Abstract
Cases of hospitalization represent severest cases of leprosy, with more complications. This study aimed to criate an epidemiological profile of hospital admissions for leprosy in the state of Pará, Brazil, from 2008 to 2014. To this end, we carried out a descriptive study of secondary data provided by the Department of the Unified Health System Information of Brazil. The analysis was performed predominantly descriptive and Chi-square test and G-tests were used when appropriate. It calculated the rate of hospitalization and rate of death for every 10,000 hospitalizations or deaths due to infectious and parasitic diseases to the Pará and other units of federation. It was found that during this period 740 people were hospitalized with the disease in the state, representing a rate of 12.86 / 10 000 admissions for infectious and parasitic diseases. Of total admissions, 526 (71.08%) were men and 524 (70.81%) were in the age group 20-59 years; 61 (8.25%) were in the age group 0-19 years. Of cases, 79.73% (n = 590) were recorded by the public health system, 92.30% (n = 683) on an elective basis and 84.19% (n = 623) outside the metropolitan area of Belém. Was observed that this state is last in regional ranking by hospitalization rate and second to last in the national ranking.The leprosy hospital admission profile in Pará is similar to the epidemiology of the disease, is more common in young men. The involvement of children and adolescents is worrisome because it’s represent the early exposure and more risk to develop disabilities.The records in the state were lower when compared to the average of states and low endemicity.
References
2. World Health Organization. Leprosy update, 2013. WklyEpidemiol Rec. 2014;34(87):317–28.
3. World Health Organization. Adoption of multidrug therapy for elimination of leprosy as a public health problem: WHA44.9.In: World Health Organization. 44th World Health Assembly; 1991 May; Geneva. Geneva: WHO; 1991.
4. Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Situação epidemiológica da hanseníase no Brasil: análise de indicadores selecionados na última década e desafios para eliminação. Boletim epidemiológico. 2013;44(11):1-12.
5. Avelleira JCR, Bernardes Filho F, Quaresma MV, Vianna FR. History of leprosy in Rio de Janeiro. AnBrasDermatol. 2014;89(3):515-8.
6. Soares CGM. Hanseníase no estado do Pará: perfil epidemiológico da população que demanda internação por reações hansênicas [dissertação]. Belém: Escola Nacional de Saúde Pública; 2001.
7. Rocha MCN, Garcia LP. Investigação epidemiológica dos óbitos notificados tendo como causa básica a hanseníase, ocorridos em Fortaleza, Ceará, 2006-2011. EpidemiolServ Saúde. 2014;23(2):277-86.
8. Instituto Brasileiro de Geografia e Estatística [Internet].Rio de Janeiro: IBGE; c2016. [atualizado em 2010; citado em 2014 Mar 27]. Sinopse do censo demográfico brasileiro: 2010. [aproximadamente 1 tela] Disponível em: http://www.censo2010.ibge.gov.br/sinopse/index.php?dados=12
9. Correa RGCF, Aquino DMC, Amaral DKCR, França FS, Mesquita ERRBP. Aspectos epidemiológicos, clínicos e operacionais de portadores de hanseníase atendidos em um serviço de referência no estado do Maranhão. RevSocBrasMed Trop. 2012 Jan-Fev;45(1):89-94.
10. Pinto RA, Maia HF, Falcão MA, Marback M. Perfil clínico e epidemiológico dos pacientes notificados com hanseníase em um hospital especializado em Salvador, Bahia. Rev Baiana de Saúde Pública. 2010;34(4):906-18.
11. Barbosa DRM, Almeida MG, Santos AG. Características epidemiológicas e espaciais da hanseníase no Estado espaciais da hanseníase no Estado do Maranhão, Brasil, 2001-2012. Medicina (Ribeirão Preto). 2014;47(4):347-56.
12. Imbiriba ENB, Silva AL Neto, Souza WV, Pedrosa V, Cunha M, Garnelo L. Social inequality, urban growth and leprosy in Manaus: a spacial approach. Rev Saúde Pública. 2009;43(4):109-19.
13. Pires CAA, Malcher CMSR, Abreu Júnior JMC, Albuquerque TG, Corrêa IRS, Daxbacher ELR. Hanseníase em menores de 15 anos: a importância do exame de contato. Rev Paul Pediatr.2012;30(2):292-5.
14. Ribeiro AF Junior, Vieira MA, Caldeira AP. Perfil epidemiológico da hanseníase em uma cidade endêmica no norte de Minas Gerais. RevBrasClin Med. 2012;10(4):272-7.
15. Lombardi C. Aspectos epidemiológicos da mortalidade entre doentes de hanseníase no estado de São Paulo. RevSaude Publica.1984;18(2):71-107.
16. Araújo JD. Polarização epidemiológica no Brasil. EpidemiolServSaúde. 2012;21(4):533-8
17. Britton WJ, Lockwood DN. Leprosy. Lancet. 2004 Apr 10;363(9416):1209-19.
18. Van Brakel WH, Sihombing B, Djarir H, Beise K, Kusumawardhani L, Yulihane R, et al. Disability in people affected by leprosy: the role of impairment, activity, social participation, stigma and discrimination. Global Health Action. 2012;5:18394. doi: 10.3402/gha.v5i0.18394
This journal is licensed under a Creative Commons Attribution 4.0 International License.