SBD-RESP na busca ativa de casos de hanseníase

Abstract

RESULTS: 1,718 people were examined and 90 cases of Hansen's disease were diagnosed. Most of the individuals infected were male and white and presented similar percentages of multibacillary and paucibacillary groups. Twelve percent had a family history of leprosy. The highest number of cases was detected in Sao Paulo city, followed by the region of Presidente Prudente, located in the countryside of Sao Paulo State. The detection rate in children younger than 15 years old was 4%. CONCLUSION: The campaign results show the importance of the SBD-RESP initiative. It is suggested that similar actions be repeated and extended to other regional offices of the Brazilian Society of Dermatology.

Active search strategies, clinicoimmunobiological determinants and training for implementation research confirm hidden endemic leprosy in inner São Paulo, Brazil

“…Leprosy around the world has been neglected by many countries that do not report data to WHO [18]. Many studies describe active case detection for leprosy [19][20][21], but most are [22]. We aimed to educate primary health care providers on neurological as well as cutaneous signs/symptoms of leprosy but also implementing tools for the leprosy control program at Jardinópolis, a municipality with no endemic prevalence detected during 2010-2014.…”

“…Leprosy around the world has been neglected by many countries that do not report data to WHO [ 18 ]. Many studies describe active case detection for leprosy [ 19 – 21 ], but most are applied by primary health care workers-based almost exclusively on skin signs, and suspicious cases are referred to specialists. Diagnoses are closed only after SSS and/or biopsy; neurological symptoms are unfortunately not considered, although there is no leprosy without nerve damage, as Fite stated in 1943 [ 22 ].…”

Educação em saúde e busca ativa de casos de hanseníase em uma escola pública em Ananindeua, Pará, Brasil

“…Esse estudo apresenta dados semelhantes aos observados na presente pesquisa, que apresentou taxa de detecção de casos de 1,87/1.000. A detecção de casos de hanseníase no sexo masculino, forma paucibacilar e com presença de histórico familiar nessa casuística está em consonância com o estudo de Lastória e Abreu 15 , que realizaram busca ativa de casos de hanseníase no estado de São Paulo. Eles encontraram um índice de detecção de 4% em menores de 15 anos, superior ao do presente estudo, provavelmente por limitação de amostra.…”

Leprosy: ancient disease remains a public health problem nowadays

“…7,9 This method is also important, but should be well prepared and well directed, especially when smaller-scale campaigns are considered. 6 Epidemiological surveillance activities to search contactees and case-source identification is essential when there is a diagnosis of leprosy in children under 15 years old because it reflects an early and intense exposure, with high bacterial load (important indicator of the prevalence of the disease in the general population).…”