Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality

Abstract: This study aimed to identify the distribution pattern of leprosy in a hyperendemic municipality in Brazil and determine its relationship with the clinico-epidemiological situation over 11 years. The geographic information system, MapInfo, spatial scan statistics and the Moran I index were...

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Main Authors: Lucia Helena Soares Camargo Marciano, Andréa de Faria Fernandes Belone, Patrícia Sammarco Rosa, Neusa Maria Broch Coelho, Cássio César Ghidella, Susilene Maria Tonelli Nardi, William Cabral Miranda, Ligia Vizeu Barrozo, Joel Carlos Lastória
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2018-08-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018000805004&lng=en&tlng=en
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author Lucia Helena Soares Camargo Marciano
Andréa de Faria Fernandes Belone
Patrícia Sammarco Rosa
Neusa Maria Broch Coelho
Cássio César Ghidella
Susilene Maria Tonelli Nardi
William Cabral Miranda
Ligia Vizeu Barrozo
Joel Carlos Lastória
author_facet Lucia Helena Soares Camargo Marciano
Andréa de Faria Fernandes Belone
Patrícia Sammarco Rosa
Neusa Maria Broch Coelho
Cássio César Ghidella
Susilene Maria Tonelli Nardi
William Cabral Miranda
Ligia Vizeu Barrozo
Joel Carlos Lastória
author_sort Lucia Helena Soares Camargo Marciano
collection DOAJ
description Abstract: This study aimed to identify the distribution pattern of leprosy in a hyperendemic municipality in Brazil and determine its relationship with the clinico-epidemiological situation over 11 years. The geographic information system, MapInfo, spatial scan statistics and the Moran I index were used to analyze new cases. The digital cartographic base was used to map clusters of new paucibacillary and multibacillary cases and cases in minors under 15 years old. Socioeconomic indicators are shown using the choropleth mapping technique. A reduction in the detection coefficient, increases in high-risk spatial clusters, marked changes in the distribution of high-risk and low-risk clusters, and high-risk clusters of minors under 15 years old were observed from 2006 to 2010, showing recent illness, the presence of active foci, and overlapping of high-risk clusters of multibacillary infection in minors under 15 years old. Leprosy remains a public health problem in Rondonópolis, Mato Grosso State; the high-risk areas require an intensification of control measures and active search strategies to detect new cases.
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spelling doaj.art-82bc8852daed48b281acc1dc2c4f0f5e2022-12-21T17:45:24ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642018-08-0134810.1590/0102-311x00197216S0102-311X2018000805004Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipalityLucia Helena Soares Camargo MarcianoAndréa de Faria Fernandes BelonePatrícia Sammarco RosaNeusa Maria Broch CoelhoCássio César GhidellaSusilene Maria Tonelli NardiWilliam Cabral MirandaLigia Vizeu BarrozoJoel Carlos LastóriaAbstract: This study aimed to identify the distribution pattern of leprosy in a hyperendemic municipality in Brazil and determine its relationship with the clinico-epidemiological situation over 11 years. The geographic information system, MapInfo, spatial scan statistics and the Moran I index were used to analyze new cases. The digital cartographic base was used to map clusters of new paucibacillary and multibacillary cases and cases in minors under 15 years old. Socioeconomic indicators are shown using the choropleth mapping technique. A reduction in the detection coefficient, increases in high-risk spatial clusters, marked changes in the distribution of high-risk and low-risk clusters, and high-risk clusters of minors under 15 years old were observed from 2006 to 2010, showing recent illness, the presence of active foci, and overlapping of high-risk clusters of multibacillary infection in minors under 15 years old. Leprosy remains a public health problem in Rondonópolis, Mato Grosso State; the high-risk areas require an intensification of control measures and active search strategies to detect new cases.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018000805004&lng=en&tlng=enSpatial AnalysisGeographic Information SystemsEpidemiologic Factors
spellingShingle Lucia Helena Soares Camargo Marciano
Andréa de Faria Fernandes Belone
Patrícia Sammarco Rosa
Neusa Maria Broch Coelho
Cássio César Ghidella
Susilene Maria Tonelli Nardi
William Cabral Miranda
Ligia Vizeu Barrozo
Joel Carlos Lastória
Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality
Cadernos de Saúde Pública
Spatial Analysis
Geographic Information Systems
Epidemiologic Factors
title Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality
title_full Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality
title_fullStr Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality
title_full_unstemmed Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality
title_short Epidemiological and geographical characterization of leprosy in a Brazilian hyperendemic municipality
title_sort epidemiological and geographical characterization of leprosy in a brazilian hyperendemic municipality
topic Spatial Analysis
Geographic Information Systems
Epidemiologic Factors
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018000805004&lng=en&tlng=en
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