Hanseníase no Estado do Espírito Santo, Brasil: uma endemia em ascensão?

Moreira, Martha Cristina Nunes; Waldman, Eliseu Alves; Martins, Cleide Lavieri

doi:10.1590/s0102-311x2008000700017

Cited by 12 publications

(19 citation statements)

References 21 publications

(25 reference statements)

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“…The upward shift in detection rates seen in Aracaju is similar to the trend reported in other Brazilian studies [15][16][17][18][19] , but a steady decline is evident from 2003 onward. These results contrast with the pattern reported for states in the process of eliminating the disease as a public health problem, such as Paraná 20 and São Paulo 21 , which exhibited a pattern of steady decline in detection rates over the same time frame.…”

Section: Clinico-epidemiological Characteristics Of Casessupporting

confidence: 88%

“…Rates for the Vale do Jequitinhonha were found to exceed those State of Minas Gerais, where parameters for the region were responsible for sustaining the epidemic and contributed to its classification of high to very high 24 19 . Although other studies have shown similar slight increases in detection in children 25 or have pointed to a steady pattern over time 26 , a study in a historic series performed in Bahia is noteworthy.…”

Section: Clinico-epidemiological Characteristics Of Casesmentioning

confidence: 93%

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Assessment of integration of the leprosy program into primary health care in Aracaju, state of Sergipe, Brazil

Raposo

Nemes

2012

Rev. Soc. Bras. Med. Trop.

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Introduction:The aim of this study was to assess the epidemiological and operational characteristics of the Leprosy Program before and after its integration into the Primary healthcare Services of the municipality of Aracaju-Sergipe, Brazil. Methods: Data were drawn from the national database. The study periods were divided into preintegration (1996)(1997)(1998)(1999)(2000) and postintegration (2001)(2002)(2003)(2004)(2005)(2006)(2007). Annual rates of epidemiological detection were calculated. Frequency data on clinico-epidemiological variables of cases detected and treated for the two periods were compared using the Chi-squared (χ 2 ) test adopting a 5% level of significance. Results: Rates of detection overall, and in subjects younger than 15 years, were greater for the postintegration period and were higher than rates recorded for Brazil as a whole during the same periods. A total of 780 and 1,469 cases were registered during the preintegration and postintegration periods, respectively. Observations for the postintegration period were as follows: I) a higher proportion of cases with disability grade assessed at diagnosis, with increase of 60.9% to 78.8% (p < 0.001), and at end of treatment, from 41.4% to 44.4% (p < 0.023); II) an increase in proportion of cases detected by contact examination, from 2.1% to 4.1% (p < 0.001); and III) a lower level of treatment default with a decrease from 5.64 to 3.35 (p < 0.008). Only 34% of cases registered from 2001 to 2007 were examined. Conclusions:The shift observed in rates of detection overall, and in subjects younger than 15 years, during the postintegration period indicate an increased level of health care access. The fall in number of patients abandoning treatment indicates greater adherence to treatment. however, previous shortcomings in key actions, pivotal to attaining the outcomes and impact envisaged for the program, persisted in the postintegration period.

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Section: Clinico-epidemiological Characteristics Of Casessupporting

confidence: 88%

Section: Clinico-epidemiological Characteristics Of Casesmentioning

confidence: 93%

Assessment of integration of the leprosy program into primary health care in Aracaju, state of Sergipe, Brazil

Raposo

Nemes

2012

Rev. Soc. Bras. Med. Trop.

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“…Characteristic of the aforementioned situation, the State of Rio Grande do Sul, Brazil, has reached the goal of reducing its prevalence, and in 2008 presented a coefficient of 1.65 cases/100,000 inhabitants, which is lower than the coefficient found in Brazil 2,5 . In 2009, the State of Espírito Santo was the only state in the southeast of the country presenting high endemic levels, thus being categorized as a priority region for control programs of this disease 2,6,7 .…”

Section: Introductionmentioning

confidence: 99%

Spatial analysis of new cases of leprosy in the State of Espírito Santo, Brazil, between 2004 and 2009

Sampaio

Rossi

Cerutti

et al. 2012

Rev. Soc. Bras. Med. Trop.

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INTRODUCTION: Leprosy in Brazil is a public health issue, and there are many regions in the State of Espírito Santo with high endemic incidence levels of leprosy, characterizing this state as a priority for leprosy programs. The aim of this study was to determine the spatial distribution of coefficients of new cases of leprosy in the State of Espírito Santo, Brazil. METHODS: We conducted a descriptive and ecologic study based on the spatial distribution of leprosy in the State of Espírito Santo between 2004 and 2009. Data were gathered from the available records of the Espírito Santo State Health Secretary. The global and local Bayesian empirical methods were used to produce an estimate of leprosy risk, smoothing the fluctuation effects of the detection coefficients. RESULTS: The study resulted in a coefficient adjustment of new cases in 10 towns that changed their classification, among which, 2 went from low to medium, 4 from medium to high, 3 from high to very high, and 1 from very high to hyper-endemic. An average variation of 1.02, fluctuating between 0 and 12.39 cases/100,000 inhabitants, was found in a comparative calculation between the Local Ebest value and the average coefficient of new leprosy cases in the State of Espírito Santo. CONCLUSIONS: The spatial analysis of leprosy favors the establishment of control strategies with a better cost-benefit relationship since it reveals specific and priority regions, thereby enabling the development of actions that can interfere in the transmission chain.

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“…Approximately 90% of worldwide cases are concentrated in only six countries: India, Brazil, Nepal, Myanmar, Mozambique and Madagascar. Brazil registered about 36,000 new cases in 2009 and was the only country in the Americas that did not attain the prevalence goal of less than one case per 10,000 inhabitants, as proposed by the World Health Organization and accepted by the government in 1991 (Martelli et al 2002, Moreira et al 2008, DATASUS 2010.…”

mentioning

confidence: 99%

Armadillo meat intake was not associated with leprosy in a case control study, Curitiba (Brazil)

Schmitt

Dechandt

Dopke

et al. 2010

Mem. Inst. Oswaldo Cruz

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Hanseníase no Estado do Espírito Santo, Brasil: uma endemia em ascensão?

Cited by 12 publications

References 21 publications

Assessment of integration of the leprosy program into primary health care in Aracaju, state of Sergipe, Brazil

Assessment of integration of the leprosy program into primary health care in Aracaju, state of Sergipe, Brazil

Spatial analysis of new cases of leprosy in the State of Espírito Santo, Brazil, between 2004 and 2009

Armadillo meat intake was not associated with leprosy in a case control study, Curitiba (Brazil)

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