Estudo da tendência dos indicadores epidemiológicos e operacionais da hanseníase em Aracaju/SE entre 2003 e 2017

Abstract

Background and objectives: Leprosy is a chronic infectious disease that has a disabling potential and maintains high incidence rates even with effective and free treatment. Thus, this study aims to analyze the epidemiological and operational data od leprosy in Aracaju-Se in order to diagnose the tendency of the endemic disease and guide the improvement of public policies aimed at its elimination. Methods: This is an ecological study, a time series, that analyzed epidemiological and operational indicators of leprosy in the municipality of Aracaju, capital of the state of Sergipe, from 2003 to 2017. Results: Between 2003 and 2017, the incidence of leprosy remained decreasing, with an annual decline of 8.63% in the general population and 9.32% in children under 15 years. During this period, there was a tendency toincrease the diagnosis and treatment of Leprosy by Primary Care, the cure of the cases remained stable and the proportion of contacts examined showed a significant increase, rising from 20.6% in 2003 to 82.9% in 2017. There is also a progressive tendency to decrease the incidence of paucibacillary forms in detriment of multibacillary forms. Conclusion: There is a tendency to reduce the incidence of leprosy in Aracju in all age groups, but the region is still considered to be highly endemic. It is possible to perceive the growth of the Primary Care role between 2003 and 2017, in addition to the significant increase in the examination of contacts, an important tool in the diagnosis and early treatment. Although health indicators have shown improvements, this progress remains insufficient for adequate control of the disease.