Temporal-spatial distribution of reported congenital toxoplasmosis in para state

Congenital toxoplasmosis is an important public health problem in Brazil, and it started to have compulsory notification in 2016. In the northern region of the country, in the state of Pará, in the Amazon, prevalence rates are high, and this research aimed to assess longitudinally, between 2012-2021 the reported cases according to geographic location by municipality, year, race, gestational period and maternal education, based on official data from the State Department of Health. 117 cases were reported in 40 of the 144 municipalities in Pará, predominating in 8 of these: Redenção (16.2%), Belém (15.4%), Paragominas (10.3%), Tucuruí (6.8%) and others. with an average of 1,667 cases. Most occurred after 2016 (78 cases), especially in 2019 (20.51%), in the second (50%) and third trimester (33.3%) of pregnancy, respectively, in pardos (76.92%), with mothers with low education (14 out of 30 notified). There are achievements in the surveillance and control of toxoplasmosis, however it is necessary that the management of the municipalitiescompromise to structure the health network for the diagnosis of gestational and neonatal toxoplasmosis, since it was observed that less than a third of the municipalities are making the notifications.