Abstract
to analyze the temporal trend and epidemiological patterns of leprosy indicators in Sobral, a municipality countryside of the state of Ceará, from 2001 to 2016. a time series study based on data from the Department of Informatics of the Unified Health System. The time trend analysis was performed using the join point regression model. There were 2,220 new cases of leprosy in Sobral from 2001 to 2016. Of these, 158 (7.2%) in children younger than 15 years of age, the proportion of new male cases was 52.8% (1,162), cases with grade 2 were 7.0% (156), and proportion of cases diagnosed by contact examination 5.7% (126). leprosy remains hyperendemic in adults and children, demonstrating the character of neglected disease. Analysis of the temporal trend allowed to verify that the instability in the detection coefficients, reflect operational problems in the organization of the services.
Highlights
METHODLeprosy is a neglected disease that remains an object of public health action due to its magnitude and to affect the economically active age group with strong potential to trigger deformities and physical disabilities[1,2]
In 2017, approximately 210,671 new cases of leprosy were registered in the world, with Brazil accounting for 12.76% of the cases
The trend analysis shows that the instability in the detection coefficients does not reflect the epidemiology of the disease, but rather operational problems in the organization of the services to care for the disease in its acute form, neglecting its chronicity, which requires new health care
Summary
METHODLeprosy is a neglected disease that remains an object of public health action due to its magnitude and to affect the economically active age group with strong potential to trigger deformities and physical disabilities[1,2]. The impact of neglected tropical diseases is not limited to morbidity and mortality; due to its complexity, has affected a significant portion of society, leading to the permanence of stigma, to social exclusion, and the debate and interventions on health inequities[5,6]. In this context, Brazil adopted as strategies: increased early detection, timely and appropriate treatment, health education actions, contact surveillance, prevention and treatment of disabilities[7]. The general detection in the country was 12.94/100 thousand inhabitants [26,875], with 6.4% (1,718 cases) being in children under 15 years of age, which points to the active movement of the disease [8]
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