• Maria Elizabeth Araujo Ajalla - Araujo Ajalla, Maria Elizabeth - Universidade Federal de Mato Grosso do Sul, Centro de Ciências Biológicas e da Saúde - <mabeajalla@gmail.com>
Coautor(es):
• Sonia Maria Oliveira Andrade - Andrade, Sonia Maria Oliveira - Universidade Federal de Mato Grosso do Sul, Centro de Ciências Biológicas e da Saúde - <soniaufms@gmail.com>
• Edson Mamoru Tamaki - Tamaki, E.M. - Campo Grande, MS - Universidade Federal de Mato Grosso do Sul, Centro de Ciências Biológicas e da Saúde - <edson.tamaki@ufms.br>
• Sanda Helena Correia Diettrich - Diettrich, Sanda Helena Correia - Universidade Federal de Mato Grosso do Sul, Centro de Ciências Biológicas e da Saúde - <shcd1@hotmail.com>
• William Waissmann - Waissmann, William - Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública - <william.waissmann@gmail.com>
• Baldomero Antonio Kato Silva - Silva, Baldomero Antonio Kato - Universidade Federal do Piauí, Campus Universitário Ministro Reis Velloso - <ftbaldok@uol.com.br>
Área Temática:
Epidemiologia
Resumo:
No Brasil, a hanseníase é endêmica em três regiões: Norte, Nordeste e Centro-Oeste. Na região Centro-Oeste o Estado de Mato Grosso do Sul, faz fronteira com dois países da América Latina: Bolívia e Paraguai, com doze municípios na linha de fronteira. Nos municípios com áreas urbanas contíguas binacionais são caracterizados por um fluxo constante de pessoas, bens e serviços, o que facilita a transmissão de doenças e influencia no perfil epidemiológico. O objetivo deste estudo foi analisar as diferenças territoriais relacionadas aos casos de hanseníase, considerando os municípios da linha de fronteira com e sem áreas urbanas contiguas (grupo I e II) e demais municípios de Mato Grosso do Sul (grupo III), no período de 2001 a 2011. Os dados foram obtidos a partir das fichas de notificação da Secretaria de Estado de Saúde. Em municípios com áreas urbanas contiguas a detecção de casos mostra: tendência de aumento, maior coeficientes da forma clinica virchowiana (0,80/10.000 habitantes) e grau de incapacidade II (0,38/10.000), em ralação aos grupos II e III que apresentaram 0,64 e 0,54/10.000 da forma clinica virchowiana, respectivamente e 0,14 e 0,27/10.000 respectivamente para o grau II de incapacidade. Os resultados demonstram o papel das zonas fronteiriças na manutenção da endemicidade da hanseníase.
Palavras-chave:
hanseníase
doença região de fronteira
epidemiologia
Abstract:
In Brazil, leprosy is endemic in three regions: the North, Northeast, and Mid-West. In Mato Grosso do Sul state, in the Mid-West region, 12 counties are located along the border with Bolivia and Paraguay. Counties with contiguous binational urban areas are characterized by a constant flow of people, goods, and services, which facilitates the transmission of diseases and influences the epidemiological profile of leprosy. The purpose of this study was to examine territorial differences in relation to the incidence of leprosy, focusing on border counties with contiguous binational urban areas or otherwise. Each county was taken as an information unit for leprosy cases reported during 2001-2011, based on data from original notification records of the state’s Department of Health. In counties with contiguous binational urban areas detection rates showed tendency to increase, Virchowian (lepromatous) disease (0.80/100,000 inhabitants) and disability grade II (0.38/100,000 inhabitants) predominated when compared with Groups II and III: 0.64 and 0.54/100,000 inhabitants for Virchowian desease and 0.14 and 0.27/100,000 inhabitants for disability grade II respectively, and were associated with higher transmission rates. The findings demonstrate the role of border areas in maintaining the endemicity of leprosy.
In Brazil, leprosy is endemic in three regions: the North, Northeast, and Mid-West. In Mato Grosso do Sul state, in the Mid-West region, 12 counties are located along the border with Bolivia and Paraguay. Counties with contiguous binational urban areas are characterized by a constant flow of people, goods, and services, which facilitates the transmission of diseases and influences the epidemiological profile of leprosy. The purpose of this study was to examine territorial differences in relation to the incidence of leprosy, focusing on border counties with contiguous binational urban areas or otherwise. Each county was taken as an information unit for leprosy cases reported during 2001-2011, based on data from original notification records of the state’s Department of Health. In counties with contiguous binational urban areas detection rates showed tendency to increase, Virchowian (lepromatous) disease (0.80/100,000 inhabitants) and disability grade II (0.38/100,000 inhabitants) predominated when compared with Groups II and III: 0.64 and 0.54/100,000 inhabitants for Virchowian desease and 0.14 and 0.27/100,000 inhabitants for disability grade II respectively, and were associated with higher transmission rates. The findings demonstrate the role of border areas in maintaining the endemicity of leprosy.
Araujo Ajalla, Maria Elizabeth , Andrade, Sonia Maria Oliveira , Tamaki, E.M., Diettrich, Sanda Helena Correia , Waissmann, William , Silva, Baldomero Antonio Kato . O Contexto Da Hanseaníase Na Fronteira Brasil – Paraguai. Cien Saude Colet [periódico na internet] (2015/ago). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-contexto-da-hanseaniase-na-fronteira-brasil-paraguai/15225?id=15225&id=15225
