According to the results, for the detection rates ( S1 Fig ) there was a decreasing trend in the general detection rate and for the reported female cases, and an increasing trend for male cases (0.01%).
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Inequality of gender, age and disabilities due to leprosy and trends in a hyperendemic metropolis: Evidence from an eleven-year time series study in Central-West Brazil.
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The sentences
There is no discussion on the limitations of this study – one big thing, which you can tell from the figures, is that the number of children with grade 2 disability is actually quite small so it may not be able to tell a clear trend.
The study shows an increasing trend in disabilities in both genders, which may be related to the delay in diagnosis.