Leprosy in Brazilian counties bordering Paraguay: Mato Grosso do Sul State, 2001-2011
| Autor: | Edson Mamoru Tamaki, William Waissmann, Valter Aragão Do Nascimento, Sonia Maria Oliveira de Andrade, Sandra Helena Correia Deittrich, Maria Elizabeth Araújo Ajalla |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Formal education Environmental protection Leprosy Epidemiology medicine Prevalence Humans Socioeconomics General Environmental Science business.industry Public health medicine.disease Paraguay 030220 oncology & carcinogenesis General Earth and Planetary Sciences Female Rural area Detection rate business Brazil |
| Zdroj: | Leprosy review. 87(1) |
| ISSN: | 0305-7518 |
| Popis: | Background: In Mato Grosso do Sul state, Brazil, the dry border shared with Paraguay is a territory marked by facilities in the flow of goods, services and people, bringing difficulties for surveillance of communicable diseases. Purpose: The purpose of this study is to characterise leprosy epidemiologically in dry border municipalities of Mato Grosso do Sul in Brazil with contiguous urban areas with neighbouring Paraguayan counties, in the period 2001–2011. Methods: This is an exploratory descriptive investigation that includes the four dry border municipalities of Mato Grosso do Sul (Coronel Sapucaia, Paranhos, Ponta Pora, and Sete Quedas) in Brazil whose urban areas are contiguous with Paraguay. Data comprised the period 2001–2011. Results: The rates of leprosy detection and prevalence oscillated along the study period, increasing in the last 2 years investigated. The detection rate was 3.3/10 000 in 2011, up from 1.7/10 000 in 2009. Prevalence was 5.3/10 000 in 2011, up from 2.5/10 000 in 2009. The Virchowian disease form was predominant in 8 of the 11 years investigated. Most patients were male, with limited formal education (44.2% with less than 4 years of study). Conclusion: In the border of Brazil, most (greater than 70%) of the cases detected were classified as multibacillary. The higher coefficient found in Brazilian municipalities was the Virchowian clinical form, which can influence the operational classification in multibacillary. The predominance of the Virchowian clinical form, larger number of patients in rural areas and children under 15 years of age provides new information on the manifestations of the disease in the border territories. The study revealed that municipalities with contiguous cross-border urban areas with Paraguay have unique epidemiological features that need to be addressed by policies focusing leprosy as a public health priority. |
| Databáze: | OpenAIRE |
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