CANALES ENDEMICOS Y SU ELABORACION

Lambayeque, Mayo 2015

El canal endmico y la vigilancia epidemiolgicaEl canal endmico le sirve a la vigilancia epidemiolgica para detectar variaciones significativas en el patrn de comportamiento habitual de las enfermedades, rpida y eficazmente

Qu es el canal endmico?Es el instrumento epidemiolgico que distribuye casos en el tiempo, graficando la incidencia actual sobre la incidencia histrica, con el propsito de detectar precozmente cifras anormalmente altas (o bajas) de casos (o tasas) de la enfermedad en estudio.

Antecedentes1970: Boffi y Alvarez describen varios mtodos para la realizacin de corredores endmicos, a partir de una serie de casos de un perodo de 5 a 7 aos, obteniendo una medida central y un rango de fluctuacin normal de la incidencia para cada uno de los meses.

MtodosMtodo del rango: Grafica el nmero mximo y mnimo de casos denunciados en cada mes, generando as una banda endmica con un rea inferior de seguridad y una superior epidmica.

Mtodos (cont.)Mtodo de la mediana y los cuartiles: Genera cuatro zonas, debajo del cuartil inferior o zona de xito, entre el cuartil inferior y la mediana o zona de seguridad, entre la mediana y el cuartil superior o zona de alerta y por arriba del cuartil superior o zona epidmica.

Mtodos (cont.)Mtodo del Inframximo y Supramnimo: Genera tambin las cuatro zonas, pero trabaja con el valor que sigue al mayor y con el que precede al menor de la serie, en vez del tercer y del primer cuartil, respectivamente.

Mtodos (cont.)

Mtodo de mnimos cuadrados: Analiza las tendencias lineales de cada ao.

El mtodo de media aritmtica y desviacin estndar: Genera el promedio y los intervalos de confianza para cada mes.

Factores a tener en cuenta antes de hacer un corredor endmicoLa seleccin de la entidad.Las poblacionesLa longitud de la serieLos intervalos de tiempo

La entidadSe deber tener presente que efectivamente se trate de una entidad endmica y que tenga un perodo de incubacin breve o evolucin aguda.

La entidad (cont.)No tendr sentido realizar corredores endmicos para patologas de muy baja frecuencia en las que la sola presencia de uno o pocos casos debe alertar a los sistemas de vigilancia.

La entidad (cont.)En las patologas de evolucin crnica, la acumulacin de nuevos casos en un breve perodo de tiempo en general no tendr mayor significacin epidemiolgica y seguramente sern la consecuencia de cambios o intensificacin de los mtodos diagnsticos (screenings) o simplemente del azar.

PoblacionesManteniendo la informacin y los corredores endmicos desagregados por pequeas reas geogrficas se favorecer la posibilidad de detectar pequeos brotes locales que resultaran diluidos en cifras acumuladas de regiones ms amplias.

Poblaciones (cont.)En poblaciones pequeas, se podra mantener agrupadas las entidades con una similar forma de transmisin vigilando as ya no el comportamiento de un germen o una entidad, sino el de una va de transmisin.Diarrea por RotavirosisDiarrea por SalmonellosisDiarrea por E. coliENFERMEDADES TRANSMITIDAS POR AGUA Y ALIMENTOS

Poblaciones (cont.) A mayor nivel de desagregacin de la informacin menor ser la precisin de la prediccin.

Longitud de la serie Usualmente los corredores se construyen con series de casos de 5 a 7 aos. Se puede presuponer que al incrementarse el nmero de aos, se mejorar la estimacin, pero deber tenerse en cuenta que si se toman series muy largas es probable que tanto las condiciones que mantienen la endemia como los criterios diagnstico y los mecanismos de denuncia y registro hayan cambiado.

Intervalos de tiempoEs siempre deseable realizar corredores por semanas epidemiolgicas. Pero ante bajas incidencias se deber utilizar perodos mayores (2 o 4 semanas), lo que tender a estabilizar las fluctuaciones debidas al azar. La desventaja de usar perodos de 2 a 4 semanas es que disminuyen la posibilidad de deteccin precoz de los brotes.

Construccin del canal endmico

AoEneFebMarAbrMayJunJulAgoSet OctNovDic 1,9962355807095094083568903454323564566781,9975676809005673675783072303424696784561,99890067412004002985784894893458004323211,9992503003565909009075085056772364562342,0005782004003454983004901099895677893452,0018904004985692984875394033455081236572,002400300300200600345303567234345234432

2.- ORDENAR LOS DATOS DE ACUERDO AL N DE CASOS DE MAYOR A MENORQ1= n+1 x 1 4Q2= n+1 x 2Q1= n+1 x 3 4 4

AoEneFebMarAbrMayJunJul AgoSet OctNovDic 19006801200590900907890567989800789678Q18906749005696005785395056775676786573578580709567498578508489432508456456Q25674004985094084874904033454694564325400300400400367356489345345356432345Q32503003563452983453072303423452343217235200300200298300303109234236123234

2.- UBICACIN DE LOS CUARTILES

QEneFebMarAbrMayJunJul AgoSet OctNovDic Q1890674900569600578539505677567678657Q2567400498509408487490403345469456432Q3250300356345298345307230342345234321

2.- GRAFICO Y ZONIFICACINZona xitoZona EpidmicaZona de seguridadZona de Alarma

Grfico5

890567250

674400300

900498356

569509345

600408298

578487345

539490307

505403230

677345342

567469345

678456234

657432321

Q1

Q2

Q3

Hoja1

AoEneFebMarAbrMayJunJulAgoSetOctNovDic

1,991235580709509408356890345432356456678

1,992567680900567367578307230342469678456

1,9939006741200400298578489489345800432321

1,994250300356590900907508505677236456234

1,995578200400345498300490109989567789345

1,996890400498569298487539403345508123657

1,997400300300200600345303567234345234432

1.- ORDENAR LOS DATOS DE ACUERDO AL N DE CASOS DE MAYOR A MENOR

AoEneFebMarAbrMayJunJulAgoSetOctNovDic

19006801200590900907890567989800789678

Q1890674900569600578539505677567678657

3578580709567498578508489432508456456

Q2567400498509408487490403345469456432

5400300400400367356489345345356432345

Q3250300356345298345307230342345234321

7235200300200298300303109234236123234

2.- LA CONSTRUCCION DE LA CURVA ENDEMICA SE REALIZA CON LOS DATOS INTERMEDIOS

Q1,Q2,Q3

QEneFebMarAbrMayJunJulAgoSetOctNovDic

Q1890674900569600578539505677567678657

Q2567400498509408487490403345469456432

Q3250300356345298345307230342345234321

Hoja1

Q1

Q2

Q3

Hoja2

AoEneroFebreroMarzoAbrilMayoJunioJulioAgostoSetiembreNoviembreDiciembre

1,9939006741200400298578489489345432321

575487778495599742.5498.5497511444277.5

1,994250300356590900907508505677456234

414250378467.5699603.5499307833622.5289.5

1,995578200400345498300490109989789345

734300449457398393.5514.5256667456501

1,996890400498569298487539403345123657

645350399384.5449416421485289.5178.5544.5

1,997400300300200600345303567234234432

Hoja3

Oct

800

567

508

469

356

345

236

TASA DE ATAQUE N de casos Tasa = x 100 Total personas expuestas al dao

TASA DE INCIDENCIA N de casos Tasa= x 100,000 Poblacin total

TASA DE MORTALIDAD N de DefuncionesTasa = x 1,000 Poblacin total

TASA DE LETALIDAD N de DefuncionesTasa= x 100 N. De Casos

TASA DE PREVALENCIA N de casos antiguos + NuevosTasa= x 1000 Poblacin total

FRECUENCIA DE CASOS DE HEPATITIS EN LIMA 2000-2006

EFMAMJJASOND1999506548402530333534354540200025325866464032313230354520013635414338353432343138352002404649582722152123394531200326625847384015141941262220045647495739312213182425502005485041654921211926233355

