Indicadores epidemiológicos e análise espacial dos casos novos de hanseníase no município de Serra : tendência temporal e efetividade do programa de controle da doença

• Ano de defesa: 2014
• Autor(a) principal: Gonçalves, Krishna Sandoval
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; BR; Mestrado em Saúde Coletiva; Centro de Ciências da Saúde; UFES; Programa de Pós-Graduação em Saúde Coletiva
• Palavras-chave em Português: Epidemiology descriptive; Hansen's disease; Epidemiology; Indicators of morbidity and mortality; Indicadores de morbimortalidade; Distribuição espacial da população; Hanseníase; Epidemiologia; Epidemiologia descritiva; Saúde Coletiva; 614
• Link de acesso: http://repositorio.ufes.br/handle/10/1657

Introduction. Hansen’s disease is relevant importance for collective health, because it is remains endemic in several states, and for its capacity of causing impairment. This study aims to determine the indicators, the epidemiological profile and the spatial distribution of the disease, and to analyze the effectiveness of the control actions, as well as to understand its present context. The time trend and the effectiveness of the control program were verified based on the results obtained. Methods. This is a descriptive, ecological study, based on secondary data. It was done in the outpatient clinics for Hansen’s disease at the Regional Healthcare units of the municipality of Serra, ES. The population of the study was constituted by the total number of Hansen's disease cases that were reported at the municipality in the time period from 2003 to 2011, as registered in the medical records. Additional data were obtained at the National System of Reportable Diseases (SINAN) and at the Brazilian Institute of Geography and Statistics (IBGE) databases. The epidemiological indicators for Hansen’s disease were calculated for the municipality according to the parameters proposed by the Ministry of Health. The following indicators are highlighted: the annual coefficient of new cases detection by 10.000 inhabitants, and the coefficient of new cases detection in the population aged 0 to 14 by 10.000 inhabitants. A linear regression model was used to determine the time trend of the indicators. Results. The median age was of 39 years old. There was a predominance of: male gender, (758; 51.42%), low schooling (829; 56.24% had incomplete elementary school), grade 0 for disability (1102; 74.69%), and cure (59.09%). One hundred and twenty-two cases (8,28%) were notified among those under 15 years old. Hyperendemic parameters were identified, and the time trend was shown to be significant for the municipality, increasing for Unidade Regional de Novo Horizonte (URNH), and decreasing for the other units. Conclusions. The hyper-endemic parameters, a trend to increasing number of cases in one unit, and stability in the detection coefficient for those bellow 15 y.o. impose the necessity to adopt adequate measures for the control of this endemic disease in Serra.