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Assessing epidemiology of leprosy and socio-economic distribution of cases.
Matos, A M F; Coelho, A C O; Araújo, L P T; Alves, M J M; Baquero, O S; Duthie, M S; Teixeira, H C.
Afiliação
  • Matos AMF; Department of Parasitology, Microbiology and Immunology,Institute of Biological Sciences,Federal University of Juiz de Fora,36036-900 Juiz de Fora,MG,Brazil.
  • Coelho ACO; Department of Basic Nursing,Nursing Faculty,Federal University of Juiz de Fora,Juiz de Fora,MG,Brazil.
  • Araújo LPT; Department of Parasitology, Microbiology and Immunology,Institute of Biological Sciences,Federal University of Juiz de Fora,36036-900 Juiz de Fora,MG,Brazil.
  • Alves MJM; Department of Public Health, Faculty of Medicine,Federal University of Juiz de Fora,Juiz de Fora,MG,Brazil.
  • Baquero OS; Department of Preventive Veterinary Medicine and Animal Health,School of Veterinary Medicine,University of Sao Paulo,São Paulo,SP,Brazil.
  • Duthie MS; Infectious Disease Research Institute (IDRI),Seattle,WA,USA.
  • Teixeira HC; Department of Parasitology, Microbiology and Immunology,Institute of Biological Sciences,Federal University of Juiz de Fora,36036-900 Juiz de Fora,MG,Brazil.
Epidemiol Infect ; 146(14): 1750-1755, 2018 10.
Article em En | MEDLINE | ID: mdl-29976268
Leprosy still represents a serious health problem in a number of countries, including Brazil. Although leprosy has been associated with poverty for a long time, it is still difficult to accurately define this relationship. Here, we evaluated in an endemic municipality the progress from 1995 to 2015 of epidemiological indicators to establish if there were any strong associations between social indicators and the occurrence of leprosy. An ecological study was conducted using the SINAN database (Brazilian leprosy-national notifiable diseases information system) in combination with georeferencing of leprosy cases. The georeferencing used the ArcGis programme and occurrence of cases was evaluated in relation to the Health Vulnerability Index (HVI), an indicator that categorises socio-economic and sanitation factors. The data identified a marked decrease in the overall prevalence of leprosy, a reduction in the new case-detection rate and a reduction in the number of cases with grade 2 disabilities (albeit with transient peaks in 2007 and 2015). Logistic regression analysis showed association of detection rates with elevated HVI. Thus, while the epidemiological indicators point to the elimination of leprosy, there is evidence of hidden cases and an association between higher rates of leprosy detection and greater social vulnerability remain.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Fatores de Risco / Doenças Endêmicas / Hanseníase Tipo de estudo: Diagnostic_studies / Etiology_studies / Health_economic_evaluation / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Humans / Infant / Middle aged / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Epidemiol Infect Assunto da revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Fatores de Risco / Doenças Endêmicas / Hanseníase Tipo de estudo: Diagnostic_studies / Etiology_studies / Health_economic_evaluation / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Humans / Infant / Middle aged / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Epidemiol Infect Assunto da revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido