Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?: Hansen and Western Amazon.

(2009) observed a similar clinical and epidemiological profile identified here; however, there was an increasing trend towards disease endemicity. 19 In contrast, in the northeastern region (Fortaleza), the results suggested a late disease diagnosis. 7 , 10 , 17 This study has limitation as it reports results of a single reference center; however, it represents an area of high endemicity in our country.

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The new cases detection rate showed a decreasing trend throughout the historical series, with APC (Annual Percent Change) of −13.9 (95% CI: −19.1% to −8.2%).

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