02428nas a2200277   4500000000100000008004100001260001800042653001700060100001800077700001800095700001700113700001400130700001300144700001500157700001600172700001600188700001500204700001400219700001400233700001800247245008500265856008300350300001200433520168700445020001802132       2020                            d  bAtena Editora10aEpidemiology1 aFeitosa JBBCD1 aFeitosa JGBCD1 aRodrigues YC1 aRolim JFG1 aMaluf CS1 aRibeiro VC1 aPereira EAL1 aFreitas ACM1 aPereira FC1 aSilva ACC1 aSilva ACC1 aLacerda EMDCB00aPERFIL EPIDEMIOLÓGICO DE SUBNOTIFICAÇÃO DA HANSENÍASE NO ESTADO DO TOCANTINS  uhttps://www.finersistemas.com/atenaeditora/index.php/admin/api/artigoPDF/37814  a145-1523 aLeprosy is a compulsive notifiable disease, caused by Mycobacterium leprae, affecting mainly the peripheral nerves, eyes and skin. The disease affects people of any sex or age group, advancing slowly and progressively and, when untreated, can cause deformities and often irreversible physical disabilities. The study outlines the cases of leprosy underreporting investigated in 2018, in the state of Tocantins, considering clinical form and classification. A cross-sectional quantitative epidemiological study, using the database of the National System of Epidemiological Surveillance of the Ministry of Health and the SUS Department of Informatics (DATASUS), selected the state of Tocantins in 2018. The variables surveyed were: clinical form and classification. During the year of 2018, a total of 5,292 patients with leprosy were recorded, with cases under-reported being 42.25%, unspecified cases are excluded. The dysmorph clinical form presents higher rate of ignored cases (50.2%), followed by Indeterminate with 19.7%. The clinical forms, Virchowian and Tuberculoid, had respectively 18.3% and 11.6% ignored cases of the disease. Among the underreported cases, those with nerve damage, the forms were: 96% paucibacillary (less than or equal to 5 affected nerves) and 3.9% multibacillary (more than 5 affected nerves). Although it is a compulsory notification disease, it is a public health problem in Brazil. The diagnosis is essentially made in the Basic Health Services, so it is important for the health team to broaden the scope of enlightening actions, pointing to the prevention and clinical signs of leprosy in order to obtain an early diagnosis and better prognosis.  a9786557062883