01912nas a2200205   4500000000100000008004100001653002300042653001400065653001700079653001600096653000900112100001600121700001400137700001500151245008500166856007000251300001000321490000700331520136800338       2012                            d10aleprosy prevalence10aIncidence10aEpidemiology10aCumanayagua10aCuba1 aPereira FIH1 aLópez GM1 aJuviel AIF00a[Epidemiology of leprosy in Cumanayagua (2006-2011): retrospective cohort study]  uhttp://www.mednet.cl/link.cgi/Medwave/Estudios/Investigacion/5578  ae55780 v123 aIntroduction. Hansen's disease is currently a health problem in the municipality of Cumanayagua. Objective. To describe the epidemiology of this condition. Methods. Retrospective, descriptive study of leprosy in the Municipality of Cumanayagua, Cuba, from 2006 to 2011. Study universe are all cases occurring during this period and are consistent with the sample. Data were obtained from the Municipal Center for Hygiene and Epidemiology records, as well as from the survey conducted by the National Leprosy Control for each new case. The results were analyzed with SPSS 15.0, and are presented in tables. Results. Incidence was silent during prolonged periods of the study phase with a marked rise in in 2009. Females were affected most by leprosy during the selected study period reaching 54.2% of the total sample. Indeterminate leprosy and tuberculoid leprosy predominated, with respective rates of 37.5% and 29.1%. In 41.6% of leprosy patients, over a year elapsed between the onset of symptoms and diagnosis. 83.3% of patients spontaneously went to the doctor for diagnosis while only 4.2% were diagnosed through contact tracing. Multibacillary leprosy prevailed in 62.5% of cases. Conclusion. In 2009, there was evidence of a significant increase in the incidence of leprosy in the municipality under study reaching a rate of 15.0 per 100,000 inhabitants.