Table 2-1. – Number of cases and age-standardized prevalence rates (per 100 000) of ischemic stroke, subarachnoid hemorrhage, and intracerebral hemorrhage in 1990 and 2019, and percent change of rates, in Brazil and its Federative Units.
| Cause of death and location | 1990 | 2019 | Percent change (95% UI) | ||
|---|---|---|---|---|---|
| Number (95% UI) | Rate (95% UI) | Number (95% UI) | Rate (95% UI) | ||
| B.2.3.1-Ischemic stroke | |||||
| Acre | 2337 (2005;2670.8) | 1179.3 (1021.6;1368) | 5959.2 (5165.9;6781.1) | 876.1 (762.2;998) | -25.7(-30.7;-20.7) |
| Alagoas | 20840.6 (17963.5;24003.8) | 1415.7 (1222.3;1668.6) | 33233.7 (29180.3;38341.4) | 1016.1 (895.6;1175.5) | -28.2(-33.5;-22.9) |
| Amapá | 1384 (1196.3;1573.2) | 1124.1 (970.4;1298.2) | 5077.4 (4424.8;5767.2) | 861.2 (746.8;984.5) | -23.4(-28.6;-18) |
| Amazonas | 11728.4 (10152.6;13440.3) | 1240 (1069.8;1424.9) | 26360.1 (23112.3;29848.5) | 832.7 (729.8;950.6) | -32.8(-37.7;-27.4) |
| Bahia | 92983.6 (80433.9;106701.5) | 1252.7 (1072.5;1448.2) | 140578.2 (122673.2;160762.3) | 870.8 (760.2;1001.2) | -30.5(-35.3;-25.6) |
| Brazil | 1287969.4 (1118323.7;1460716) | 1327.6 (1151.2;1516) | 2040376.9 (1784219.6;2330526) | 870.1 (761.1;992.8) | -34.5(-36.7;-32.2) |
| Ceará | 45261 (38660.3;51639) | 1031.5 (880.1;1192.4) | 85094.6 (74109.4;97715.8) | 851.1 (740.3;977.2) | -17.5(-23;-11.4) |
| Distrito Federal | 9491.3 (8108.7;10933.6) | 1301.3 (1110.6;1516.4) | 24286.9 (20992.9;28153.4) | 885.1 (765.4;1030.9) | -32(-36.7;-26.9) |
| Espírito Santo | 22957.7 (19897.4;26104.4) | 1423 (1222.2;1642.3) | 39703.5 (34433.2;45287.7) | 913.4 (795.3;1041.4) | -35.8(-40.2;-31.2) |
| Goiás | 30398.4 (26103.6;34903.4) | 1266.7 (1089.5;1464) | 57813.2 (50438.7;65757.5) | 813.4 (711.9;925.3) | -35.8(-40.6;-31.2) |
| Maranhão | 33415.7 (28606.1;38354.7) | 1174.6 (998.4;1372.4) | 57772.9 (50605.5;65580.5) | 839.2 (735.7;956.6) | -28.6(-35;-20.2) |
| Mato Grosso | 11695.9 (10093.3;13434.1) | 1207.4 (1043.7;1397) | 28745.8 (25006.5;32932) | 838 (727.9;961.7) | -30.6(-36;-25) |
| Mato Grosso do Sul | 12959.8 (11279.9;14803.9) | 1255.5 (1093.2;1450.7) | 25831.6 (22483.5;29207.6) | 870.8 (758.4;984.9) | -30.6(-36.5;-25.4) |
| Minas Gerais | 145398.6 (125793.7;168354.4) | 1356.8 (1168.7;1571.8) | 217642.4 (189023.2;251547) | 843.5 (732.9;971.6) | -37.8(-42.8;-32.7) |
