Spatial analysis of epidemiological and quality indicators of health services for leprosy in hyperendemic areas in Northeastern Brazil

Barbosa, Celivane Cavalcanti; Bonfim, Cristine Vieira do; Brito, Cintia Michele Gondim de; Souza, Wayner Vieira de; Melo, Marcella Fernandes de Oliveira; Medeiros, Zulma

doi:10.1590/s1678-9946202062093

Cited by 4 publications

(3 citation statements)

References 31 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast, most of the new cases diagnosed during contact examination were men, which is consistent with the literature indicating higher leprosy transmission in men 27,28,29 , late diagnosis, and a higher probability of developing physical disabilities 25,30 .…”

Section: Discussionsupporting

confidence: 90%

Profile of the leprosy endemic in the district of Murrupula, Nampula, Mozambique: A population-based study

Ribeiro

Lages

et al. 2023

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

Background: Leprosy is a neglected chronic infection caused by Mycobacterium leprae, that is curable. The magnitude of the disease and severity of the debilitation it causes renders leprosy a public health problem. This study aimed to analyze the endemic profile of leprosy in the Murrupula district and evaluate the socioeconomic, clinical, and serological profiles of leprosy contacts. Methods:A cross-sectional study of patients with leprosy diagnosed between 2013 and 2017 and their household and community contacts was conducted in Murrupula District, Nampula Province, Mozambique. Interviews, simplified dermatoneurological examinations, Mycobacterium leprae flow (ML Flow) tests, and Mitsuda tests were performed.Results: Most of the leprosy cases were multibacillary. The patients had some degree of physical disability. ML Flow positivity was more common in household contacts of the patients diagnosed with leprosy and in community individuals who spontaneously presented for testing. In total, 17 patients were diagnosed with leprosy. Conclusions:This study revealed an active chain of transmission, hidden prevalence, and operational deficiencies in leprosy surveillance and care. The results suggest that the implementation of a public health policy for leprosy prevention and control in Nampula Province is necessary. In future, the possibility of expanding the policy to the entire country should be considered.

show abstract

Section: Discussionsupporting

confidence: 90%

Profile of the leprosy endemic in the district of Murrupula, Nampula, Mozambique: A population-based study

Ribeiro

Lages

et al. 2023

Rev. Soc. Bras. Med. Trop.

View full text Add to dashboard Cite

show abstract

“…The analysis of the records used in this study found only 8 (0.3%) duplicate records, this being a proportion considered acceptable, corroborating the results found in the state of Mato Grosso (99.5%) regarding leprosy in children under 15 years of age, between 2001 and 2013, ( 22 as well as those of an evaluation of indicators for the state of Pernambuco between 2005 and 2014. 23 Despite the proportion of duplicates found (0.3%) being acceptable, the João Pessoa municipal surveillance service needs have a routine for finding duplicates, since repeated notifications lead to overestimation of case prevalence, thereby impacting the results of studies, calculation of indicators and planning of actions.…”

Section: Discussionsupporting

confidence: 87%

Evaluation of completeness, consistency and non-duplication of leprosy notification data on the Notifiable Health Conditions Information System, João Pessoa, Paraíba, Brazil: a descriptive study, 2001-2019

Mendes

Oliveira

Schindler

2023

Epidemiol. Serv. Saúde

View full text Add to dashboard Cite

Objective: to analyze the completeness, consistency and non-duplication of leprosy notification data in João Pessoa, Paraíba, Brazil, 2001-2019. Methods: this was a descriptive study, conducted with data from the Notifiable Health Conditions Information System, which checked for “duplication” (acceptable: < 5%), “completeness” (excellent = incompleteness ≤ 5%) and “consistency” (excellent: ≥ 90.0%), based on the proportion of complete and consistent fields. Results: the sample consisted of 2,410 notifications. Duplication was acceptable (0.3%). The completeness of the “bacilloscopy”, “affected nerves”, “examined contacts” and “reactive episode” fields was very poor (more than 50% incomplete). Consistency between the “operational classification” and “initial treatment regimen” fields was excellent (99.6%), while consistency between “operational classification” and “clinical form” was low (50.7%). Conclusion: although duplication was acceptable, poor completeness of diagnosis and follow-up fields hinders epidemiological analysis, recognition of the status of the disease and adoption of measures to control it.

show abstract

“…Temporal and spatial analyses have been developed to 1 understand the dynamics of leprosy in this country, identifying priority areas for health actions, aiming at early diagnosis and timely treatment. Despite the efforts, there are hyperendemic areas of leprosy in Brazil, demonstrating the persistence of this disease as a truly public health problem 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Leprosy bacilloscopy notifications in the Brazilian Unified Health System and COVID-19 pandemic: an ecological investigation

Barbosa-Lima,

Ramos-Silva,

Santos

et al. 2023

J Health Biol Sci.

View full text Add to dashboard Cite

Objective: to evaluate leprosy bacilloscopy exam notifications in the Brazilian Unified Health System (SUS) from April 2018 to March 2022. Methods: an ecological study was carried out using open-access data from the SUS. Results: the temporal tendency of leprosy bacilloscopy was considered significantly decrease over time (p <0.05), as well as there was a significant decrease in the first and second pandemic years when compared to the control interval in all Brazilian regions (p <0.05). Conclusion: leprosy bacilloscopy exams remain negatively affected by the COVID-19 pandemic in the SUS.

show abstract

Spatial analysis of epidemiological and quality indicators of health services for leprosy in hyperendemic areas in Northeastern Brazil

Abstract: This is an open-access article distributed under the terms of the Creative Commons Attribution License.

Cited by 4 publications

References 31 publications

Profile of the leprosy endemic in the district of Murrupula, Nampula, Mozambique: A population-based study

Profile of the leprosy endemic in the district of Murrupula, Nampula, Mozambique: A population-based study

Evaluation of completeness, consistency and non-duplication of leprosy notification data on the Notifiable Health Conditions Information System, João Pessoa, Paraíba, Brazil: a descriptive study, 2001-2019

Leprosy bacilloscopy notifications in the Brazilian Unified Health System and COVID-19 pandemic: an ecological investigation

Contact Info

Product

Resources

About