CANAL ENDMICO DE HEPATITIS- LIMA 2000-2005Zona de EpidemiaZona de AlarmaZona de SeguridadZona de xito

CANAL ENDMICO INFECCIN RESPIRATORIA AGUDA. MICRORED MANUEL BARRETOAO 2007 A LA SE 13

Grfico3

63.110914009229.0935275742.49501134563

50.015880589426.808140145341.163109432899

53.804028814423.598261193433.939005723443

63.553634862723.066405384731.431798834477

49.466416767221.993535247831.762572223570

59.722258084124.782932143735.058710360781

46.521909014433.838664321858.426140244255

63.895304203120.64580859127.311781698759

29.736582354324.248431787943.989230371872

72.82954709728.21265741029.138141884671

41.050007242832.252022707257.561613200775

58.984021157130.308320620745.869069764587

68.169603401623.023924022930.79457478388

61.763376780718.373513638523.83499775814

79.964200235118.087493871622.176299405115

73.755807959326.546391778836.09472917816

87.556712549338.999745971556.361448860417

79.114540374311.097493283212.653193419418

69.525876935828.439200356140.063955475419

101.963212302129.430201780337.920742226520

84.740625395527.413642335236.276871884221

55.889769186843.344838544576.931260206922

87.652532406310.483153710911.736231159523

59.44919549330.121948891145.3717469324

85.492667008621.998801195327.656261807725

67.845469945927.95120265639.458362108926

89.067498406215.247839378517.856752834627

94.73915578419.66242655123.741121758828

92.089629805424.213897505630.577291023229

47.511792254739.155234914871.390613785730

104.895263080519.578520007523.231119121131

76.376587308727.571821537837.518853114132

73.924346171529.941295198542.060309858833

87.780296685430.4529242741.011851253834

55.025771288825.248863941836.824180434435

77.736894162932.549877396846.170570440536

77.084588350526.891644756736.267103921737

97.678971918822.066472680627.048980787538

76.388189797124.089771912531.681873799539

55.186738286921.492003953929.854492720840

68.333453240228.176002565839.785558369541

51.528820842240.79567685373.063325368442

70.73068811937.704966932757.790804971543

61.474110826829.482483976443.610837379544

78.416251804421.185300168626.905262899845

83.702689162111.884651838613.571129514446

81.815026873616.625083372520.001342982447

75.795591026121.133624021627.022395673648

50.712276018928.786142217645.110513206849

54.062064786826.502276381239.48250087750

47.367242121128.649892702645.960849239451

48.553186991925.73072949539.35303233152

SEGURIDAD

ALARMA

EPIDEMIA

EXITO

CASOS AO 2007

IC Inf (casos)

Media - IC Inf

IC Sup - Media

2006

Grfico1

63.110914009229.0935275742.495011345

50.015880589426.808140145341.1631094328

53.804028814423.598261193433.9390057234

63.553634862723.066405384731.4317988344

49.466416767221.993535247831.7625722235

59.722258084124.782932143735.0587103607

46.521909014433.838664321858.4261402442

63.895304203120.64580859127.3117816987

29.736582354324.248431787943.9892303718

72.82954709728.21265741029.1381418846

41.050007242832.252022707257.5616132007

58.984021157130.308320620745.8690697645

68.169603401623.023924022930.794574783

61.763376780718.373513638523.834997758

79.964200235118.087493871622.1762994051

73.755807959326.546391778836.094729178

87.556712549338.999745971556.3614488604

79.114540374311.097493283212.6531934194

69.525876935828.439200356140.0639554754

101.963212302129.430201780337.9207422265

84.740625395527.413642335236.2768718842

55.889769186843.344838544576.9312602069

87.652532406310.483153710911.7362311595

59.44919549330.121948891145.37174693

85.492667008621.998801195327.6562618077

67.845469945927.95120265639.4583621089

89.067498406215.247839378517.8567528346

94.73915578419.66242655123.7411217588

92.089629805424.213897505630.5772910232

47.511792254739.155234914871.3906137857

104.895263080519.578520007523.2311191211

76.376587308727.571821537837.5188531141

73.924346171529.941295198542.0603098588

87.780296685430.4529242741.0118512538

55.025771288825.248863941836.8241804344

77.736894162932.549877396846.1705704405

77.084588350526.891644756736.2671039217

97.678971918822.066472680627.0489807875

76.388189797124.089771912531.6818737995

55.186738286921.492003953929.8544927208

68.333453240228.176002565839.7855583695

51.528820842240.79567685373.0633253684

70.73068811937.704966932757.7908049715

61.474110826829.482483976443.6108373795

78.416251804421.185300168626.9052628998

83.702689162111.884651838613.5711295144

88.341633907414.384256753616.7250862624

76.906055909120.929135052826.6211595074

60.305978682527.071413313539.2139796602

66.477912745724.33519217133.2369086339

50.501583274930.07928135647.9775409577

52.295824552128.013624634543.0058759224

IC Inf (casos)

Media - IC Inf

IC Sup - Media

Grfico2

63.110914009229.0935275742.49501134563

50.015880589426.808140145341.163109432899

53.804028814423.598261193433.939005723443

63.553634862723.066405384731.431798834477

49.466416767221.993535247831.762572223570

59.722258084124.782932143735.058710360781

46.521909014433.838664321858.426140244255

63.895304203120.64580859127.311781698759

29.736582354324.248431787943.989230371872

72.82954709728.21265741029.138141884671

41.050007242832.252022707257.561613200775

58.984021157130.308320620745.869069764587

68.169603401623.023924022930.79457478388

61.763376780718.373513638523.83499775814

79.964200235118.087493871622.176299405115

73.755807959326.546391778836.09472917816

87.556712549338.999745971556.361448860417

79.114540374311.097493283212.653193419418

69.525876935828.439200356140.063955475419

101.963212302129.430201780337.920742226520

84.740625395527.413642335236.276871884221

55.889769186843.344838544576.931260206922

87.652532406310.483153710911.736231159523

59.44919549330.121948891145.3717469324

85.492667008621.998801195327.656261807725

67.845469945927.95120265639.458362108926

89.067498406215.247839378517.856752834627

94.73915578419.66242655123.741121758828

92.089629805424.213897505630.577291023229

47.511792254739.155234914871.390613785730

104.895263080519.578520007523.231119121131

76.376587308727.571821537837.518853114132

73.924346171529.941295198542.060309858833

87.780296685430.4529242741.011851253834

55.025771288825.248863941836.824180434435

77.736894162932.549877396846.170570440536

77.084588350526.891644756736.267103921737

97.678971918822.066472680627.048980787538

76.388189797124.089771912531.681873799539

55.186738286921.492003953929.854492720840

68.333453240228.176002565839.785558369541

51.528820842240.79567685373.063325368442

70.73068811937.704966932757.790804971543

61.474110826829.482483976443.610837379544

78.416251804421.185300168626.905262899845

83.702689162111.884651838613.571129514446

81.815026873616.625083372520.001342982447

75.795591026121.133624021627.022395673648

50.712276018928.786142217645.110513206849

54.062064786826.502276381239.48250087750

47.367242121128.649892702645.960849239451

48.553186991925.73072949539.35303233152

SEGURIDAD

ALERTA

BROTE

EXITO

CASOS ANO 2007

IC Inf (casos)

