Hanseníase no estado de Goiás: um recorte de 10 anos

Abstract

Leprosy is a serious public health problem worldwide ranking second in reported cases in the year. In Brazil it remains a public health problem. The knowledge of its clinical and epidemiological characteristics is of fundamental importance to subsidize disease control actions. The objective of the study was to know the epidemiological profile of leprosy patients in the state of Goiás from 2002 to 2013. A descriptive study, to be carried out in 17 microregions of the State of Goiás, where leprosy cases were obtained from the databases Of the Notification of Injury Information System (SINAN). The study variables include: age, sex, race, schooling, clinical form, operational classification, degree of physical incapacity in diagnosis, mode of detection of the new case. Chi-square test was applied to compare the variables and significance level of 5% (p <0.05). Data were analyzed in EpiInfo software version 3.5.1 and the Statistical Puckage for Social Science (SPSS) package. In the 10-year period, a total of 28,041 new cases were reported, of which 74.12% were aged between 20 and 59 years, 57.3% were males, 42.8% were brown, 47.3% were (52.1%), 71.6% with multibacillary operational classification, 48.6%, detected by spontaneous demand, and 72.2% did not present deformities in the diagnosis. The coefficient of detection of the new cases in the state of Goiás showed high indices. There is evidence of the need to intensify the development of leprosy control actions in the state, facilitating access to diagnosis and treatment, reorganizing the work process in order to integrate control actions to basic health services with emphasis on the collective approach. New studies will be needed to better understand the influence of the health services organization and the dynamics of work processes in order to subsidize the development of other strategies for the control of leprosy.