ABSTRACT It is believed that nitrogen fertilization will attenuate the salt stress on pearl millet plants. Thus, the objective was to evaluate the agronomic performance of the millet crop under different saline water irrigation strategies and nitrogen fertilization. The experimental design adopted was completely randomized (CRD), in a 4 x 2 factorial scheme, with 4 replicates, with the first factor being four irrigation strategies: S1 = low-salinity water (W1) = 0.3 dS m-1 throughout the cycle; S2 = saline water (W2) = 4.0 dS m-1 from 30 days after sowing - DAS; S3 = W2 from 45 DAS; and S4 = W2 from 65 DAS; and the second factor being two nitrogen doses (60 and 120 kg ha-1 of N). At the end of the experiment, the following variables were evaluated: photosynthesis, transpiration, stomatal conductance, instantaneous water use efficiency, internal CO2 concentration, leaf temperature, plant height, stem diameter, root length, panicle length, leaf dry mass, stem dry mass and root dry mass. Fertilization with 60 and 120 kg ha-1 promotes greater photosynthesis, transpiration, stomatal conductance and internal CO2 concentration in millet plants under the strategies S1, S2 and S3. The strategies S1 and S4 were more efficient to increase the efficient use of water and reduce leaf temperature.

RESUMO Acredita-se que a adubação nitrogenada atenuará o estresse salino sobre as plantas de milheto. Dessa forma, objetivou-se avaliar o desempenho agronômico da cultura do milheto sob diferentes estratégias de irrigação com água salina e adubação nitrogenada. O delineamento experimental adotado foi inteiramente casualizado (DIC), em esquema fatorial 4 x 2, com 4 repetições, sendo o primeiro fator, quatro estratégias de irrigação: S1 = água de baixa salinidade (W1) = 0,3 dS m-1 durante todo o ciclo; S2 = água salina (W2) = 4,0 dS m-1 utilizada a partir dos 30 dias após a semeadura – DAS; S3 = W2 a partir dos 45 DAS e S4 = W2 a partir dos 65 DAS; e o segundo fator, duas doses de nitrogênio (60 e 120 kg ha-¹ de N). Ao final do experimento foram avaliadas: fotossíntese, transpiração, condutância estomática, eficiência instantânea no uso da água, concentração interna de CO2, temperatura foliar, altura de planta, diâmetro do colmo, comprimento da raiz, comprimento da panícula, massas secas da das folhas, do colmo e da raiz. Adubações com 60 e 120 kg ha-¹ proporcionam maior fotossíntese, transpiração, condutância estomática e concentração interna de CO2 em plantas de milheto nas estratégias S1, S2 e S3. As estratégias S1 e S4 foram mais eficientes para aumentar o uso eficiente de água e reduzir a temperatura foliar.

Abstract Sugarcane is a crop of major importance used mainly for sugar and biofuel production, and many additional applications of its byproducts are being developed. Sugarcane cultivation is plagued by many insect pests and pathogens that reduce sugarcane yields overall. Recently emerging studies have shown complex multitrophic interactions in cultivated areas, such as the induction of sugarcane defense-related proteins by insect herbivory that function against fungal pathogens that commonly appear after mechanical damage. Fungi and viruses infecting sugarcane also modulate insect behavior, for example, by causing changes in volatile compounds responsible for insect attraction or repelling natural vector enemies via a mechanism that increases pathogen dissemination from infected plants to healthy ones. Interestingly, the fungus Fusarium verticillioides is capable of being vertically transmitted to insect offspring, ensuring its persistence in the field. Understanding multitrophic complexes is important to develop better strategies for controlling pathosystems affecting sugarcane and other important crops and highlights the importance of not only studying binary interactions but also adding as many variables as possible to effectively translate laboratory research to real-life conditions.