Media - IC Inf

IC Sup - Media

2006

Hoja1

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152Poblacin men 5 anos

20026546717648713110062737793637799117170117841721731851111381661231141591601911301281901871591791551641691371441211501551511181351481491391481524937

2003150163139151124152150122989417216214490141131208901231571401281141151111561261181451631481641131335515113413291837515612311810890109109109109109454960

2004132669693967110484608271828953767575811311569711492111918410311711065151757512774776892855390101939083928988505539864867

200589825676571007653727229467680996610185559482359645918910993100531047598926477102102806314111717078771049174848464614876

20066068546259589482188980103106116891381258512510295105847597587999864710210679828310587125101726331535097818084485065654892

1032

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152979

20011317.5890216731932.73992303021439.12031598141540.3963945716973.25035446631439.1203159814628.91168725952026.52157180471256.82337451891479.63074741751560.65161028961884.73506177841277.0785902371560.65161028962006.26635608672370.86023901163444.38667206812370.86023901161702.4381203163484.89710350423505.15231922223748.21490783882249.32894470332796.21976909053363.36580919592492.39153331982310.09459185743221.57929916953241.83451488763869.7462021472634.17804334622593.66761191013849.4909864293788.72533927493221.57929916953626.68361353053140.55843629743322.85537775983424.131456352775.96455337252917.75106339882451.88110188373039.28235770713140.55843629743059.53757342522391.11545472962735.45412193642998.7719262713019.02714198912816.47498480862998.7719262713079.7927891432974988

20023025.19354838713287.29032258062803.41935483873045.354838709725013065.51612903233025.19354838712460.67741935481976.80645161291896.16129032263468.74193548393267.12903225812904.22580645161815.51612903232843.74193548392642.12903225814194.54838709681815.51612903232480.83870967743166.32258064522823.58064516132581.64516129032299.38709677422319.54838709682238.90322580643146.16129032262541.32258064522380.03225806452924.38709677423287.29032258062984.87096774193307.45161290322279.22580645162682.45161290321109.87096774193045.35483870972702.61290322582662.29032258061835.67741935481674.38709677421513.09677419363146.16129032262480.83870967742380.03225806452178.41935483871815.51612903232198.58064516132198.58064516132198.58064516132198.58064516132198.5806451613908.2580645161975

20032713.14300390381357.07150195191973.46763920281911.82802547771973.46763920281459.80419149372137.83994246971726.90918430241233.79227450181685.81610848571459.80419149371685.81610848571829.64187384431089.96650914321562.53688103561541.99034312721541.99034312721665.26957057742692.59646599553206.25991370451994.01417711122343.30532155331891.28148756932281.66570782821870.7349496611726.90918430242117.29340456132404.94493527842261.11916991991336.52496404363103.52722416271541.99034312721541.99034312722610.4103143621521.44380521881583.08341894391398.16457776861891.28148756931747.45572221081089.96650914321850.18841175262076.20032874461911.82802547771850.18841175261706.36264639411891.28148756931829.64187384431809.09533593591028.32689541811131.0595849599802.31497842611768.0022601192977

20041826.2666119771682.7063166531149.48236259231559.65463494671169.990976212051.86136177191559.65463494671087.95652173911477.62018047581477.6201804758595.7497949139944.39622641511559.65463494671641.68908941762031.35274815421354.56849876952072.36997538971744.23215750621128.97374897461928.80968006561682.706316653718.80147662021969.8269073011923.88761279741867.28383921251826.2666119772236.43888433141908.30106644792051.86136177191087.95652173912133.89581624281539.1460213292010.84413453651887.79245283021313.5512715341580.16324856442092.87858900742092.87858900741641.68908941761293.04265791632892.71452009842400.50779327323487.46431501231600.67186218211580.16324856442133.89581624281867.28383921251518.63740771121723.72354388841723.72354388841313.5512715341252.02543068094937

20051227.49223221591391.02452984461104.84300899431268.37530662311207.05069501231186.60915780871922.50449713821677.206050695368.94766966481820.29681112021636.32297628782106.47833197062167.80294358142372.21831561731820.29681112022821.93213409652556.19215044971738.53066230582556.19215044972086.0367947671942.94603434182147.36140637781718.08912510221534.11529026981983.8291087491186.60915780871615.88143908422024.71218315621758.9721995094961.75224856912086.0367947672167.80294358141615.88143908421677.2060506951697.64758789862147.36140637781779.4137367132556.19215044972065.59525756341472.7906786591288.8168438267634.68765331151084.40147179071023.07686017991983.8291087491656.76451349141636.32297628781718.0891251022982.19378577271023.07686017991329.69991823381329.6999182338

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

20017.18355884686.83812640857.27178731427.33979506146.88064135077.27178731426.4439908457.61407609097.13634268527.29954784067.35285871197.54154253927.1523303977.35285871197.60403073947.77100813838.14450113347.77100813837.4398166918.15619379728.16198925628.22903498117.71838720397.93602370158.12069748057.82099798377.74504375158.07762698398.08389465688.2609442037.87632647437.86082821948.25569620728.23978491948.07762698398.19607390468.0521559098.10857974588.13860312927.92875355267.97856841487.80461080568.01937678.0521559098.02601906377.77951525357.9140527428.00595812598.01268992017.94324137668.00595812598.0326175975

20028.01473035148.09781889427.93859514938.0213727057.82444593098.02797122878.01473035147.80819196477.58923791837.54758674798.15154725268.09166690657.973922137.50412507497.95287604687.87934032278.34154095817.50412507497.81635197148.06032612437.94576109087.85618213417.74039788677.7491277857.71374139368.05393835077.84043992557.77486932047.98084019818.09781889428.0013117988.10393326647.73159110577.89448643637.01199904238.0213727057.9019743267.88694205487.51516885827.42320246497.32191367358.05393835077.81635197147.77486932047.68635482627.50412507497.69556726987.69556726987.69556726987.69556726987.69556726986.8115285502

