Lorena Dias Monteiro1,2,3, Francisco Rogerlândio Martins Mello1,4, Thayza Pereira Miranda5, Jorg Heukelbach1,6. 1. Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará - Fortaleza (CE), Brasil. 2. Fundação Escola de Saúde Pública de Palmas - Palmas (TO), Brasil. 3. Instituto Tocantinense Presidente Antônio Carlos, ITPAC, Departamento da faculdade de medicina - Palmas (TO), Brasil. 4. Instituto Federal de Educação, Ciência e Tecnologia do Ceará - Caucaia (CE), Brasil. 5. Escola de Saúde Pública - Fortaleza (CE), Brasil. 6. College of Public Health, Medical and Veterinary Sciences, Division of Tropical Health and Medicine, James Cook University - Townsville, Queensland, Australia.
Abstract
INTRODUCTION: Tocantins is the most hyperendemic state for leprosy in Brazil. OBJECTIVE: To describe the epidemiological characteristics and temporal trends of leprosy indicators in children under 15 years old in Tocantins between the years of 2001 and 2012. METHODOLOGY: Data analysis of the Notification of Injury Information System (SINAN). New cases under the age of 15 have been included in the state. The indicators were calculated and the temporal trends were analyzed through the join-point regression. RESULTS: There were 1,225 cases in children, mean age of 10.8 years, and male predominated (52%). The mode of detection by spontaneous demand prevailed (55.8%) and more than 9% had some physical disability. Detection in < 15 years was significantly increased between 2001 and 2008 (anual percent change - APC = 3.8%; confidence interval of 95% - 95%CI 0.1 - 7.6), and showed significant decline between 2008 and 2012 (APC = -9.4%; 95%CI -17.2 - -0.8). There was stability for the detection of grade 2 cases (APC = 4.2%; 95%CI -6.7 - 16.3), proportion of grade 2 cases (APC = 4.1%; 95%CI 6.7 - 16.3), proportion of grade 1 cases (APC = 1.3%; 95%CI -6.2 - 9.3), multibacillary ratio (APC = 2.9%; 95%CI -1.7 - 7.7), and proportion of paucibacillary (APC = 2.9%; 95%CI -1.7 - 7.7). CONCLUSION: Leprosy remains an important public health problem in Tocantins, with active transmission and persistence of transmission foci. The stability of the indicators points out the permanence of the late diagnosis and the repressed demands.
INTRODUCTION: Tocantins is the most hyperendemic state for leprosy in Brazil. OBJECTIVE: To describe the epidemiological characteristics and temporal trends of leprosy indicators in children under 15 years old in Tocantins between the years of 2001 and 2012. METHODOLOGY: Data analysis of the Notification of Injury Information System (SINAN). New cases under the age of 15 have been included in the state. The indicators were calculated and the temporal trends were analyzed through the join-point regression. RESULTS: There were 1,225 cases in children, mean age of 10.8 years, and male predominated (52%). The mode of detection by spontaneous demand prevailed (55.8%) and more than 9% had some physical disability. Detection in < 15 years was significantly increased between 2001 and 2008 (anual percent change - APC = 3.8%; confidence interval of 95% - 95%CI 0.1 - 7.6), and showed significant decline between 2008 and 2012 (APC = -9.4%; 95%CI -17.2 - -0.8). There was stability for the detection of grade 2 cases (APC = 4.2%; 95%CI -6.7 - 16.3), proportion of grade 2 cases (APC = 4.1%; 95%CI 6.7 - 16.3), proportion of grade 1 cases (APC = 1.3%; 95%CI -6.2 - 9.3), multibacillary ratio (APC = 2.9%; 95%CI -1.7 - 7.7), and proportion of paucibacillary (APC = 2.9%; 95%CI -1.7 - 7.7). CONCLUSION: Leprosy remains an important public health problem in Tocantins, with active transmission and persistence of transmission foci. The stability of the indicators points out the permanence of the late diagnosis and the repressed demands.
Authors: Pedro Martins Lima Neto; Antônio Rafael da Silva; Leonardo Hunaldo Dos Santos; Raina Jansen Cutrim Propp Lima; Pedro Luiz Tauil; Eloísa da Graça do Rosário Gonçalves Journal: Rev Soc Bras Med Trop Date: 2020-11-25 Impact factor: 1.581
Authors: Valéria Perim da Cunha; Glenda Michele Botelho; Ary Henrique Morais de Oliveira; Lorena Dias Monteiro; David Gabriel de Barros Franco; Rafael da Costa Silva Journal: Int J Environ Res Public Health Date: 2021-12-31 Impact factor: 3.390
Authors: Paulo Cezar de Moraes; Letícia Maria Eidt; Alessandra Koehler; Danielle Machado Pagani; Maria Lúcia Scroferneker Journal: Rev Inst Med Trop Sao Paulo Date: 2021-12-06 Impact factor: 1.846