Munhoz Júnior S, Fontes C J, Meirelles S M
Departamento de Clínica Médica da Universidade Federal de Mato Grosso. Cuiabá, MT, Brasil.
Rev Saude Publica. 1997 Jun;31(3):282-7. doi: 10.1590/s0034-89101997000300009.
A retrospective analysis of the Program for Leprosy Control in four counties of Mato Grosso State, on the Brazil-Bolivian frontier, has been undertaken in the present study.
The health care service records of all patients registered by the Programs for Leprosy Control during the period from the beginning of their activities up to 1990 inclusive were checked. Final analysis was performed by epidemiological and operational indicators for the follow-up of control activities of Leprosy Control, as defined by the World Health Organization.
An inadequate recording of information given by the patient was detected in more than half of all cases. The prevalence of leprosy varied from 15 to 48/10,000, in the period studied. The annual detection rate of new cases was 112/100,000 in 1990.
The results suggest a high endemicity pattern for leprosy in the region. With regard to operational indicators our finding showed inadequate practice regarding all the activities of the program probably worsened by the poor qualification of the health workers involved in the assistance given.
本研究对位于巴西 - 玻利维亚边境的马托格罗索州四个县的麻风病控制项目进行了回顾性分析。
检查了麻风病控制项目在其活动开始至1990年（含）期间登记的所有患者的医疗服务记录。根据世界卫生组织定义的麻风病控制活动随访的流行病学和操作指标进行了最终分析。
在所有病例中，超过一半检测到患者提供的信息记录不充分。在所研究的时期内，麻风病患病率从15/万至48/万不等。1990年新病例的年发现率为112/10万。
结果表明该地区麻风病呈高度地方性流行模式。关于操作指标，我们的研究结果显示该项目的所有活动实践不足可能因参与援助工作的卫生工作者资质不佳而恶化。
