High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015
ABSTRACT Leprosy remains a public health problem in Brazil, and the Mato Grosso do Sul State (MS) had the seventh highest rate of detection of new cases in the country in 2015 (26.59 per 100,000 inhabitants) which was classified as very high. This work aimed to determine the epidemiological characte...
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ftdoajarticles:oai:doaj.org/article:e7e935b6b3c5428c887399529578a9a8 2024-09-09T19:27:04+00:00 High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 Leticia Ferrigolo Zanella Iara Beatriz Andrade de Sousa Marcelo dos Santos Barbosa Odival Faccenda Simone Simionatto Silvana Beutinger Marchioro 2018-11-01T00:00:00Z https://doi.org/10.1590/s1678-9946201860067 https://doaj.org/article/e7e935b6b3c5428c887399529578a9a8 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652018005000240&lng=en&tlng=en https://doaj.org/toc/1678-9946 1678-9946 doi:10.1590/s1678-9946201860067 https://doaj.org/article/e7e935b6b3c5428c887399529578a9a8 Revista do Instituto de Medicina Tropical de São Paulo, Vol 60, Iss 0 (2018) Epidemiology Leprosy Mycobacterium leprae Infectious diseases Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1590/s1678-9946201860067 2024-08-05T17:49:30Z ABSTRACT Leprosy remains a public health problem in Brazil, and the Mato Grosso do Sul State (MS) had the seventh highest rate of detection of new cases in the country in 2015 (26.59 per 100,000 inhabitants) which was classified as very high. This work aimed to determine the epidemiological characteristics of leprosy in MS. Descriptive statistics were performed with data from the Information System on Diseases of Compulsory Declaration (SINAN) between 2001 and 2015, with all patients included in the system serving as the sample. Clinical forms of multibacillary (MB) leprosy predominated in MS during the study period, with a clear positive trend from 2009 to 2015 and a peak in the detection rate of new cases (NCDR) in 2014 corresponding to 40.39 per 100,000 population (p<0.001). The most affected groups were men (56.7%) aged 20–59 years (70.52%), an economically active population. We observed that Northern MS had the highest overall NCDR in the State. In cities bordering other countries, NCDRs were significantly lower than in those of other analyzed cities. There was no dependency ratio correlating NCDRs in cities with higher or lower indexes with basic care coverage (p=0.799) and human development index (p=0.887). In conclusion, the large number of patients with MB leprosy indicates that the diagnosis of leprosy is delayed in MS, perhaps due to difficulties related to diagnostic methods. This situation contributes to the continuing prevalence of leprosy in MS. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista do Instituto de Medicina Tropical de São Paulo 60 0 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Epidemiology Leprosy Mycobacterium leprae Infectious diseases Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Epidemiology Leprosy Mycobacterium leprae Infectious diseases Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Leticia Ferrigolo Zanella Iara Beatriz Andrade de Sousa Marcelo dos Santos Barbosa Odival Faccenda Simone Simionatto Silvana Beutinger Marchioro High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 |
topic_facet |
Epidemiology Leprosy Mycobacterium leprae Infectious diseases Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
ABSTRACT Leprosy remains a public health problem in Brazil, and the Mato Grosso do Sul State (MS) had the seventh highest rate of detection of new cases in the country in 2015 (26.59 per 100,000 inhabitants) which was classified as very high. This work aimed to determine the epidemiological characteristics of leprosy in MS. Descriptive statistics were performed with data from the Information System on Diseases of Compulsory Declaration (SINAN) between 2001 and 2015, with all patients included in the system serving as the sample. Clinical forms of multibacillary (MB) leprosy predominated in MS during the study period, with a clear positive trend from 2009 to 2015 and a peak in the detection rate of new cases (NCDR) in 2014 corresponding to 40.39 per 100,000 population (p<0.001). The most affected groups were men (56.7%) aged 20–59 years (70.52%), an economically active population. We observed that Northern MS had the highest overall NCDR in the State. In cities bordering other countries, NCDRs were significantly lower than in those of other analyzed cities. There was no dependency ratio correlating NCDRs in cities with higher or lower indexes with basic care coverage (p=0.799) and human development index (p=0.887). In conclusion, the large number of patients with MB leprosy indicates that the diagnosis of leprosy is delayed in MS, perhaps due to difficulties related to diagnostic methods. This situation contributes to the continuing prevalence of leprosy in MS. |
format |
Article in Journal/Newspaper |
author |
Leticia Ferrigolo Zanella Iara Beatriz Andrade de Sousa Marcelo dos Santos Barbosa Odival Faccenda Simone Simionatto Silvana Beutinger Marchioro |
author_facet |
Leticia Ferrigolo Zanella Iara Beatriz Andrade de Sousa Marcelo dos Santos Barbosa Odival Faccenda Simone Simionatto Silvana Beutinger Marchioro |
author_sort |
Leticia Ferrigolo Zanella |
title |
High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 |
title_short |
High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 |
title_full |
High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 |
title_fullStr |
High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 |
title_full_unstemmed |
High detection rate of new cases of multibacillary leprosy in Mato Grosso do Sul, Brazil: an observational study from 2001-2015 |
title_sort |
high detection rate of new cases of multibacillary leprosy in mato grosso do sul, brazil: an observational study from 2001-2015 |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2018 |
url |
https://doi.org/10.1590/s1678-9946201860067 https://doaj.org/article/e7e935b6b3c5428c887399529578a9a8 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 60, Iss 0 (2018) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652018005000240&lng=en&tlng=en https://doaj.org/toc/1678-9946 1678-9946 doi:10.1590/s1678-9946201860067 https://doaj.org/article/e7e935b6b3c5428c887399529578a9a8 |
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https://doi.org/10.1590/s1678-9946201860067 |
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Revista do Instituto de Medicina Tropical de São Paulo |
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