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PERFIL EPIDEMIOLÓGICO DE SUBNOTIFICAÇÃO DA HANSENÍASE NO ESTADO DO TOCANTINS

Abstract
Leprosy 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.

More information

Type
Book Chapter
Author
Feitosa JBBCD
Feitosa JGBCD
Rodrigues YC
Rolim JFG
Maluf CS
Ribeiro VC
Pereira EAL
Freitas ACM
Pereira FC
Silva ACC
Silva ACC
Lacerda EMDCB
Keywords
Year of Publication
2020
Book Title
Avanços na Neurologia e na sua Prática Clínica 3
Chapter
15
Number of Pages
145-152
Language
por
Publisher
Atena Editora
ISBN Number
9786557062883
DOI
10.22533/at.ed.88320120815
Publication Language
por