Epidemiological aspects of Leprosy under 15 years old diagnosed at a referral center in the South of Brazil, between 2007-2017

a tendency to change in the detection of new cases?

Authors

  • Kenselyn Oppermann Ambulatório de Dermatologia Sanitária de Porto Alegre
  • Cristiane dos Santos Salvi Ambulatório de Dermatologia Sanitária de Porto Alegre
  • Hellen Marie Casali Ambulatório de Dermatologia Sanitária de Porto Alegre
  • Paulo Cezar de Moraes Ambulatório de Dermatologia Sanitária de Porto Alegre
  • Cristiane Almeida Soares Cattani Ambulatório de Dermatologia Sanitária de Porto Alegre
  • Letícia Maria Eidt Ambulatório de Dermatologia Sanitária de Porto Alegre

DOI:

https://doi.org/10.47878/hi.2018.v43.34607

Keywords:

Leprosy, Child, Mycobacterium Leprae

Abstract

Setting: Leprosy (Hansen’s disease) is an infectious and contagious disease, which presents tropism on the skin and peripheral nerves, and its late diagnosis can lead to serious physical and emotional disabilities. Leprosy in children is considered one of the main indicators of the disease trend and suggests intense circulation of Mycobacterium leprae. Methods: A retrospective, observational and analytical study was conducted of 18 children, diagnosed as new cases of Leprosy and registered for treatment at the Ambulatory of Sanitary Dermatology, Porto Alegre, Brazil. The medical and socio-demographic details were obtained from the Information System for Notificable Diseases. Results: During 2007-2017, 478 people were diagnosed as new active cases of Leprosy at our referral center; among the registered patients, 18 (3,76%) were children aged under 15 years, of whom 15 (83,3%) were diagnosed with multibacillary disease and just one was reported with grade 2 of disability (G2D). Between new cases under 15 years of age, seven were detected in 2017. Nearly 11% of the sample developed reactions during the follow-up period; 61,1% were between 10 to 14 years old. Household contacts were identified in 77,7% of the patients. Conclusion: This study shows that despite the more favourable situation in the South of Brazil, the increase in Leprosy incidence in 2017 in individuals under 15 years may reveal a change in the trend of the disease and in the detection of the new cases of the Hansen’s disease in Rio Grande do Sul, Brazil.

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References

1. Oliveira MBB, Diniz LM. Leprosy among children under 15 years of age: literature review. An Bras Dermatol. 2016;91(2):196-203. doi: 10.1590/abd1806-4841.20163661.

2. Santos VS, Santos LC, Lôbo LV, Lemos LM, Gurgel RQ, Cuevas LE. Leprosy and disability in children younger than 15 years in an endemic área of northeast Brazil. Pediatr Infect Dis J. 2015;34(3):e44-7.doi: 10.1097/INF.0000000000000592.

3. Darlong J, Govindharaj P, Darlong F, Mahato N. A study of untreated leprosy affected children reporting with Grade 2 disability at a referral centre in West Bengal, India. Lep Rev [Internet]. 2017 [cited 2018 Jan 09];88(3):298–305.
Available from: https://leprosyreview.org/article/88/3/29-8305.

4. Freitas BHBM, Cortela DCB, Ferreira SMB. Trend of leprosy in individuals under the age of 15 in Mato Grosso (Brazil), 2001-2013. Rev Saúde Pública. 2017;51:28. doi: 10.1590/s1518-8787.2017051006884.

5. World Health Organization. Global leprosy strategy 2016-2020: accelerating towards a leprosy-free world [Internet]. India: WHO Library; 2016. [cited 2018 Jan 07]. Available from: https://apps.who.int/iris/bitstream/handle/10665/254907/9789290225492-eng.pdf?sequence=1&isAllowed=y.

6. Ministério da Saúde (BR). Portal da Saúde. Indicadores epidemiológicos e operacionais de hanseníase Brasil 2001 – 2016 [Internet]. Brasília: MS; 2017. [cited 2018 Jan 07]. Available from: http://portalarquivos2.saude.gov.br/images/pdf/2017/julho/10/Indicadores-epidemiol--gicos-e-operacionais--de-hansen--ase.%20Brasil,%202001-.pdf.

7. Ministério da Saúde (BR). Portal da Saúde. Percentual de grau de incapacidade 2 entre os casos novos avaliados de hanseníase, estados, regiões, Brasil, 2001 – 2016 [Internet]. Brasília: MS; 2017. [cited 2018 Abr 13]. Available from: http://portalarquivos.saude.gov.br/images/pdf/2017/julho/10/Percentual-de-grau-de-incapacidade-2-entre-os-casos-novos-avaliados-.pdf.

8. Shetty VP, Ghate SD, Wakade AV, Thakar UH, Thakur DV, D`Souza E. Clinical, bacteriological and histopathological characteristics of newly detected children with leprosy: a population based study in a defined rural and urban area of Maharashtra, Western India. Indian J Dermatol Venereol Leprol. 2013;79(4):512-7.doi: 10.4103/0378-6323.113081.

9. Pinto ACVD, Wachholz PA, Silva GV, Masuda PY. Profile of leprosy in children under 15 years of age monitored in a Brazilian referral center (2004-2012). An Bras Dermatol. 2017;92(4):580-2. doi: 10.1590/abd1806-4841.20175676.

10. MWG Sousa, DC Silva, LR Carneiro, MLBF Almino, ALF Costa. Epidemiological profile of leprosy in the Brazilian state of Piauí between 2003 and 2008. An. Bras. Dermatol. 2012;87(3):389–95. doi: 10.1590/S0365-05962012000300006.

11. Moura MLN, Dupnik KM, Sampaio GAA, Nóbrega PFC, Jeronimo AK, Nascimento-Filho, JM et al. Active Surveillance of Hansen’s Disease (Leprosy): importance for case finding among extra-domiciliary contacts. PLoS Negl Trop Dis. 2013;7(3):e2093. doi: 10.1371/journal.pntd.0002093.

12. Lana FCF, Fabri ACOC, Lopes FN, Carvalho APM, Lanza FM. Deformities due to Leprosy in Children under Fifteen Years Old as an Indicator of Quality of the Leprosy Control Programme in Brazilian Municipalities. J Trop Med. 2013;812793. doi: 10.1155/2013/812793.

13. Eidt, LM. Ser hansenico: sentimentos e vivências. Hansen Int. 2004; 29(1):21-27.

Published

2019-05-31

How to Cite

1.
Oppermann K, Salvi C dos S, Casali HM, Moraes PC de, Cattani CAS, Eidt LM. Epidemiological aspects of Leprosy under 15 years old diagnosed at a referral center in the South of Brazil, between 2007-2017: a tendency to change in the detection of new cases?. Hansen. Int. [Internet]. 2019 May 31 [cited 2024 Jul. 3];43:1-9. Available from: https://periodicos.saude.sp.gov.br/hansenologia/article/view/34607

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Section

Artigos de investigação científica