Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil
ABSTRACT Leprosy is an infectious and contagious disease affecting skin and nerves. The number of cases in individuals under 15 years old is one of the parameters used in Brazil as an indicator of endemic permanence of the disease and its continuous transmission. Rio Grande do Sul State, in Southern...
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Universidade de São Paulo (USP)
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ftdoajarticles:oai:doaj.org/article:d6bbd09d04584e6da6f7c43f7bb0f777 2024-09-09T19:27:32+00:00 Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil Paulo Cezar de Moraes Letícia Maria Eidt Alessandra Koehler Danielle Machado Pagani Maria Lúcia Scroferneker 2021-12-01T00:00:00Z https://doi.org/10.1590/s1678-9946202163080 https://doaj.org/article/d6bbd09d04584e6da6f7c43f7bb0f777 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652021000100247&tlng=en https://doaj.org/toc/1678-9946 1678-9946 doi:10.1590/s1678-9946202163080 https://doaj.org/article/d6bbd09d04584e6da6f7c43f7bb0f777 Revista do Instituto de Medicina Tropical de São Paulo, Vol 63 (2021) Leprosy Public health Children Adolescents Epidemiology Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1590/s1678-9946202163080 2024-08-05T17:49:31Z ABSTRACT Leprosy is an infectious and contagious disease affecting skin and nerves. The number of cases in individuals under 15 years old is one of the parameters used in Brazil as an indicator of endemic permanence of the disease and its continuous transmission. Rio Grande do Sul State, in Southern Brazil, is low-endemic to leprosy. However, the disease remains a public health problem. This is a retrospective, observational and analytical study of a historical series of new cases of leprosy in children under 15 years old diagnosed in the period from 2000 to 2019, in all health units in Rio Grande do Sul State. Seventy-seven new cases were notified. The male gender was predominant in 53.2% of the cases (n=41). The average age was 10.4 years (standard deviation of 2.9), with predominance of the age group between 10 and 15 incomplete years old. The most frequent operational classification was multibacillary, in 62.3% of cases (n=48), and the most common clinical form was borderline, in 38.9% of cases (n=28). The predominant disability degree in the sample was grade zero, in 80.0% of the cases (n=60), but in 4.0% (n=3) the grade assessed was 2. In 54.0% of cases (n=27), bacilloscopy was performed, with positive results in 36.0% (n=9) of the exams. Multibacillary cases, with physical disability and/or positive bacilloscopy, draws attention that that the diagnosis is frequently not made in early stages. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista do Instituto de Medicina Tropical de São Paulo 63 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Leprosy Public health Children Adolescents Epidemiology Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Leprosy Public health Children Adolescents Epidemiology Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Paulo Cezar de Moraes Letícia Maria Eidt Alessandra Koehler Danielle Machado Pagani Maria Lúcia Scroferneker Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil |
topic_facet |
Leprosy Public health Children Adolescents Epidemiology Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
ABSTRACT Leprosy is an infectious and contagious disease affecting skin and nerves. The number of cases in individuals under 15 years old is one of the parameters used in Brazil as an indicator of endemic permanence of the disease and its continuous transmission. Rio Grande do Sul State, in Southern Brazil, is low-endemic to leprosy. However, the disease remains a public health problem. This is a retrospective, observational and analytical study of a historical series of new cases of leprosy in children under 15 years old diagnosed in the period from 2000 to 2019, in all health units in Rio Grande do Sul State. Seventy-seven new cases were notified. The male gender was predominant in 53.2% of the cases (n=41). The average age was 10.4 years (standard deviation of 2.9), with predominance of the age group between 10 and 15 incomplete years old. The most frequent operational classification was multibacillary, in 62.3% of cases (n=48), and the most common clinical form was borderline, in 38.9% of cases (n=28). The predominant disability degree in the sample was grade zero, in 80.0% of the cases (n=60), but in 4.0% (n=3) the grade assessed was 2. In 54.0% of cases (n=27), bacilloscopy was performed, with positive results in 36.0% (n=9) of the exams. Multibacillary cases, with physical disability and/or positive bacilloscopy, draws attention that that the diagnosis is frequently not made in early stages. |
format |
Article in Journal/Newspaper |
author |
Paulo Cezar de Moraes Letícia Maria Eidt Alessandra Koehler Danielle Machado Pagani Maria Lúcia Scroferneker |
author_facet |
Paulo Cezar de Moraes Letícia Maria Eidt Alessandra Koehler Danielle Machado Pagani Maria Lúcia Scroferneker |
author_sort |
Paulo Cezar de Moraes |
title |
Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil |
title_short |
Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil |
title_full |
Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil |
title_fullStr |
Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil |
title_full_unstemmed |
Epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic State in Southern Brazil |
title_sort |
epidemiological characteristics and trends of leprosy in children and adolescents under 15 years old in a low-endemic state in southern brazil |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2021 |
url |
https://doi.org/10.1590/s1678-9946202163080 https://doaj.org/article/d6bbd09d04584e6da6f7c43f7bb0f777 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 63 (2021) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652021000100247&tlng=en https://doaj.org/toc/1678-9946 1678-9946 doi:10.1590/s1678-9946202163080 https://doaj.org/article/d6bbd09d04584e6da6f7c43f7bb0f777 |
op_doi |
https://doi.org/10.1590/s1678-9946202163080 |
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Revista do Instituto de Medicina Tropical de São Paulo |
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63 |
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