BACKGROUND In highly endemic countries, transmission and sub-clinical infection of leprosy
are likely and the disease manifests itself in individuals without any known close
contact with a leprosy patient. Health workers are social contacts belonging to
the same network (the Health System) and some of them share the same social
environment (nursing assistants) as patients with known patients and / or
carriers. OBJECTIVE To identify ML Flow seropositivity among health professionals. METHODS We conducted a cross-sectional study using a serological survey with the ML Flow
test in 450 health professionals (doctors, nurses and nursing assistants), in
order to detect seropositivity in areas of high and low endemicity in
municipalities from three Brazilian states (RJ, MS and RS). RESULTS The results showed general 16% seropositivity, higher in low endemic areas,
regardless of whether there was direct care for leprosy patients. Paradoxically, a
statistical association was observed between the area studied and seropositivity,
as the place with the lowest endemicity (CA) had the highest seropositivity rate
(p = 0.033). CONCLUSION The authors suggest these results are associated with a presence of an
unspecified link to bovine serum albumin (BSA), carrier of PGL-1 in the ML Flow
test, and recommend expanded seroepidemiological research utilizing tests with
human and bovine albumin.