Trend of epidemiological indicators of leprosy in an endemic state of the Amazon region

Basso, Maria Eduarda de Macedo; Andrade, Rosemary Ferreira de; Silva, Rodrigo Luis Ferreira da

doi:10.1590/1983-1447.2021.20190520

Cited by 4 publications

(3 citation statements)

References 14 publications

(22 reference statements)

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“…In the municipality of Palmas, after the Free from Hansen’s Disease Project, there was significant progress in the detection and control of the disease. This evolution was possible through training in primary care health units and active search in the region [ 6 , 33 ]. This is evident when the first abrupt increase in the average of the notifications segment grouped by month/year is noticed ( Figure 5 ), started together with the project.…”

Section: Discussionmentioning

confidence: 99%

Application of the ARIMA Model to Predict Under-Reporting of New Cases of Hansen’s Disease during the COVID-19 Pandemic in a Municipality of the Amazon Region

Cunha

Botelho

Oliveira

et al. 2021

IJERPH

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This work aimed to apply the ARIMA model to predict the under-reporting of new Hansen’s disease cases during the COVID-19 pandemic in Palmas, Tocantins, Brazil. This is an ecological time series study of Hansen’s disease indicators in the city of Palmas between 2001 and 2020 using the autoregressive integrated moving averages method. Data from the Notifiable Injuries Information System and population estimates from the Brazilian Institute of Geography and Statistics were collected. A total of 7035 new reported cases of Hansen’s disease were analyzed. The ARIMA model (4,0,3) presented the lowest values for the two tested information criteria and was the one that best fit the data, as AIC = 431.30 and BIC = 462.28, using a statistical significance level of 0.05 and showing the differences between the predicted values and those recorded in the notifications, indicating a large number of under-reporting of Hansen’s disease new cases during the period from April to December 2020. The ARIMA model reported that 177% of new cases of Hansen’s disease were not reported in Palmas during the period of the COVID-19 pandemic in 2020. This study shows the need for the municipal control program to undertake immediate actions in terms of actively searching for cases and reducing their hidden prevalence.

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Section: Discussionmentioning

confidence: 99%

Application of the ARIMA Model to Predict Under-Reporting of New Cases of Hansen’s Disease during the COVID-19 Pandemic in a Municipality of the Amazon Region

Cunha

Botelho

Oliveira

et al. 2021

IJERPH

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“…The WHO Global Strategy for Leprosy 2016−2020 aimed to accelerate a leprosy-free world to reduce the global burden of leprosy. The target of the global strategy is that there is no level 2 disability in children with a leprosy diagnosis, lowering new cases with level 2 disabilities to below 1/1,000,000 population and no discrimination against leprosy in any country [2], [3], [4], [7], [8], [9], [10], [11], [12], [13], [14].…”

Section: Introductionmentioning

confidence: 99%

Leprosy Epidemiology According to Leprosy Type in 13 Teaching Hospitals in Indonesia between 2018 and 2020

Lubis

Darmi

Prakoeswa

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Leprosy or Hansen’s disease is an infectious disease caused by Mycobacterium leprae (M. leprae) bacilli which results in chronic infections in humans that affect the peripheral nerves, skin, and other organs such as the eyes, mucous membranes, bones, and testicles. Leprosy has a variety of clinical presentations, depending on the cell-mediated immunity of the host. Leprosy is classified by the World Health Organization (WHO) as paucibacillary type (PB) and multibacillary type (MB) depending on the number of lesions. This multicenter study aims to provide representation of leprosy types and its epidemiology in Indonesia. AIM: The purpose of this study is to find out the epidemiology according to the leprosy type in 13 teaching hospitals in Indonesia between 2018 and 2020. METHODS: This is a descriptive study with cross-sectional design. All patients with the diagnosis of PB or MB type of leprosy who underwent Multidrug Therapy (MDT) treatment between 2018 and 2020 were included in this study. Data collection was carried out by tracing medical records data in 13 teaching hospitals in Indonesia. RESULTS: A total of 2129 leprosy patients were included in this study. There were 232 cases (10.8%) of PB leprosy and 1897 cases (89.1%) of MB leprosy. The average age of the patients is 38.7 years (SD ± 16.2 years). Males are more affected by leprosy (n = 1,441; 67.7%) compared to female (n = 688; 32.3%). CONCLUSION: Leprosy remains as a national health problem. The increasing cases of MB leprosy in Indonesia are caused by several factors including the lack of knowledge about leprosy, the delay in diagnosis of leprosy, and the stigma of leprosy within the community; therefore, it becomes a challenge to eliminate leprosy in Indonesia.

