Leprosy and pregnancy in the State of Para: an epidemiological perspective
Introduction A few older publications describe leprosy associated with pregnancy, a situation that has been linked to leprosy exacerbation. This study aimed to describe the detection rate of this association in the State of Pará by county and Integration Region (IR) from 2007 to 2009 via an analysis...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2013-07-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000400453&lng=en&tlng=en |
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| author | Vera Regina da Cunha Menezes Palacios Clea Nazare; Carneiro Bichara Jarbas Barbosada Silva Junior Rodrigo da Silva Dias Nelson Veiga Goncalves |
| author_facet | Vera Regina da Cunha Menezes Palacios Clea Nazare; Carneiro Bichara Jarbas Barbosada Silva Junior Rodrigo da Silva Dias Nelson Veiga Goncalves |
| author_sort | Vera Regina da Cunha Menezes Palacios |
| collection | DOAJ |
| description | Introduction A few older publications describe leprosy associated with pregnancy, a situation that has been linked to leprosy exacerbation. This study aimed to describe the detection rate of this association in the State of Pará by county and Integration Region (IR) from 2007 to 2009 via an analysis of sociodemographic, epidemiological and operational indices. Methods This was a descriptive study using information generated by the SINAN. The Detection Coefficient of the Leprosy and Pregnancy Association (DCLP) epidemiological index was constructed to help interpret the endemicity parameters. The disease was considered hyperendemic when greater than two cases per 10,000 inhabitants were identified. Results During the study period, 149 associations were detected, with 14 hyperendemic counties: seven in 2007, five in 2008 and two in 2009. The Carajás Integrated Region displayed the highest DCLP index in the period. Eldorado dos Carajás had the single highest DCLP index (5.7/10,000 inhabitants, 2008), whereas the DCLP index in Conceição do Araguaia was very high in all three years. However, most counties displayed low or medium DCLP indices. The annual averages were 0.31 DCLP (2007), bass; 0.30 (2008), bass and 0.19 (2009), bass. The average DCLP index was 0.26, which is considered low. Three clusters of medium endemicity were identified by the average DCLP in the study period. Conclusions The analyses indicated that the surveillance program is still unsatisfactory in Pará. The interpretation of the endemicity parameters enabled qualitative and quantitative analyses to determine the epidemiological panorama of this association. The identification of high endemicity requires further clarification. |
| first_indexed | 2024-12-12T09:37:33Z |
| format | Article |
| id | doaj.art-1db38b6bd0ff45a69b95b0fbd5106977 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-12-12T09:37:33Z |
| publishDate | 2013-07-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-1db38b6bd0ff45a69b95b0fbd51069772022-12-22T00:28:40ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492013-07-0146445346010.1590/0037-8682-0019-2013S0037-86822013000400453Leprosy and pregnancy in the State of Para: an epidemiological perspectiveVera Regina da Cunha Menezes PalaciosClea Nazare; Carneiro BicharaJarbas Barbosada Silva JuniorRodrigo da Silva DiasNelson Veiga GoncalvesIntroduction A few older publications describe leprosy associated with pregnancy, a situation that has been linked to leprosy exacerbation. This study aimed to describe the detection rate of this association in the State of Pará by county and Integration Region (IR) from 2007 to 2009 via an analysis of sociodemographic, epidemiological and operational indices. Methods This was a descriptive study using information generated by the SINAN. The Detection Coefficient of the Leprosy and Pregnancy Association (DCLP) epidemiological index was constructed to help interpret the endemicity parameters. The disease was considered hyperendemic when greater than two cases per 10,000 inhabitants were identified. Results During the study period, 149 associations were detected, with 14 hyperendemic counties: seven in 2007, five in 2008 and two in 2009. The Carajás Integrated Region displayed the highest DCLP index in the period. Eldorado dos Carajás had the single highest DCLP index (5.7/10,000 inhabitants, 2008), whereas the DCLP index in Conceição do Araguaia was very high in all three years. However, most counties displayed low or medium DCLP indices. The annual averages were 0.31 DCLP (2007), bass; 0.30 (2008), bass and 0.19 (2009), bass. The average DCLP index was 0.26, which is considered low. Three clusters of medium endemicity were identified by the average DCLP in the study period. Conclusions The analyses indicated that the surveillance program is still unsatisfactory in Pará. The interpretation of the endemicity parameters enabled qualitative and quantitative analyses to determine the epidemiological panorama of this association. The identification of high endemicity requires further clarification.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000400453&lng=en&tlng=enLeprosyPregnancyEpidemiology |
| spellingShingle | Vera Regina da Cunha Menezes Palacios Clea Nazare; Carneiro Bichara Jarbas Barbosada Silva Junior Rodrigo da Silva Dias Nelson Veiga Goncalves Leprosy and pregnancy in the State of Para: an epidemiological perspective Revista da Sociedade Brasileira de Medicina Tropical Leprosy Pregnancy Epidemiology |
| title | Leprosy and pregnancy in the State of Para: an epidemiological perspective |
| title_full | Leprosy and pregnancy in the State of Para: an epidemiological perspective |
| title_fullStr | Leprosy and pregnancy in the State of Para: an epidemiological perspective |
| title_full_unstemmed | Leprosy and pregnancy in the State of Para: an epidemiological perspective |
| title_short | Leprosy and pregnancy in the State of Para: an epidemiological perspective |
| title_sort | leprosy and pregnancy in the state of para an epidemiological perspective |
| topic | Leprosy Pregnancy Epidemiology |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000400453&lng=en&tlng=en |
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