| Pará | 32096.8 (27597.1;36767.6) | 1325.8 (1132;1527.9) | 64670.6 (56252.5;73679.5) | 869 (753.8;991.8) | -34.5(-39.3;-29.4) |
| Paraíba | 26607.1 (22881.2;30854.6) | 1096.5 (940.9;1284.1) | 37478 (32824.1;42797.6) | 804.4 (704;921.6) | -26.6(-32;-21.3) |
| Paraná | 81476.8 (70660.4;93825.4) | 1534.4 (1322.5;1786.7) | 126272.5 (109037.2;145179.1) | 960.2 (830.4;1100) | -37.4(-42;-32.1) |
| Pernambuco | 63426.2 (54597.3;73733.5) | 1300.5 (1112.3;1536.8) | 89359.9 (77947.2;102237.8) | 884.3 (769.8;1015) | -32(-36.4;-26.9) |
| Piaui | 17859.3 (15361.8;20573.6) | 1143.9 (986.6;1328.8) | 31595 (27482.8;36104) | 843.1 (733.5;963) | -26.3(-31.3;-20.4) |
| Rio de Janeiro | 151283.8 (130994.6;173336.9) | 1489 (1283.3;1706.2) | 197147.1 (170574.1;228003.1) | 902.7 (783;1039.9) | -39.4(-44.1;-34.7) |
| Rio Grande do Norte | 18111.6 (15616.7;20695.6) | 1056.5 (908.6;1217.1) | 29607.2 (25837.3;34049.1) | 766.9 (670.6;883.4) | -27.4(-31.6;-22.4) |
| Rio Grande do Sul | 98174.7 (84791.3;112264.8) | 1410.7 (1218.8;1619.6) | 138340.7 (118660.6;159686.5) | 926.6 (799.2;1061.2) | -34.3(-39.1;-29.5) |
| Rondônia | 6438.9 (5505.5;7461.4) | 1477.7 (1270.8;1735.5) | 13891.4 (11998.5;15994.2) | 861.5 (741.1;998.2) | -41.7(-46.2;-36.8) |
| Roraima | 980.8 (844.6;1128.1) | 1199.9 (1033.2;1385.3) | 3514.8 (3044.9;4034.3) | 830.3 (719.9;952.8) | -30.8(-35.5;-25.7) |
| Santa Catarina | 38488 (33075.1;43771.1) | 1392.8 (1183.7;1603) | 68595.6 (59198.3;78591.2) | 848.8 (733.7;970.5) | -39.1(-43.9;-34.1) |
| São Paulo | 295180.2 (255885.5;336598.3) | 1344.1 (1162.1;1524.7) | 458484.1 (395229.9;529532.9) | 857 (741.3;982.9) | -36.2(-40.8;-31.8) |
| Sergipe | 11546.5 (9966.9;13183) | 1306.7 (1118.5;1507.3) | 21060.5 (18405.7;24150.7) | 920.1 (799.5;1060.9) | -29.6(-34.9;-25) |
| Tocantins | 5446.7 (4686.9;6267.8) | 1148 (974.7;1327.9) | 12260 (10740.9;14034.4) | 827.6 (721.1;948.7) | -27.9(-32.9;-21.9) |
| B.2.3.2-Intracerebral hemorrhage | (;) | ||||
| Acre | 954.6 (816;1099.4) | 423.3 (363.8;486.7) | 2357.5 (2036.2;2708.6) | 312.6 (271.5;357.9) | -26.1(-30.5;-21.2) |
| Alagoas | 7759.2 (6563.3;8947.2) | 487.7 (412.6;564.5) | 12212.5 (10587.5;14019.8) | 352.5 (305.3;404.1) | -27.7(-32.4;-23) |
| Amapá | 580.2 (496.8;667.5) | 412.4 (356.1;474.8) | 2046.9 (1773;2347.9) | 303.5 (264;346.5) | -26.4(-30.5;-21.6) |
