Abstract
Leprosy is an infectious disease manifested primarily by signs and symptoms dermato-neurological. The objective of this study was to evaluate the epidemiological situation of leprosy in the city of Teofilo Otoni (TO), MG state in the period 2001-2010 as a descriptive and retrospective study. The high detection rates in general and in children under 15 years found in TO, keep this municipality as hyper-endemic for leprosy, signaling the need tostrengthen the epidemiological surveillance. The average percentage of grade 2 disability among new cases studied at diagnosis was considered high (10.1 %) according to the Ministry of Health in Brazil. The average percentage of new cases assessed at the time of discharge after cure, with grade 2 disability was 4.3 %. The prevalence rate in the city of TO was considered medium (1 to 4.9 / 10.000hab ) in the period from 2001 to 2010 except for the years 2003 , 2004 and 2005 when it was considered very high ( 12.7 , 14.1 and 12.6 / 10.000hab) respectively. Regarding the prevalence hidden variable, it was found that 526 cases of leprosy were not diagnosed in the city, meaning that 40.3 % of patients remained undiagnosed at that time and may act as sources of infection contributing to the chain of disease transmission. It is necessary for the municipality to promote and intensify the decentralization of control of the disease, and also develop training programs for the multidisciplinary teams at family health strategy (ESF) and encourage active search for new cases.
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