Reagan Nzundu Boigny, Eliana Amorim de Souza, Anderson Fuentes Ferreira, Jessica Reco Cruz, Gabriela Soledad Márdero García, Nília Maria Brito de Lima Prado, Gilberto Valentim Silva, Jaqueline Caracas Barbosa, Rayane Lima da Silva, Maria Leide Wand Del Rey de Oliveira, Mauricio Lisboa Nobre, Alberto Novaes Ramos Júnior
{"title":"Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil.","authors":"Reagan Nzundu Boigny, Eliana Amorim de Souza, Anderson Fuentes Ferreira, Jessica Reco Cruz, Gabriela Soledad Márdero García, Nília Maria Brito de Lima Prado, Gilberto Valentim Silva, Jaqueline Caracas Barbosa, Rayane Lima da Silva, Maria Leide Wand Del Rey de Oliveira, Mauricio Lisboa Nobre, Alberto Novaes Ramos Júnior","doi":"10.5123/s1679-49742020000400004","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil.</p><p><strong>Results: </strong>A total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004).</p><p><strong>Conclusion: </strong>Operational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.</p>","PeriodicalId":520611,"journal":{"name":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","volume":" ","pages":"e2019465"},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5123/s1679-49742020000400004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/7/29 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3
Abstract
Objective: To analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance.
Methods: This was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil.
Results: A total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004).
Conclusion: Operational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.
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