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[圣保罗市城区汉森病的相关情况 - 未分化型汉森病,1963 - 1977年]

[Aspects of Hansen's disease in the urban area of the municipality of São Paulo - undifferentiated Hansen's disease, 1963-1977].

作者信息

Belda W

出版信息

Hansenol Int. 1981 Jun;6(1):23-50.

PMID:6749679
Abstract

The purpose of this work is to analyze the epidemiological changes that have occurred in São Paulo due to geographical and historical influences. This research was made during the period of 1963 to 1977, covering 6,664 cases and two main aspects: origin and age. In 1977, Sao Paulo presented 5,179 inhabitants per square kilometer and a percentage of 5,3 hanseniasis patients per square kilometer. The data compiled during the research have led to the following conclusions: São Paulo has become an important economical center and as such a point of attraction to intense migratory currents; this increase has caused the formation of unplanned and outnumbered populational centers in the outskirts which are obstacles to medical and social welfare assistance and to diagnosis and control as well; changes in the social and economical structures leading to a poorer family life; increase in the possibilities of transmission of hanseniasis either by non-intimate or long-termed contacts; decrease in the number of cases in the same family and, finally, the characterization of hanseniasis as a grown-up and urban disease.

摘要

这项工作的目的是分析由于地理和历史影响在圣保罗发生的流行病学变化。这项研究在1963年至1977年期间进行,涵盖6664个病例以及两个主要方面:起源和年龄。1977年,圣保罗每平方公里有5179名居民,每平方公里有5.3名麻风病患者。研究期间收集的数据得出了以下结论:圣保罗已成为一个重要的经济中心,因此成为密集移民潮的吸引点;这种增长导致在郊区形成了无规划且人口过多的居民点,这对医疗和社会福利援助以及诊断和控制都造成了阻碍;社会和经济结构的变化导致家庭生活更加贫困;通过非亲密或长期接触传播麻风病的可能性增加;同一家族中病例数量减少,最后,麻风病被定性为一种成年人和城市疾病。

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