this issue however and scientists stress that quality local-level cultural data can serve to craft as the alternative and appropriate method to measure infant death in Brazil accurately. In order to not overlook infant mortality rates it is also stressed that there needs to be a focus on an ethnography of experience, a vision that cuts to the core of human suffering as it flows from daily life and experiences. For example, one must get down to the flesh, blood and souls of infant death in the impoverished households of Brazilians in order to understand and live with those who have to suffer its tragic consequences. Methods of gathering mortality data also need to be respectful of local death customs and must be implemented in places where death is experienced through a different cultural lens.[14]

UNICEF report shows a rising rate of survival for Brazilian children under the age of five. UNICEF says that out of a total of 195 countries analyzed, Brazil is among the 25 nations with the best improvement in survival rates for children under the age of 5. The report shows that Brazil's infant mortality rate for live births in 2012 was 14 per thousand. Mortality rates for children at one year of age was 18 per thousand, a reduction of 60%. The study went on to show that malnutrition among children of less than two years of age during the period between 2000 and 2008 fell by 77%. There was also a substantial drop in the number of school age children who were not in school, falling from 920,000 to 570,000 during the same period. Cristina Albuquerque, coordinator of the UNICEF Infant Survival and Development Program called the numbers "an enormous victory" for Brazil. She added that with regard to public policy aimed at reducing social disparities, Brazil's Bolsa Família program had become an international benchmark in combating poverty, reducing vulnerability and improving quality of life. "Brazil is going through a great moment, but much remains to be done. So, along with the celebrating it is a good time to reflect on the many challenges still to be overcome," Albuquerque declared.[15]

Obesity[edit]

Portuguese Beneficent Hospital, in Manaus.

Obesity in Brazil is a growing health concern. 52.6 percent of men and 44.7 percent of women in Brazil are overweight. 35% of Brazilians are obese in 2018.[16][17] The Brazilian government has issued nutrition guidelines [18] which have caught the attention of public health experts for their simplicity and their critical position towards the food industry.[19] The guidelines are summarized at the end of the document as follows:

  1. Prepare meals using fresh and staple foods.
  2. Use oils, fats, sugar, and salt only in moderation.
  3. Limit consumption of ready-to-eat food and drink products.
  4. Eat at regular mealtimes and pay attention to your food instead of multitasking. Find a comfortable place to eat. Avoid all-you-can-eat buffets and noisy, stressful environments.
  5. Eat with others whenever possible.
  6. Buy food in shops and markets that offer a variety of fresh foods. Avoid those that sell mainly ready-to-eat products.
  7. Develop, practise, share, and enjoy your skills in food preparation and cooking.
  8. Decide as a family to share cooking responsibilities and dedicate enough time for health-supporting meals.
  9. When you dine out, choose restaurants that serve freshly made dishes. Avoid fast-food chains.
  10. Be critical of food-industry advertising.

See also[edit]

References[edit]

  1. ^ "Female Infant Mortality Rate (Female Deaths per 1,000 Live Births) - …". archive.is. 2012-08-02. Archived from the original on 2012-08-02. Retrieved 2019-11-22.
  2. ^ "Pnad 2008 - Atualidades - UOL Educação". educacao.uol.com.br.
  3. ^ a b c d "Brazil". Our World in Data. Retrieved 2019-09-26.
  4. ^ "Smokers in Brazil (2014)" (in Portuguese).[permanent dead link]
  5. ^ Ministério do Planejamento website, "Saúde" (fact sheet, 2002) Archived 2006-01-07 at the Wayback Machine. Retrieved 12 June 2007.
  6. ^ "Child mortality". Our World in Data. Retrieved 2019-09-26.
  7. ^ a b "World Health Organization: Brazil: Malaria" (PDF). Archived from the original (PDF) on 2012-09-16.
  8. ^ G1, Gabriela GasparinDo; Paulo, em São (December 2, 2013). "Com revisão na expectativa de vida, valor de novas aposentadorias cai". Seu Dinheiro.
  9. ^ a b "Future life expectancy projections". Our World in Data. Retrieved 2019-09-26.
  10. ^ Romero, Dalia Elena; Leite, Iúri da Costa; Szwarcwald, Célia Landmann (2005). "Healthy life expectancy in Brazil: applying the Sullivan method". Cadernos de Saúde Pública. 21: S7–S18. doi:10.1590/S0102-311X2005000700002. ISSN 0102-311X.
  11. ^ Coelho, V; Shankland, A. (2011). "Making The Right To Health A Reality For Brazil's Indigenous Peoples: Innovation, Decentralization And Equity". MEDICC Review. 13 (3). Retrieved 24 May 2012.
  12. ^ "History - Infant Mortality - Brazil" (PDF).
  13. ^ Nations, Marilyn K.; Mara Lucia Amaral (1991). "Flesh, Blood, Souls, and Households: Cultural Validity in Mortality". Medical Anthropology Quarterly. 5 (4): 204–220. doi:10.1525/maq.1991.5.3.02a00020.
  14. ^ Nations, Marilyn K.; Mara Lucia Amaral (1991). "Flesh, Blood, Souls, and Households: Cultural Validity in Mortality". Medical Anthropology Quarterly 5 (4): 204-220.
  15. ^ "Infant Mortality in Brazil (2009)".
  16. ^ Malafaia, Sandra (April 4, 2012). "Excesso de Peso Atinge Quase Metade da População Brasileira". ABESCO. Retrieved 25 January 2013.
  17. ^ Glickhouse, Rachel (July 30, 2012). "Supersized Brazil: Obesity a growing health threat". Christian Science Monitor. Retrieved 25 January 2013.
  18. ^ Ministerio de saude (2014). "Guia Alimentar Para a Populacao Brasileira" (PDF). Ministerio de saude. Retrieved 29 May 2014.
  19. ^ Barton, Adriana (16 March 2014). "Brazil takes an unambiguous new approach to fighting fat". The Globe and Mail. Retrieved 29 May 2014.

External links[edit]