The results should guide surveillance actions for Tuberculosis control and elimination and indicate the need to expand observation time to new climate indicators and air quality.

Introduction: The territorial characteristics, heterogeneities of landscapes, and the regional profiles of Brazil show great disparities in the spatial distribution of tuberculosis burden. Objective of this study is to analyze the effects of environmental and social factors on tuberculosis incidence in three Brazilian municipalities and in the Federal District of Brazil. Methodology: We performed an ecological study carried out with 131,576 new cases of tuberculosis registered in the Brazilian national disease notification system. For our research we used climatic data, topographic data and socioeconomic data. Results: Wind speed and vapor pressure increased the risk of tuberculosis infection between 4.6 and 5.8 times in the 3 municipalities, in comparison with the Federal District. In Recife socioeconomic aspects showed a greater association with tuberculosis. Lack of garbage collection, poor basic sanitation, and access to drinking water, respectively, increased 49, 33, and 28 times the risk of infection. In the multiple regression analysis, Rio de Janeiro showed several environmental characteristics – such as precipitation (p = 0.002), radiation (p = 0.020) and water vapor (p = 0.055) – and social characteristics associated with tuberculosis – such as the lack of sewage treatment, which revealed a 13.5-fold higher risk of infection (p < 0.001). Conclusions: Incidence in the areas studied was influenced by environmental and social conditions at different levels depending on the territory where the problem was identified. The results make it possible to guide an urban and social policy to reach the targets set out in the WHO End tuberculosis Strategy in large Brazilian urban agglomerations.

Objectives: Reporting the experience of health education regarding Aedes aegypti in the Federal District. Methods: This is a case report, with descriptive approach, about the experience of nursing practice with education actions against the Aedes aegypti in communities of the Federal District, carried out between 2015 and 2018. Subjects of the research were undergraduate students in nursing, healthcare professionals, and the community. Results: There have been 24 educational interventions against Aedes aegypti, adapted to the needs of each population, using a “giant” sculpture of the mosquito, theater performances, lectures, booklets, and home visits. Conclusions: The project trained teachers, healthcare professionals, graduate students in nursing, and the community through the empowerment of this population, aiming at combating the Aedes aegypti vector.

BACKGROUND: Although tuberculosis (TB) is an endemic infectious disease in Brazil, the Federal District has a different epidemiology from other Brazilian locations. Investigation of disease seasonality, which needs to be further explored in tropical regions, may indicate risk factors specific to peak incidence seasons that could be controlled if better understood. To investigate the influence of seasonality (SA) in the occurrence of tuberculosis in the Federal District (FD) of Brazil. METHODS: This is an ecological time series (TS) study based on secondary data. The unit of analysis was the month of TB diagnosis from 2001 to 2018. We used the X-13ARIMA-SEATS (X-13) seasonal adjustment software in automatic mode with additive decomposition. Seasonality was analyzed using the Friedman test (0.001) and Kruskal-Wallis test (0.01) for stable seasonality. Moving seasonality was verified by Friedman test (0.05), and the identifiable seasonality was constructed from the combination of the three tests. The annual average seasonal amplitude was calculated from the isolated seasonal factors. RESULTS: 6,161 TB cases were diagnosed in the Federal District, 28 cases per month on average (± 6.6). We observed peaks in April and August and decreased detection in November and December, with an average annual seasonal amplitude of 34.0%. The F test and the Kruskal-Wallis test revealed evidence of SA at 0.001 and 0.01, respectively. Moving SA was not identified at a significance level of 0.5 neither in the combination of the three tests. CONCLUSION: the TS tends to suggest a limited seasonality of TB in the FD. Some incidence peaks were observed in some specific months, showing a relevance of seasonality at the local level, which may reflect an influence of access to health service patterns from the onset of symptoms to the diagnostic elucidation of the disease.