TY - JOUR
KW - Public Health, Environmental and Occupational Health
AU - Rocha MCN
AU - Nobre ML
AU - Garcia LP
AB - <p><bold>Objective.</bold> To describe the temporal trends of leprosy indicators among the elderly in Brazil in 2001 – 2018.</p>
<p><bold>Methods.</bold> This was an ecological time-series study of new leprosy cases in the elderly reported to the Notifiable Diseases Information System. Prais-Winsten generalized linear regression was used to estimate temporal variations.</p>
<p><bold>Results.</bold> There were 687 317 new leprosy cases in Brazil from 2001 – 2018, of which 129 214 (18.8%) were among elderly people. Overall detection rates in the elderly and of new cases with grade-2 disability showed a falling trend, with an annual percent change of -4.6% (95%CI = -5.1 to -4.0) and -3.9% (95%CI = -4.6 to -3.2). New case and new multibacillary case proportions showed an increasing trend, with an annual percent change of 2.9% (95%CI = 2.6 to 3.3) and 1.4% (95%CI = 1.0 to 1.7), respectively. Detection rates for new leprosy cases in elderly people in Brazil are decreasing, but the proportion of new cases and multibacillary cases are trending upwards.</p>
<p><bold>Conclusions.</bold> New cases are shifting to older age groups, and demographic transition and immunosenescence are an influence. Inadequate reduction of grade-2 disability indicates a high risk of physical disability persists. Improved contact tracing and more effective action are needed in this age group.</p>
BT - Revista Panamericana de Salud Pública
DO - 10.26633/rpsp.2020.12
N2 - <p><bold>Objective.</bold> To describe the temporal trends of leprosy indicators among the elderly in Brazil in 2001 – 2018.</p>
<p><bold>Methods.</bold> This was an ecological time-series study of new leprosy cases in the elderly reported to the Notifiable Diseases Information System. Prais-Winsten generalized linear regression was used to estimate temporal variations.</p>
<p><bold>Results.</bold> There were 687 317 new leprosy cases in Brazil from 2001 – 2018, of which 129 214 (18.8%) were among elderly people. Overall detection rates in the elderly and of new cases with grade-2 disability showed a falling trend, with an annual percent change of -4.6% (95%CI = -5.1 to -4.0) and -3.9% (95%CI = -4.6 to -3.2). New case and new multibacillary case proportions showed an increasing trend, with an annual percent change of 2.9% (95%CI = 2.6 to 3.3) and 1.4% (95%CI = 1.0 to 1.7), respectively. Detection rates for new leprosy cases in elderly people in Brazil are decreasing, but the proportion of new cases and multibacillary cases are trending upwards.</p>
<p><bold>Conclusions.</bold> New cases are shifting to older age groups, and demographic transition and immunosenescence are an influence. Inadequate reduction of grade-2 disability indicates a high risk of physical disability persists. Improved contact tracing and more effective action are needed in this age group.</p>
PB - Pan American Health Organization
PY - 2020
EP - 1
T2 - Revista Panamericana de Salud Pública
TI - Temporal trend of leprosy among the elderly in Brazil, 2001 – 2018
UR - http://iris.paho.org/xmlui/handle/123456789/51861
VL - 44
SN - 1020-4989, 1680-5348
ER -