[The impact of leprosy elimination strategy on an endemic municipality in Rio de Janeiro State, Brazil].

Abstract:

:Various strategies for eliminating leprosy as a public health problem have evolved in the last 20 years. In some countries, especially highly endemic ones, the WHO target rate for leprosy elimination fell far short. The current study aimed to analyze the impact of different strategies for reducing leprosy prevalence in Duque de Caxias, a highly endemic municipality in Rio de Janeiro State, Brazil. The study observed the evolution of traditional operational indicators for the disease and their trends in the last 14 years. The indicators were calculated using the National Communicable Diseases Database (SINAN). Strategies that focused on decentralization of patient care and/or localized campaigns were associated with earlier case detection, reduction in prevalence, and shorter patient time in the active registry. An increase in the annual detection rate could be related to the existence of hidden prevalence or individuals with asymptomatic infection. New complementary strategies are needed to eliminate the disease in Duque de Caxias.

journal_name

Cad Saude Publica

authors

da Cunha MD,Cavaliere FA,Hércules FM,Duraes SM,de Oliveira ML,de Matos HJ

doi

10.1590/s0102-311x2007000500020

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

1187-97

issue

5

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2007000500020

journal_volume

23

pub_type

杂志文章
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