Este artículo presenta una comparación del número de casos reportados de lepra entre diferentes regiones brasileñas, basada en los datos proporcionados por la autoridad sanitaria de ese país en los años 2019 y 2020. Se observa que, en 2020, solo el 38,98% (21.981) de la cantidad de diagnósticos realizados en 2019 fueron reportados obligatoriamente. Uno de los planteamientos de esta caída se considera que se produjo debido a la mejora de la salud de la población; sin embargo, es importante tener en cuenta que en el 2020 fueron dispuestas algunas medidas que limitaron la atención en urgencia y emergencias lo que redujo potencialmente el diagnóstico temprano de la lepra. La tasa de prevalencia de la enfermedad por regiones brasileñas se calculó a partir de los casos reportados en el año analizado. Se evidenció la prevalencia de 2,94/10,000 en la región Centro-Oeste y 2,52/10,000 en la región Norte, con un subregistro aproximado del 39%. Los valores superiores a 1,0/10,000 se clasifican como un problema de salud pública en las "Directrices para el diagnóstico, tratamiento y prevención de la lepra" de la Organización Mundial de la Salud de 2019. Keywords: Covid-19, leprosy, Hansen’s disease, DATASUS Abstract This article presents a comparison of the number of reported cases of leprosy, comparing different Brazilian regions, based on the data provided by the health authority of that country in the years 2019 and 2020. It was observed that, in 2020, only 38.98% (21,981) of the volume of diagnoses made in 2019 were mandatorily reported. It is discussed that this drop occurred due to the improvement in the health of the population, but due to health measures that limited primary health care to emergencies and emergencies in 2020 and potentially reduced the early diagnosis of leprosy. The prevalence rate of the disease by Brazilian regions was also calculated from the cases reported in the year analyzed. The prevalence of 2.94/10,000 in the Central-West region and 2.52/10,000 in the North region was evidenced, even with the evident underreporting of about 39%. Values above 1.0/10,000 are classified as a public health problem in the 2019 World Health Organization's "Guidelines for the Diagnosis, Treatment, and Prevention of Leprosy."
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