Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil
Abstract INTRODUCTION: The Integrated Program of Leprosy Control was initiated in the municipality of Buriticupu, Maranhão, Brazil, an area considered hyperendemic for leprosy in 2003. It aims at assessing the clinical and epidemiological characteristics of the disease to reduce the detection rate o...
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ftdoajarticles:oai:doaj.org/article:20ac9adf45de477abb44e64cb1fbf7e0 2023-05-15T15:11:44+02:00 Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil Antônio Rafael da Silva Pedro Martins Lima Neto Leonardo Hunaldo dos Santos Raina Jansen Cutrim Propp Lima Pedro Luiz Tauil Eloísa da Graça do Rosário Gonçalves https://doi.org/10.1590/0037-8682-0038-2018 https://doaj.org/article/20ac9adf45de477abb44e64cb1fbf7e0 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822018000600789&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0038-2018 https://doaj.org/article/20ac9adf45de477abb44e64cb1fbf7e0 Revista da Sociedade Brasileira de Medicina Tropical, Vol 51, Iss 6, Pp 789-794 Leprosy Mycobacterium leprae Health profile Detection rate Epidemiological case-series Arctic medicine. Tropical medicine RC955-962 article ftdoajarticles https://doi.org/10.1590/0037-8682-0038-2018 2022-12-30T21:26:57Z Abstract INTRODUCTION: The Integrated Program of Leprosy Control was initiated in the municipality of Buriticupu, Maranhão, Brazil, an area considered hyperendemic for leprosy in 2003. It aims at assessing the clinical and epidemiological characteristics of the disease to reduce the detection rate of new cases until 2015. Here, we present the evolution of the indicators of leprosy within the period from 2003 to 2015. METHODS: We conducted a descriptive analytical study based on the active search for and voluntary referral of cases of leprosy. The detection rate of new cases was analyzed over time. We included individuals diagnosed with leprosy between January 2003 and December 2015. The association between categorical variables was assessed using the chi-square test of independence, considering a level of significance of 5%. When the association was significant, the detection rate (with a confidence interval of 95%) was calculated. RESULTS: Overall, 879 new leprosy cases were detected; the majority of the affected individuals were men (65.9%). Multibacillary leprosy was the most common type of the disease, according to the operational classification (55.5%); it showed the strongest association with an age ≥60 years. We also detected an association between the male sex and both, lepromatous and multibacillary leprosy. The detection rate reduced from 211.09/100,000 population in 2003 to 50.26/100,000 population in 2015. CONCLUSIONS: We found an improvement in leprosy control, with a reduction in the detection rate and the absolute number of cases. Strengthening of disease control measures should be prioritized to eliminate leprosy as a public health concern in this municipality. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 51 6 789 794 |
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Leprosy Mycobacterium leprae Health profile Detection rate Epidemiological case-series Arctic medicine. Tropical medicine RC955-962 |
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Leprosy Mycobacterium leprae Health profile Detection rate Epidemiological case-series Arctic medicine. Tropical medicine RC955-962 Antônio Rafael da Silva Pedro Martins Lima Neto Leonardo Hunaldo dos Santos Raina Jansen Cutrim Propp Lima Pedro Luiz Tauil Eloísa da Graça do Rosário Gonçalves Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil |
topic_facet |
Leprosy Mycobacterium leprae Health profile Detection rate Epidemiological case-series Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract INTRODUCTION: The Integrated Program of Leprosy Control was initiated in the municipality of Buriticupu, Maranhão, Brazil, an area considered hyperendemic for leprosy in 2003. It aims at assessing the clinical and epidemiological characteristics of the disease to reduce the detection rate of new cases until 2015. Here, we present the evolution of the indicators of leprosy within the period from 2003 to 2015. METHODS: We conducted a descriptive analytical study based on the active search for and voluntary referral of cases of leprosy. The detection rate of new cases was analyzed over time. We included individuals diagnosed with leprosy between January 2003 and December 2015. The association between categorical variables was assessed using the chi-square test of independence, considering a level of significance of 5%. When the association was significant, the detection rate (with a confidence interval of 95%) was calculated. RESULTS: Overall, 879 new leprosy cases were detected; the majority of the affected individuals were men (65.9%). Multibacillary leprosy was the most common type of the disease, according to the operational classification (55.5%); it showed the strongest association with an age ≥60 years. We also detected an association between the male sex and both, lepromatous and multibacillary leprosy. The detection rate reduced from 211.09/100,000 population in 2003 to 50.26/100,000 population in 2015. CONCLUSIONS: We found an improvement in leprosy control, with a reduction in the detection rate and the absolute number of cases. Strengthening of disease control measures should be prioritized to eliminate leprosy as a public health concern in this municipality. |
format |
Article in Journal/Newspaper |
author |
Antônio Rafael da Silva Pedro Martins Lima Neto Leonardo Hunaldo dos Santos Raina Jansen Cutrim Propp Lima Pedro Luiz Tauil Eloísa da Graça do Rosário Gonçalves |
author_facet |
Antônio Rafael da Silva Pedro Martins Lima Neto Leonardo Hunaldo dos Santos Raina Jansen Cutrim Propp Lima Pedro Luiz Tauil Eloísa da Graça do Rosário Gonçalves |
author_sort |
Antônio Rafael da Silva |
title |
Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil |
title_short |
Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil |
title_full |
Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil |
title_fullStr |
Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil |
title_full_unstemmed |
Factors associated with leprosy in a municipality of the Pre-Amazon region, state of Maranhão, Brazil |
title_sort |
factors associated with leprosy in a municipality of the pre-amazon region, state of maranhão, brazil |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
url |
https://doi.org/10.1590/0037-8682-0038-2018 https://doaj.org/article/20ac9adf45de477abb44e64cb1fbf7e0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 51, Iss 6, Pp 789-794 |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822018000600789&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0038-2018 https://doaj.org/article/20ac9adf45de477abb44e64cb1fbf7e0 |
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https://doi.org/10.1590/0037-8682-0038-2018 |
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