Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020

Detalhes bibliográficos
Autor(a) principal: Carvalho, Rosanilde Alencar
Data de Publicação: 2022
Outros Autores: Alencar, Júlia Letycia Gomes, Souza, Sttefany Messias de, Araújo, Victória Neves Brito de, Monteiro, Lorena Dias
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/27995
Resumo: To describe the trend of physical disabilities caused by leprosy in children in the state of Tocantins. An analysis of the calculations of leprosy indicators and temporal trends was carried out in the period from 2001 to 2020. 1,983 new cases of leprosy were diagnosed in children under 15 years of age. Degree 2 of physical disability was more prevalent in males (66.67%). The prevalence of cases with grade 1 and 2 of physical disability was higher in the multibacillary classification, but the paucibacillary classification had a record of 31.56% of grade 1 and 17.95% of grade 2. The detection coefficient and the proportion of cases with grade 2 showed stability in the trend in the total period. Between 2014 and 2020, the proportion of paucibacillary cases had a significant reduction of 26.2%, while in the period 2014 and 2018, multibacillary cases had an increase of 38.2%. The proportion of grade 1 cases had a significant increase of 16.3% between 2001 and 2010 and of 58.7% between 2014 and 2018 and stability in the total period. Physical disabilities in children and adolescents remain an important public health problem at the time of leprosy diagnosis in the state of Tocantins. The trend towards stability in disability points to the persistence of endemic disease, late diagnosis, hidden prevalence and sequelae in children. Operational failures and failures in the clinical management of health services were clearly identified, which reaffirms the need to make more efforts to improve leprosy care.
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spelling Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020Discapacidades físicas de hanseníasis en menores de 15 años en el estado de Tocantins, Brasil, 2001 a 2020Incapacidades físicas da hanseníase em menores de 15 anos no estado do Tocantins, Brasil, 2001 a 2020LepraNiñoAdolescente.HanseníaseCriançasAdolescente.LeprosyChildAdolescent.To describe the trend of physical disabilities caused by leprosy in children in the state of Tocantins. An analysis of the calculations of leprosy indicators and temporal trends was carried out in the period from 2001 to 2020. 1,983 new cases of leprosy were diagnosed in children under 15 years of age. Degree 2 of physical disability was more prevalent in males (66.67%). The prevalence of cases with grade 1 and 2 of physical disability was higher in the multibacillary classification, but the paucibacillary classification had a record of 31.56% of grade 1 and 17.95% of grade 2. The detection coefficient and the proportion of cases with grade 2 showed stability in the trend in the total period. Between 2014 and 2020, the proportion of paucibacillary cases had a significant reduction of 26.2%, while in the period 2014 and 2018, multibacillary cases had an increase of 38.2%. The proportion of grade 1 cases had a significant increase of 16.3% between 2001 and 2010 and of 58.7% between 2014 and 2018 and stability in the total period. Physical disabilities in children and adolescents remain an important public health problem at the time of leprosy diagnosis in the state of Tocantins. The trend towards stability in disability points to the persistence of endemic disease, late diagnosis, hidden prevalence and sequelae in children. Operational failures and failures in the clinical management of health services were clearly identified, which reaffirms the need to make more efforts to improve leprosy care.Describir la tendencia de las discapacidades físicas de la lepra en niños del estado de Tocantins. Se realizó un análisis de los cálculos de indicadores de lepra y tendencias temporales en el período 2001 a 2020. Se diagnosticaron 1.983 nuevos casos de lepra en menores de 15 años. El grado 2 de discapacidad física fue más prevalente en el sexo masculino (66,67%). La prevalencia de casos con grado 1 y 2 de discapacidad física fue mayor en la clasificación multibacilar, pero la clasificación paucibacilar tuvo un registro de 31,56% de grado 1 y 17,95% de grado 2. El coeficiente de detección y la proporción de casos con grado 2 mostró estabilidad en la tendencia en el total del período. Entre 2014 y 2020, la proporción de casos paucibacilares tuvo una reducción significativa del 26,2 %, mientras que en el período 2014 y 2018 los casos multibacilares tuvieron un aumento del 38,2 %. La proporción de casos grado 1 tuvo un aumento significativo de 16,3% entre 2001 y 2010 y de 58,7% entre 2014 y 2018 y estabilidad en el período total. Las discapacidades físicas en niños y adolescentes continúan siendo un importante problema de salud pública al momento del diagnóstico de lepra en el estado de Tocantins. La tendencia hacia la estabilidad en la discapacidad apunta a la persistencia de la enfermedad endémica, diagnóstico tardío, prevalencia oculta y secuelas en los niños. Se identificaron claramente fallas operativas y de gestión clínica, lo que reafirma la necesidad de realizar mayores esfuerzos para mejorar la atención de la lepra.Descrever a tendência de incapacidades físicas da hanseníase em crianças no estado do Tocantins. Realizou-se análise dos cálculos dos indicadores de hanseníase e das tendências temporais no período de 2001 a 2020. Foram diagnosticados 1.983 casos novos de hanseníase em menores de 15 anos. O grau 2 de incapacidade física foi mais prevalente no sexo masculino (66,67%). A prevalência de casos com