title: Epidemiological pattern of leprosy in an endemic area of North-East Brazil, 1996-2005: the supporting role of a Nongovernmental Organization.
abstract: In an endemic area of North-East Brazil (the town of Picos, State of Piauí), a nongovernmental organization (NGO) supported the activity against leprosy in connection with governmental health organizations and local agents. The indicators of leprosy elimination were compared over time (within Picos) and across space (Picos versus Piauí). The case detection rate, above 8 per 10,000 people in the last two years of observation, increased over time in Picos (p=0.010). This finding could be due to active detection activities rather than expanding endemicity, as suggested by the reduction in leprosy in children (p=0.053) and the decrease in the proportion of new cases with grade 2 disability (p<0.001). These indicators showed a more favorable time trend in the city than in the State, suggesting that NGO activity was supportive in the battle towards leprosy control.
authors.affiliation: Department of Environmental Medicine and Public Health, University of Padova, Italy. giuseppe.mastrangelo@unipd.it
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Mastrangelo
authors.forename: Luca
authors.initials: L
authors.lastname: Scoizzato
authors.forename: Emanuela
authors.initials: E
authors.lastname: Fadda
authors.forename: Gilberto Valentim da
authors.initials: GV
authors.lastname: Silva
authors.forename: Luimar De Jesus
authors.initials: Lde J
authors.lastname: Santos
authors.forename: Luca
authors.initials: L
authors.lastname: Cegolon
mesh_terms: D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D019353:Endemic Diseases; D006288:Health Planning Organizations; D006801:Humans; D015994:Incidence; D007918:Leprosy / Q000453:epidemiology* / Q000517:prevention & control; D015995:Prevalence; D015397:Program Evaluation