Indicadores relacionados a incapacidade física e diagnóstico de hanseníase

Heloisy Alves de Medeiros Leano, Kleane Maria da Fonseca Azevedo Araújo, Rayssa Nogueira Rodrigues, Isabela de Caux Bueno, F. Lana
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引用次数: 11

Abstract

Objective: to analyze the trend of epidemiological indicators of leprosy related to diagnosis and physical disability. Methods: ecological study of time series. The secondary data were extracted from the Brazilian Notifiable Diseases Information System. Prais-Winsten generalized linear analysis was used for trend analysis. Results: 240,028 new cases of leprosy were analyzed. The Northeast region showed a decreasing annual trend (-2.9%) for general detection. As for disability, there are differences among the states of Bahia (4.9%), Alagoas (4.1%), Piaui (2.5%), Maranhao (2.2%) and Ceara (2.1%), which presented increasing trend to grade 2 ratio in the general population. Bahia (9.5%), Sergipe (6.6%) and Maranhao (4.9%) also presented an increasing trend to grade 2 among children. Conclusion: the Northeast region has remained at a very high endemicity level for leprosy with a difference in the distribution of the disease among the states. It was shown active transmission of the bacillus, late diagnosis and underreporting in the region.
目的:分析麻风病诊断及躯体残疾相关流行病学指标变化趋势。方法:时间序列生态学研究。次要数据来自巴西法定疾病信息系统。趋势分析采用Prais-Winsten广义线性分析。结果:共分析新发麻风病例24028例。东北地区总体检出率呈逐年下降趋势(-2.9%)。在残疾方面,巴伊亚州(4.9%)、阿拉戈斯州(4.1%)、皮奥伊州(2.5%)、马拉尼昂州(2.2%)和塞拉州(2.1%)存在差异,在一般人群中呈上升趋势至2级比率。巴伊亚州(9.5%)、塞尔吉佩州(6.6%)和马拉尼昂州(4.9%)的儿童也有上升趋势。结论:东北地区麻风病的流行程度一直很高,但各州的麻风病分布存在差异。结果表明,该地区杆菌传播活跃,诊断晚,漏报。
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