RESUMO A salinidade da água de irrigação pode causar sérios problemas na produção agrícola, enquanto as fontes de fertilizantes orgânicos potencialmente mitigam o estresse salino. Assim, este trabalho teve como objetivo avaliar a produtividade da cultura do milho sob irrigação com água salina e adubação orgânica. O estudo foi conduzido em campo de agosto a novembro de 2020 na fazenda experimental da Universidade da Integração Internacional da Lusofonia Afro-Brasileira (UNILAB), Redenção-CE. Utilizou-se o delineamento em blocos casualizados, em parcelas subdivididas, em que as parcelas consistiram em dois níveis de salinidade da água de irrigação (0,8 e 3,0 dS m-1). Nas subparcelas foram aplicadas quatro combinações de fontes de adubo orgânico, compostas por 10 plantas cada, com quatro repetições: C1, esterco bovino + biofertilizante de aves + biofertilizante de cabra; C2, esterco bovino + biofertilizante caprino; C3, esterco bovino + biofertilizante de aves; e C4, tratamento controle. A combinação de fontes de fertilizantes orgânicos não influenciou o acúmulo de assimilados e a produtividade das lavouras de milho sob a salinidade da água de irrigação de 3,0 dS m-1, exceto C3, que atenuou o efeito salino.

ABSTRACT Irrigation water salinity can cause serious problems in crop production, while organic fertilizer sources potentially mitigate saline stress. Thus, this study aimed to evaluate the productivity of maize crops under irrigation with saline water and organic fertilization. The study was conducted in the field from August to November 2020 at the experimental farm of the Universidade da Integração Internacional da Lusofonia Afro-Brasileira (UNILAB), Redenção-CE. A randomized block design was used, in subdivided plots, in which the plots consisted of two levels of irrigation water salinity (0.8 and 3.0 dS m-1). Four combinations of organic fertilizer sources were applied in the subplots, composed of 10 plants each, with four replications: C1, cattle manure + poultry biofertilizer + goat biofertilizer; C2, cattle manure + goat biofertilizer; C3, cattle manure + poultry biofertilizer; and C4, control treatment. The combination of organic fertilizer sources did not influence the accumulation of assimilates and productivity of maize crops under the irrigation water salinity of 3.0 dS m-1, except for C3, which attenuated the saline effect.

RESUMO A utilização frequente de água salina para irrigação de culturas, sob condições climáticas da região semiárida, pode afetar diretamente os processos fisiológicos das plantas. Entretanto, o manejo nutricional das plantas cultivadas pode influenciar nas respostas ao ambiente salino. Com base nisso, o objetivo do presente estudo foi avaliar a resposta da cultura do girassol a diferente condutividade elétrica da água em solo sem e com fertilizante mineral e orgânico. O experimento foi conduzido na área experimental da Universidade Federal do Ceará, Fortaleza, Ceará. O delineamento foi o inteiramente casualizado, em esquema fatorial 5 × 3, com quatro repetições. Os tratamentos foram compostos por cinco níveis de condutividade elétrica da água de irrigação (CEa): 1,1; 2,1; 3,1; 4,1 e 5,1 dS m-1 e três formas de adubação aplicados ao solo (M = adubação mineral com base em NPK, B = biofertilizante caprino e CT = solo sem adubação). A salinidade da água de irrigação a partir de 2,1 dS m-1 afetou negativamente a altura das plantas, a área foliar, o diâmetro do caule e o número de folhas e aumentou a temperatura da folha. O uso da adubação mineral com NPK e orgânica com biofertilizante caprino favoreceram positivamente o crescimento em altura de plantas e o número de folhas em relação à testemunha. A adubação mineral e a orgânica atenuaram o efeito negativo da água salina na condutância estomática, transpiração e a concentração interna de CO2 e proporcionou maior taxa de assimilação de CO2.

ABSTRACT The frequent use of saline water for crop irrigation, under climatic conditions of semiarid region, can directly affect the physiological processes of plants. However, nutritional management of cultivated plants can influence responses to saline environments. Based on this, the objective of the present study was to evaluate the response of sunflower crops to different electrical conductivities of irrigation water in soil, with and without mineral and organic fertilizers. The experiment was conducted in the experimental area of Universidade Federal do Ceará, Fortaleza, Ceará, Brazil. The experimental design was completely randomized in a 5 × 3 factorial arrangement, with four replicates. The treatments consisted of five levels of electrical conductivity of irrigation water (ECw): 1.1, 2.1, 3.1, 4.1, and 5.1 dS m-1 and three forms of fertilization applied to the soil (M= mineral fertilizer based on NPK, B = goat biofertilizer, and CT = soil without fertilization). The salinity of irrigation water from 2.1 dS m-1 negatively affected plant height, leaf area, stem diameter, and leaf number of sunflower plants and increased leaf temperature. The use of mineral fertilization with NPK and organic goat biofertilizer positively favored growth in the height of plants and number of leaves in relation to the control. Mineral and organic fertilization attenuated the negative effect of saline water on stomatal conductance, transpiration, and the internal concentration of CO2 and provided the highest rate of CO2 assimilation.

