City hall starts telemonitoring service for tuberculosis cases in Manaus


Photo: Disclosure / Semcom

The telemonitoring service, to monitor people diagnosed with tuberculosis, was started by the Manaus City Hall on Monday (23). The service, coordinated by the Municipal Health Secretariat (Semsa), will attend all new cases in treatment of tuberculosis and that are monitored by professionals from the health units of the municipal network.

“Telemonitoring intends to follow, through telephone calls, patients with tuberculosis as a way to stimulate adherence to treatment, giving support according to the demands presented and offering guidance. It is another strategy established by Semsa, in order to favor the conclusion of the treatment in an appropriate manner and in a timely manner, guaranteeing the cure ”, explains the Municipal Secretary of Health, Marcelo Magaldi

Cases will be monitored every 15 days, until the third month of treatment, with patient compliance assessment. “One of the challenges in tuberculosis control is to prevent patients from abandoning treatment. Manaus lives with the high percentage of new cases that abandon treatment, having registered a dropout rate of 16.4% in 2019. And when the treatment is not completed, the patient continues to transmit tuberculosis, which keeps the disease circulating among the population ”, warns the head of the Semsa Tuberculosis Control Center, nurse Daniel Sacramento.

The telemonitoring service, points out Daniel Sacramento, will be carried out in order to complement the tuberculosis control actions that are already carried out in the Health Units, which will maintain the flows of care, monitoring and evaluation of the cases, as recommended by the Ministry of Health , especially with regard to the active search for absentees and the assessment of patients’ social and family contacts.

“During monitoring, if a situation is found in which the patient presents, for example, risk of abandoning the treatment, adverse effects or need to adjust in relation to the medication, he will be referred for care at the Health Unit where he performs the treatment. , when the reason for referral will be verified and, thus, the professionals will be able to define the necessary measures to solve the case ”, informs Daniel.


Tuberculosis is an infectious and communicable disease, caused by microbacteria Mycobacterium tuberculosis or Koch’s bacillus (BK), which primarily affects the lungs, although it can affect other organs and systems of the human body. The main symptom of tuberculosis is cough. Therefore, it is recommended that all respiratory symptoms – people with a cough for two weeks or more – be examined. But symptoms such as afternoon fever, night sweating, weight loss and tiredness / fatigue may also appear.

Still considered a serious and challenging public health problem, tuberculosis caused the illness of 76,000 people across Brazil last year, with 4,500 deaths. In the municipality of Manaus, in 2019, 2,349 new cases of the disease were registered, which corresponds to a coefficient of 107.6 cases per 100 thousand inhabitants.

“Telemonitoring is another strategy implemented by Semsa with the aim of reducing the disease’s morbidity and mortality in the municipality. Semsa has also sought to act to maintain the high coverage of the BCG vaccine, which prevents tuberculosis, to reinforce the expansion of surveillance actions and recommendations for investigating cases, and the treatment of latent infection by Mycobacterium tuberculosis, in addition to the implementation of death surveillance with mention of the disease ”, highlights Sacramento.


Tuberculosis is an airborne disease. When talking, sneezing and, especially, when coughing, people with active tuberculosis release airborne particles in the form of aerosols, which contain bacilli, which can transmit the disease to other people. Treatment is free and available at the Unified Health System (SUS). The duration of treatment is at least six months, and all patients who follow the treatment correctly are cured.

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