Notifications of HIV / Aids in the state of Mato Grosso do Sul evidencing the municipality of Campo Grande from 2010 to 2015

Objective: To determine the prevalence of notifications of HIV/AIDS in the population of the State of Mato Grosso do Sul, showing only the city of Campo Grande, from 2010 to 2015. Method: A descriptive, epidemiological study on quantitative analysis. As a source of data collection there was used for the online platform of the Department of STD, AIDS and Viral Hepatitis of the Secretariat of Health Surveillance. Results: We found 3409 notifications in the entire state; however, 1393 notifications occurred in the municipality of Campo Grande within the time under analysis. The adult male heterosexual population in the age range of age above 24 years old presented higher detection rate of aids/HIV. Conclusion: These data demonstrate that the epidemic is not regressing neither progressing, and still presents as a frame high rates in heterosexuals, in the white population followed by mixed, both with low level of schooling, showing as the most vulnerable population.


INTRODUCTION
HIV is a virus that the human body cannot heal itself after contact; however, although there is not a safe and effective cure, it is possible to keep control through treatment with antiretroviral therapy or ART; this can significantly extend the lives of people affected by HIV by reducing the possibilities of transmission. 1 1960, in Brazil, with the emergence of contraceptive pills, condoms have fallen into disuse, being only 20 years later with the AIDS epidemic. 2The first cases occurred in the US, Haiti and Central Africa, in 1977 and 1978, and   in 1980 the first case of Brazil, in São Paulo; however, all cases were discovered and defined as Aids in 1982, when there was ranked the new syndrome.Since the beginning of the epidemic up to the year 2010 there were reported 592,914 cases of Aids 3 ; the number of people infected with the HIV virus reached approximately half of the expected in Brazil, due to the actions of nature of care and preventive measures taken throughout the Brazilian territory. 4e condom, contraceptive method most publicized and known, should be well accepted by the sexually active population, even the young, which does not occur, because teenagers believe that use still surrounded by myths and misconceptions regarding the effectiveness of protection 5 6 corroborating to the high rate of incidence.Because of the way it has spread throughout the world, it is known as an epidemic, a global and dynamic phenomenon, that still, in actuality, represents a serious public health problem.
In 1984 there was the first notification of Aids in the State of Mato Grosso do Sul, and there were 5,401 notifications registered by

SINAN -Information System of Reportable
Diseases until the period of June 2010.There were identified 1,299 cases not notified in the SINAN by means of a methodology of relationship of data platforms with the systems SIM, SISCEL/SICLOM, totaling a sub-record of 19.4%, increasing the number of cases to 6,700 in that time. 7rrently, there is the possibility of a subject infected with HIV have a life almost similar to one that has not been infected, if the treatment is started before the progression of the disease, the person may not develop Aids, because to be the bearer of the HIV virus is not synonymous with having Aids. 1 The present research has the objective to recognize the incidence of notifications of HIV/Aids in the population of the State of Mato Grosso do Sul, highlighting the city of Campo Grande, the capital state.Enabling counter data with studies performed in other two municipalities in different regions of Brazil.

METHOD
We held an epidemiological, quantitative, descriptive, and cross-sectional study with the aim of characterizing individuals confirmed as positive serum HIV; from the database of the Department of STD, AIDS and Viral Hepatitis of the Secretariat of Health Surveillance, available in the national platform for online access. 8 the study there were included all notifications of HIV/Aids in the cities of the Later, the data were organized through the Excel program and made available in the form of graphs for presentation and analysis of the same.It was not necessary to submitte to the Ethics Committee, due to the fact that the data used be available for free access in one of the platforms of the Ministry of Health.

RESULTS
From the collection of data, it was possible to make a survey aiming to compare

