LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION

Detalhes bibliográficos
Autor(a) principal: Silva, Emanuele Rocha da
Data de Publicação: 2022
Outros Autores: Adami, Marcos, Pereira, Waltair Maria Martins
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hygeia (Uberlândia)
Texto Completo: https://seer.ufu.br/index.php/hygeia/article/view/62444
Resumo: Objective: To analyze leprosy indicators aiming to identify areas of greatest risk of transmission in Pará, from 2004 to 2018. Methods: Ecological study using secondary data from the Notifiable Diseases Information System. By Joinpoint regression, 11 indicators were analyzed, Poisson probability analyzed the three main ones and SaTScan™ had clusters of municipalities with high risk of transmission. It was considered significant p <0.05. Results: Of the 57,504 new cases, 11.18% (6,431) were children under 15 years old, and 6.69% (3,793) had grade 2 physical disability (GIF II) on the diagnosis. Significantly, the trends in the rates analyzed decreased; the proportions of GIF II at diagnosis (mean annual percentage change [AAPC]=6.8%), multibacillary cases (AAPC=2.3%), dimorphic clinical form (AAPC=2.1%) and examined contacts (AAPC=5.9%) increased. Detection in the general population was hyperendemic in all clusters. Conclusion: In Pará, leprosy is diagnosed in polarized forms and with GIF II, with transmission in areas with the highest migratory flow.
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spelling LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION HANSENÍASE EM UM ESTADO HIPERENDÊMICO: TENDÊNCIA SEGMENTAR E IDENTIFICAÇÃO DE AGLOMERADOS ESPACIAIS DE ALTO RISCO DE TRANSMISSÃOHanseníaseIndicador de SaúdeDoença NegligenciadaAnálise EspacialLeprosyHealth Status IndicatorsNeglected DiseasesSpatial AnalysisObjective: To analyze leprosy indicators aiming to identify areas of greatest risk of transmission in Pará, from 2004 to 2018. Methods: Ecological study using secondary data from the Notifiable Diseases Information System. By Joinpoint regression, 11 indicators were analyzed, Poisson probability analyzed the three main ones and SaTScan™ had clusters of municipalities with high risk of transmission. It was considered significant p <0.05. Results: Of the 57,504 new cases, 11.18% (6,431) were children under 15 years old, and 6.69% (3,793) had grade 2 physical disability (GIF II) on the diagnosis. Significantly, the trends in the rates analyzed decreased; the proportions of GIF II at diagnosis (mean annual percentage change [AAPC]=6.8%), multibacillary cases (AAPC=2.3%), dimorphic clinical form (AAPC=2.1%) and examined contacts (AAPC=5.9%) increased. Detection in the general population was hyperendemic in all clusters. Conclusion: In Pará, leprosy is diagnosed in polarized forms and with GIF II, with transmission in areas with the highest migratory flow.Objetivo: Analisar indicadores de hanseníase visando a identificação de áreas de maior risco de transmissão no Pará, de 2004 a 2018. Métodos: Estudo ecológico por dados do Sistema de Informação de Agravos de Notificação (SINAN). Pela regressão Joinpoint analisou-se 11 indicadores, pela probabilidade de Poisson analisou-se os três principais e pelo SaTScan™ dispôs-se aglomerados de municípios com alto risco de transmissão. Considerou-se significante p <0,05. Resultados: Dos 57.504 casos novos, menores de 15 anos foram 11,18% (6.431) e 6,69% (3.793) tiveram incapacidade física grau 2 (GIF II) no diagnóstico. Com significância estatística, as tendências das taxas analisadas decresceram; as proporções de GIF II no diagnóstico (variação percentual anual média [AAPC]=6,8%), casos multibacilares (AAPC=2,3%), casos de forma clínica dimorfa (AAPC=2,1%) e contatos examinados (AAPC=5,9%) cresceram. A detecção na população geral foi hiperendêmica nos aglomerados. Conclusão: No Pará há diagnóstico de hanseníase em formas polarizadas e com GIF II, com transmissão nas áreas de maior fluxo migratório.Universidade Federal de Uberlândia2022-11-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://seer.ufu.br/index.php/hygeia/article/view/6244410.14393/Hygeia1862444Hygeia - Revista Brasileira de Geografia Médica e da Saúde; v. 18 (2022); 259–2701980-1726reponame:Hygeia (Uberlândia)instname:Universidade Federal de Uberlândia (UFU)instacron:UFUporhttps://seer.ufu.br/index.php/hygeia/article/view/62444/35049Copyright (c) 2022 Emanuele Rocha da Silva, Marcos Adami, Waltair Maria Martins Pereirainfo:eu-repo/semantics/openAccessSilva, Emanuele Rocha da Adami, MarcosPereira, Waltair Maria Martins2022-11-21T17:15:55Zoai:ojs.www.seer.ufu.br:article/62444Revistahttps://seer.ufu.br/index.php/hygeiaPUBhttps://seer.ufu.br/index.php/hygeia/oaisamuel@ufu.br||flavia.santos@ufu.br1980-17261980-1726opendoar:2022-11-21T17:15:55Hygeia (Uberlândia) - Universidade Federal de Uberlândia (UFU)false
