Hanseníase em indígenas no Brasil no período de 2001 a 2011

• Autor(a) principal: Teofilo, Jullyana da Silva
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMT
• Texto Completo: http://ri.ufmt.br/handle/1/468
• topic: Hanseníase; Povos indígenas; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA; Leprosy; Indigenous people

Leprosy is a disease that affects about 0,4 million people in the world, this one has been common in the Indian population in general (on which there is no study about). The close interethnic contact led to the proliferation endemic communicable diseases among indigenous, among them, leprosy. Overall goal: analyze the occurrence of leprosy of Indian people in Brazil between the years 2001 and 2011. Method: Ecological study based on a database side of new cases of leprosy indigenous declared in the Information System for Notifiable Diseases (ISND) between 2001 and 2011 in Brazil. Estimated the indigenous population by the method of geometric progression, based on data from the 2000 and 2010 census for micro and districts. This one were divided in three periods (2001-2004, 2005-2008 and 2009-2011) in the preparation of the maps. Calculated the detection rate of leprosy for all annual rates are shown by region and state were calculated for new three-year averages. The parameters of classification rates of detection, evaluation and disability grade II, were based on those recommended by the Pan American Health Organization and by Ordinance No. 3.125 on October, 7th 2010. The spatial distribution of the grievance was made by the distribution of cases around the districts, using the Moran´s Test. The viewing areas were made using maps detection rate of leprosy, Box Map and Moran map between the years 2001 and 2011. Results: Nordeste and Centro-Oeste have the greater rates in indigenous leprosy detection, especially in the period between 2005-2008 to 4,41 and 2,61 cases / 10.000 respectively. From the 1.476 cases, 841 happened among males (56,98%) and 518 were multibacillary. There was higher frequency in those over 15 years-old and living in urban areas. Box Map of the mesoregion indicated an increase in air of higher control priority Q (+/+) in Norte, Nordeste and Centro-Oeste. Four mesoregions from the state of Pernambuco and Sergipe were from Q(-/-) area between 2001 and 2004 and became Q(-/-) on the other periods. The micro Box Map shows a trend to decrease on areas with greater Q(+/+) and lower priority Q(-/-). Four micros that were low-ranking of the smallest priority Q(-/-) between 2001 and 2004 went to hyperendemic classification and to the area of highest priority Q(-/-) in the last two periods. Seventeen hyperendemic micros remained in this classification in the three periods and three of them changed to the greater priority area Q(-/-), one in Maranhão between 2005 and 2008 and two in Maranhão and Pará between 2009 and 2011. Conclusion: The found results in this study show the relevance of the leprosy on Indigenous population, and show an endemic situation and refer to a public health problem. The leprosy spatiotemporal distribution it is really important to take decisions, because allows a better ethnoepidemiologic visualization of the disease.