Óbitos atribuídos à hanseníase no Brasil no período de 2000 a 2007

• Ano de defesa: 2012
• Autor(a) principal: Ramos, Aleksandra Rosendo dos Santos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Mato Grosso; Brasil; Instituto de Saúde Coletiva (ISC); UFMT CUC - Cuiabá; Programa de Pós-Graduação em Agricultura Tropical
• Palavras-chave em Português: Hanseníase; Óbitos; Causa básica; Cura; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA; Lepros; Deaths; Underlying cause; Cure
• Link de acesso: http://ri.ufmt.br/handle/1/804

The mortality as a result of leprosy is poorly studied, however the disease has been recorded frequently as a cause of death. In Brazil 1850 deaths were registered leprosy from 2000 to 2007. In Mato Grosso, an endemic disease in the Brazilian Amazon were registered 129 deaths from leprosy in the same period. Objective - To analyze the mortality profile of leprosy in Brazil for the period 2000 to 2007. Methods - A cross-sectional epidemiological study carried out in two steps: 1 - Analysis of the mortality profile of leprosy in Brazil in the period 2000 to 2007, and 2 - Comparison of deaths by leprosy contained in the Mortality Information System with those recorded in the System Information of Notifiable Diseases in the State of Mato Grosso in the period 2000 to 2007. The analyzes were stratified by sex, age, color / race, education, place of death, causes of death, the federation units, year of diagnosis of leprosy, year of release from treatment, operational classification, clinical presentation, degree of disability, regimen and time in months between the diagnosis of leprosy and death. Results - It was found that in Brazil there is a higher proportion of deaths among people over 60 (56.8%), the illiterate (27.6%) and males (72%). The overall detection rate of leprosy was found to be positively correlated with the mortality rate for the disease, and negatively correlated with the mortality rate. Mato Grosso showed the highest mortality rate with 4.8 deaths per 100,000 inhabitants and Rio Grande do Sul the highest fatality rate at 15.4 deaths per 1000 new cases of the disease. Of the 129 deaths from leprosy in Mato Grosso, 88 deaths were identified as cases of leprosy in Sinan. Of the 88 deaths the frequency of those who were discharged after cure is equal to high per death (n = 36, 40.9%). The causeof death with a higher proportion of leprosy is not specific (n = 88, 75.9%). Most deaths were multibacillary (n = 73, 82.9%) of lepromatous clinical form (n = 46, 52.2%) and was not rated the degree of disability (n = 60, 68.1%). Conclusion - Leprosy is characterized as the underlying and associated cause of death in Brazil, especially in individuals with advanced age, male and illiterate. In Mato Grosso the death registrations include individuals cured leprosy with multidrug therapy, and individuals who died during the first months of treatment. Deaths were more frequent among the elderly with low education and those with the lepromatous clinical form.