Epidemiological trends of leprosy in Goiás, Brasil

Silva, Camila Rodrigues da; Sampaio, Lucas Henrique Ferreira; Souza, João Paulo Francisco de; Caetano, Gabriela Tayrine Pereira; Wastoswki, Isabela Jubé

doi:10.1590/1413-812320202510.31022018

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Sumário

ARTIGO • Ciênc. saúde coletiva 25 (10) • Oct 2020 • https://doi.org/10.1590/1413-812320202510.31022018 copy

Epidemiological trends of leprosy in Goiás, Brasil

Tendências epidemiológicas da hanseníase em Goiás, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Brazil is the second nation in absolute number of new cases of leprosy in the world. The country presents many regions highly endemic to the disease, as is the case of the Goiás. The present study aims to analyze the temporal trends of leprosy indicators in Goiás between 2006 and 2015. This study showed a significant trend of decline for the coefficient of detection. Although the central-western region of the state presented the highest absolute number of cases, the Northeast of the state presents the worst epidemiological situation, with an increase in the number of cases of patients with physical disabilities and those under 14 years of age. The data also showed that there is an increase in the cases of patients with physical deformities in almost all macroregions of the state, indicative of late diagnosis. It is very important that there is a more effective and continuous training of the health professionals of the non-centralized units, for a real control of leprosy as a public health problem in the state. In addition, special attention should be given to the poorer regions of the state, which have shown a tendency to increase the diagnosis of patients younger than 14 years and with physical disabilities caused by leprosy.

Key words
Public health; Endemic diseases; Time series studies; Decentralization

Indicator	Model	R²2 Brasil. Ministério da Saúde (MS). Caracterização da Situação epidemiológica da hanseníase e diferenças por sexo, Brasil, 2012- 2016. Boletim epidemiológico 2018; 22(1):1-55.	Value of P	Trend
General Detection Coefficient	$y = 19.15 - 0.302 X$	0,970	< 0,001	Decreasing
Coefficient of detection in children under 14 years	$y = 9.858 - 0.4417 X$	0,493	0,014	Decreasing
Coefficient of detection with degree 2 of physical disability	$y = 17.393 - 4.2226 X$	0,690	0,002	Decreasing
Proportion of cases with grade 1 of physical disability	$y = 541.5 - 8049.3 X + 47017.3 X^{2} - 89390.1 X^{3}$	0,204	0,253	Stability
Proportion of cases with grade 2 of physical disability	$y = - 151.72 + 5115.77 X - 41145.22 X^{2}$	0,324	0,105	Stability
Proportion of multibacillary cases	$y = - 18.08 + 31.48 X$	0,325	0,050	Stability
Proportion of paucibacillary cases	$y = 37.94 - 139.18 X$	0,347	0,043	Stability
General detection by macro-regions of health
Central-West	$y = 16.05 - 0.22719 X$	0,953	<0,001	Decreasing
Northeast	$y = - 2102.2 + 285 X - 127.72 X^{2} + 18.97 X^{3}$	0,224	0,650	Stability
North-Central	$y = 17.28 - 0.1714 X$	0,821	<0,001	Decreasing
Southwest	$y = 16.1841 - 0.2858 X$	0,776	<0,001	Decreasing
Center-Southeast	$y = 18.02 - 0.2523$	0,912	<0,001	Decreasing
Detection in children under 14 years of age
Central-West	$y = 7.184 - 0.162 X$	0,130	0,164	Decreasing
Northeast	$y = 1.77 + 0.6621 X$	0,361	0,039	Growing
North-Central	$y = 11.291 - 0.411 X$	0,892	< 0,001	Decreasing
Southwest	$y = 10.101 - 0.6672 X$	0,834	< 0,001	Decreasing
Center-Southeast	$y = 9.24 - 0.3297 X$	0,602	0,005	Decreasing
Case Detection with Grade 1
Central-West	$y = 10.230 - 1.122 X$	0,810	0,001	Decreasing
Northeast	$y = 9.456 + 1.654 X$	0,646	0,051	Growing
North-Central	$y = 8.765 + 1.112 X$	0,791	0,030	Growing
Southwest	$y = 12.449 + 2.804 X$	0,788	0,001	Growing
Center-Southeast	$y = y = - 17.06 + 29.47 X$	0,591	0,073	Stability
Case Detection with Grade 2
Central-West	$y = 12.369 - 2.828 X$	0,720	0,001	Decreasing
Northeast	$y = 102.36 - 170.63 X + 941.574 X^{2} - 1654.329 X^{3}$	0,545	0,054	Stability
North-Central	$y = 15.187 - 2.158 X$	0,397	0,030	Decreasing
Southwest	$y = 12.449 - 2.804 X$	0,762	0,001	Decreasing
Center-Southeast	$y = 12.2994 - 1.81606 X - 0.02606 X^{2} - 0.03465 X^{3}$	0,492	0,073	Stability

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[1] Collaborations

The project was designed and designed by CR Silva, the guiders were IJ Wastoswki and LHF Sampaio. Data collection was performed by CR Silva. The data were statistically analyzed by JPF Souza and LHF Sampaio. The manuscript was written by CR Silva, GTP Caetano, IJ Wastoswki and LHF Sampaio.