DISCUSSION
The State of Mato Grosso do Sul focused almost a quarter of the notifications of incidence in the analyzed period, thus remaining with higher indices than the other states of central west region. 9The raised during the study showed that the largest number of notifications occurs for the population of males in the entire state.
Currently the city of Campo Grande, the capital of the State of Mato Grosso do Sul, has an estimated population of 863,982 inhabitants 10 and is the city that had the highest number of Aids cases in the state, focusing approximately half of the notifications of the state only in the capital (46%).However, the capitals of the states tend to have the highest rates of notifications for being the most populous cities. 9 In the city of Campo Grande, the subject male adults are those who have the highest prevalence in cases of HIV/Aids, as well as study performed in the same period in the city of Aracaju/SE showed similar results, pointing to the same population as the main affected by infection 11 , and again it was obtained similar results in a study also carried out in the same period in the city of Joaçaba/SC. 12 the municipalities of Aracaju/SE and Joaçaba/SC, studies conducted in 2016 also claim that according to the category of exposure there is a greater prevalence among heterosexuals, followed by homosexuals and bisexuals; however, the index of heterosexual incidences in the municipality of Campo Grande/MS is relatively greater than in the other two municipalities commented in this study 11 12 .
At the beginning of the discovery of the disease, the Aids epidemic affects mainly known as "risk group" (homosexuals, injecting drug users, hemotransfused and prostitutes), currently what is observed in studies, it is the reversal of ill, since the epidemic advances among heterosexuals, including monogamous women, with traditional and conservative profile from the point of view of sexual morality. 13e schooling and race are also factors of extreme importance as regards the spread of infection, the higher incidence in the population with incomplete basic education and secondary education incomplete if showed in concordance in the municipalities of Campo Grande/MS, Joaçaba/SC and Aracaju/SE, as well as the predominance in the white race followed by pardo.However, in the research conducted in the city of Aracaju/SE, the white is not so obvious, bringing as the main race, the race pardo.This result can be justified by the fact that the municipality of Aracaju have a significant prevalence of individuals who declare themselves as pardo, when compared to the declared whites. 11 12 a comparative analysis to the municipalities of Joaçara/SC and Aracaju/SE, Campo Grande/MS presents similar prevalent characteristics, at least during the period analyzed.There were no limitations, to characterize the data found in both municipalities, the epidemiological profiles of individuals infected were equivalent.

CONCLUSION
In the analyzed period there were 1393 cases reported, highlighting the incidence in the heterosexual population, male, aged above 24 years old, with level of schooling from the 5 th to the 8 th year of Fundamental Education, and regarding race there is a very close variability between white and brown, but even so, in a general way the white race has the prevalence of notifications.
In spite of Campo Grande-MS does not form part of the region with greater detection of cases, having an approximate average of 233 cases per year, even taking into account the high number of inhabitants that the city has, this is a value that can be decreased.
Schmitt SV, et al HIV/Aids notifications in Mato Grosso do Sul Rev Pre Infec e Saúde.2018;4:7185 3 State of Mato Grosso do Sul, between the years 2010 and 2015, because whereas the current period as possible, this is what had the most complete range of updated information.The collection of data already published in the virtual environment occurred in the in May 2017, contemplating the variables; such as: gender, age, race/color, schooling and exposure category.

Chart 1 -Chart 2 -
Cases of HIV/Aids in the State of Mato Grosso do Sul between 2010 and 2015, by year of diagnosis .Schmitt SV, et al HIV/Aids notifications in Mato Grosso do Sul Rev Pre Infec e Saúde.2018;4:7185 4 Source: Drawn by the author, through data available on the website of the Secretariat of Health Surveillance.The capital of the State of Mato Grosso do Sul, municipality of Campo Grande, presented 1558 notifications, distributed in 888 men (57%), 505 women (32%), 23 less than 5 years old (1%) and 142 between 15 and 24 years old (10%), as shown in graph 2. Cases of HIV/Aids in Campo Grande, MS between 2010 and 2015, by year of diagnosis.Source: Drawn by the author, through data available on the website of the Secretariat of Health Surveillance.The subject male adults are those who have a higher prevalence in cases of HIV/Aids in the city of Campo Grande, followed by adults females.The population aged between 15 and 24 years of age have a relatively small amount when compared to men and women, and those younger than 5 years old do not present significant amount of reported cases.Chart 3 -HIV/Aids cases in males aged ≥ 13 years of age, according to exposure category, by year of diagnosis, in Campo Grande, MS, between 2010 and 2015.Source: Drawn by the author, through data available on the website of the Secretariat of Health Surveillance.Schmitt SV, et al HIV/Aids notifications in Mato Grosso do Sul Rev Pre Infec e Saúde.2018;4:7185 5 In accordance with the category of exposure in male individuals from 13 years old and by year of diagnosis, 617 cases were reported, being 449 heterosexuals (73%), 95 homosexuals (15%), 50 ignored (8%) and 23 bisexual (4%).The year 2013 was the time in which there were more notifications, totaling 149 cases (24%) only during the year mentioned, as pointing in graph 3. To obtain a better analysis also in the social context, data were collected regarding race and schooling of the population from Campo Grande, thus enabling a holistic vision of the whole population involved in the survey.Follow the values obtained according to race/color: Chart 4 -Cases of HIV/Aids according to race/color, by year of diagnosis between 2010 and 2015 in Campo Grande/MS .Source: Prepared by the author through the data available on the website of the Secretariat of Health Surveillance.Chart 5 -Cases of HIV/Aids, according to educational level, per year between 2010 and 2015 diagnostic in Campo Grande/MS .Source: Drawn by the author through the data available on the website of the Secretariat of Health Surveillance.