OBJECTIVE:To estimate the burden of disease due to tuberculosis in the state of Santa
Catarina, Brazil, in 2009.METHODS:This was an epidemiological study with an ecological design. Data on tuberculosis
incidence and mortality were collected from specific Brazilian National Ministry
of Health databases. The burden of disease due to tuberculosis was based on the
calculation of disability-adjusted life years (DALYs). The DALYs were estimated by
adding the years of life lost (YLLs) and years lived with disability (YLDs).
Absolute values were transformed into rates per 100,000 population. The rates were
calculated by gender, age group, and health care macroregion.RESULTS:The burden of disease due to tuberculosis was 5,644.27 DALYs (92.25 DALYs/100,000
population), YLLs and YLDs respectively accounting for 78.77% and 21.23% of that
total. The highest rates were found in males in the 30-44 and 45-59 year age
brackets, although that was not true in every health care macroregion. Overall,
the highest estimated burden was in the Planalto Norte
macroregion (179.56 DALYs/100,000 population), followed by the
Nordeste macroregion (167.07 DALYs/100,000 population).CONCLUSIONS:In the majority of the health care macroregions of Santa Catarina, the burden of
disease due to tuberculosis was concentrated in adult males, the level of that
concentration varying among the various macroregions.