RESUMO A cultura do amendoim apresenta grande interesse econômico, em decorrência de suas sementes, constituírem importante fonte de proteína vegetal e de óleo comestível. O objetivo do presente trabalho foi avaliar a fisiologia e crescimento da cultura do amendoim submetido a estresse salino e hídrico. O experimento foi conduzido em Auroras, Redenção, Ceará, Brasil. O delineamento experimental foi inteiramente casualizado em parcelas subdivididas, cujas parcelas referem-se aos níveis de condutividade elétrica da água de irrigação - CEa (1,0; 2,0; 3,0; 4,0 e 5,0 dS m-1) e as subparcelas aos regimes hídricos de 50 e 100% da evapotranspiração da cultura. O estresse salino afeta negativamente a altura de planta, número de folhas e massa seca da parte aérea, índices relativos de clorofila, transpiração e a temperatura foliar da cultura do amendoim. O regime hídrico de 100% da ETc proporcionou maiores desempenhos para as variáveis diâmetro do caule, número de folhas e massa seca da parte aérea da cultura do amendoim.

ABSTRACT Peanut crops are of great economic interest because their seeds are used as an important source of vegetable protein and edible oil. The objective of this study was to evaluate the physiological indices and growth of peanut crops subjected to saline and water stress. The experiment was conducted in Auroras, Redenção, Ceará, Brazil using a completely randomized split plot statistical design. The plots were composed of irrigation water treatments with varying levels of electrical conductivity - ECw (1.0, 2.0, 3.0, 4.0 and 5.0 dS m-1), while the subplots were formed by the water regimes of 50% and 100% crop evapotranspiration. Plant height, leaf number, shoot dry matter, relative chlorophyll level, transpiration, and leaf temperature were affected by salt stress. The water regime of 100% ETc provided better performance for the variables stem diameter, leaf number, and shoot dry mass of peanuts.

RESUMO Introdução A terminologia para disfunção neurogênica do trato urinário inferior em adultos (DNTUIA) deve ser definida e organizada com base clínica em um relatório de consenso. Métodos Este relatório foi criado por um Grupo de Trabalho sob o endosso e diretrizes do Standardization Steering Committee (SSC) da International Continence Society (ICS), auxiliado em intervalos por julgadores externos. Todas as definições relevantes para DNTUIA foram atualizadas com base em pesquisas nos últimos 14 anos. Um extenso processo de 18 rodadas de revisão interna e externa foi realizado para examinar exaustivamente cada definição, com tomada de decisão pela opinião coletiva (consenso). Resultados O Relatório de Terminologia para a DNTUIA, englobando 97 definições (42 novas e oito modificadas), foi desenvolvido. Este relatório é clinicamente baseado nos diagnósticos definidos mais comuns. Clareza e facilidade de uso têm sido os principais objetivos para torná-lo interpretável por profissionais e pessoas em treinamento em todos os diferentes grupos envolvidos não só na disfunção do trato urinário inferior, mas também em muitas outras especialidades médicas. Conclusão Baseado no consenso, o Relatório de Terminologia para a DNTUIA foi produzido para auxiliar na pesquisa e na prática clínica.

Abstract Heat transfer process in the soil active layer is important for the knowledge of its thermal properties linked with climate issues. The objective of this work was to analyze the energy flux in different soil profiles by estimating the apparent soil thermal diffusivity ($ATD$). The study was carried out in Keller Peninsula, located at King George Island in four different sites differing by soil characteristics, as well as vegetation coverage and landscape setting. The $ATD$ was estimated in function of the long-term hourly temperature records at different soil depths. In addition, we estimated the seasonal mean of the $ATD$ and the freezing $N$-factor. Results showed that $ATD$ values were smaller at shallow depths and increased with depth. The diffusivity values presented lower variability in colder conditions, especially at deeper soil layers. Water content was the main factor affecting soil thermal diffusivity at sites $1$ and $3$ (more than $70$ and $63\%$ of probability). At sites $3$ and $4$ lower $N$-factors were observed, suggesting higher snow pack and permafrost closer to the soil surface. Hence, positive $ATD$ appears in the summer due to thawing increases soil moisture, while negative $ATD$ appears during the freeze of the snow pack and precipitation.