| Amazonas | 5190.3 (4456.4;5996.5) | 481.6 (414.4;554.5) | 10793.9 (9317.7;12412.6) | 309.3 (268;353.8) | -35.8(-39.8;-31.4) |
| Bahia | 37762.4 (32554.4;43452.4) | 480.3 (409.2;551.3) | 53634.2 (46593.5;61495.6) | 323.4 (281.1;370.3) | -32.7(-37.5;-28) |
| Brazil | 541445.3 (466619.8;621909.3) | 507.5 (438.9;584.1) | 757903 (659245.3;867100.5) | 315.9 (275;361.4) | -37.7(-40.5;-34.9) |
| Ceará | 17834.5 (15383.5;20700.6) | 390.6 (335.7;452.2) | 31985.9 (27865.3;36677) | 313.1 (273.4;358.8) | -19.8(-24;-14.5) |
| Distrito Federal | 4754.5 (4045.6;5533.3) | 521.2 (448.3;599.5) | 9476.3 (8096.4;10959.5) | 312.1 (270.2;359) | -40.1(-44.5;-35.6) |
| Espírito Santo | 9923.8 (8526.1;11356.7) | 553.1 (476.3;631.1) | 15127.1 (13005.6;17294.3) | 336.8 (291;385.1) | -39.1(-43.1;-34.9) |
| Goiás | 14065.7 (12162.2;16282.3) | 513.3 (443.4;589.5) | 22525 (19579.7;25806.5) | 301 (261.7;345) | -41.4(-45.5;-36.8) |
| Maranhão | 12434.4 (10659.9;14397.9) | 406.8 (349.9;471.3) | 22610.6 (19506.8;26011.2) | 315.1 (271.1;361.5) | -22.6(-27.6;-17.4) |
| Mato Grosso | 5048.2 (4327.5;5880.2) | 432.5 (371.8;500.3) | 10830.6 (9392.7;12448) | 292.1 (254.7;333.1) | -32.5(-36.9;-28.1) |
| Mato Grosso do Sul | 6065.5 (5157.5;7014.4) | 515.4 (441.4;596.7) | 10049.7 (8640.4;11486.9) | 325.5 (281.2;371.4) | -36.8(-41.2;-32.6) |
| Minas Gerais | 63178.6 (54522.8;72902.3) | 536.4 (464.4;616.6) | 80317.8 (69705.8;91963.5) | 310.7 (269.7;355.8) | -42.1(-46.7;-37.9) |
| Pará | 13066 (11192.2;15083.4) | 477.6 (408;553.7) | 24092.9 (20923.5;27440.9) | 296.6 (256.5;336.5) | -37.9(-41.9;-33.6) |
| Paraíba | 9857.1 (8470.4;11300.2) | 404 (345;465.3) | 15120.2 (13151.5;17216.3) | 324.7 (282.5;369.1) | -19.6(-25;-13.7) |
| Paraná | 33661.9 (28718.5;38871.7) | 555.3 (471;641.8) | 42595 (36576.4;48876.7) | 317.7 (273.5;363.3) | -42.8(-47.4;-38) |
| Pernambuco | 26388.4 (22669.9;30514.5) | 512.8 (442.7;592.5) | 35843.8 (31160.7;41052.3) | 342.4 (298.8;390.8) | -33.2(-37.5;-28.7) |
| Piaui | 7154.6 (6136.8;8240.6) | 424.7 (362.6;489.1) | 11367.7 (9877.1;13067.2) | 300.8 (261.7;345.3) | -29.2(-33.2;-24.6) |
| Rio de Janeiro | 67411.9 (57661.1;77654.6) | 603.2 (517.9;694.9) | 78112.1 (67686.5;89538.8) | 357.8 (310.3;408.4) | -40.7(-45.2;-35.4) |
| Rio Grande do Norte | 6989.6 (6011.1;7956.2) | 398 (342;455.7) | 11368.6 (9897.4;13069.4) | 288.4 (250.7;331.2) | -27.5(-31.9;-22.8) |
