Clinical-epidemiological profile of people with leprosy in the state of Pará between the years 2017-2021
DOI:
https://doi.org/10.17267/2317-3378rec.2023.e4905Keywords:
Leprosy, Epidemiology, Public health, Prevalence, Endemic diseasesAbstract
OBJECTIVE: To know the clinical and epidemiological characteristics of people diagnosed with leprosy in the state of Pará. METHODOLOGY: This is an exploratory and descriptive ecological study with a cross-sectional approach. Data were collected in the Notifiable Diseases Information System, referring to the period from 2017 to 2021 and related to the state of Pará, Brazil. The parameters explored were the number of confirmed cases by year of notification, municipality of notification, gender, age group, race/color, education, operational classification, bacilloscopy notification, clinical form, degree of physical disability, number of lesions, and therapeutic scheme. RESULTS: During the study period, 14.339 cases were reported, with a higher occurrence in 2019. The most recurrent diagnoses were in individuals over 15 years old (92,1%), male (62,3%), brown (74,1%), with incomplete primary education (48,2%). There was a prevalence of degree zero of disability (56,2%) during diagnosis, and more than five nerves affected in each individual (43,6%). CONCLUSION: The frequency of cases detected in adults, brown individuals, and individuals with low education levels suggests evidence of undiagnosed active transmission foci and reinforces the importance of control actions to prevent the progression of functional disabilities from the disease.
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(1) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde, Departamento de Vigilância das Doenças Transmissíveis. Guia prático sobre a hanseníase [Internet]. Brasília: Ministério da Saúde; 2017. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/guia_pratico_hanseniase.pdf
(2) Pinheiro MGC, Simpson CA. Prejudice, stigma and exclusion: relatives' lives affected by asylum-based treatment of leprosy. Rev Enferm UERJ. 2017;25:e13332. https://doi.org/10.12957/reuerj.2017.13332
(3) Lopes FC, Ramos ACV, Pascoal LM, Santos FS, Rolim ILTP, Serra MAAO, et al. Leprosy in the context of the Family Health Strategy in an endemic scenario in Maranhão: prevalence and associated factors. Ciênc. Saúde Coletiva. 2021;26(5):1805-16. https://doi.org/10.1590/1413-81232021265.04032021
(4) Ministério da Saúde (Brasil), Secretaria de Vigilância em Saúde, Departamento de Vigilância das Doenças Transmissíveis. Diretrizes para vigilância, atenção e eliminação da hanseníase como problema de saúde pública: manual técnico-operacional [Internet]. Brasília: Ministério da Saúde; 2016. Available from: http://www.credesh.ufu.br/sites/credesh.hc.ufu.br/arquivos/diretrizes-eliminacao-hanseniase-4fev16-web.pdf
(5) Ministério da Saúde (Brasil). Banco de dados do Sistema Único de Saúde-DATASUS [Internet]. Brasília: Ministério da Saúde. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinannet/cnv/hanswbr.def
(6) Ministério da Saúde (Brasil), Secretaria de Políticas de Saúde, Departamento de Atenção Básica, Área Técnica de Dermatologia Sanitária. Manual de prevenção de incapacidades [Internet]. 2a ed. Brasília: Ministério da Saúde; 2001. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/MANPREV2000.pdf
(7) Tavares AMR. Epidemiological profile of leprosy in the state of Mato Grosso: descriptive study. Einstein (São Paulo). 2021;19:eAO5622. https://doi.org/10.31744/einstein_journal/2021AO5622
(8) Alves ED, Ferreira TL, Ferreira IN, editors. Hanseníase: avanços e desafios [Internet]. Brasília: NESPROM; 2014. Available from: http://www.morhan.org.br/views/upload/hanseniaseavancoes.pdf
(9) Savassi LCM, Modena CM. Leprosy and primary care: educational and healthcare challenges from the perspective of medical residents. Repositório Institucional da UFOP [Internet]. 2015;40(2):2-16. Available from: http://www.repositorio.ufop.br/handle/123456789/11100
(10) Girão Neta OA, Arruda GMMS, Carvalho MMB, Gadelha RRM. Health professionals’ and managers’ perception of leprosy care within the Family Health Strategy. Rev Bras Promoc Saúde. 2017;30(2):239-248. https://doi.org/10.5020/18061230.2017.p239
(11) World Health Organization. Guidelines for the diagnosis, treatment and prevention of leprosy [Internet]. Geneva: WHO; 2018. Available from: https://apps.who.int/iris/handle/10665/274127
(12) Espíndola MF, Nascimento JLM, Gomes ACM, Costa ALX, Garcia FN, Rodrigues MC, et al. Epidemiological profile of leprosy in the period from 2015 to 2018 in the city of Goianésia (GO). Braz J Hea Rev. 2020;3(2):2600-11. https://doi.org/10.34119/bjhrv3n2-107
(13) Resolução n° 466, de 12 de dezembro de 2012 (Brasil). Aprova normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Conselho Nacional de Saúde. Available from: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf
(14) Ribeiro MDA, Silva JCA, Oliveira SB. Epidemiologic study of leprosy in Brazil: reflections on elimination goals. Rev Panam Salud Pública. 2018;42:e42. https://doi.org/10.26633/RPSP.2018.42
(15) Ribeiro Júnior AF, Vieira MA, Caldeira AP. Epidemiological profile of leprosy in na edemic city in the North of Minas Gerais. Rev Soc Bras Clin Med [Internet]. 2012;10(4):272-7. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-646048
(16) Martins BC, Nascimento ES, Coelho VA, Souza CG, Bigatello CS, Sobral LT. Characterization of Physical Disabilities in Patients Diagnosed With Multibacillary Hansen’s Disease in Almenara-MG. Id on Line Rev. Mult. Psic. 2020;14(52):924-935. https://doi.org/10.14295/idonline.v14i52.2770
(17) Silva MDP, Oliveira PT, Queiroz AAR, Alvarenga WA. Leprosy in Brazil: an integrative review on sociodemographic and clinical characteristics. Res., Soc. Dev. 2020;9(11):e82491110745. https://doi.org/10.33448/rsd-v9i11.10745
(18) Silva RA, Freitas DKP, Souza RV. Impacto da COVID-19 em pacientes com hanseníase. Rev Mult Saúde. 2021;2(4):122. https://doi.org/10.51161/rems/2748
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Copyright (c) 2023 Pollyanna Ribeiro Damasceno, Victor Alexandre Santos Gomes , Ana Julia Silva de Souza, Mayara da Cruz Silveira, Amanda Lima Laet, Greice Nivea Viana dos Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
