LEPROSY IN BORDER COUNTRIES IN SOUTH AMERICA: AN ECOLOGICAL STUDY
DOI:
https://doi.org/10.5380/ce.v24i0.64917Keywords:
Leprosy, Incidence, Spatial analysis, Border health, Transmissible diseases.Abstract
Objective: to characterize the epidemiological clinical profile and spatial distribution of the
incidence of leprosy in border territories of South America.
Method: this is an ecological study. The study included the Province of Misiones in Argentina
and the Southern Region of Brazil. The population consisted of 10,319 new leprosy cases
diagnosed between 2010 and 2016.
Results: the state of Paraná was the most endemic, representing 70.2% (n=7.247) of the
cases. There was a predominance of multibacillary operational classification (79.8%, n=8,233)
and Grade 0 of physical disability (50.6%, n=5,223). In Misiones, 18.9% used a substitution
treatment regimen. In the period, a hyperendemic situation was observed in 780 (65.5%) of
the studied cities/departments.
Conclusion: the study revealed that the regions studied have high endemicity, active
transmission and late diagnosis of leprosy. These intertwined trends in the strength of
morbidity and recent and persistent transmission of the disease increase the relevance of
leprosy as a public health problem in the region.
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