Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil
OBJECTIVETo analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance. METHODSThis was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified b...
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| Veröffentlicht in: | Epidemiologia e serviços de saúde 2020-01, Vol.29 (4), p.e2019465-e2019465 |
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| container_title | Epidemiologia e serviços de saúde |
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| creator | Boigny, Reagan Nzundu Souza, Eliana Amorim de Ferreira, Anderson Fuentes Cruz, Jessica Reco García, Gabriela Soledad Márdero Prado, Nília Maria Brito de Lima Silva, Gilberto Valentim Barbosa, Jaqueline Caracas Silva, Rayane Lima da Oliveira, Maria Leide Wand Del Rey de Nobre, Mauricio Lisboa Ramos Júnior, Alberto Novaes |
| description | OBJECTIVETo analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance. METHODSThis was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil. RESULTSA total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004). CONCLUSIONOperational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed. |
| doi_str_mv | 10.5123/s1679-49742020000400004 |
| format | Article |
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METHODSThis was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil. RESULTSA total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004). CONCLUSIONOperational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.</description><identifier>EISSN: 2237-9622</identifier><identifier>DOI: 10.5123/s1679-49742020000400004</identifier><language>eng ; por</language><ispartof>Epidemiologia e serviços de saúde, 2020-01, Vol.29 (4), p.e2019465-e2019465</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27923,27924</link.rule.ids></links><search><creatorcontrib>Boigny, Reagan Nzundu</creatorcontrib><creatorcontrib>Souza, Eliana Amorim de</creatorcontrib><creatorcontrib>Ferreira, Anderson Fuentes</creatorcontrib><creatorcontrib>Cruz, Jessica Reco</creatorcontrib><creatorcontrib>García, Gabriela Soledad Márdero</creatorcontrib><creatorcontrib>Prado, Nília Maria Brito de Lima</creatorcontrib><creatorcontrib>Silva, Gilberto Valentim</creatorcontrib><creatorcontrib>Barbosa, Jaqueline Caracas</creatorcontrib><creatorcontrib>Silva, Rayane Lima da</creatorcontrib><creatorcontrib>Oliveira, Maria Leide Wand Del Rey de</creatorcontrib><creatorcontrib>Nobre, Mauricio Lisboa</creatorcontrib><creatorcontrib>Ramos Júnior, Alberto Novaes</creatorcontrib><title>Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil</title><title>Epidemiologia e serviços de saúde</title><description>OBJECTIVETo analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance. METHODSThis was a cross-sectional study conducted in 2017 based on primary data from a sample of leprosy cases notified between 2001-2014 with overlapping cases in household social networks (HSN) in municipalities in the states of Bahia, Piauí and Rondônia, Brazil. RESULTSA total of 233 leprosy cases were analyzed, 154 (66.1%) belonged to HSN with 3 or more leprosy cases. In 53.2% of cases, 2 or more generations were affected, this being an outcome associated with absence of dermato-neurological examination (prevalence ratio 1.32; confidence interval [95%CI 1.10;1.59]; p-value=0.004). CONCLUSIONOperational failures in the surveillance of leprosy contacts in areas of high endemicity reinforce the character of institutional/programmatic vulnerability in HSN contexts with more than one case of leprosy in the three states analyzed.</description><issn>2237-9622</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNotj1tLAzEQhYMgWGp_g3n0ZXVz2ySPWrwUCn3R55KmExtNkzXZbdFfb6zOwAwczvngIHRF2htBKLstpJO64Vpy2tK2Dj-dMzShlMlGd5ReoFkp77-y4JJQMkGHVQ_ZDD5FE7AzPowZCk4OB-hzKl_YpjjkFLCPeJfGArsUtrgk66s_wnBM-aPgox92OB0gB9P3Pr5ha0rF1AzELey9xSaDOQn32Xz7cInOnQkFZv9_il4fH17mz81y9bSY3y2bnig1NFIRvdWMbyjhgmrugEtrWtYJq6UWTDhpN9Laru5GWKElOEudZEoZpRhhU3T9x61lPkcow3rvi4UQTITaZk05ayuJKMp-AJjXYf0</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Boigny, Reagan Nzundu</creator><creator>Souza, Eliana Amorim de</creator><creator>Ferreira, Anderson Fuentes</creator><creator>Cruz, Jessica Reco</creator><creator>García, Gabriela Soledad Márdero</creator><creator>Prado, Nília Maria Brito de Lima</creator><creator>Silva, Gilberto Valentim</creator><creator>Barbosa, Jaqueline Caracas</creator><creator>Silva, Rayane Lima da</creator><creator>Oliveira, Maria Leide Wand Del Rey de</creator><creator>Nobre, Mauricio Lisboa</creator><creator>Ramos Júnior, Alberto Novaes</creator><scope>7X8</scope></search><sort><creationdate>20200101</creationdate><title>Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil</title><author>Boigny, Reagan Nzundu ; Souza, Eliana Amorim de ; Ferreira, Anderson Fuentes ; Cruz, Jessica Reco ; García, Gabriela Soledad Márdero ; Prado, Nília Maria Brito de Lima ; Silva, Gilberto Valentim ; Barbosa, Jaqueline Caracas ; Silva, Rayane Lima da ; Oliveira, Maria Leide Wand Del Rey de ; Nobre, Mauricio Lisboa ; Ramos Júnior, Alberto Novaes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p188t-7819d934b2145294fe47ca0365c979535f7cb7cc6c6cb5c597efc2f7388a88313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2020</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Boigny, Reagan Nzundu</creatorcontrib><creatorcontrib>Souza, Eliana Amorim de</creatorcontrib><creatorcontrib>Ferreira, Anderson Fuentes</creatorcontrib><creatorcontrib>Cruz, Jessica Reco</creatorcontrib><creatorcontrib>García, Gabriela Soledad Márdero</creatorcontrib><creatorcontrib>Prado, Nília Maria Brito de Lima</creatorcontrib><creatorcontrib>Silva, Gilberto Valentim</creatorcontrib><creatorcontrib>Barbosa, Jaqueline Caracas</creatorcontrib><creatorcontrib>Silva, Rayane Lima da</creatorcontrib><creatorcontrib>Oliveira, Maria Leide Wand Del Rey de</creatorcontrib><creatorcontrib>Nobre, Mauricio Lisboa</creatorcontrib><creatorcontrib>Ramos Júnior, Alberto Novaes</creatorcontrib><collection>MEDLINE - Academic</collection><jtitle>Epidemiologia e serviços de saúde</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boigny, Reagan Nzundu</au><au>Souza, Eliana Amorim de</au><au>Ferreira, Anderson Fuentes</au><au>Cruz, Jessica Reco</au><au>García, Gabriela Soledad Márdero</au><au>Prado, Nília Maria Brito de Lima</au><au>Silva, Gilberto Valentim</au><au>Barbosa, Jaqueline Caracas</au><au>Silva, Rayane Lima da</au><au>Oliveira, Maria Leide Wand Del Rey de</au><au>Nobre, Mauricio Lisboa</au><au>Ramos Júnior, Alberto Novaes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil</atitle><jtitle>Epidemiologia e serviços de saúde</jtitle><date>2020-01-01</date><risdate>2020</risdate><volume>29</volume><issue>4</issue><spage>e2019465</spage><epage>e2019465</epage><pages>e2019465-e2019465</pages><eissn>2237-9622</eissn><abstract>OBJECTIVETo analyze institutional/programmatic vulnerability of health services in the development of health care actions for people affected by leprosy and contact surveillance. 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| title | Operational failures of leprosy control in household social networks with overlapping cases in endemic areas in Brazil |
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