OBJECTIVE: To analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance.
METHODS: This was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil.
RESULTS: A total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004).
CONCLUSION: Operational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.
BT - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil C1 - https://www.ncbi.nlm.nih.gov/pubmed/32756826 DA - 01/2020 DO - 10.5123/s1679-49742020000400004 IS - 4 J2 - Epidemiol Serv Saude LA - eng N2 -OBJECTIVE: To analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance.
METHODS: This was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil.
RESULTS: A total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004).
CONCLUSION: Operational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.
PY - 2020 EP - e2019465 T2 - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil TI - Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil. UR - https://www.scielo.br/pdf/ress/v29n4/en_2237-9622-ress-29-04-e2019465.pdf VL - 29 SN - 2237-9622 ER -