Abstract During the last quarter of 2019, the beaches, mangroves, and estuaries of Northeast Brazil received an unprecedented volume of crude oil from the sea, which became the worst environmental disaster ever to reach the Brazilian coast. The oil, having reached the shores completely unnoticed, left both society and government agents completely clueless on (i) where the oil was coming from; (ii) how much oil was still in the ocean to reach the shorelines; and (iii) which beaches were going to be affected next! By exploring remote sensing data and ocean numerical modeling, along with oil dispersion chemistry on sea water, this study investigates the possible origin and path of the spill and whether it could have been detected from space. The oil dispersion modeling simulations performed for this investigation revealed a possible region and timing of the oil spill, also indicating the likelihood of it being advected toward the shoreline under the ocean surface.

Abstract Since the first reported case of COVID-19 in Brazil, the public and private educational system started to close. Up to November 2020, scientific discussions about the return of schooling activities have been rarely performed by the national scientific community and police-makers. The great delay of school returning in Brazil contrasts with successful international strategies of school reopening worldwide and seems counterintuitive with the reopening of non-essential activities. Here, important issues to be considered before and during school reopening are reviewed and discussed. COVID-19 testing is essential to avoid disease spreading, but high cost of individual RT-qPCRs impairs an extensive testing strategy for school returning. To reduce costs and increase the speed of diagnosis, we tested the efficiency of a pooled-sample PCR strategy in a cohort of the educational staff in the city of Macaé/RJ, finding five asymptomatic individuals (0,66%) among the 754 people tested. Thus, a polled-sample PCR testing strategy of the educational staff might prevent infection spreading in schools at a reasonable cost. We discuss how our test strategy could be coupled with internationally recognized safety rules to allow for a safe school return and how countries from different world regions are dealing with educational activities during COVID-19 pandemic.

Abstract This study aimed to evaluate the air and water contamination level and to identify the microbes isolated from a rodent facility located at the Federal University of Uberlândia, Minas Gerais, Brazil. Colony forming units (CFU) per milliliter was used for monitoring water quantitatively; CFU per cubic meter was used for air monitoring. The isolated colonies were identified for qualitative monitoring. Due to absence of specific parameters for these facilities, the results were analyzed according to Brazilian and international standards, depending on which best suited each sample. The mean total number of microorganisms in water ranged from 0.015 ± 0.02 to 0.999 ± 0.91 CFU/mL. The number of microorganisms in air ranged from 9.1 ± 4.6 to 351.56 ± 158.2 CFU/m³. Forty-one microorganisms identified in the samples obtained from the rodent facility were potentially pathogenic or opportunistic for animals and humans (e.g., Corynebacterium spp.). We concluded that the water and air samples were contaminated with potentially pathogenic or opportunistic microorganisms that can harm rodents and humans. On the basis of our observations, specific sanitary standards suitable for these facilities should be developed for controlling microbial contamination, which will prevent zoonosis and ensure the reliability of scientific results obtained from animal experiments.

RESUMO O objetivo deste estudo foi realizar a análise econômica e produtiva da cenoura em função de lâminas de irrigação e doses de adubo. Adotou-se o delineamento em blocos ao acaso, num esquema fatorial 6 × 4, com três repetições. Os tratamentos foram constituídos por seis lâminas de irrigação, equivalentes a: (L1: 210,5; L2: 315,7; L3: 421,0; L4: 526,2; L5: 631,5 e L6: 736,7 mm) e por quatro doses de adubo, equivalentes a: (F1: 226,9; F2: 340,3; F3: 453,8 e F4: 567,2 kg ha-1), aplicadas via fertirrigação. Ao final do ciclo, foram coletadas quatro raízes de cenoura por parcela, para estimar a produtividade. O rendimento máximo estimado da cenoura foi de 95,4 t ha-1, obtido com o emprego de 478,1 mm e 538,8 kg ha-1 de adubo. O melhor retorno econômico foi obtido com 482,0 mm de água e 460,0 kg ha-1 de adubo, obtendo 95,0 t ha-1. A combinação de irrigação com o adubo permite que seja utilizada menor quantidade de ambos, obtendo resposta superior em comparação com a aplicação isolada.

