Temporal trend of leprosy in Aracaju, Sergipe, Brazil

Detalhes bibliográficos
Autor(a) principal: Moreira, Rebeca Silva
Data de Publicação: 2019
Outros Autores: Costa, João Santos, Moreira-Junior, Vicente Trindade, Góes, Marco Aurélio de Oliveira
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/11957
Resumo: Background and Objectives: Leprosy is a chronic infectious disease that has a disabling potential and maintains high incidence rates even with effective and free treatment. Thus, this study aims to analyze the epidemiological and operational data of leprosy in the city of Aracaju, Sergipe, Brazil, in order to diagnose the endemic disease trend and guide the improvement of public policies aimed at its elimination. Methods: This is an ecological and time series study that analyzed the epidemiological and operational indicators of leprosy in the municipality of Aracaju, capital of the state of Sergipe, from 2003 to 2017. Results: Between 2003 and 2017, detection rate of leprosy remained decreasing, with an annual decline of 8.63% in the general population and 9.32% in children under 15 years. During this period, there was a trend to increase the diagnosis and treatment of leprosy by Primary Care. The cure of the cases remained stable and the proportion of contacts examined showed significant increase, rising from 20.6% in 2003 to 82.9% in 2017. There is also a progressive trend to decrease the detection rate of paucibacillary forms due to multibacillary forms. Conclusion: There is a trend to reduce the detection of leprosy in Aracaju in all age groups, but the region is still considered to be highly endemic. It is possible to perceive the growth of the Primary Care role between 2003 and 2017, in addition to the significant increase in the examination of contacts as an important tool in the diagnosis and early treatment. Although health indicators have shown improvements, this progress remains insufficient for adequate control of the disease. Keywords: Epidemiology. Health Status Indicators. Leprosy. Public Health.
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spelling Temporal trend of leprosy in Aracaju, Sergipe, BrazilTendencia temporal de la lepra en Aracaju, Sergipe, BrasilTendência temporal da hanseníase em Aracaju, Sergipe, BrasilEpidemiologiaIndicadores de SaúdeHanseníaseBackground and Objectives: Leprosy is a chronic infectious disease that has a disabling potential and maintains high incidence rates even with effective and free treatment. Thus, this study aims to analyze the epidemiological and operational data of leprosy in the city of Aracaju, Sergipe, Brazil, in order to diagnose the endemic disease trend and guide the improvement of public policies aimed at its elimination. Methods: This is an ecological and time series study that analyzed the epidemiological and operational indicators of leprosy in the municipality of Aracaju, capital of the state of Sergipe, from 2003 to 2017. Results: Between 2003 and 2017, detection rate of leprosy remained decreasing, with an annual decline of 8.63% in the general population and 9.32% in children under 15 years. During this period, there was a trend to increase the diagnosis and treatment of leprosy by Primary Care. The cure of the cases remained stable and the proportion of contacts examined showed significant increase, rising from 20.6% in 2003 to 82.9% in 2017. There is also a progressive trend to decrease the detection rate of paucibacillary forms due to multibacillary forms. Conclusion: There is a trend to reduce the detection of leprosy in Aracaju in all age groups, but the region is still considered to be highly endemic. It is possible to perceive the growth of the Primary Care role between 2003 and 2017, in addition to the significant increase in the examination of contacts as an important tool in the diagnosis and early treatment. Although health indicators have shown improvements, this progress remains insufficient for adequate control of the disease. Keywords: Epidemiology. Health Status Indicators. Leprosy. Public Health.Justificación y Objetivos: La lepra es una enfermedad infectocontagiosa crónica, con potencial discapacitante y que mantiene altas tasas de detección incluso con tratamiento eficaz y gratuito. De esta forma, este estudio objetiva analizar los datos epidemiológicos y operativos de lepra en la ciudad de Aracaju, Sergipe, Brasil, a fin de diagnosticar la tendencia de la endemia y orientar el perfeccionamiento de políticas públicas que apunten a su eliminación. Métodos: Se trata de un estudio ecológico, tipo serie temporal, que analizó indicadores epidemiológicos y operativos de la lepra en el municipio de Aracaju, capital del estado de Sergipe, entre 2003 y 2017. Resultados: Entre 2003 y 2017, la detección de la lepra se mantuvo decreciente, con una tendencia anual de caída del 8,63% en la población general y el 9,32% en los menores de 15 años. Durante ese período, hubo una tendencia al aumento del diagnóstico y tratamiento de la lepra por la Atención Primaria; la cura de los casos se mantuvo estable; y la proporción de contactos examinados presentó un significativo incremento saliendo del 20,6%, en 2003, al 82,9%, en 2017. Se identifica también una tendencia progresiva a la caída en la detección de las formas paucibacilares en detrimento de las multibacilares. Conclusión: Hay una tendencia a reducir la detección de la lepra para Aracaju en todas las edades, pero la región todavía se considera de alta endemicidad. Es posible percibir el crecimiento del papel de la Atención Primaria entre 2003 y 2017, además del aumento significativo del examen de los contactos, una herramienta importante en el diagnóstico y tratamiento precoz. Aunque los indicadores de salud han mostrado mejoras, este avance sigue siendo insuficiente para un adecuado control de la enfermedad. Palabras clave: Epidemiología. Indicadores de Salud. Lepra. Salud Pública.Justificativa e Objetivos: A hanseníase é uma doença infectocontagiosa crônica, com potencial incapacitante que mantém altas as taxas de incidência mesmo com tratamento eficaz e gratuito. Desta forma, este estudo objetiva analisar