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2002年至2012年巴伊亚州茹阿泽鲁市麻风病的流行病学情况

Epidemiological aspects of leprosy in Juazeiro-BA, from 2002 to 2012.

作者信息

Silva Maria Eduarda Gomes da Cruz, de Souza Carlos Dornels Freire, Costa e Silva Susanne Pinheiro, Costa Flávia Monteiro da, Carmo Rodrigo Feliciano do

机构信息

Universidade Federal do Vale do São Francisco, Petrolina, PE, Brazil.

Secretaria Municipal de Saúde de Petrolina, Petrolina, PE, Brazil.

出版信息

An Bras Dermatol. 2015 Nov-Dec;90(6):799-805. doi: 10.1590/abd1806-4841.201533963.

Abstract

BACKGROUND

Leprosy is an infectious disease caused by Mycobacterium leprae, able to infect large numbers of people. This work is relevant to Juazeiro-BA, a hyper-endemic area for leprosy, since unravel the behavior of the disease in the area, may suggest the decision making for sectors of surveillance, establishing strategies, organizing and evaluating programs and services.

OBJECTIVES

To analyze the epidemiology of leprosy in Juazeiro-BA, from 2002 to 2012.

METHODS

A descriptive, cross-sectional study was conducted based in data of the Diseases Notification System, assigned by the service of Epidemiology from Juazeiro-BA, between 2002 and 2012.

RESULTS

1,916 new cases of leprosy were detected between 2002 and 2012, of which 921 (48.07%) represented male sex, 995 (51.93%) female, and there was a reduction in the incidence rate of leprosy per 100,000 inhabitants. Most carriers were brown individuals, with low levels of education, living in the urban area, being more prevalent in the economically active age group. Through statistical analysis we found that there are more chances of developing sequelae among men, and multibacillary individuals older than 45 years.

CONCLUSIONS

The work serves to direct efforts to control this disease, and highlights the importance of active search for new cases to achieve an early diagnosis, reducing the number of sequels and allowing breaking the chain of disease transmission.

摘要

背景

麻风病是由麻风分枝杆菌引起的一种传染病,可感染大量人群。这项工作与巴伊亚州茹阿泽鲁市有关,该市是麻风病高度流行地区,因为了解该地区疾病的行为,可能为监测部门的决策提供依据,制定策略,组织和评估项目及服务。

目的

分析2002年至2012年巴伊亚州茹阿泽鲁市麻风病的流行病学情况。

方法

基于巴伊亚州茹阿泽鲁市流行病学服务部门提供的疾病通报系统数据,于2002年至2012年开展了一项描述性横断面研究。

结果

2002年至2012年期间共检测到1916例新麻风病病例,其中男性921例(48.07%),女性995例(51.93%),每10万居民中麻风病发病率有所下降。大多数患者为棕色人种,教育程度低,居住在城市地区,在经济活跃年龄组中更为普遍。通过统计分析我们发现,男性以及45岁以上的多菌型患者发生后遗症的可能性更大。

结论

这项工作有助于指导控制该疾病的努力,并强调积极寻找新病例以实现早期诊断、减少后遗症数量并切断疾病传播链的重要性。

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