دورية أكاديمية
Epidemiological characteristics and temporal trends of new leprosy cases in Brazil: 2006 to 2017
| العنوان: | Epidemiological characteristics and temporal trends of new leprosy cases in Brazil: 2006 to 2017 |
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| المؤلفون: | Júlia Moreira Pescarini, Camila Silveira Silva Teixeira, Nívea Bispo da Silva, Mauro Niskier Sanchez, Marcio Santos da Natividade, Laura Cunha Rodrigues, Maria Lúcia Fernandes Penna, Maurício Lima Barreto, Elizabeth B. Brickley, Gerson Oliveira Penna, Joilda Silva Nery |
| المصدر: | Cadernos de Saúde Pública, Vol 37, Iss 7 (2021) |
| بيانات النشر: | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Leprosy, Social Conditions, Neglected Diseases, Epidemiology, Time Series Studies, Medicine, Public aspects of medicine, RA1-1270 |
| الوصف: | Abstract: Our study aims to describe trends in new case detection rate (NCDR) of leprosy in Brazil from 2006 to 2017 overall and in subgroups, and to analyze the evolution of clinical and treatment characteristics of patients, with emphasis on cases diagnosed with grade 2 physical disabilities. We conducted a descriptive study to analyze new cases of leprosy registered in the Brazilian Information System for Notificable Diseases (SINAN), from 2006-2017. We calculated the leprosy NCDR per 100,000 inhabitants (overall and for individuals aged < 15 and ≥ 15 years) by sex, age, race/ethnicity, urban/rural areas, and Brazilian regions, and estimated the trends using the Mann-Kendall non-parametric test. We analyzed the distributions of cases according to relevant clinical characteristics over time. In Brazil, there was a sharp decrease in the overall NCDR from 23.4/100,000 in 2006 to 10.3/100,000 in 2017; among children < 15 years, from 6.94 to 3.20/100,000. The decline was consistent in all Brazilian regions and race/ethnicity categories. By 2017, 70.2% of the cases were multibacillary, 30.5% had grade 1 (G1D) or 2 (G2D) physical disabilities at diagnosis and 42.8% were not evaluated at treatment completion/discharge; cases with G2D at diagnosis were mostly detected in urban areas (80%) and 5% of cases died during the treatment (leprosy or other causes). Although the frequency of leprosy NCDR decreased in Brazil from 2006 to 2017 across all evaluated population groups, the large number of cases with multibacillary leprosy, physical disabilities or without adequate evaluation, and among children suggest the need to reinforce timely diagnosis and treatment to control leprosy in Brazil. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Spanish; Castilian Portuguese |
| تدمد: | 1678-4464 0102-311x |
| العلاقة: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2021000705012&tlng=enTest; https://doaj.org/toc/1678-4464Test |
| DOI: | 10.1590/0102-311x00130020 |
| الوصول الحر: | https://doaj.org/article/cb53baa2b01d4a24a4e490f81edd6631Test |
| رقم الانضمام: | edsdoj.b53baa2b01d4a24a4e490f81edd6631 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 16784464 0102311x |
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| DOI: | 10.1590/0102-311x00130020 |