da Cunha Mônica Duarte, Cavaliere Flávia Amorim Meira, Hércules Flávio Marcondes, Duraes Sandra Maria Barbosa, de Oliveira Maria Leide Wal-Del-Rey, de Matos Haroldo José
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2007 May;23(5):1187-97. doi: 10.1590/s0102-311x2007000500020.
Various strategies for eliminating leprosy as a public health problem have evolved in the last 20 years. In some countries, especially highly endemic ones, the WHO target rate for leprosy elimination fell far short. The current study aimed to analyze the impact of different strategies for reducing leprosy prevalence in Duque de Caxias, a highly endemic municipality in Rio de Janeiro State, Brazil. The study observed the evolution of traditional operational indicators for the disease and their trends in the last 14 years. The indicators were calculated using the National Communicable Diseases Database (SINAN). Strategies that focused on decentralization of patient care and/or localized campaigns were associated with earlier case detection, reduction in prevalence, and shorter patient time in the active registry. An increase in the annual detection rate could be related to the existence of hidden prevalence or individuals with asymptomatic infection. New complementary strategies are needed to eliminate the disease in Duque de Caxias.
在过去20年里，为消除作为公共卫生问题的麻风病，已演变出各种策略。在一些国家，尤其是麻风病高度流行的国家，世界卫生组织的麻风病消除目标率远未实现。本研究旨在分析不同策略对巴西里约热内卢州麻风病高度流行的卡希亚斯公爵城麻风病患病率降低的影响。该研究观察了该疾病传统业务指标的演变及其在过去14年中的趋势。这些指标是使用国家传染病数据库（SINAN）计算得出的。侧重于患者护理去中心化和/或局部运动的策略与更早的病例发现、患病率降低以及患者在活跃登记册中的时间缩短有关。年度发现率的增加可能与隐藏患病率或无症状感染个体的存在有关。需要新的补充策略来在卡希亚斯公爵城消除该疾病。
