Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian MunicipalitiesReport as inadecuate




Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities - Download this document for free, or read online. Document in PDF available to download.

Journal of Tropical MedicineVolume 2013 2013, Article ID 812793, 6 pages

Research Article

Nursing School, Federal University of Minas Gerais, Avenida Alfredo Balena, 190-402, Santa Efigênia, 30130-100 Belo Horizonte, MG, Brazil

Nursing School, Federal University of São João DelRei, Rua Sebastião Gonçalves Coelho, 400, Chanadour, 35501-293 Divinópolis, MG, Brazil

Received 31 August 2012; Revised 23 December 2012; Accepted 24 February 2013

Academic Editor: Bhushan Kumar

Copyright © 2013 Francisco Carlos Félix Lana et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The present study aims at analysing the degree of deformity in leprosy cases diagnosed in children under 15 years old and its relationship with operational and epidemiological factors. This epidemiological cross-sectional study was carried out at municipalities of three microregions in a Brazilian hyperendemic area. Data between 1998 and 2010 was collected from the Information System for Notifiable Diseases database. The average coefficient of detection was 32.96-100.000 inhabitants; 7.61% of new cases were diagnosed in children under 15 years old; 5% in this age group were grade 2 deformity at diagnosis. Prevalence of leprosy cases in children under 15 years old with deformity was higher in males CI 95%: 1.09–6.45 and in multibacillary patients CI 95%: 3.54–60.87 and lower when the detection mode was passive CI 95%: 0.31–1.73. Such context suggests high transmissibility and early exposure to Mycobacterium leprae since a lot of cases were diagnosed in children under fifteen years old and the incubation period of the leprosy bacillus varies from 02 to 07 years. This situation contributes to maintaining the chain of disease transmission in the area and indicates that health care services should intensify leprosy control.





Author: Francisco Carlos Félix Lana, Angélica da Conceição Oliveira Coelho Fabri, Fabiana Nascimento Lopes, Ana Paula Mendes Carval

Source: https://www.hindawi.com/



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