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Deps, PD; Guedes, BV; Bucker Filho, J; Andreatta, MK; Marcari, RS; Rodrigues, LC (2006)
Publisher: British Leprosy Relief Assoc
Languages: English
Types: Article
: This paper reports on the time between the onset of the first lesion and diagnosis, defined as delay, and is based on results obtained by interviewers from a survey carried out amongst 450 leprosy patients in a leprosy endemic area in the Metropolitan Region of Vitória (MRV), state of Espirito Santo, Brazil. The mean age at diagnosis in all cases was 41.47 years and the median was 42.5 years. The mean age at diagnosis in MB (42.9 years) was greater than in PB (38.5 years). The mean of the delay in all cases was 25.25 months, median 12 months and range 0-360 months. The mean of the delay in MB (27.2 months) was greater than in PB (21.3 months). The results of this study suggest that although the delay in leprosy diagnosis in this region of Brazil was not too long when it was compared with other studies in endemic countries, it is still a problem: 65.4% of patients were diagnosed after a delay of 6 months. The Leprosy Control Programme in this state needs more effective health education in order to reduce the current period of delay before diagnosis.
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    • 1 Meima A, Smith WC, van Oortmarssen GJ, Richardus JH, Habbema JDF. The future incidence of leprosy: a scenario analysis. Bull WHO, 2004; 82: 373- 380.
    • 2 WHO. Global Leprosy Situation, 2004. www.who.int/lep/stat2002/global02_files/lep04.xls (accessed May, 05, 2005).
    • 3 WHO. Guide to Eliminate Leprosy as a Public Health Problem. WHO, Geneva, 2000, pp. 7 - 16. www.who.int/lep (accessed September, 22, 2005).
    • 4 Meima A, Richardus JH, Habbema JD. Trends in leprosy case detection worldwide since, 1985. Lepr Rev, 2004; 75: 19 - 35.
    • 5 WHO, The final push towards elimination of leprosy: strategic plan, 2000- 2005. WHO, Geneva, 2000.
    • 6 Lockwood D, Reid AJC. The diagnosis of leprosy is delayed in the United Kingdom. Q J Med, 2001; 94: 207- 212.
    • 7 Saunderson P. The epidemiology of reactions and nerve damage. Lepr Rev, 2000; 71: 106 - 110.
    • 8 Meima A, Saunderson PR, Gebre S et al. Factors associated with impairments in new leprosy patients: the AMFES cohort. Lepr Rev, 1999; 70: 189- 203.
    • 9 Schreuder PAM. The occurrence of reactions and impairments in leprosy: experience in the leprosy control program of three provinces in north-eastern Thailand, 1978 - 1995. I Overview of the study. Int J Lepr Other Mycobact Dis, 1998; 66: 149- 158.
    • 10 Chen X-S, Li W-Z, Jiang C, Ye G-Y. Leprosy in China: delay in the detection of cases. Anns Trop Med Parasitol, 2000; 94: 181- 188.
    • 11 De Rojas V, Hernandez O, Gil R. Some factors influencing delay in leprosy diagnosis. Bull PAHO, 1994; 28: 156- 162.
    • 12 Al-Kandari S, Al-Anezi A, Pugh RN et al. Leprosy in Kuwait: an epidemiological study of new cases. Ann Trop Med Parasitol, 1990; 84: 513- 522.
    • 13 Nicholls PG, Wiens C, Smith WCS. Delay in presentation in the context of local knowledge and attitude towards leprosy - the results of qualitative fieldwork in Paraguay. Int J Lepr Other Mycobact Dis, 2003; 71: 198- 209.
    • 14 Wu XS, Ning Y, Shi L et al. An epidemiological analysis of leprosy from, 1951- 1996 in Sichuan. Ind J Lepr, 2000; 72: 63 - 74.
    • 15 Muller P, Frederic M, Salzer B, Strobel M. Lepre en Guadaloupe: maladie en decline, delai diagnostique en hausse. Ann Dermatol Venereol, 2003; 130: 619 - 621.
    • 16 Lastoria JC, Macharelli CA, Putinatti MSMA. Leprosy: reality of the clinical diagnosis. Hansen Int, 2003; 28: 53 - 58.
    • 17 Da Silva Souza C, Bacha JT. Delayed diagnosis of leprosy and the potential role of educational activities in Brazil. Lepr Rev, 2003; 74: 249 - 258.
    • 18 Pimentel MIF, Nery JAC, Borges E et al. Impairtments in multibacillary leprosy: a study from Brazil. Lepr Rev, 2004; 75: 143- 152.
    • 19 Kumar A, Girdhar A, Girdhar BK. Nerve thickening in leprosy patients and risk of paralytic deformities: a field based study in Agra, India. Lepr Rev, 2004; 75: 135- 142.
    • 20 Robertson LM, Nicholls PG, Butlin R. Delay in presentation and start of treatment in leprosy: experience in an out-patient clinic in Nepal. Lepr Rev, 2000; 71: 511- 516.
    • 21 Secretaria Executiva de Saude Publica - SEEPS. http://www.sespa.pa.gov.br/Situa%C3%A7%C3%A3o/ situacao_hanseniase.htm (accessed May 04, 2005).
    • 22 WHO. Expert Committee on Leprosy 7th Report, 1998, pp. 1 - 43.
    • 23 Becx-Bleumink M. Priorities for the future and prospects for leprosy control. Int J Lepr Other Mycobact Dis, 1993; 61: 82 - 101.
    • 24 Li HY, Wang XM, Li T, Zheng DY, Mao ZA, Ran SP, Liu FW. Long-term effect of leprosy control in two prefectures of China, 1955 - 1993. Int J Lepr Other Mycobact Dis, 1995; 63: 213 - 221.
    • 25 Bekri W, Gebre S, Mengiste A et al. Delay in presentation and start of treatment in leprosy patients: a case-control study of disabled and non-disabled patients in three different settings in Ethiopia. Int J Lepr Other Mycobact Dis, 1998; 66: 1 - 9.
    • 26 Sadeghi P, Marsha D, Carlson JA. Delay in diagnosis: indeterminate leprosy presenting with rheumatic manifestations. J Cutan Med Surg, 2000; 4: 26 - 29.
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