Leprosy in urban space, areas of risk for disability and worsening of this health condition in Foz Do Iguacu, the border region between Brazil, Paraguay and Argentina

Autor(es):Mostrar menos -

de Assis, Ivaneliza Simionato ^{[1, 2]} ; Berra, Thais Zamboni ^[1] ; Alves, Luana Seles ^[1] ; Ramos, Antonio Carlos Viera ^[1] ; Arroyo, Luiz Henrique ^[1] ; dos Santos, Danielle Talita ^[3] ; Arcoverde, Marcos Augusto Moraes ^[3] ; Alves, Josilene Dalia ^[4] ; de Almeida Crispim, Juliane ^[1] ; Pieri, Flavia Meneguetti ^[5] ; Frade, Marco Andrey Cipriani ^[6] ; Pinto, Ione Carvalho ^[1] ; Nunes, Carla ^[7] ; Arcencio, Ricardo Alexandre ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Nursing Coll Ribeirao Preto, Ribeirao Preto, SP - Brazil

^[2] Univ Ctr Dinam Cataratas, Foz Do Iguacu, Parana - Brazil

^[3] State Univ West Parana UNIOESTE, Foz Do Iguacu, Parana - Brazil

^[4] Fed Inst Mato Grosso, Barra Do Garcas, MG - Brazil

^[5] Univ Estadual Londrina, Londrina, Parana - Brazil

^[6] Univ Sao Paulo, Med Sch, Ribeirao Preto, SP - Brazil

^[7] Univ Nova Lisboa, Escola Nacl Saude Publ, Lisbon - Portugal

• Tipo de documento: Artigo Científico
• Fonte: BMC PUBLIC HEALTH; v. 20, n. 1 JAN 29 2020.
• Citações Web of Science: 0

Resumo

Background Leprosy is a public health problem and a challenge for endemic countries, especially in their border regions where there are intense migration flows. The study aimed to analyse the dynamics of leprosy, in order to identify areas of risk for the occurrence of the disease and disability and places where this health condition is worsening. Method This ecological study considered the new cases of leprosy reported in the municipality of Foz do Iguacu from 2003 to 2015. Spatial and spatial-temporal scan statistics were used to identify the risk areas for the occurrence of leprosy, as well as the Getis-Ord Gi and Getis-Ord Gi{*} methods. Areas of risk for disabilities were identified by the scan statistic and kernel density estimation. Results A total of 840 cases were reported, of which 179 (21.3%) presented Grade 1 or 2 disabilities at the time of diagnosis. Leprosy risk areas were concentrated in the Southern, Eastern and Northeastern Health Districts of the municipality. The cases of Grade 2 disability were observed with higher intensity in regions characterized by high population density and poverty. Conclusion The results of the study have revealed changes in the pattern of areas at risk of leprosy according to the investigated periods. In addition, it was possible to verify disabilities as a condition present in the investigated cases, or that may be related to the late diagnosis of the disease. In the areas of risk identified, patients have reported worse physical disability after diagnostic confirmation, or indicate inadequate clinical examination, reinforcing the need for structuring leprosy control services in a qualified manner. (AU)

• Processo FAPESP: 15/17586-3 - A mortalidade por tuberculose e sua relação com as iniquidades sociais: um estudo multicêntrico
• Beneficiário: Ricardo Alexandre Arcêncio
• Modalidade de apoio: Auxílio à Pesquisa - Regular