@article{172,
  keywords = {Brazil, Conservation of Natural Resources, Disease Reservoirs, Family Characteristics, Human Development, Humans, Incidence, leprosy, Microbial Viability, Models, Theoretical, Mycobacterium leprae, Residence Characteristics, Sanitary Engineering, Social Conditions, Water Supply},
  author = {Silva DRX and Ignotti E and Souza-Santos R and Hacon SS},
  title = {[Hansen's disease, social conditions, and deforestation in the Brazilian Amazon].},
  abstract = {<p><b>OBJECTIVE: </b>To analyze the association between social and environmental indicators and the Hansen's disease new case detection rate (HNCDR) in the Brazilian Amazon.</p><p><b>METHODS: </b>This ecological study was based on the new cases of Hansen's disease reported to the Brazilian Disease Surveillance System SINAN in 2006. Analyses were performed considering 105 micro-regions formed by adjacent municipalities with economic and social similarities. HNCDRs per 10 000 people were calculated. Independent variables were total area deforested (km(2)) in each micro-region until 2006; proportion of people living in households with rudimentary septic tanks; proportion of people living in households with water supply from wells; and human development index (HDI) in 2000. Local empirical Bayes smoothing was applied to HNCDR. Analyses were carried out to determined correlations and differences between means (analysis of variance) for a significance level of 5%. The Kernel technique was used to investigate the geographic distribution of events of interest for all the study indicators.</p><p><b>RESULTS: </b>A positive correlation was observed between HNCDR and total deforested area (r = 0.50; P < 0.000) and percent of households with rudimentary septic tanks (r = 0.49; P < 0.000). HDI was inversely correlated with HNCDR: the higher the HDI, the lower the HNCDR (r = -0.36; P < 0.000). Considering the entire region, proportion of households with water from wells was not associated with NCDR.</p><p><b>CONCLUSIONS: </b>The Hansen's disease new case detection rate, which reflects the magnitude of disease, is associated with social conditions and land settlement practices in the Brazilian Amazon.</p>},
  year = {2010},
  journal = {Revista panamericana de salud publica = Pan American journal of public health},
  volume = {27},
  pages = {268-75},
  month = {2010 Apr},
  issn = {1680-5348},
  url = {http://www.scielosp.org/pdf/rpsp/v27n4/a05v27n4.pdf},
  doi = {10.1590/s1020-49892010000400005},
  language = {por},
}