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Degree of physical disability in hansenic patients in a reference center

Leprosy is a chronic infectious disease with the potential to cause neural injuries and physical disabilities. This disease is still a public health problem in Brazil, especially in the Midwest, Northeast and North regions. Within the Northern region, the state of Pará has historically stood out for its hyperendemicity or very high endemicity status for the disease in question. Thus, the present study aimed to analyze the degrees of physical disability (GIF) 0, 1 and 2 in leprosy patients seen at Centro Saúde Escola do Marco and analyze the epidemiological data of patients seen from 2009 to 2018 at the referred service. For this, a longitudinal, retrospective, single-center study was carried out, based on the analysis of 346 medical records, corresponding to the totality of patients registered in the leprosy care program at the Escola do Marco Health Center, Belém - Pará, in the period from January 2009 to December 2018. There was a predominance of males (55%) and the multibacillary form (61%) in the sample. Regarding the degree of disability, it was found that at the time of diagnosis, there was a predominance of grade 0 (62.1%), followed by grade 1 (23.11%). At the time of discharge, it was found that 76.6% of the patients did not have information about the degree of disability. This lack of evaluation throughout the treatment and at its end shows the constant need for training for health teams, as well as the awareness of professionals to perform the simplified neurological examination. Thus, more research must be carried out to measure the level of leprosy involvement and disability in the population, so that these data can be converted into disease control strategies and promote effective public health policies, as well as encourage early diagnosis with the aim of to reduce the number of patients who progress with a high degree of disability.

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Journal Article
Pires CAA
d’Avila Nóvoa T
Ferreira LFB
Pantoja GM
Year of Publication
Brazilian journal of health review
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