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Human migration, railways and the geographic distribution of leprosy in Rio Grande do Norte State--Brazil

Nobre, Mauricio Lisboa ; Dupnik, Kathryn Margaret ; Nobre, Paulo José Lisboa ; Freitas De Souza, Márcia Célia ; Dűppre, Nádia Cristina ; Sarno, Euzenir Nunes ; Jerŏnimo, Selma Maria Bezerra

Leprosy review, 2015-12, Vol.86 (4), p.335-344 [Periódico revisado por pares]

England: British Leprosy Relief Association

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  • Título:
    Human migration, railways and the geographic distribution of leprosy in Rio Grande do Norte State--Brazil
  • Autor: Nobre, Mauricio Lisboa ; Dupnik, Kathryn Margaret ; Nobre, Paulo José Lisboa ; Freitas De Souza, Márcia Célia ; Dűppre, Nádia Cristina ; Sarno, Euzenir Nunes ; Jerŏnimo, Selma Maria Bezerra
  • Assuntos: Analysis ; Brazil - epidemiology ; Health aspects ; Human Migration ; Humans ; Leprosy ; Leprosy - epidemiology ; Leprosy - transmission ; Public Health ; Railroads ; Social aspects ; Travel
  • É parte de: Leprosy review, 2015-12, Vol.86 (4), p.335-344
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: Leprosy is a public health problem in Brazil where 31,044 new cases were detected in 2013. Rio Grande do Norte is a small Brazilian state with a rate of leprosy lower than other areas in the same region, for unknown reasons. We present here a review based on the analysis of a database of registered leprosy cases in Rio Grande do Norte state, comparing leprosy's geographic distribution among municipalities with local socio-economic and public health indicators and with historical documents about human migration in this Brazilian region. The current distribution of leprosy in Rio Grande do Norte did not show correlation with socio-economic or public health indicators at the municipal level, but it appears related to economically emerging municipalities 100 years ago, with spread facilitated by railroads and train stations. Drought-related migratory movements which occurred from this state to leprosy endemic areas within the same period may be involved in the introduction of leprosy and with its present distribution within Rio Grande do Norte. Leprosy may disseminate slowly, over many decades in certain circumstances, such as in small cities with few cases. This is a very unusual situation currently and a unique opportunity for epidemiologic studies of leprosy as an emerging disease.
  • Editor: England: British Leprosy Relief Association
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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