01980nas a2200289 4500000000100000008004100001260003400042653001100076653003100087653002600118653002600144653001100170653001200181100001900193700001400212700001500226700001200241700001500253700001300268700001900281245005300300856004900353300001100402490000700413520125600420022001401676 2011 d c2011 SepbABRASCOaSao Paulo 10aBrazil10aEmigration and Immigration10aHistory, 20th Century10aHistory, 21st Century10aHumans10aleprosy1 aMagalhães MCC1 aSantos ES1 aQueiroz ML1 aLima ML1 aBorges RCM1 aSouza MS1 aNovaes Ramos A00a[Migration and Hansen's disease in Mato Grosso]. uhttp://www.scielo.br/pdf/rbepid/v14n3/04.pdf a386-970 v143 a

Studies on medical geography about leprosy discuss the role of the detailed report of the occupation of the territories as a basis of the permanence of leprosy focus. In Brazil, the states that present the highest rates of detection historically are in the Amazon region, which shows an uneven regional evolution of the disease. This paper analyzes the evolution of leprosy contextualizing the migratory processes that occurred in the State of Mato Grosso since the second half of the 20th century. The economic dynamism that occurred in the State in the 1970s, 1980s and 1990s caused population growth rates higher than the national average. The data analyzed permitted an association between the evolution of leprosy and the process of occupation of the mato-grossense territory. However, the permanence of leprosy in the municipalities of the Baixada Cuiabana, as well as in other municipalities that lost population, seem to point to the existence of geographic contexts of different vulnerability to the social production of the disease in the tate. The migration would explain the appearance and evolution of leprosy. However, we consider that the maintenance of the endemic can be associated to contextual factors related to environment.

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