grau 1 e 2 de incapacidade física foi maior na classificação multibacilar, mas a classificação paucibacilar teve registro de 31,56% de grau 1 e 17,95% de grau 2. O coeficiente de detecção e a proporção de casos com grau 2 apresentaram estabilidade na tendência no período total. Entre os anos de 2014 e 2020, a proporção de casos paucibacilares tiveram uma redução significativa de 26,2%, enquanto no período de 2014 e 2018 os casos de multibacilares tiveram um aumento de 38,2%. A proporção de casos de grau 1 teve incremento significativo de 16,3% entre 2001 e 2010 e de 58,7% entre 2014 e 2018 e de estabilidade no período total. As incapacidades físicas em crianças e adolescentes mantêm-se como um importante problema de saúde pública no momento do diagnóstico da hanseníase no estado do Tocantins. A tendência de estabilidade nas incapacidades aponta a constância da endemia, diagnóstico tardio, prevalência oculta e sequelas em crianças. Falhas operacionais e no manejo clínico foram claramente identificados, o que reafirma a necessidade de se empreender mais esforços para a qualificação da atenção à hanseníase.Research, Society and Development2022-04-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2799510.33448/rsd-v11i5.27995Research, Society and Development; Vol. 11 No. 5; e18311527995Research, Society and Development; Vol. 11 Núm. 5; e18311527995Research, Society and Development; v. 11 n. 5; e183115279952525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/27995/24452Copyright (c) 2022 Rosanilde Alencar Carvalho; Júlia Letycia Gomes Alencar; Sttefany Messias de Souza; Victória Neves Brito de Araújo; Lorena Dias Monteirohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarvalho, Rosanilde Alencar Alencar, Júlia Letycia Gomes Souza, Sttefany Messias de Araújo, Victória Neves Brito de Monteiro, Lorena Dias 2022-04-17T18:18:56Zoai:ojs.pkp.sfu.ca:article/27995Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:33.273660Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
Discapacidades físicas de hanseníasis en menores de 15 años en el estado de Tocantins, Brasil, 2001 a 2020
Incapacidades físicas da hanseníase em menores de 15 anos no estado do Tocantins, Brasil, 2001 a 2020
title Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
spellingShingle Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
Carvalho, Rosanilde Alencar
Lepra
Niño
Adolescente.
Hanseníase
Crianças
Adolescente.
Leprosy
Child
Adolescent.
title_short Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
title_full Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
title_fullStr Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
title_full_unstemmed Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
title_sort Physical disabilities of hanseníasis in children under 15 in the state of Tocantins, Brazil, 2001 to 2020
author Carvalho, Rosanilde Alencar
author_facet Carvalho, Rosanilde Alencar
Alencar, Júlia Letycia Gomes
Souza, Sttefany Messias de
Araújo, Victória Neves Brito de
Monteiro, Lorena Dias
author_role author
author2 Alencar, Júlia Letycia Gomes
Souza, Sttefany Messias de
Araújo, Victória Neves Brito de
Monteiro, Lorena Dias
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Rosanilde Alencar
Alencar, Júlia Letycia Gomes
Souza, Sttefany Messias de
Araújo, Victória Neves Brito de
Monteiro, Lorena Dias
dc.subject.por.fl_str_mv Lepra
Niño
Adolescente.
Hanseníase
Crianças
Adolescente.
Leprosy
Child
Adolescent.
topic Lepra
Niño
Adolescente.
Hanseníase
Crianças
Adolescente.
Leprosy
Child
Adolescent.
description To describe the trend of physical disabilities caused by leprosy in children in the state of Tocantins. An analysis of the calculations of leprosy indicators and temporal trends was carried out in the period from 2001 to 2020. 1,983 new cases of leprosy were diagnosed in children under 15 years of age. Degree 2 of physical disability was more prevalent in males (66.67%). The prevalence of cases with grade 1 and 2 of physical disability was higher in the multibacillary classification, but the paucibacillary classification had a record of 31.56% of grade 1 and 17.95% of grade 2. The detection coefficient and the proportion of cases with grade 2 showed stability in the trend in the total period. Between 2014 and 2020, the proportion of paucibacillary cases had a significant reduction of 26.2%, while in the period 2014 and 2018, multibacillary cases had an increase of 38.2%. The proportion of grade 1 cases had a significant increase of 16.3% between 2001 and 2010 and of 58.7% between 2014 and 2018 and stability in the total period. Physical disabilities in children and adolescents remain an important public health problem at the time of leprosy diagnosis in the state of Tocantins. The trend towards stability in disability points to the persistence of endemic disease, late diagnosis, hidden prevalence and sequelae in children. Operational failures and failures in the clinical management of health services were clearly identified, which reaffirms the need to make more efforts to improve leprosy care.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-02
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://rsdjournal.org/index.php/rsd/article/view/27995
10.33448/rsd-v11i5.27995
url https://rsdjournal.org/index.php/rsd/article/view/27995
identifier_str_mv 10.33448/rsd-v11i5.27995
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/27995/24452
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 5; e18311527995
Research, Society and Development; Vol. 11 Núm. 5; e18311527995
Research, Society and Development; v. 11 n. 5; e18311527995
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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