dc.title.none.fl_str_mv LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
HANSENÍASE EM UM ESTADO HIPERENDÊMICO: TENDÊNCIA SEGMENTAR E IDENTIFICAÇÃO DE AGLOMERADOS ESPACIAIS DE ALTO RISCO DE TRANSMISSÃO
title LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
spellingShingle LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
Silva, Emanuele Rocha da
Hanseníase
Indicador de Saúde
Doença Negligenciada
Análise Espacial
Leprosy
Health Status Indicators
Neglected Diseases
Spatial Analysis
title_short LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
title_full LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
title_fullStr LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
title_full_unstemmed LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
title_sort LEPROSY IN A HYPERENDEMIC STATE: SEGMENTAL TREND AND HIGH-RISK TRANSMISSION CLUSTERS IDENTIFICATION
author Silva, Emanuele Rocha da
author_facet Silva, Emanuele Rocha da
Adami, Marcos
Pereira, Waltair Maria Martins
author_role author
author2 Adami, Marcos
Pereira, Waltair Maria Martins
author2_role author
author
dc.contributor.author.fl_str_mv Silva, Emanuele Rocha da
Adami, Marcos
Pereira, Waltair Maria Martins
dc.subject.por.fl_str_mv Hanseníase
Indicador de Saúde
Doença Negligenciada
Análise Espacial
Leprosy
Health Status Indicators
Neglected Diseases
Spatial Analysis
topic Hanseníase
Indicador de Saúde
Doença Negligenciada
Análise Espacial
Leprosy
Health Status Indicators
Neglected Diseases
Spatial Analysis
description Objective: To analyze leprosy indicators aiming to identify areas of greatest risk of transmission in Pará, from 2004 to 2018. Methods: Ecological study using secondary data from the Notifiable Diseases Information System. By Joinpoint regression, 11 indicators were analyzed, Poisson probability analyzed the three main ones and SaTScan™ had clusters of municipalities with high risk of transmission. It was considered significant p <0.05. Results: Of the 57,504 new cases, 11.18% (6,431) were children under 15 years old, and 6.69% (3,793) had grade 2 physical disability (GIF II) on the diagnosis. Significantly, the trends in the rates analyzed decreased; the proportions of GIF II at diagnosis (mean annual percentage change [AAPC]=6.8%), multibacillary cases (AAPC=2.3%), dimorphic clinical form (AAPC=2.1%) and examined contacts (AAPC=5.9%) increased. Detection in the general population was hyperendemic in all clusters. Conclusion: In Pará, leprosy is diagnosed in polarized forms and with GIF II, with transmission in areas with the highest migratory flow.
publishDate 2022
dc.date.none.fl_str_mv 2022-11-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufu.br/index.php/hygeia/article/view/62444
10.14393/Hygeia1862444
url https://seer.ufu.br/index.php/hygeia/article/view/62444
identifier_str_mv 10.14393/Hygeia1862444
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufu.br/index.php/hygeia/article/view/62444/35049
dc.rights.driver.fl_str_mv Copyright (c) 2022 Emanuele Rocha da Silva, Marcos Adami, Waltair Maria Martins Pereira
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Emanuele Rocha da Silva, Marcos Adami, Waltair Maria Martins Pereira
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Uberlândia
publisher.none.fl_str_mv Universidade Federal de Uberlândia
dc.source.none.fl_str_mv Hygeia - Revista Brasileira de Geografia Médica e da Saúde; v. 18 (2022); 259–270
1980-1726
reponame:Hygeia (Uberlândia)
instname:Universidade Federal de Uberlândia (UFU)
instacron:UFU
instname_str Universidade Federal de Uberlândia (UFU)
instacron_str UFU
institution UFU
reponame_str Hygeia (Uberlândia)
collection Hygeia (Uberlândia)
repository.name.fl_str_mv Hygeia (Uberlândia) - Universidade Federal de Uberlândia (UFU)
repository.mail.fl_str_mv samuel@ufu.br||flavia.santos@ufu.br
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