01562nas a2200337 4500000000100000008004100001260001700042653001500059653001000074653002100084653001100105653001000116653002100126653002500147653002100172653001100193653001100204653001100215653002000226653001200246653000900258653001600267653002100283100001700304700001400321245012200335300001100457490000700468520073500475022001401210 2003 d c2003 Mar-Apr10aAdolescent10aAdult10aAge Distribution10aBrazil10aChild10aChild, Preschool10aDisease Notification10aEndemic Diseases10aFemale10aHumans10aInfant10aInfant, Newborn10aleprosy10aMale10aMiddle Aged10aSex Distribution1 aFigueiredo I1 aSilva AAM00a[Increase in leprosy detection rates in São Luís, Maranhão, Brazil, from 1993 to 1998: is the endemic expanding?]. a439-450 v193 a

A descriptive epidemiologic study on the detection of new leprosy cases was conducted in São Luís, Maranhão, Brazil, from 1993 to 1998. A database was created for the purpose, covering 2,796 reported cases. General detection rates were calculated, as well as specific rates by gender, clinical type, and age group. Linear, exponential, geometric, and log adjustment models were performed to analyze time trends in the disease. An increase in detection was observed, involving mostly female and paucibacillary cases, mainly of tuberculoid leprosy. The increase in detection was most evident in the 15 to 19 year-old population. The percentage of detection under 15 indicated the need for active case search in this group.

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