20037.90586302197.21308434967.58754749737.55581514477.58754749737.28605759037.66755122567.4540884917.11784785527.43000506297.28605759037.43000506297.51187552936.99390224927.35406598527.34082929157.34082929157.41774229367.89826123618.07286040097.59790506047.75931774227.5450099147.73266102887.53408665387.4540884917.6578938567.78528228637.72361517767.19782821418.04029455797.34082929157.34082929157.86726269657.32741503497.36712975527.24291563967.5450099147.4659161366.99390224927.52304275717.63829473717.55581514477.52304275717.44211927667.5450099147.51187552937.50058218496.93568838717.03091015826.68750127197.4776055215

20047.51002905927.42815867917.04706700057.35221968797.06475131517.62650264157.35221968796.9920564657.29818808647.29818808646.38982077176.85054580957.35221968797.40348092347.61645722857.21123823157.6364481477.46406971347.02906431237.56465834567.42815867916.57758520927.58570095366.82859043317.53224016167.51002905927.7126400967.55396863127.62650264156.9920564657.66570460987.338983017.60630988037.5431634117.18048964267.36528344267.64629571267.64629571267.40348092347.16475336977.96995062067.78343557458.15693019387.3781787347.36528344267.66570460987.53224016167.32556876957.4522420817.4522420817.18048964267.1325178635

20057.11272853157.23779582657.00745853067.14549207437.09593522117.07885507157.56138404067.42488462295.91065481747.50675484987.40020691597.65277279517.68146946527.77158079457.50675484987.94517708337.84627398897.46079558857.84627398897.64302127437.57196067467.67199511467.44896797847.33570913577.59278414947.07885507157.38763586957.61318283777.47248493996.86875687967.64302127437.68146946527.38763586957.42488462297.43699879997.67199511467.48403922767.84627398897.63317372427.29491430097.16147990126.45313299336.98878347496.93056989537.59278414947.41262189117.40020691597.44896797846.88978862676.93056989537.19270857047.1927085704

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

LN Media7.54538196227.36299683167.37049109847.48293893477.2906642637.45823476927.40797523017.45865952697.01045427257.41641651757.31609824857.51330662267.53436344197.40518955087.60683696997.62951861357.86191870387.52354816177.60595363997.89941198857.74115495227.61882303627.60769278737.51642241687.69870996787.58358179127.66873069977.76098601197.77746752287.48348093127.84533174297.66520865057.66441247097.79391641727.40690590077.72437098447.6654761637.80662028327.63126855427.36110518757.59099107347.54668249227.7074514977.53176332317.62251215177.58139534877.61078852377.59532886577.3971952577.41050615627.35244497617.3293956206

LN DE0.4091421790.46310029560.39242640150.33416685220.39690596250.37458320160.58979664140.30216191410.64317986830.11531212180.62555835920.44747618470.3140395370.28103801430.22008695360.33180206610.39765130480.14167228850.37009047570.27372924940.30252234860.61956440420.12193261010.4423647510.24715011410.3723336280.17056341630.20355990190.25197364940.64862188760.18472708440.33266193630.36702067310.32146316350.40752512210.37749902560.32299274540.21985647230.29584614540.35491337180.37260099360.62931130070.46115752560.42279036810.2581112490.14329918290.19965899750.26543976690.48511332970.43047661880.51040347550.4588348905

LN IC Inf7.16651100246.93415995667.00709916527.17349609916.92312419837.11136587046.8618158977.17885367876.41486137967.30963599846.73682310137.09893787687.24355876117.14494470767.40303359897.32226560057.49368844247.39235778677.26324506357.64593515637.46101533717.04509836917.49478161037.10678692497.46984575947.23879602667.51078676597.57248690497.54413665826.88284865797.67427206897.35715938667.32454657147.4962373627.02953235667.37480199487.36638069527.60303034087.35731118977.03245080597.24595772486.96393207267.28041365217.14025396347.38349779037.44869844847.42590170477.34952820186.94797402727.01187922876.87980474366.904508566

LN IC Sup7.92425292197.79183370667.73388303167.79238177027.65820432777.8051036687.95413456317.7384653757.60604716547.52319703677.89537339577.92767536847.82516812277.6654343947.8106403417.93677162648.23014896527.65473853687.94866221648.15288882068.02129456738.19254770347.72060396447.92605790887.92757417627.92836755587.82667463367.94948511898.01079838748.08411320458.01639141697.97325791448.00427837038.09159547257.78427944488.0739399747.96457163088.01021022577.90522591877.6897595697.9360244228.12943291188.13448934187.92327268297.86152651317.7140922497.79567534277.84112952977.84641648687.80913308377.82508520877.7542826752

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

IC Inf (tasa)1294.31735047651025.75636975721103.44603803091303.39694140161014.48762853181224.8207154242954.09985673431310.4041058876609.85607781671493.6330413702841.87873754811209.68049952981398.06405663671266.6812301221639.95488587121512.62936749981795.66678731061622.52954008061425.87934650892091.12412432481737.91274396121146.22168143481797.63191973621219.22058025081753.3360748281391.41652883251826.65091070921942.96874044221888.6306358779974.40098963632151.25642084741566.37791855331516.08585257291800.25218797041128.50228237831594.27592622811580.89803836142003.26029365841566.61586950661131.80349234921401.42438966851056.78467682981450.58835354831260.7487864391608.2086096061716.62611078991677.91277427461554.46249028181040.03847454611108.7379980885971.4364667981995.7585519251

Media (tasa)1890.98526618691575.55415780671587.4136588971776.45693698561465.54454501731733.0842950731648.08394864921733.82101710531107.15779618941662.06325897091503.32300963981831.26213654121870.2528183871643.49652213322010.90430899732057.05905943632595.49750862911850.12374195162009.12791820832694.69676132892300.12854246752035.16422746542012.62686868811836.97999147032204.50098859551964.6569442552139.36295702792346.21784936272385.22410399891777.42057361562552.78472288772131.83775320782130.14030701272424.79944535431646.32147724612261.82878506412132.40839022122455.813055772060.66369379881572.57469731091979.27513958271893.44745068082223.86495183931865.39365880112042.68974513831960.36384332992018.87018552291987.88381968291630.40234283061652.2629443811559.00604642391523.4601412392

IC Sup (tasa)2762.49903454282419.75246446772283.45561384682421.07955458982116.95086625472452.08983979612846.32308409182293.9477951752009.31592522481849.47388006582683.83189398592771.97316534512501.80685413292132.31928173132465.70946496692797.3119137843751.39268624152109.62319682012830.78410104993472.39861175023044.11689119973612.91771817342253.32069886622767.49161841772771.69257612032773.89324673382505.58020137972833.11534236593012.32195107013241.5430876783029.22276884962901.29741510422992.73895054893265.89565646662401.53436556343208.72317473742876.19641158463010.55015149462710.41500223912184.84895327442795.2217837473391.87496028683409.0742416562759.79147216322594.47938623442238.68889489732429.07000058542542.07569157772555.55642828542461.99429952962501.59934501662330.5362760004

