@article{94274,
  author = {Nzundu Boigny R and Amorim de Souza E and Ferreira AF and Cruz J and García GSM and Prado N and Silva GV and Barbosa JC and da Silva R and de Oliveira M and Nobre ML and Júnior ANR},
  title = {Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil.},
  abstract = {<p><b>OBJECTIVE: </b>To analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance.</p><p><b>METHODS: </b>This was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil.</p><p><b>RESULTS: </b>A total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004).</p><p><b>CONCLUSION: </b>Operational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.</p>},
  year = {2020},
  journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
  volume = {29},
  pages = {e2019465},
  month = {01/2020},
  issn = {2237-9622},
  url = {https://www.scielo.br/pdf/ress/v29n4/en_2237-9622-ress-29-04-e2019465.pdf},
  doi = {10.5123/s1679-49742020000400004},
  language = {eng},
}