<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232024000100016</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223202401570</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Hanseníase em menores de 15 anos de idade na Amazônia: epidemiologia, vigilância e desafios no estado do Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Leprosy in children under 15 in the Amazon: epidemiology, surveillance, and challenges in Pará State, Brazil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giordano]]></surname>
<given-names><![CDATA[Marília Pedrinha de Lima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Francisca Regina Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Estado do Pará Programa de Pós-Graduação em Biologia Parasitária na Amazônia ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>15</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232024000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232024000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232024000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  INTRODUÇÃO: A hanseníase, doença infecciosa, contagiosa e de evolução crônica, acomete populações de condições socioeconômicas desfavoráveis, causando o adoecimento de adultos e menores de 15 anos de idade que residem no mesmo domicílio, devido ao longo período de incubação da doença.  OBJETIVOS: Investigar a ocorrência e as características sociodemográficas e clínicas de casos de hanseníase registrados em menores de 15 anos no estado do Pará, Brasil.  MATERIAIS E MÉTODOS: Estudo observacional descritivo, de caráter epidemiológico e ecológico, com análise espaço-temporal da hanseníase em menores de 15 anos no estado do Pará, segundo casos novos notificados e confirmados no Sistema de Informação de Agravos de Notificação, no período de janeiro de 2018 a dezembro de 2022.  RESULTADOS: Foram diagnosticados 929 casos novos de hanseníase no grupo estudado. Desses, 53,61% pertenciam ao sexo masculino, 72,23% estavam da faixa etária de 10 a 14 anos, 78,58% eram pardos, 43,92% tinham grau de escolaridade da 5ª à 8ª série do Ensino Fundamental e 74,81% residiam na zona urbana. A taxa de detecção no período estudado foi mais elevada em 2018 (12,74 casos novos/100.000 habitantes); porém, com tendência de decréscimo nos anos subsequentes.  CONCLUSÃO: Foi verificado o decréscimo de casos de hanseníase em menores de 15 anos entre 2018 e 2022, pela provável subnotificação em decorrência da pandemia de COVID-19. Contudo, os dados evidenciaram falhas na cobertura dos serviços de saúde, o que permite concluir que a hanseníase em crianças e adolescentes do estado do Pará ainda está presente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  INTRODUCTION: Leprosy, an infectious, contagious, and chronic disease, affects populations in unfavorable socioeconomic conditions. It leads to illness among both adults and children under 15 who live in the same household due to its long incubation period.  OBJECTIVES: To investigate the occurrence and sociodemographic and clinical characteristics of leprosy cases registered among children under 15 in Pará State, Brazil.  MATERIALS AND METHODS: Descriptive observational study with an epidemiological and ecological approach, analyzing the spatial and temporal distribution of leprosy in children under 15 in Pará, based on new cases reported and confirmed in the Notifiable Diseases Information System from January 2018 to December 2022.  RESULTS: A total of 929 new cases of leprosy were diagnosed in the study group. Of these, 53.61% were male, 72.23% were aged between 10 and 14 years, 78.58% were brown, 43.92% had completed grades 5 to 8 of elementary school, and 74.81% lived in urban areas. The detection rate was highest in 2018 (12.74 new cases per 100,000 inhabitants), followed by a decreasing trend in subsequent years.  CONCLUSION: A decrease in leprosy cases among children under 15 was observed from 2018 to 2022, likely due to underreporting associated with the COVID-19 pandemic. Nevertheless, the data showed gaps in health service coverage, indicating that leprosy among children and adolescents in Pará persists.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hanseníase]]></kwd>
<kwd lng="pt"><![CDATA[Mycobacterium leprae]]></kwd>
<kwd lng="pt"><![CDATA[Vigilância em Saúde Pública]]></kwd>
<kwd lng="en"><![CDATA[Leprosy]]></kwd>
<kwd lng="en"><![CDATA[Mycobacterium leprae]]></kwd>
<kwd lng="en"><![CDATA[Public Health Surveillance]]></kwd>
</kwd-group>
</article-meta>
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