| Rio Grande do Sul | 40477.3 (34799.8;46418.5) | 528.1 (457.3;604.3) | 48534.9 (41907.9;55770.7) | 331.4 (286.5;380) | -37.3(-41.4;-32.7) |
| Rondônia | 2937.5 (2502.1;3408.2) | 508.6 (437;589.8) | 5212 (4528.8;5996.9) | 295.6 (257.4;339.4) | -41.9(-46;-37.5) |
| Roraima | 451.4 (384.2;525.4) | 437.1 (375.7;504.9) | 1327.3 (1137.7;1541.9) | 273.8 (236.1;316.6) | -37.4(-41.3;-32.9) |
| Santa Catarina | 17321.8 (14777.5;19977.4) | 546.2 (467.7;637.7) | 25189.2 (21733.7;28815.9) | 301.5 (260.5;343.6) | -44.8(-49;-39.9) |
| São Paulo | 123269.3 (105277.2;143037.4) | 503.6 (431.8;583) | 162501.2 (139844.8;186907.7) | 299.1 (258.2;342.1) | -40.6(-45.1;-35.6) |
| Sergipe | 4551.5 (3900.5;5230.3) | 481.6 (416.8;554.1) | 7971.1 (6945.4;9114.2) | 330.2 (288.3;376.9) | -31.5(-36;-26.7) |
| Tocantins | 2355.2 (2010.9;2701.8) | 431 (373.5;496.1) | 4699.2 (4080.2;5401.4) | 300.2 (260.2;345.9) | -30.4(-34.9;-25.1) |
| B.2.3.3-Subarachnoid hemorrhage | (;) | ||||
| Acre | 361.4 (300.3;435.9) | 152.2 (126;183.9) | 990.2 (823.1;1197.9) | 124.4 (104;150.2) | -18.3(-22.6;-13.9) |
| Alagoas | 2547.4 (2107.3;3083.5) | 154.5 (127.6;187.9) | 4406.8 (3654.6;5267.4) | 123.5 (102.4;147.2) | -20.1(-24.5;-15.4) |
| Amapá | 232.1 (191.6;278.8) | 155 (127.3;188.1) | 902.6 (751;1079.4) | 125.5 (104.2;151.7) | -19(-23.5;-14.9) |
| Amazonas | 1787.5 (1480.7;2176.3) | 150.7 (123.5;183.8) | 4505.5 (3742.5;5421.6) | 121.9 (101.6;147.5) | -19.1(-23.2;-14.9) |
| Bahia | 12581 (10473.6;15135.6) | 156.6 (129.2;189.2) | 21268.5 (17762.4;25776.8) | 125.7 (104.9;152.1) | -19.8(-24.2;-15.7) |
| Brazil | 178322.3 (147412.5;215453.5) | 158.6 (131.7;192.4) | 306334.8 (255287.2;369754.8) | 124.8 (104.2;150.1) | -21.3(-24.3;-18.6) |
| Ceará | 7235.2 (5975.9;8843.8) | 157.6 (130.3;193.1) | 13166.1 (10906.1;15881) | 126.6 (104.8;152.9) | -19.7(-24.1;-15.1) |
| Distrito Federal | 1789.8 (1478.1;2170.4) | 165.8 (137.2;200.5) | 4274.5 (3539.2;5205.6) | 127.6 (106.3;155) | -23(-28;-17.1) |
| Espírito Santo | 3071.7 (2545.7;3713.8) | 160.5 (131.9;194.5) | 5799.8 (4800.4;7005.5) | 125.4 (104.1;150.5) | -21.8(-26.2;-17.1) |
| Goiás | 4544.9 (3780.9;5488.7) | 152.2 (126;184.1) | 9354.7 (7742.9;11331.2) | 119.6 (99.4;144.5) | -21.5(-25.8;-16.7) |
| Maranhão | 4907.9 (4058;5876.5) | 157.5 (130.2;189.6) | 9393.7 (7853.4;11298.1) | 129.3 (107.2;156.1) | -17.9(-22.4;-13.8) |
