2017
DOI: 10.1590/0074-02760170173
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Abstract: OBJECTIVESShow that hidden endemic leprosy exists in a municipality of inner São Paulo state (Brazil) with active surveillance actions based on clinical and immunological evaluations.METHODSThe study sample was composed by people randomly selected by a dermatologist during medical care in the public emergency department and by active surveillance carried out during two days at a mobile clinic. All subjects received a dermato-neurological examination and blood sampling to determine anti-PGL-I antibody titers by… Show more

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Cited by 33 publications
(40 citation statements)
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“…In the previous period, from 2005 to 2014, Jardinópolis had registered only 11 cases. This growth made the municipality increase the average rate of 2.62 per 100 thousand inhabitants to 42.8 in 2015 (32) . Thus, areas supposedly classified as low endemicity may have occult cases of leprosy.…”
Section: Discussionmentioning
confidence: 99%
“…In the previous period, from 2005 to 2014, Jardinópolis had registered only 11 cases. This growth made the municipality increase the average rate of 2.62 per 100 thousand inhabitants to 42.8 in 2015 (32) . Thus, areas supposedly classified as low endemicity may have occult cases of leprosy.…”
Section: Discussionmentioning
confidence: 99%
“…Although in Brazil the actions of this Programme are implemented in the whole network of public health services one of difficulties faced is that the majority of new cases reported are known from passive detection by these services, in which the demand is mostly constituted by poor population. There is evidence that when active case search is implemented, unexpectedly higher new case detection rates have been found, even in cities with the highest human development index (HDI), as in São Paulo [ 38 ] and Brasília-District Federal [ 39 ].…”
Section: Discussionmentioning
confidence: 99%
“…The reduction of new PB form cases and the increment of new MB cases, together with the permanence of patients diagnosed with grade 2 of incapacities, may also show that more people are been diagnosed at an advanced stage, suggesting difficulties related to diagnostic methods, lack of access to more complex or precise methods and deficient basic care networks. Consequently, numerous cases remain undiagnosed and untreated, and these individuals will act as continuing reservoirs of infection and have a profound impact on the maintenance of the chain of transmission 34 .…”
Section: Discussionmentioning
confidence: 99%
“…It is known that leprosy is directly associated with precarious health conditions and low socioeconomic status 34 . The knowledge about risk areas for leprosy reveals that the distribution is intimately linked to a number of factors that coincide for the maintenance of high rates of transmission and NCDR, including environmental, individual, socioeconomic and health service organization factors 30 .…”
Section: Discussionmentioning
confidence: 99%