Contribuição ao conhecimento da transmissão da hanseníase em Campo Grande - Mato Grosso do Sul, 2006

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

The goal of this study is to contribute to knowledge of the leprosy transmission in Campo Grande, being the clinical and epidemiological characteristics of patients assisted at Hospital Universitário between January 1994 and July 2005, and also the index-cases and contact holders assisted at a Health Basic Unit (Unidade Básica de Saúde) in Campo Grande, Mato Grosso do Sul, in the period 2002-2003. The data of the 192 new patients assisted at Hospital Universitário from January 1994 to July 2005 showed that they were mostly male (62.5%); and multibacillary (67.2%) and dimorphous clinical form (35.9%) were prevalent. Seventy-three per cent of the cases were evaluated in relation to incapacity at the beginning of treatment; among these, 66.7% presented no problem with hands, feet or eyes and 33.3% presented incapacity or disfigurement. Among 90 people (17 index-cases and 73 contact holders) registered at São Francisco Health Basic Unit, 7 were positive contacts, which corresponds to a rate of detection of 9.6%, a significant result when compared with other studies. The results showed that the poor control of contact holders contribute to the steady detection rate in Campo Grande in the last six years (1998 a 2003), in spite of a reduction in the prevalence rate due to the effective treatment of the patients. Thus, health actions developed to control Hansens disease must be guided towards a halt in household transmission chain, either through awareness campaigns, early diagnosis and treatment of cases, or, and mostly, through attention given to the evasion of household contacts from the disease control program. The findings of this study reinforce the need for regional research, so that the local spread of the disease may be better known, taking into account aspects which may contribute to prevention actions, early diagnosis and enable the construction of safe epidemiological indicators of the actual dimension and treatment., and which may avoid incapacities and disfigurement. Those studies should trend of the disease not only in Campo Grande but also in Mato Grosso do Sul State, contributing to its effective control.

ASSUNTO(S)

epidemiologia contacts ciencias da saude transmission leprosy hanseníase contactantes transmissão epidemiology

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