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

BMC Public Health

Carla Nunes¹  Josilene Dália Alves²  Marco Andrey Cipriani Frade³  Juliane de Almeida Crispim⁴  Thais Zamboni Berra⁴  Luana Seles Alves⁴  Antônio Carlos Viera Ramos⁴  Luiz Henrique Arroyo⁴  Ivaneliza Simionato de Assis⁴  Ricardo Alexandre Arcêncio⁴  Ione Carvalho Pinto⁴  Flávia Meneguetti Pieri⁵  Danielle Talita dos Santos⁶  Marcos Augusto Moraes Arcoverde⁶ 

[1] Escola Nacional de Saúde Pública, Universidade Nova de Lisboa;Federal Institute of Mato Grosso;Medical School, University of São Paulo;Nursing College of Ribeirão Preto, University of São Paulo;State University of Londrina;State University of West Paraná-UNIOESTE;

关键词: Leprosy;    Spatial analysis;    Border region;   

DOI  :  10.1186/s12889-020-8236-5

来源: DOAJ

【 摘 要 】

Abstract 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 Iguaçu 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.

【 授权许可】

Unknown