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“…Desse total, Índia, Brasil e Indonésia representam aproximadamente 80% desses casos novos. (3) A Hanseníase é causada pelo bacilo Mycobacterium leprae transmitido através de secreções do trato respiratório. (4) Ademais, não basta apenas estar exposto à bactéria, mas sim estar exposto diretamente por um significativo período para que a doença se instale.…”

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A Persistência De Novos Casos De Hanseníase De 2012 a 2021 No Território Da Rede Regional De Atenção À Saúde De Marília-Sp E Sua Relação Socioeconômica: Um Estudo Ecológico

Camargo

Chehadi

Nicolau

et al. 2022

BMS

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Introdução: O Brasil é a segunda nação com mais novos casos de Hanseníase no mundo. Em comparação ao restante do país, a região Sudeste é referência na prevenção e tratamento da doença. O presente estudo tem o objetivo de interseccionar as informações de saúde sobre Hanseníase quanto ao modo de entrada no sistema de saúde dos casos diagnósticos por ano, escolaridade e quantidade de lesões cutâneas dos pacientes a fim de verificar as relações do contexto socioeconômico na persistência da doença na macrorregião do Centro-Oeste do estado de São Paulo. Métodos: Estudo epidemiológico ecológico descritivo, retrospectivo, com dados secundários sobre os casos da Hanseníase por ano diagnóstico no período de 2012 a 2021 no território da Rede Regional de Atenção à Saúde (RRAS) 10, do Departamento Regional de Saúde de Marília-SP (DRS IX), a qual engloba 62 municípios da macrorregião do Centro-Oeste paulista. Resultados: Quanto ao modo de entrada dos casos ao sistema de saúde, há predomínio de novos casos. A maior parte são de indivíduos com 4ª série do EF incompleta ou completa, enquanto a menor parcela dessa população possui Educação Superior incompleta ou completa. Há predomínio de condições mais graves com mais de cinco lesões cutâneas. Discussão: Sob análise da variável escolaridade como representante da condição socioeconômica, embora a Hanseníase possa atingir qualquer indivíduo, verifica-se maior prevalência em grupos carentes socioeconomicamente. O predomínio de pacientes multibacilares pode estar relacionado também à escolaridade, uma vez que a baixa compreensão da população sobre a Hanseníase faz com que a busca por atendimento médico aconteça somente quando a doença já está em estágios mais avançados. Conclusão: Há coexistência entre circunstâncias sociais, inferidas pela escolaridade, e prevalência dos casos de Hanseníase no território e período estudados. Reforça-se a necessidade de ações educativas contínuas sobre a doença à população.

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Trend of epidemiological indicators of leprosy in an endemic state of the Amazon region

Cited by 4 publications

References 14 publications

Application of the ARIMA Model to Predict Under-Reporting of New Cases of Hansen’s Disease during the COVID-19 Pandemic in a Municipality of the Amazon Region

Application of the ARIMA Model to Predict Under-Reporting of New Cases of Hansen’s Disease during the COVID-19 Pandemic in a Municipality of the Amazon Region

Leprosy Epidemiology According to Leprosy Type in 13 Teaching Hospitals in Indonesia between 2018 and 2020

A Persistência De Novos Casos De Hanseníase De 2012 a 2021 No Território Da Rede Regional De Atenção À Saúde De Marília-Sp E Sua Relação Socioeconômica: Um Estudo Ecológico

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