Name: Taciana Gabrielle Pinheiro de Moura Rodrigues
Type: MSc dissertation
Publication date: 19/12/2016
Advisor:
Name | Role |
---|---|
David Jamil Hadad | Advisor * |
Examining board:
Name | Role |
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David Jamil Hadad | Advisor * |
Eliana Zandonade | Internal Examiner * |
Fausto Edmundo Lima Pereira | External Examiner * |
Summary: Introduction: Known since Ancient History, Hansens disease still presents a challenge to Public Health. According to the Ministry of Health, the diagnosis of Hansens disease in people under 15 needs to prioritized, since cases in that age group can represent the individuals exposed, but still not diagnosed by the healthcare system. Therefore, an analysis was made of the spatial distribution of the detection coefficients of new cases of Hansens disease in people under 15 years old in the State of Espírito Santo. Methods: Descriptive, ecological study of the spatial distribution of Hansens disease in people under 15 in the state of Espírito Santo between 2010 and 2014. The information was collected at the Hansens disease database of the Health Secretariat of the State of Espírito Santo. The global and local Empirical Bayes method was applied in order to produce an estimate of the incidence of Hansens disease, smoothing out the effect of the fluctuation of the detection
coefficients. Results: High incidence rates in people under 15 were found in the Northern region of the state. The corrected rates by the Ebest Global method produced significant changes in value: of the 42 municipalities with zero incidence, none remained with the adjusted number equals zero. Conclusion: The Hansens disease distribution in people under 15 years old took place in a heterogenic form
among the municipalities, identifying possible high-risk sickening regions. The employment of the spatial analysis allows knowing the priority places to be controlled in order to guide health-care public policies, helping to plan the vigilance actions.