Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities
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 h...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Tropical Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/812793 |
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| author | Francisco Carlos Félix Lana Angélica da Conceição Oliveira Coelho Fabri Fabiana Nascimento Lopes Ana Paula Mendes Carvalho Fernanda Moura Lanza |
| author_facet | Francisco Carlos Félix Lana Angélica da Conceição Oliveira Coelho Fabri Fabiana Nascimento Lopes Ana Paula Mendes Carvalho Fernanda Moura Lanza |
| author_sort | Francisco Carlos Félix Lana |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-55949f405df148749063f8ba338cf330 |
| institution | Kabale University |
| issn | 1687-9686 1687-9694 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Tropical Medicine |
| spelling | doaj-art-55949f405df148749063f8ba338cf3302025-02-03T01:21:12ZengWileyJournal of Tropical Medicine1687-96861687-96942013-01-01201310.1155/2013/812793812793Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian MunicipalitiesFrancisco Carlos Félix Lana0Angélica da Conceição Oliveira Coelho Fabri1Fabiana Nascimento Lopes2Ana Paula Mendes Carvalho3Fernanda Moura Lanza4Nursing School, Federal University of Minas Gerais, Avenida Alfredo Balena, 190/402, Santa Efigênia, 30130-100 Belo Horizonte, MG, BrazilNursing School, Federal University of Minas Gerais, Avenida Alfredo Balena, 190/402, Santa Efigênia, 30130-100 Belo Horizonte, MG, BrazilNursing School, Federal University of Minas Gerais, Avenida Alfredo Balena, 190/402, Santa Efigênia, 30130-100 Belo Horizonte, MG, BrazilNursing School, Federal University of Minas Gerais, Avenida Alfredo Balena, 190/402, Santa Efigênia, 30130-100 Belo Horizonte, MG, BrazilNursing School, Federal University of São João DelRei, Rua Sebastião Gonçalves Coelho, 400, Chanadour, 35501-293 Divinópolis, MG, BrazilThe 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.http://dx.doi.org/10.1155/2013/812793 |
| spellingShingle | Francisco Carlos Félix Lana Angélica da Conceição Oliveira Coelho Fabri Fabiana Nascimento Lopes Ana Paula Mendes Carvalho Fernanda Moura Lanza Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities Journal of Tropical Medicine |
| title | Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities |
| title_full | Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities |
| title_fullStr | Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities |
| title_full_unstemmed | Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities |
| title_short | Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities |
| title_sort | deformities due to leprosy in children under fifteen years old as an indicator of quality of the leprosy control programme in brazilian municipalities |
| url | http://dx.doi.org/10.1155/2013/812793 |
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