os dados epidemiológicos e operacionais da hanseníase em Aracaju-SE, a fim de diagnosticar a tendência da endemia e orientar o aprimoramento de políticas públicas que visem à sua eliminação. Métodos: Trata-se de um estudo ecológico, tipo série temporal, que analisou indicadores epidemiológicos e operacionais da Hanseníase no município de Aracaju, capital do estado de Sergipe,de 2003 a 2017. Resultados: Entre 2003 e 2017, a taxa de detecção da hanseníase manteve-se decrescente, com tendência anual de queda de 8,63% na população geral e 9,32% em menores de 15 anos. Durante este período, houve tendência a aumento do diagnóstico e tratamento da hanseníase pela Atenção Primária. A cura dos casos manteve-se estável e a proporção de contatos examinados apresentou um significativo incremento, saindo de 20,6%, em 2003, para 82,9%, em 2017. Identifica-se também uma tendência progressiva da queda na detecção das formas paucibacilares em detrimento das multibacilares. Conclusão: Há uma tendência de redução da detecção da hanseníase em Aracaju em todas as faixas etárias, porém, a região ainda é considerada de alta endemicidade. É possível perceber o crescimento do papel da Atenção Primária entre 2003 e 2017, além do aumento significativo do exame dos contatos, ferramenta importante no diagnóstico e tratamento precoce. Embora os indicadores de saúde tenham mostrado melhorias, esse avanço permanece insuficiente para adequado controle da doença. Descritores: Epidemiologia. Indicadores de Saúde. Hanseníase. Saúde Pública.Unisc2019-01-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1195710.17058/reci.v9i1.11957Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 1 (2019)Revista de Epidemiologia e Controle de Infecção; v. 9 n. 1 (2019)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporenghttps://online.unisc.br/seer/index.php/epidemiologia/article/view/11957/7917https://online.unisc.br/seer/index.php/epidemiologia/article/view/11957/7935Copyright (c) 2019 Rebeca Silva Moreira, João Santos Costa, Vicente Trindade Moreira-Junior, Marco Aurélio de Oliveira Góesinfo:eu-repo/semantics/openAccessMoreira, Rebeca SilvaCosta, João SantosMoreira-Junior, Vicente TrindadeGóes, Marco Aurélio de Oliveira2019-05-09T19:24:26Zoai:ojs.online.unisc.br:article/11957Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-05-09T19:24:26Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Temporal trend of leprosy in Aracaju, Sergipe, Brazil
Tendencia temporal de la lepra en Aracaju, Sergipe, Brasil
Tendência temporal da hanseníase em Aracaju, Sergipe, Brasil
title Temporal trend of leprosy in Aracaju, Sergipe, Brazil
spellingShingle Temporal trend of leprosy in Aracaju, Sergipe, Brazil
Moreira, Rebeca Silva
Epidemiologia
Indicadores de Saúde
Hanseníase
title_short Temporal trend of leprosy in Aracaju, Sergipe, Brazil
title_full Temporal trend of leprosy in Aracaju, Sergipe, Brazil
title_fullStr Temporal trend of leprosy in Aracaju, Sergipe, Brazil
title_full_unstemmed Temporal trend of leprosy in Aracaju, Sergipe, Brazil
title_sort Temporal trend of leprosy in Aracaju, Sergipe, Brazil
author Moreira, Rebeca Silva
author_facet Moreira, Rebeca Silva
Costa, João Santos
Moreira-Junior, Vicente Trindade
Góes, Marco Aurélio de Oliveira
author_role author
author2 Costa, João Santos
Moreira-Junior, Vicente Trindade
Góes, Marco Aurélio de Oliveira
author2_role author
author
author
dc.contributor.author.fl_str_mv Moreira, Rebeca Silva
Costa, João Santos
Moreira-Junior, Vicente Trindade
Góes, Marco Aurélio de Oliveira
dc.subject.por.fl_str_mv Epidemiologia
Indicadores de Saúde
Hanseníase
topic Epidemiologia
Indicadores de Saúde
Hanseníase
description Background and Objectives: Leprosy is a chronic infectious disease that has a disabling potential and maintains high incidence rates even with effective and free treatment. Thus, this study aims to analyze the epidemiological and operational data of leprosy in the city of Aracaju, Sergipe, Brazil, in order to diagnose the endemic disease trend and guide the improvement of public policies aimed at its elimination. Methods: This is an ecological and time series study that analyzed the epidemiological and operational indicators of leprosy in the municipality of Aracaju, capital of the state of Sergipe, from 2003 to 2017. Results: Between 2003 and 2017, detection rate of leprosy remained decreasing, with an annual decline of 8.63% in the general population and 9.32% in children under 15 years. During this period, there was a trend to increase the diagnosis and treatment of leprosy by Primary Care. The cure of the cases remained stable and the proportion of contacts examined showed significant increase, rising from 20.6% in 2003 to 82.9% in 2017. There is also a progressive trend to decrease the detection rate of paucibacillary forms due to multibacillary forms. Conclusion: There is a trend to reduce the detection of leprosy in Aracaju in all age groups, but the region is still considered to be highly endemic. It is possible to perceive the growth of the Primary Care role between 2003 and 2017, in addition to the significant increase in the examination of contacts as an important tool in the diagnosis and early treatment. Although health indicators have shown improvements, this progress remains insufficient for adequate control of the disease. Keywords: Epidemiology. Health Status Indicators. Leprosy. Public Health.
publishDate 2019
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10.17058/reci.v9i1.11957
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dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/11957/7917
https://online.unisc.br/seer/index.php/epidemiologia/article/view/11957/7935
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dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 1 (2019)
Revista de Epidemiologia e Controle de Infecção; v. 9 n. 1 (2019)
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
instacron:UNISC
instname_str Universidade de Santa Cruz do Sul (UNISC)
instacron_str UNISC
institution UNISC
reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
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