Matos Thais Silva, do Nascimento Vanessa Almeida, do Carmo Rodrigo Feliciano, Moreno de Oliveira Fernandes Tânia Rita, de Souza Carlos Dornels Freire, da Silva Tarcísio Fulgêncio Alves
Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGRDF), Universidade de Pernambuco (UPE), Petrolina, Brazil.
Programa de Pós-Graduação em Saúde da Família (PROFSAÚDE), Universidade Federal de Alagoas (UFAL), Maceió, Brazil.
Int J Dermatol. 2021 Aug;60(8):1003-1006. doi: 10.1111/ijd.15705. Epub 2021 Jun 22.
This study analyzed the impact of the COVID-19 pandemic on the detection of new cases of leprosy in the state of Bahia, Brazil. The periods January-September 2019 and January-September 2020 were compared. There was a 44.40% reduction in the diagnosis of leprosy when comparing the two periods (1,705 in 2019 and 948 in 2020). There was a reduction in the number of municipalities with reported cases: 251 municipalities in 2019 and 202 in 2020, expressing a reduction of 24.25%. Considering only the months following the arrival of the virus (April-September), the reduction was 51.10%. An inverse correlation was observed between the number of new cases of leprosy and the cumulative number of cases of COVID-19 (Spearman's correlation coefficient = -0.840; P < 0.001) and the number of new monthly cases of COVID-19 (Spearman's correlation coefficient = -0.817; P < 0.001). A slight increase was also observed in the proportion of multibacillary cases in the state (70.38% in 2019 and 72.69% in 2020) as well as in the proportion of individuals with the degree of physical disability not assessed at diagnosis, whose proportion rose from 16.39% in 2019 to 22.53% in 2020. The negative impact of COVID-19 in tackling leprosy should be seen as a warning sign for health and political authorities.
本研究分析了新冠疫情对巴西巴伊亚州麻风病新发病例检测的影响。对2019年1月至9月和2020年1月至9月这两个时间段进行了比较。两个时间段相比，麻风病诊断病例减少了44.40%（2019年为1705例，2020年为948例）。报告有病例的市数量有所减少：2019年有251个市，2020年有202个市，减少了24.25%。仅考虑病毒到来后的几个月（4月至9月），减少幅度为51.10%。观察到麻风病新发病例数与新冠累计病例数之间呈负相关（斯皮尔曼相关系数=-0.840；P<0.001），以及与新冠每月新发病例数之间呈负相关（斯皮尔曼相关系数=-0.817；P<0.001）。该州多菌型病例的比例也略有上升（2019年为70.38%，2020年为72.69%），以及诊断时未评估身体残疾程度的个体比例也有所上升，其比例从2019年的16.39%升至2020年的22.53%。新冠疫情对麻风病防治工作的负面影响应被视为卫生和政治当局的一个警示信号。
