Trend in the epidemiological risk of leprosy in the state of Goiás-Brazil between 2010 and 2021.

However, different dynamics were found in the rate of cases with grade 2 physical disability, which has shown an increasing trend in published research. 9 , 13 The persistence of cases diagnosed with grade 2 physical disability at high levels highlights late diagnosis and contributes to the formation of leprosy transmission foci. 11 , 18 A study conducted in Ethiopia showed an average delay of 12 months in diagnosis, culminating 83% grade 2 physical disability among the individuals assessed. 19 Three pillars are necessary for early leprosy detection: health education for the population, training of health professionals and investment in health policies that address the needs of the population.

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