ABSTRACT This study aimed to carry out an economical and productive analysis of carrot production using different irrigation depths and doses of fertilizer. A randomized block design was used arranged in a 6 × 4 factorial scheme, with three replicates. The treatments were constituted by six irrigation depths: (L1: 210.5, L2: 315.7, L3: 421.0, L4: 526.2, L5: 631.5, and L6: 736.7 mm) and four doses of fertilizer: (F1: 226.9, F2: 340.3, F3: 453.8 and F4: 567.2 kg ha-1) applied via fertigation. At the end of the cycle, four carrot roots were collected per plot to estimate yield. The maximum estimated yield of the carrot was 95.4 t ha-1, obtained using 478.1 mm of water and 538.8 kg ha-1 of fertilizer. The best economic return was achieved with 482.0 mm of water and 460.0 kg ha-1 of fertilizer, giving 95.0 t ha-1. The combination of irrigation and fertilizer allows lesser amount of both to be used, giving greater response than when applied separately.

RESUMO O estresse provocado pelo déficit de água no solo tem sido um dos principais fatores que prejudicam o crescimento das plantas. O entendimento dos fatores relacionados ao comportamento das plantas daninhas em condições de estresse hídrico pode contribuir para a elaboração de estratégias eficientes de manejo. Dois experimentos foram realizados para avaliar os efeitos e duração do estresse hídrico sobre indicadores fisiológicos e de crescimento de Bidens pilosa L. e Bidens subalternans DC. O grau de estresse foi realizado avaliando-se quatro níveis de capacidade de vaso: 100, 75, 50 e 25%. A duração do estresse hídrico incluiu cinco tratamentos: 0, 1, 2, 3, 4, 5 e 6 dias de intervalo de irrigação. Os experimentos foram realizados em blocos casualizados, com seis repetições. Foram avaliadas a taxa fotossintética (A; μmol CO2 m-2), condutância estomática (gs; μmol H2O m-2 s-1), transpiração (E; mmol H2O m-2 s-1), número de folhas por plantas e matéria seca de raízes, caules, folhas e total. Os resultados demostraram que a B. pilosa e B. subalternans podem suportar condições de baixa disponibilidade hídrica no solo. Os mecanismos envolvidos para essa habilidade podem estar relacionados com a redução da abertura estomática e a perda de folhas pela planta. Porém, esses mecanismos poderão ocorrer apenas quando a disponibilidade hídrica no solo aproxima a valores de 25% da capacidade de campo. A B. subalternans teve maior sensibilidade a redução de água disponível do solo, demostrando uma maior redução na matéria seca de folha, caule e raiz comparado a B. pilosa.

ABSTRACT Stress caused by soil water deficit has been one of the main factors that inhibit plant growth. The knowledge of the factors related to the behavior of weed species under water stress conditions can contribute to the elaboration of effective control strategies. Two experiments were carried out to evaluate the effects of the degree and duration of water deficit on physiological and growth indicators of two weed species (Bidens pilosa L. and Bidens subalternans DC.). The stress degree was simulated by four soil moisture: 100, 75, 50, 25% of total soil capacity. The water deficit duration was evaluated by five intervals of water supply: 0, 1, 2, 3, 4, 5, and 6 days. The experiments were carried out in a randomized complete block design with six replicates. The evaluated variables were: the photosynthetic rate (A; μmol CO2 m-2), stomatal conductance (gs; μmol H2O m-2 s-1), transpiration (E; mmol H2O m-2 s-1), number of leaves per plant, and dry matter of the roots, stems, leaves, and total. The results showed that the species of B. pilosa and B. subalternans tolerate low water availability conditions. Low stomatal opening and loss of leaves are mechanisms that ensure the survival of Bidens plants to the water deficit. However, water stress close to 25% of field capacity caused the death of species. The B. subalternans had higher sensitivity to the water deficit, showing a lower dry matter of leaf, stem, and root than B. pilosa.

