Clima, saúde e afetividade: a relação tuberculose/ elementos climáticos e afetividade em Maracanaú-CE

Abstract

The objective of this research is to analyze the relation between climate, health, and affectivity, based on the affective relationship between community health workers and patients undergoing treatment for tuberculosis, as well as correlations between tuberculosis case records and climate variables in Maracanaú, Ceará, Brazil, from 2006 to 2016. With this thesis, we seek to prove the hypotheses that the registration of new cases of the disease is more common in certain periods of the year and occurs preferentially in some areas of the city, and that in neighborhoods with higher numbers of new cases of tuberculosis, Community Health Workers have a disempowering esteem for the place. In contrast, patients undergoing TB treatment showed a high level of esteem towards the health center. Understanding the health and disease process involves a multifaceted approach, with various factors contributing to the spread of disease. Identifying these factors and their dynamics is part of a set of measures aimed at understanding the city's health problems. In this thesis, we propose a geographical approach that considers various aspects of Maracanaú's reality. This approach to the relation between climate, health, and affectivity finds its common ground in the Urban Environment. The Urban Environment would therefore be the spatial setting where the phenomena under investigation occur, considered here from the perspectives of Geographic Climatology, Health Geography, and Environmental Psychology. The years 2009 and 2011 saw the highest numbers, 191 and 207 new cases, respectively. During the period analyzed, 1,809 people were infected with tuberculosis in Maracanaú, and there was no evidence of seasonality, only a trend. The Pajuçara neighborhood has the highest number of new cases in all the years. In contrast, the Timbó, Jereissati sector A, and sector B neighborhoods also recorded high numbers of TB incidence during the analyzed period. It means that the neighborhoods of Pajuçara, Timbó, Jereissati sector A, and Jereissati sector B should be considered priority neighborhoods in the fight against TB. The survey of CHWs' affections revealed that in neighborhoods with a higher number of TB cases, a disempowering esteem predominates. In contrast, the survey of patients undergoing TB treatment showed a high level of esteem towards the health center