Magalhães Maria da Conceição Cavalcanti, dos Santos Emerson Soares, de Queiroz Maria de Lourdes, de Lima Messias Lucas, Borges Rita Christina Martins, Souza Maria Silva, Ramos Alberto Novaes
Secretaria Executiva do Ministério da Saúde, Brasília, DF, Brasil.
Rev Bras Epidemiol. 2011 Sep;14(3):386-97. doi: 10.1590/s1415-790x2011000300004.
Studies on medical geography about leprosy discuss the role of the detailed report of the occupation of the territories as a basis of the permanence of leprosy focus. In Brazil, the states that present the highest rates of detection historically are in the Amazon region, which shows an uneven regional evolution of the disease. This paper analyzes the evolution of leprosy contextualizing the migratory processes that occurred in the State of Mato Grosso since the second half of the 20th century. The economic dynamism that occurred in the State in the 1970s, 1980s and 1990s caused population growth rates higher than the national average. The data analyzed permitted an association between the evolution of leprosy and the process of occupation of the mato-grossense territory. However, the permanence of leprosy in the municipalities of the Baixada Cuiabana, as well as in other municipalities that lost population, seem to point to the existence of geographic contexts of different vulnerability to the social production of the disease in the tate. The migration would explain the appearance and evolution of leprosy. However, we consider that the maintenance of the endemic can be associated to contextual factors related to environment.
关于麻风病的医学地理学研究探讨了领土占领详细报告作为麻风病关注重点持久性基础的作用。在巴西，历史上麻风病检出率最高的州位于亚马逊地区，这表明该疾病的区域发展不均衡。本文分析了自20世纪下半叶以来马托格罗索州发生的迁移过程背景下的麻风病演变情况。该州在20世纪70年代、80年代和90年代出现的经济活力导致人口增长率高于全国平均水平。所分析的数据使得能够将麻风病的演变与马托格罗索州领土的占领过程联系起来。然而，库亚巴纳低地各市镇以及其他人口减少的市镇中麻风病的持续存在，似乎表明该州存在对该疾病社会产生不同脆弱性的地理背景。迁移可以解释麻风病的出现和演变。然而，我们认为地方病的持续存在可能与环境相关的背景因素有关。
