Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?
Background: Hanseniasis is a public health concern in developing countries. Although a decrease in the number of new cases in Brazil has been reported, there is a prevalence above that recommended in some regions. Aims: Considering the goal of the World Health Organization (WHO) to accelerate toward...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Brazilian Journal of Infectious Diseases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1413867020301690 |
| _version_ | 1818576644166647808 |
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| author | Francisco A. Araújo Luiz C. Abreu Gabriel Z. Laporta Vinicius S. Santos Jose G.V. Moreira Anete S. Grumach |
| author_facet | Francisco A. Araújo Luiz C. Abreu Gabriel Z. Laporta Vinicius S. Santos Jose G.V. Moreira Anete S. Grumach |
| author_sort | Francisco A. Araújo |
| collection | DOAJ |
| description | Background: Hanseniasis is a public health concern in developing countries. Although a decrease in the number of new cases in Brazil has been reported, there is a prevalence above that recommended in some regions. Aims: Considering the goal of the World Health Organization (WHO) to accelerate towards a leprosy-free world from 2020, the aim of this study was to analyze the epidemiological profile and leprosy trends in the city of Cruzeiro do Sul, Acre, Brazil. Methods: This retrospective cohort study analyzed the epidemiology and trends of hanseniasis between 2005 and 2018, monitoring socioeconomic and clinical epidemiological variables obtained from the Information System of Notifiable Diseases of Hanseniasis (SINAN) database. Results: A total of 422 cases of hanseniasis (284 male, 138 female) were included. The questionnaire of six patients was incomplete. The highest number of cases (89) was recorded in 2006 (11.7/10,000 inhabitants). The borderline clinical form was most common, with 45.4% of cases. Throughout the historical series, the rate of annual percentage change in the detection of new cases and cases with grade 2 disability showed a decreasing profile, at −13.9 [95% CI: −19.1, −8.2] and −13.1 [95% CI: −21.8, −5.5], respectively. The same rates were observed in patients below 15 years of age. Limitations: This study reflects the scenario in one reference center and data were obtained retrospectively. Conclusions: The incidence of hanseniasis in this reference center is declining gradually; however, the indicators show active disease transmission and late diagnosis. |
| first_indexed | 2024-12-16T06:17:17Z |
| format | Article |
| id | doaj.art-c5b0b0966bee44aeaa0e84d809162a39 |
| institution | Directory Open Access Journal |
| issn | 1413-8670 |
| language | English |
| last_indexed | 2024-12-16T06:17:17Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj.art-c5b0b0966bee44aeaa0e84d809162a392022-12-21T22:41:14ZengElsevierBrazilian Journal of Infectious Diseases1413-86702021-01-01251101042Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?Francisco A. Araújo0Luiz C. Abreu1Gabriel Z. Laporta2Vinicius S. Santos3Jose G.V. Moreira4Anete S. Grumach5State Secretariat of Health, Sanitary Dermatology Hospital, Acre, AC, BrazilABC School of Medicine, Laboratory for the Study Design and Scientific Writing, Santo André, SP, BrazilFundação ABC, Centro Universitário Saúde ABC, Setor de Pós-graduação, Pesquisa e Inovação, Santo André, SP, BrazilUFAC, Federal University of Acre, AC, BrazilUFAC, Federal University of Acre, AC, BrazilCentro Universitário Saúde ABC, Faculdade de Medicina, Imunologia Clínica, Santo André, SP, Brazil; Corresponding author.Background: Hanseniasis is a public health concern in developing countries. Although a decrease in the number of new cases in Brazil has been reported, there is a prevalence above that recommended in some regions. Aims: Considering the goal of the World Health Organization (WHO) to accelerate towards a leprosy-free world from 2020, the aim of this study was to analyze the epidemiological profile and leprosy trends in the city of Cruzeiro do Sul, Acre, Brazil. Methods: This retrospective cohort study analyzed the epidemiology and trends of hanseniasis between 2005 and 2018, monitoring socioeconomic and clinical epidemiological variables obtained from the Information System of Notifiable Diseases of Hanseniasis (SINAN) database. Results: A total of 422 cases of hanseniasis (284 male, 138 female) were included. The questionnaire of six patients was incomplete. The highest number of cases (89) was recorded in 2006 (11.7/10,000 inhabitants). The borderline clinical form was most common, with 45.4% of cases. Throughout the historical series, the rate of annual percentage change in the detection of new cases and cases with grade 2 disability showed a decreasing profile, at −13.9 [95% CI: −19.1, −8.2] and −13.1 [95% CI: −21.8, −5.5], respectively. The same rates were observed in patients below 15 years of age. Limitations: This study reflects the scenario in one reference center and data were obtained retrospectively. Conclusions: The incidence of hanseniasis in this reference center is declining gradually; however, the indicators show active disease transmission and late diagnosis.http://www.sciencedirect.com/science/article/pii/S1413867020301690HanseniasisEpidemiologyEradicationContactsBrazil |
| spellingShingle | Francisco A. Araújo Luiz C. Abreu Gabriel Z. Laporta Vinicius S. Santos Jose G.V. Moreira Anete S. Grumach Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization? Brazilian Journal of Infectious Diseases Hanseniasis Epidemiology Eradication Contacts Brazil |
| title | Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization? |
| title_full | Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization? |
| title_fullStr | Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization? |
| title_full_unstemmed | Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization? |
| title_short | Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization? |
| title_sort | hanseniasis in the municipality of western amazon acre brazil are we far from the goal of the world health organization |
| topic | Hanseniasis Epidemiology Eradication Contacts Brazil |
| url | http://www.sciencedirect.com/science/article/pii/S1413867020301690 |
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