IC Inf (casos)63.110914009250.015880589453.804028814463.553634862749.466416767259.722258084146.521909014463.895304203129.736582354372.829547097241.050007242858.984021157168.169603401661.763376780779.964200235173.755807959387.556712549379.114540374369.5258769358101.963212302184.740625395555.889769186887.652532406359.44919549385.492667008667.845469945989.067498406294.73915578492.089629805447.5117922547104.895263080576.376587308773.924346171587.780296685455.025771288877.736894162977.084588350597.678971918876.388189797155.186738286968.333453240251.528820842270.73068811961.474110826878.416251804483.702689162181.815026873675.795591026150.712276018954.062064786847.367242121148.5531869919

Media (casos)92.204441579376.824020734777.402290007886.620040247471.45995201584.505190227880.360573336184.541112794153.985014142281.042204507473.3020299589.292341777891.193527424680.136890419298.0516941067100.3021997381126.556458520890.212033657697.9650772918131.3934140824112.154267730799.234607731298.135686117289.5711443841107.491468203995.7966726019104.3153377847114.4015823349116.30352731186.6670271695124.473783088103.9484088464103.8656413699118.233220955580.2746352305110.2867715597103.9762331072119.7454445993100.477961709676.678742240996.509455806192.3244976952108.435655051790.956594803199.601551972995.587341000898.440110246196.929215047779.498418236480.56434116876.017134823674.2839164868

IC Sup (casos)134.6994529243117.9871301674111.3412957312118.0518390818103.2225242386119.5639005885138.7867135803111.852894492797.97424451490.180346392130.8636431508135.1614115422121.9881022075103.9718881772120.2279935118136.3969289161182.9179073811102.8652270769138.0290327672169.3141563089148.4311396149176.1658679381109.8719172767134.942891314135.1477300116135.2550347107122.1720906193138.1427040938146.8808183342158.0576409552147.7049022091141.4672619605145.9259512288159.2450722093117.0988156649156.4573420002140.2433370289146.7944253869132.1598355092106.5332349617136.2950141755165.3878230636166.2264600231134.5674321827126.5068148728109.1584705152118.4414532285123.9516107213124.6089314432120.0468420451121.977984063113.6369488178

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

IC Inf (casos)63.110914009250.015880589453.804028814463.553634862749.466416767259.722258084146.521909014463.895304203129.736582354372.829547097241.050007242858.984021157168.169603401661.763376780779.964200235173.755807959387.556712549379.114540374369.5258769358101.963212302184.740625395555.889769186887.652532406359.44919549385.492667008667.845469945989.067498406294.73915578492.089629805447.5117922547104.895263080576.376587308773.924346171587.780296685455.025771288877.736894162977.084588350597.678971918876.388189797155.186738286968.333453240251.528820842270.73068811961.474110826878.416251804483.702689162181.815026873675.795591026150.712276018954.062064786847.367242121148.5531869919

Media - IC Inf29.0935275726.808140145323.598261193423.066405384721.993535247824.782932143733.838664321820.64580859124.24843178798.212657410232.252022707230.308320620723.023924022918.373513638518.087493871626.546391778838.999745971511.097493283228.439200356129.430201780327.413642335243.344838544510.483153710930.121948891121.998801195327.95120265615.247839378519.66242655124.213897505639.155234914819.578520007527.571821537829.941295198530.4529242725.248863941832.549877396826.891644756722.066472680624.089771912521.492003953928.176002565840.79567685337.704966932729.482483976421.185300168611.884651838616.625083372521.133624021628.786142217626.502276381228.649892702625.730729495

IC Sup - Media42.49501134541.163109432833.939005723431.431798834431.762572223535.058710360758.426140244227.311781698743.98923037189.138141884657.561613200745.869069764530.79457478323.83499775822.176299405136.09472917856.361448860412.653193419440.063955475437.920742226536.276871884276.931260206911.736231159545.3717469327.656261807739.458362108917.856752834623.741121758830.577291023271.390613785723.231119121137.518853114142.060309858841.011851253836.824180434446.170570440536.267103921727.048980787531.681873799529.854492720839.785558369573.063325368457.790804971543.610837379526.905262899813.571129514420.001342982427.022395673645.110513206839.48250087745.960849239439.353032331

200763994377708155597271758788

52

2023

3641

17

33042512

112

11

8

Hoja2

CANAL ENDEMICO DE INFECCION RESPIRATORIA AGUDA. MICRORED MANUEL BARRETO. AO 2007 A LA SE 13

Hoja2

63.110914009229.0935275742.49501134563

50.015880589426.808140145341.163109432899

53.804028814423.598261193433.939005723443

63.553634862723.066405384731.431798834477

49.466416767221.993535247831.762572223570

59.722258084124.782932143735.058710360781

46.521909014433.838664321858.426140244255

63.895304203120.64580859127.311781698759

29.736582354324.248431787943.989230371872

72.82954709728.21265741029.138141884671

41.050007242832.252022707257.561613200775

58.984021157130.308320620745.869069764587

68.169603401623.023924022930.79457478388

61.763376780718.373513638523.83499775814

79.964200235118.087493871622.176299405115

73.755807959326.546391778836.09472917816

87.556712549338.999745971556.361448860417

79.114540374311.097493283212.653193419418

69.525876935828.439200356140.063955475419

101.963212302129.430201780337.920742226520

84.740625395527.413642335236.276871884221

55.889769186843.344838544576.931260206922

87.652532406310.483153710911.736231159523

59.44919549330.121948891145.3717469324

85.492667008621.998801195327.656261807725

67.845469945927.95120265639.458362108926

89.067498406215.247839378517.856752834627

94.73915578419.66242655123.741121758828

92.089629805424.213897505630.577291023229

47.511792254739.155234914871.390613785730

104.895263080519.578520007523.231119121131

76.376587308727.571821537837.518853114132

73.924346171529.941295198542.060309858833

87.780296685430.4529242741.011851253834

55.025771288825.248863941836.824180434435

77.736894162932.549877396846.170570440536

77.084588350526.891644756736.267103921737

97.678971918822.066472680627.048980787538

76.388189797124.089771912531.681873799539

55.186738286921.492003953929.854492720840

68.333453240228.176002565839.785558369541

51.528820842240.79567685373.063325368442

70.73068811937.704966932757.790804971543

61.474110826829.482483976443.610837379544

78.416251804421.185300168626.905262899845

83.702689162111.884651838613.571129514446

81.815026873616.625083372520.001342982447

75.795591026121.133624021627.022395673648

50.712276018928.786142217645.110513206849

54.062064786826.502276381239.48250087750

47.367242121128.649892702645.960849239451

48.553186991925.73072949539.35303233152

SEGURIDAD

ALERTA

BROTE

EXITO

CASOS AO 2007

IC Inf (casos)

Media - IC Inf

IC Sup - Media

2006

Hoja3

FUENTE: MICRORED MANUEL BARRETO

Desde la S.E. 09 se observa un incremento sostenido de casos, encontrandose la microred Manuel Barreto en la zona de Alerta.