Abstract While the amount of telecommunications services grows rapidly in the whole world, humans get potentially more exposed to Non-Ionizing Radiation (NIR) from a number of different sources. Measurements of NIR levels are relevant in order to compare the results with national and international standards, aiming at the preservation of human health. Thus, it is of great interest to explore a variety of topics regarding this subject. Based on this need, this paper has a number of goals, including monitoring radiation levels in an everyday situation, an investigation of how national and international regulations organs address NIR levels and a demonstration of scientific production trends regarding this topic. The work also presents a bibliometric study about the main scientific productions and trends related to NIR measurements, with focus on the field of Telecommunications. The analysis is based on the databases of Web of Science (WOS) and Scopus, computing publications in the last 10 and 3 years, showing a trend evaluation. Among the main results from this exploratory investigation, there is an exponential growth in the number of publications about NIR, ranging from research in physics to medicine. The way research contribution in different countries is also shown, in order to support the relevance of the topic in defining new tendencies for new investigations. Furthermore, the NIR exposure limits and measurement criteria are presented both in Brazilian and in international norms, demonstrating how different national regulations can be when compared to international guidelines. Another contribution is a case study in Natal, Brazil, where NIR levels were monitored in four distinct locations over a period of 24 hours each and compared to the current regulations. The result is a quantitative analysis of the amount of radiation that some populations might be exposed to in distinct moments of the day. Measurements were carried out in the proximity of an antenna spot, since it could represent a source of high NIR levels (a worst case of human exposure). This campaign differs from older studies by including a more intense usage of microwaves frequencies due to operating 4G and pre-5G systems in Brazil. Finally, a statistical study involving the measurements is conducted, concluding the analysis of how some population groups might be affected by NIR.

Abstract Reintroducing apprehended wild animal in a natural environment is a complex process that involves many steps, including rehabilitating individuals and ensuring viable populations for reproduction; as such, the proportion between males and females to be reintroduced need to be considered carefully. The need of specialized techniques to identify sex on species that do not present discernible sexual dimorphisms can be a hardship to a successful reintroduction. Amazona aestiva, one of the most apprehended species on Brazil, is an example of such case, as sexing techniques employed for it often involves molecular or surgical procedures. Some authors, however, describe potential sexual dimorphisms that could be discernible to the human eye, one of those being an iris color dichromatism between males and females that could present a more conventional way to discern sex on this species. We analyzed the viability of sex identification by direct observation of iris sexual dichromatism, comparing suggestions by professionals familiarized with the species to molecular sexing by Polymerase Chain Reaction (PCR) and measuring color similarity between individuals using digital colorimetry. We found no significant correspondence between sex indication based on direct observation and molecular sexing results, and no relationship between iris color and sex by colorimetric analysis.

Resumo: O estudo teve com objetivos descrever as tendências na taxa de detecção de casos novos (TDCN) de hanseníase no Brasil em 2006-2017, global e por subgrupos, e analisar a evolução das características clínicas e terapêuticas dos pacientes, com ênfase nos casos diagnosticados com incapacidade física grau 2. Realizamos um estudo descritivo par analisar casos novos de hanseníase registrados no Sistema de Informação de Agravos de Notificação (SINAN), 2006-2017. Calculamos a TDCN de hanseníase por 100.000 habitantes (global e para indivíduos < 15 e ≥ 15 anos de idade) por sexo, idade, raça/etnicidade, área urbana/rural e macrorregião do Brasil e estimamos as tendências com o teste não paramétrico de Mann-Kendall. Analisamos as distribuições de casos de acordo com características clínicas relevantes ao longo do tempo. No Brasil, houve uma queda marcante na TDCN global, de 23,4/100.000 em 2006 para 10,3/100.000 em 2017; entre crianças < 15 anos, de 6,94 para 3,20/100.000. A queda foi consistente em todas a regiões brasileiras e em todas as categorias de raça/etnicidade. Até 2017, 70,2% dos casos eram multibacilares, 30,5% apresentavam incapacidades físicas grau 1 (G1D) ou grau 2 (G2D) ao diagnóstico e 42,8% não foram avaliados ao encerramento do tratamento ou alta; os casos com G2D ao diagnóstico foram detectados majoritariamente nas áreas urbanas (80%), e 5% dos casos faleceram durante o tratamento (devido à hanseníase ou por outras causas). Embora a frequência da TDCN da hanseníase tenha diminuído no Brasil entre 2006 e 2017 em todos os grupos avaliados, o número grande de casos com hanseníase multibacilar, incapacidades físicas ou sem avaliação adequada e entre crianças sugere a necessidade de reforçar o diagnóstico e tratamento oportunos para controlar a hanseníase no Brasil.

