The data emphasize the importance of critical analysis and monitoring of the epidemiologic situation in areas from where successful integration of leprosy control on the primary health care level has been reported.Ī Coordenadoria de Vigilância Epidemiológica e Prevenção em Saúde (COVEP), da Secretaria de Saúde do estado do Ceará (SESA), apresenta o Plano Estadual de Vigilância para o Enfrentamento da Hanseníase no estado do Ceará, estabelecendo prioridades e definindo ações estratégicas para a atenção às pessoas atingidas pela doença, com base nas evidências de seus territórios. The health services improved the detection of cases in the period however, inconsistencies regarding age, sex, clinical form and operational classes were identified which indicate inadequate diagnosis of leprosy, principally in 2003.
The detection rate increased from 10.0 cases/10.000 inhabitants in 1997 to 21.6 cases/10.000 inhabitants in 2003. However, in the following years, multibacillary leprosy turned to be the predominant form, with proportions varying from 62.1% to 85.9% in the years 20, respectively. In 1997, most cases (70.4%) were paucibacillary. Borderline leprosy increased continuously, representing 67.5% of the notified cases in 2003. The highest percentage of new cases was detected in 2003, with values above the expected when compared to the previous years. In 2003, the detection rate in the female sex was 23.8/10,000 women, an increase of 9.6% as compared to the male sex. In the study period, 1,305 new cases of leprosy were notified 661 (50.3%) were females and 644 (49.7%) were males. Data were obtained from the database of SINAN (Sistema de Informação de Agravos de Notificação - Information System of Notifiable Diseases). To analyze the epidemiologic situation of leprosy in Sobral from 1997 to 2003, a descriptive longitudinal study was conducted. Sobral Municipality in the central-north sertão region of the State of Ceará (northeast Brazil) is considered by the Ministry of Health one of the priority municipalities for the control of leprosy.
Leprosy is still a public health problem in Brazil.
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