CANAL ENDMICO ENFERMEDAD DIARREICA AGUDA MICRORED MANUEL BARRETOAO 2007 HASTA SE 13

Grfico7

9.002334658915.899892748642.3096902820

30.065580497715.254085161922.8493779226

28.431286711317.884176001828.912735907522

23.061363615518.254661798132.355878750333

32.831661977218.28559895428.295937005346

31.06450221115.674913128323.441811684517

42.044621814216.56765523923.008787777523

31.084591238514.123307358520.424669870935

11.03534166113.617893052829.597180789338

13.533304668216.089255661534.443957007534

22.35394703215.188005817825.250597259435

28.581088110318.117080047629.376599317254

28.381628741514.562846649721.888017382535

29.355299793717.130780072226.93727996114

27.959469965114.111976721221.092374519415

29.60804019568.552984966410.977041017616

15.389090104716.426154355933.332915101317

11.78486425228.200685771213.643934078518

24.25488746626.99679807898.968808899919

24.703293806812.771478682919.225322591520

19.195970987212.204759167519.740702740521

29.60845430727.58535048919.491919747722

21.9020636114.188575959923.147015035623

22.559431824310.182043668214.664361961624

21.999536162514.970409294324.900252834125

20.4420497559.463967314313.726576952926

19.181076938210.958407539317.038378093727

19.83546709116.67146920678.852661111528

12.17680221699.648995672316.952964104929

10.60389768729.136132902516.606044509130

12.202077369111.319118974821.350474634531

16.08016735584.75743380226.11676027532

22.2401783643.736410664.348448450933

14.68722430535.90671427898.193434226734

13.01314631476.67111311229.94747898235

22.72853076016.78446311438.760068492636

19.988010226113.851309373823.18381039737

19.45442238624.29882761455.221691093838

16.07506188366.31378549928.708705999839

10.62575368956.15369169939.536002234340

10.9547929676.950184740611.141545496741

13.30345202776.743805236610.021901820442

18.543100051911.603112112418.647043502643

17.365684506614.018537456624.975358063844

14.68103567729.451617710715.309080531245

15.59839661813.124061419423.776924153246

10.057277191215.012769895636.220527155847

13.357003390213.327729068826.081860496648

11.758403106714.208919977630.585042663549

00050

00051

00052

SEGURIDAD

ALARMA

EPIDEMIA

EXITO

CASOS 2007

Exito

Seguridad

Alerta

Ao 2007

Grfico1

9.002334658915.899892748642.30969028

30.065580497715.254085161922.84937792

28.431286711317.884176001828.9127359075

23.061363615518.254661798132.3558787503

32.831661977218.28559895428.2959370053

31.06450221115.674913128323.4418116845

42.044621814216.56765523923.0087877775

31.084591238514.123307358520.4246698709

11.03534166113.617893052829.5971807893

13.533304668216.089255661534.4439570075

22.35394703215.188005817825.2505972594

28.581088110318.117080047629.3765993172

28.381628741514.562846649721.8880173825

29.355299793717.130780072226.937279961

27.959469965114.111976721221.0923745194

29.60804019568.552984966410.9770410176

15.389090104716.426154355933.3329151013

11.78486425228.200685771213.6439340785

24.25488746626.99679807898.9688088999

24.703293806812.771478682919.2253225915

19.195970987212.204759167519.7407027405

29.60845430727.58535048919.4919197477

21.9020636114.188575959923.1470150356

22.559431824310.182043668214.6643619616

21.999536162514.970409294324.9002528341

20.4420497559.463967314313.7265769529

19.181076938210.958407539317.0383780937

19.83546709116.67146920678.8526611115

12.17680221699.648995672316.9529641049

10.60389768729.136132902516.6060445091

12.202077369111.319118974821.3504746345

16.08016735584.75743380226.116760275

22.2401783643.736410664.3484484509

14.68722430535.90671427898.1934342267

13.01314631476.67111311229.947478982

22.72853076016.78446311438.7600684926

19.988010226113.851309373823.183810397

19.45442238624.29882761455.2216910938

16.07506188366.31378549928.7087059998

10.62575368956.15369169939.5360022343

10.9547929676.950184740611.1415454967

13.30345202776.743805236610.0219018204

18.543100051911.603112112418.6470435026

17.365684506614.018537456624.9753580638

14.68103567729.451617710715.3090805312

15.59839661813.124061419423.7769241532

10.057277191215.012769895636.2205271558

13.357003390213.327729068826.0818604966

11.758403106714.208919977630.5850426635

000

000

000

Exito

Seguridad

Alerta

Grfico2

9.002334658915.899892748642.3096902820

30.065580497715.254085161922.8493779226

28.431286711317.884176001828.912735907522

23.061363615518.254661798132.355878750333

32.831661977218.28559895428.295937005346

31.06450221115.674913128323.441811684517

42.044621814216.56765523923.008787777523

31.084591238514.123307358520.424669870935

11.03534166113.617893052829.597180789338

13.533304668216.089255661534.443957007534

22.35394703215.188005817825.250597259435

28.581088110318.117080047629.376599317254

28.381628741514.562846649721.888017382535

29.355299793717.130780072226.93727996114

27.959469965114.111976721221.092374519415

29.60804019568.552984966410.977041017616

15.389090104716.426154355933.332915101317

11.78486425228.200685771213.643934078518

24.25488746626.99679807898.968808899919

24.703293806812.771478682919.225322591520

19.195970987212.204759167519.740702740521

29.60845430727.58535048919.491919747722

21.9020636114.188575959923.147015035623

22.559431824310.182043668214.664361961624

21.999536162514.970409294324.900252834125

20.4420497559.463967314313.726576952926

19.181076938210.958407539317.038378093727

19.83546709116.67146920678.852661111528

12.17680221699.648995672316.952964104929

10.60389768729.136132902516.606044509130

12.202077369111.319118974821.350474634531

16.08016735584.75743380226.11676027532

22.2401783643.736410664.348448450933

14.68722430535.90671427898.193434226734

13.01314631476.67111311229.94747898235

22.72853076016.78446311438.760068492636

19.988010226113.851309373823.18381039737

19.45442238624.29882761455.221691093838

16.07506188366.31378549928.708705999839

10.62575368956.15369169939.536002234340

10.9547929676.950184740611.141545496741

13.30345202776.743805236610.021901820442

18.543100051911.603112112418.647043502643

17.365684506614.018537456624.975358063844

14.68103567729.451617710715.309080531245

15.59839661813.124061419423.776924153246

10.057277191215.012769895636.220527155847

13.357003390213.327729068826.081860496648

11.758403106714.208919977630.585042663549

00050

00051

00052

SEGURIDAD

ALERTA

BROTE

EXITO

Casos 2007

Exito

Seguridad

Alerta

Ao 2007

Hoja1

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2003146.4369167374170.6764028603184.5275377876162.0194435307160.2880516647137.7799574078148.1683086033101.420728223494.495160759782.375417698391.0323770279120.4660387486137.7799574078151.631092335189.30098516266.792890905111.809079418935.627837318447.747580379973.718458368771.987066502858.1359315754101.420728223451.210364111770.255674636880.644025832433.896445452533.896445452566.79289090575.449850234687.569593296149.478972245844.28479664830.433661720718.313918659251.2103641117162.019443530747.747580379928.702269854726.970877988818.313918659230.433661720746.016188513958.135931575426.970877988823.50809425711.388351195518.313918659218.3139186592000