| Mato Grosso | 1932.7 (1599.2;2343.7) | 149.6 (123.5;182.8) | 4740.3 (3954.5;5734.8) | 120.7 (101.2;145.4) | -19.3(-23.6;-14.3) |
| Mato Grosso do Sul | 1977.1 (1624.8;2389.4) | 154.9 (127.5;189) | 3968.7 (3292.1;4814.3) | 124 (103.4;150) | -19.9(-24.3;-15.2) |
| Minas Gerais | 20106.5 (16619.3;24414.9) | 163.5 (134.5;198.3) | 32921.5 (27309.6;39771.4) | 125.7 (104.6;151.1) | -23.1(-28.3;-18.2) |
| Pará | 4512.4 (3724.9;5437.7) | 152.3 (125.7;184.8) | 10338 (8575.1;12465.8) | 122.3 (101.6;147.1) | -19.7(-24;-15.4) |
| Paraíba | 3901.8 (3225.5;4735.4) | 163.9 (135.7;200.2) | 6045.8 (4997.5;7325.1) | 128.7 (106.4;156.2) | -21.5(-25.9;-17.1) |
| Paraná | 10404.5 (8631.1;12629.7) | 158 (130.9;191.8) | 17179.4 (14139.7;20873.3) | 124.7 (103.1;150.9) | -21.1(-25.6;-16.1) |
| Pernambuco | 7989.4 (6624.6;9835.5) | 151.4 (124.4;187.4) | 13170.6 (10925.4;15923.5) | 122.4 (102.2;147.9) | -19.1(-24.1;-14.6) |
| Piaui | 2775.1 (2286;3362.5) | 161 (132.6;196.5) | 4913.8 (4082.1;5920.7) | 129.1 (107.3;155.4) | -19.9(-23.9;-15.1) |
| Rio de Janeiro | 18926.8 (15641.4;22940.3) | 161.2 (133.5;195) | 27140.4 (22430.8;33138.9) | 123.4 (102.3;149.7) | -23.5(-27.8;-18.4) |
| Rio Grande do Norte | 2710.1 (2246.3;3278) | 156.1 (129;189.2) | 5013.6 (4186.9;6053.4) | 124.6 (103.6;150.3) | -20.2(-24.5;-16.2) |
| Rio Grande do Sul | 12748.3 (10540.8;15532.4) | 157.7 (130.5;192.4) | 18004.8 (14901.9;21850.4) | 123.5 (102.9;148.8) | -21.7(-25.9;-17.1) |
| Rondônia | 991.8 (815.5;1209.9) | 146 (120.3;177.6) | 2239.9 (1839.2;2710.2) | 119.4 (98.9;144.4) | -18.3(-22.8;-13.7) |
| Roraima | 168.9 (139.2;204.8) | 142.1 (117.1;172.1) | 602.9 (497.8;734.5) | 115.7 (96.1;140.5) | -18.5(-22.8;-14.3) |
| Santa Catarina | 5514.6 (4565.3;6634.1) | 159.2 (131.1;192.1) | 10720.7 (8888.1;13027.3) | 123.3 (102.8;149) | -22.6(-27.3;-17.5) |
| São Paulo | 42197.3 (34696.2;51220.6) | 160.4 (132.4;194.9) | 70133.3 (58163.2;84885.3) | 126.1 (105.1;151.9) | -21.4(-25.5;-16.9) |
| Sergipe | 1498.7 (1239.1;1808.9) | 154 (127.2;186.4) | 3089.5 (2565.1;3754.7) | 123.2 (102.8;149.3) | -20(-24.3;-15.6) |
| Tocantins | 907.2 (754.4;1098.1) | 154.9 (128.2;187.3) | 2048.9 (1698.5;2471.5) | 126.2 (105.1;151.9) | -18.5(-22.7;-14.1) |
Source: Data derived from Global Burden of Disease Study 2019, Institute for Health Metrics and Evaluation, University of Washington. 46