Abstract: Our study aims to describe trends in new case detection rate (NCDR) of leprosy in Brazil from 2006 to 2017 overall and in subgroups, and to analyze the evolution of clinical and treatment characteristics of patients, with emphasis on cases diagnosed with grade 2 physical disabilities. We conducted a descriptive study to analyze new cases of leprosy registered in the Brazilian Information System for Notificable Diseases (SINAN), from 2006-2017. We calculated the leprosy NCDR per 100,000 inhabitants (overall and for individuals aged < 15 and ≥ 15 years) by sex, age, race/ethnicity, urban/rural areas, and Brazilian regions, and estimated the trends using the Mann-Kendall non-parametric test. We analyzed the distributions of cases according to relevant clinical characteristics over time. In Brazil, there was a sharp decrease in the overall NCDR from 23.4/100,000 in 2006 to 10.3/100,000 in 2017; among children < 15 years, from 6.94 to 3.20/100,000. The decline was consistent in all Brazilian regions and race/ethnicity categories. By 2017, 70.2% of the cases were multibacillary, 30.5% had grade 1 (G1D) or 2 (G2D) physical disabilities at diagnosis and 42.8% were not evaluated at treatment completion/discharge; cases with G2D at diagnosis were mostly detected in urban areas (80%) and 5% of cases died during the treatment (leprosy or other causes). Although the frequency of leprosy NCDR decreased in Brazil from 2006 to 2017 across all evaluated population groups, the large number of cases with multibacillary leprosy, physical disabilities or without adequate evaluation, and among children suggest the need to reinforce timely diagnosis and treatment to control leprosy in Brazil.

Resumen: Se realizó este trabajo con el fin de describir la tendencia general y en subgrupos de la tasa de detección de nuevos casos de lepra (NCDR por sus siglas en inglés) en Brasil, entre 2006-2017, así como para analizar la evolución de las características clínicas y de tratamiento de los pacientes, con énfasis en los casos diagnosticados con un grado 2 de discapacidad física. Realizamos un estudio descriptivo para analizar los nuevos casos de lepra registrados en el Sistema Brasileño de Información de Enfermedades de Notificación (SINAN), 2006-2017. Calculamos la NCDR de lepra por cada 100.000 habitantes (general e individuos con una edad < 15 y ≥ 15 años) por sexo, edad, raza/etnicidad, áreas urbanas/rurales y regiones brasileñas, y estimamos las tendencias usando el test no paramétrico de Mann-Kendall. Analizamos las distribuciones de casos según las características clínicas relevantes a lo largo del tiempo. En Brasil, hubo una drástica disminución en general de NCDR de los 23,4/100.000 en 2006, a los 10,3/100.000 en 2017; entre niños < 15 años, desde los 6,94 a los 3,20/100.000. El decremento fue consistente en todas las regiones brasileñas y categorías de raza/etnicidad. En 2017, un 70,2% de los casos fueron multibacilares, un 30,5% tenían grado 1 (G1D) o 2 (G2D) discapacidad física en el diagnóstico y un 42,8% no fueron evaluados al completar el tratamiento/ser dados de alta; casos con G2D en el diagnóstico fueron en su mayoría detectados en áreas urbanas (80%) y un 5% de los casos murieron durante el tratamiento (lepra u otras causas). A pesar de la frecuencia de lepra los NCDR decrecieron en Brasil de 2006 a 2017, a través de todos los grupos de población evaluados, el elevado número de casos con lepra multibacilar, discapacidad física o sin una adecuada evaluación, y entre niños sugiere la necesidad de reforzar a tiempo el diagnóstico y tratamiento para controlar la lepra en Brasil.