@article{94007,
  author = {Monteiro LD and Martins-Melo FR and Pires B},
  title = {Temporal trends and spatial distribution of leprosy-related mortality in the state of Tocantins, Brazil, 2000-2015.},
  abstract = {<p>Objective to describe temporal trends and spatial distribution patterns of leprosy-related deaths in the state of Tocantins, Brazil, 2000-2015. Methods this study was based on Mortality Information System (SIM) data; mortality coefficient temporal trend analysis was performed using joinpoint regression and descriptive spatial analysis, taking the state's 139 municipalities as geographic units of analysis. Results 201 leprosy-related deaths were identified in Tocantins; average mortality coefficient was 0.7 deaths/100,000 inhabitants; mortality tended to increase significantly (5.4% Annual Percentage Change - 95% CI 2.0; 8.9); the average annual crude mortality coefficient ranged from 0.00 to 6.83 deaths/100,000 inhabitants, while the smoothed indicator ranged from 0.00 to 2.42 deaths/100,000 inhabitants. Conclusion leprosy mortality showed a rising trend and heterogeneous spatial distribution in Tocantins, with the need to strengthen leprosy surveillance and control measures.</p>},
  year = {2020},
  journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
  volume = {29},
  pages = {e2018336},
  month = {01/2020},
  issn = {2237-9622},
  url = {https://www.scielosp.org/article/ress/2020.v29n3/e2018336/pt/},
  doi = {10.5123/s1679-49742020000300003},
  language = {eng},
}