20048.175402719558.403221755858.403221755854.815520396196.074086033161.990923115672.754027194860.197072435744.052416316940.464714957151.227819036387.104832633765.578624475347.640117676661.990923115665.578624475365.578624475333.289312237670.960176514979.929429914336.877013597460.197072435747.640117676651.227819036365.578624475347.640117676649.433968356553.021669716235.083162917518.938506798738.670864277349.433968356542.25856563742.25856563735.083162917544.052416316944.052416316933.289312237644.052416316924.320058838327.90776019840.464714957135.083162917535.083162917538.670864277345.846266996736.877013597444.052416316956.60937107635.083162917520.732357478624.3200588383

200546.604434154262.390584438448.358450852536.080333964850.112467550764.144601136669.406651231348.358450852518.540166982416.786150284236.080333964855.374517645443.096400757764.144601136658.882551041953.620500947216.786150284220.294183680637.83435066332.572300568341.342384059551.866484248930.818283870146.604434154227.310250473641.342384059536.080333964836.080333964815.032133585937.83435066322.048200378929.064267171839.588367361325.556233775344.85041745641.342384059544.85041745636.080333964827.310250473634.326317266548.358450852539.588367361367.652634533155.374517645464.144601136679.930751420878.176734722558.882551041978.176734722593.962885006760.63656774010

200647.322507591767.910288743676.488530890255.900749738464.47899188555.9007497384134.820577487386.782421466219.872132722649.038156021154.18510130943.891210733167.910288743666.194640314349.038156021157.616398167747.322507591728.450374869261.047695026364.47899188540.459913874473.057234031667.910288743647.322507591779.919827748933.597320157271.341585602352.469452879740.459913874418.156484293221.587781151928.450374869249.038156021133.597320157233.597320157252.469452879752.469452879755.900749738452.469452879718.156484293223.303429581219.872132722635.312968586531.881671727826.734726439935.312968586538.744265445138.744265445121.587781151945.606859162428.450374869233.5973201572

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

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20053.84169569014.13341437363.87864099163.58574795143.91426983044.16113992754.2399827023.87864099162.91993956672.82055415863.58574795144.01411951763.76343948454.16113992754.07554479963.98193147532.82055415863.01033432683.63321743773.48346225143.72188822213.9486728063.4281081463.84169569013.30726210693.72188822213.58574795143.58574795142.71019014883.63321743773.09323098313.36950948743.67853532163.24088127033.80333289633.72188822213.80333289633.58574795143.30726210693.53591232723.87864099163.67853532164.21438629744.01411951764.16113992754.38116065264.35897209334.07554479964.35897209334.54289986394.10489813910

20063.85698602994.2181875514.33714080664.02357779224.16633946354.02357779224.90394483884.46340408352.98931838463.89259868943.99240598713.78171408894.2181875514.19259949763.89259868944.05380721763.85698602993.34816133694.11165544434.16633946353.70031170314.29124316184.2181875513.85698602994.3810239793.51444630664.26747940573.96023115033.70031170312.89902775823.07212746723.34816133693.89259868943.51444630663.51444630663.96023115033.96023115034.02357779223.96023115032.89902775823.14860054212.98931838463.56425027853.46203129073.28596333613.56425027853.65698275633.65698275633.07212746723.82005812543.34816133693.5144463066

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

LN Media3.79950186244.38815097164.40961863744.29686352794.50712208314.4186202824.64253256464.38571244663.78967875373.96950793584.20243951864.4177480444.3350048224.41325104324.31473793544.21855247494.03961502063.58504523044.02206017784.20067525774.0267329694.19326269054.16361537554.06781396344.18731718883.97885240023.98648386913.86059515223.67078711923.57302920413.74375987193.62566007273.84081420013.61421280713.57027945223.96587242754.10023934773.75334603063.69561700983.41547587043.47833216953.58804269073.98670291954.02621648433.76882393423.93924258863.80606856273.86713999113.8404650963000

LN DE1.05690073910.43636165340.51874639840.61810715920.47148845360.43461563220.35466448070.39839295690.83831928280.82199915490.54895968680.52196167330.44002170420.48879915270.43399795270.26946228790.7642123160.54975175750.26813906940.4416934280.51927638510.24213706920.52853331740.3939409770.54945496550.40155183640.47662546930.30547952390.60861875860.64527126810.68528277470.27140460770.16381376530.35338966810.43145445990.27598810520.55622811180.21001755340.34728217850.47301947820.50961783390.42780021110.51231924560.62365121130.52079210480.64174937970.951093430.72503663030.8278946266000

LN IC Inf2.82079808173.98407442583.92925275013.72448828854.07051766524.01616057444.31410865944.01679540583.01338423413.20832606623.69409573483.93440477053.92753902183.96061669353.91285020713.96902690443.33194451263.07596797883.77375992473.79166141953.54587630723.96904062663.67418667443.70301951373.67851477043.6070101963.5451225083.57771715443.10719826172.97549964793.1091791423.37433588893.68912053063.28696939493.17074703113.71030386563.58516490813.55886705463.37402921222.97745370383.00641945123.19189415143.51228865893.44870738083.28656369633.34497434672.92534372143.19574667583.0738239435000

LN IC Sup4.7782056434.79222751754.88998452464.86923876724.94372650114.82107998954.97095646984.75462948744.56597327324.73068980554.71078330254.90109131754.74247062234.86588539294.71662566364.46807804544.74728552854.0941224824.27036043084.6096890964.50758963084.41748475434.65304407664.4326084134.69611960724.35069460444.42784523024.14347315014.23437597664.17055876034.37834060183.87698425663.99250786963.94145621943.96981187324.22144098944.61531378733.94782500664.01720480743.8534980373.95024488773.984191234.461117184.60372558784.25108417224.53351083064.6867934044.53853330654.6071062491000

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

IC Inf (tasa)15.790245314852.735530235249.868951644140.450016865757.58728333954.487655600573.746968733254.522892090219.356173544123.737642370439.209196365650.131705799249.781850735751.489686019949.041377192751.932996905226.992721014320.670848684942.543477629743.329989838633.670053650451.93372326438.416585297939.569620122638.587553782535.855696616433.643929239934.791740495221.358314419618.599413609721.402647458528.204882052639.009644222325.761636682222.825275932739.866222479735.059303701234.123381720128.19592696918.637749402819.214889789923.334477000932.524907128130.45970060125.750781725327.359848133717.640632132223.428406984920.6244353938000

Media (tasa)43.678922696179.491450325681.238094985572.468998480389.660529241681.9817149709102.80691267379.295409031343.242185353551.958465462865.84921218381.90936672675.325326933281.537360320373.794020006766.93507535655.804470042535.054988464554.815978294265.731376709655.077405028265.238554683963.303584455757.429094738864.845901664352.455653317252.865159049946.493608885538.282813950134.624343278141.256571149736.549500382345.563370911436.122112159234.526519727251.766284070859.354731635441.663597138739.270412163729.431427399131.405629880735.163223995552.876959524755.048449384842.329077015350.379671012143.973281215946.805466321145.5471182986000

