1996-2005 年巴西东北部流行地区麻风病的流行病学模式：非政府组织的支持作用。

Epidemiological pattern of leprosy in an endemic area of North-East Brazil, 1996-2005: the supporting role of a Nongovernmental Organization.

机构信息

Department of Environmental Medicine and Public Health, University of Padova, Italy.

出版信息

Rev Soc Bras Med Trop. 2009 Nov-Dec;42(6):629-32. doi: 10.1590/s0037-86822009000600003.

DOI:10.1590/s0037-86822009000600003

PMID:20209344

Abstract

In an endemic area of North-East Brazil (the town of Picos, State of Piauí), a nongovernmental organization (NGO) supported the activity against leprosy in connection with governmental health organizations and local agents. The indicators of leprosy elimination were compared over time (within Picos) and across space (Picos versus Piauí). The case detection rate, above 8 per 10,000 people in the last two years of observation, increased over time in Picos (p=0.010). This finding could be due to active detection activities rather than expanding endemicity, as suggested by the reduction in leprosy in children (p=0.053) and the decrease in the proportion of new cases with grade 2 disability (p<0.001). These indicators showed a more favorable time trend in the city than in the State, suggesting that NGO activity was supportive in the battle towards leprosy control.

摘要

在巴西东北部的一个流行地区（皮奥伊州的皮科斯镇），一个非政府组织（非政府组织）与政府卫生组织和当地机构合作，支持开展麻风病防治活动。随着时间的推移（在皮科斯内部）和跨越空间（皮科斯与皮奥伊州）比较了麻风病消除的指标。在过去两年的观察中，皮科斯的病例检出率超过每 10000 人 8 例，呈上升趋势（p=0.010）。这一发现可能是由于积极的发现活动，而不是流行范围的扩大，因为儿童麻风病的减少（p=0.053）和 2 级残疾新病例比例的下降（p<0.001）表明了这一点。这些指标显示，该市的时间趋势比该州更为有利，表明非政府组织的活动在防治麻风病的斗争中提供了支持。