02110nas a2200289 4500000000100000008004100001653001200042653001900054653001700073653002200090653001700112653001300129653002100142653001300163653001100176100001700187700001600204700001800220700001800238700001800256700001500274245013100289300001000420490000700430520136800437022001501805 2017 d10aleprosy10aHuman diseases10aEpidemiology10aDisease incidence10aDisabilities10aContacts10aClinical aspects10aChildren10aBrazil1 aGordon A S A1 aGomes J M S1 aCosta A C P J1 aSerra M A A O1 aSantos Neto M1 aXavier M B00aIncidence of leprosy in patients aged 15 or younger cared in the municipality of Imperatriz, Maranhão, between 2004 and 2010. a19-240 v213 a

The purpose of this study was to estimate the global incidence and cases indexes of leprosy and to design the socio-demographic profile in children under 15 years of age in the municipality of Imperatriz, in the state of Maranhão, Brazil. A longitudinal retrospective study of leprosy cases in the municipality was performed, using information generated by the disease reports in SINAN NET. Data collection included 284 patients reported from 2004 to 2010, classified as new cases. Data analysis used Pearson's Chi-square test or Fisher's exact test. There were high detection coefficients in 2005 (83.38/100.000 inhabitants), physical incapacity in the diagnosis in 2004 (39.62%) and in examined contacts (24.44%). There was a predominance of male (51.06%), brown color (55.65%), aged between 10-14 years (60.22%), and average schooling of 6-11 years (59.8%). Most of the clinical forms reported were of the indeterminate type (40.13%), with predominance of physical incapacity degree II (21.1%). The proportional differences between the clinical forms (p-value=0.056) were not statistically significant, while schooling presented a significant association (p <0.0001) with the occurrence of the disease among children under 15 years of age. It can be concluded that leprosy remains a disease with easy spread when considering the rate of new cases.

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