IC Sup (tasa)117.8908259445119.5696407416131.951516559129.2217500946139.2920752412123.0990441026143.164710641115.120621040995.1561346788112.3737412073110.1391814166133.4364124658113.7172749134128.7857991771110.790397119386.1889885981114.270959731258.986676667870.54741886899.452913564289.7029272781.8875404198103.903835342683.1506304885108.521360925776.532298502282.750758737162.021324298868.018596074863.751622638878.70566017447.278400043753.190622105750.493532608851.974563967167.1315904845100.019522200650.822530510254.545627907346.157734552550.948086726252.741807136685.58418520198.855644473169.181459901892.0847930097107.504690666192.553485153399.1937938467000

IC Inf (casos)9.002334658930.065580497728.431286711323.061363615532.831661977231.06450221142.044621814231.084591238511.03534166113.533304668222.35394703228.581088110328.381628741529.355299793727.959469965129.608040195615.389090104711.784864252224.254887466224.703293806819.195970987229.608454307221.9020636122.559431824321.999536162520.44204975519.181076938219.835467091112.176802216910.603897687212.202077369116.080167355822.24017836414.687224305313.013146314722.728530760119.988010226119.454422386216.075061883610.625753689510.95479296713.303452027718.543100051917.365684506614.681035677215.59839661810.057277191213.357003390211.7584031067000

Media (casos)24.902227407545.319665659646.315462713141.316025413651.117260931246.739415339258.612277053245.207898596924.653234713829.622560329737.541952849846.698168157842.944475391246.486079865842.071446686238.16102516231.815244460619.985550023431.251685545137.474772489731.400730154737.193804796436.090639569932.741475492536.969945456829.906017069230.139484477526.506936297821.825797889219.740030589723.521196343920.83760115825.97658902420.593938584219.684259426929.512993874433.839319623.753250000722.388847382816.779445388817.904977707620.047257264330.146212164231.384221963324.132653387928.722458037425.070047086826.68473245925.9673230844000

IC Sup (casos)67.211917687568.169043579675.228198620673.671904163979.413197936570.181227023881.621064830765.632568467954.250415503164.066517337162.792550109276.07476747564.832492773673.423359826963.163821205749.138066179665.14815956233.629484101940.220494445156.700095081251.141432895246.685724544159.237654605547.405837454161.87019829143.632594022147.177862571235.359597409338.778761994236.346075098844.871670978426.954361432930.325037474928.787372810929.631738408938.27306236757.02312999728.974941094531.097553382526.315447623129.046523204330.069159084748.793255666856.35958002739.441733919252.499382190761.290574242652.766592955656.5523657479000

12345678910111213141516171819202122232425262728293031323334353637383940414243444546474849505152

Exito9.002334658930.065580497728.431286711323.061363615532.831661977231.06450221142.044621814231.084591238511.03534166113.533304668222.35394703228.581088110328.381628741529.355299793727.959469965129.608040195615.389090104711.784864252224.254887466224.703293806819.195970987229.608454307221.9020636122.559431824321.999536162520.44204975519.181076938219.835467091112.176802216910.603897687212.202077369116.080167355822.24017836414.687224305313.013146314722.728530760119.988010226119.454422386216.075061883610.625753689510.95479296713.303452027718.543100051917.365684506614.681035677215.59839661810.057277191213.357003390211.7584031067000

Seguridad15.899892748615.254085161917.884176001818.254661798118.28559895415.674913128316.56765523914.123307358513.617893052816.089255661515.188005817818.117080047614.562846649717.130780072214.11197672128.552984966416.42615435598.20068577126.996798078912.771478682912.20475916757.585350489114.188575959910.182043668214.97040929439.463967314310.95840753936.67146920679.64899567239.136132902511.31911897484.75743380223.736410665.90671427896.67111311226.784463114313.85130937384.29882761456.31378549926.15369169936.95018474066.743805236611.603112112414.01853745669.451617710713.124061419415.012769895613.327729068814.2089199776000

Alerta42.3096902822.8493779228.912735907532.355878750328.295937005323.441811684523.008787777520.424669870929.597180789334.443957007525.250597259429.376599317221.888017382526.93727996121.092374519410.977041017633.332915101313.64393407858.968808899919.225322591519.74070274059.491919747723.147015035614.664361961624.900252834113.726576952917.03837809378.852661111516.952964104916.606044509121.35047463456.1167602754.34844845098.19343422679.9474789828.760068492623.1838103975.22169109388.70870599989.536002234311.141545496710.021901820418.647043502624.975358063815.309080531223.776924153236.220527155826.081860496630.5850426635000

Ao 200720262233461723353834355435

Hoja2

CANAL ENDEMICO ENFERMEDAD DIARREICA AGUDA MICRORED MANUEL BARRETO. AO 2007 A LA SE13

Hoja2

9.002334658915.899892748642.3096902820

30.065580497715.254085161922.8493779226

28.431286711317.884176001828.912735907522

23.061363615518.254661798132.355878750333

32.831661977218.28559895428.295937005346

31.06450221115.674913128323.441811684517

42.044621814216.56765523923.008787777523

31.084591238514.123307358520.424669870935

11.03534166113.617893052829.597180789338

13.533304668216.089255661534.443957007534

22.35394703215.188005817825.250597259435

28.581088110318.117080047629.376599317254

28.381628741514.562846649721.888017382535

29.355299793717.130780072226.93727996114

27.959469965114.111976721221.092374519415

29.60804019568.552984966410.977041017616

15.389090104716.426154355933.332915101317

11.78486425228.200685771213.643934078518

24.25488746626.99679807898.968808899919

24.703293806812.771478682919.225322591520

19.195970987212.204759167519.740702740521

29.60845430727.58535048919.491919747722

21.9020636114.188575959923.147015035623

22.559431824310.182043668214.664361961624

21.999536162514.970409294324.900252834125

20.4420497559.463967314313.726576952926

19.181076938210.958407539317.038378093727

19.83546709116.67146920678.852661111528

12.17680221699.648995672316.952964104929

10.60389768729.136132902516.606044509130

12.202077369111.319118974821.350474634531

16.08016735584.75743380226.11676027532

22.2401783643.736410664.348448450933

14.68722430535.90671427898.193434226734

13.01314631476.67111311229.94747898235

22.72853076016.78446311438.760068492636

19.988010226113.851309373823.18381039737

19.45442238624.29882761455.221691093838

16.07506188366.31378549928.708705999839

10.62575368956.15369169939.536002234340

10.9547929676.950184740611.141545496741

13.30345202776.743805236610.021901820442

18.543100051911.603112112418.647043502643

17.365684506614.018537456624.975358063844

14.68103567729.451617710715.309080531245

15.59839661813.124061419423.776924153246

10.057277191215.012769895636.220527155847

13.357003390213.327729068826.081860496648

11.758403106714.208919977630.585042663549

00050

00051

00052

SEGURIDAD

ALERTA

BROTE

EXITO

Casos 2007

Exito

Seguridad

Alerta

Ao 2007

Hoja3

FUENTE: MICRORED MANUEL BARRETO

Para la S.E. 12 se observa un incremento de los casos notificados, habiendo ingresado a la zona de brote, esto fue debido a un incrmento de casos en el P.S Virgen del Buen Paso, en el grupo de mayores de 05 aos.

Fin

**