<?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>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742019000100022</article-id>
<article-id pub-id-type="doi">10.5123/s1679-49742019000100015</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Transmissão da hanseníase na Bahia, 2001-2015: modelagem a partir de regressão por pontos de inflexão e estatística de varredura espacial]]></article-title>
<article-title xml:lang="es"><![CDATA[Transmisión de la lepra en Bahia, 2001-2015: modelado a partir de regresión por Joinpoint y estadística de barrido espacial]]></article-title>
<article-title xml:lang="en"><![CDATA[Leprosy transmission in Bahia, 2001-2015: modeling based on Joinpoint regression and spatial scan statistics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Carlos Dornels Freire de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[Carlos Feitosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Mônica de Avelar Figueiredo Mafra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal de Alagoas Departamento de Medicina ]]></institution>
<addr-line><![CDATA[Arapiraca AL]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundação Instituto Oswaldo Cruz Programa de Pós-Graduação em Saúde Pública ]]></institution>
<addr-line><![CDATA[Recife PE]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundação Instituto Oswaldo Cruz Instituto de Comunicação e Informação Científica e Tecnológica em Saúde ]]></institution>
<addr-line><![CDATA[Rio de Janeiro RJ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742019000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742019000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742019000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo: descrever a tendência e a distribuição espacial da hanseníase no estado da Bahia, Brasil, em 2001-2015.  Métodos: estudo ecológico misto dos indicadores epidemiológicos da hanseníase; na análise temporal, utilizou-se a regressão Joinpoint, e a estatística de varredura espacial na identificação de clusters da doença; a tendência foi classificada como estacionária, crescente ou decrescente; calculou-se a variação percentual anual (APC: annual percent change) e a variação percentual anual média (AAPC: average annual percent change).  Resultados: houve redução da prevalência (AAPC = -5,6; p&lt;0,001), do abandono (AAPC = -13,7; p&lt;0,001) e de mulheres doentes (AAPC = -0,6; p&lt;0,001); o coeficiente de casos novos de grau II (AAPC = 2,7; p&lt;0,001) e a proporção de casos multibacilares (AAPC = 2,2; p&lt;0,001) apresentaram tendência crescente; revelou-se distribuição espacial heterogênea, concentrada em três regiões destacadas (norte, oeste e sul do estado), e variação entre indicadores.  Conclusão: sugere-se persistência da transmissão da hanseníase no estado, diagnóstico tardio e elevada prevalência oculta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: describir la tendencia y distribución espacial de la lepra en el estado de Bahia, Brasil, en 2001-2015.  Métodos: estudio ecológico mixto de los indicadores epidemiológicos de la lepra; se utilizó la regresión Joinpoint para el análisis temporal y la estadística espacial para la identificación de clusters de la enfermedad; la tendencia se clasificó en estacionaria, creciente o decreciente; se calculó el cambio porcentual anual (APC: annual percent change) y la variación porcentual anual promedio (AAPC: average annual percent change).  Resultados: se ha reducido la prevalencia (AAPC = -5,6; p&lt;0,001), el abandono (AAPC = -13,7; p&lt;0,001) y las mujeres enfermas (AAPC = -0,6; p&lt;0,001); la tasa de nuevos casos de grado II (AAPC = 2,7; p&lt;0,001) y la proporción de casos multibacilares (AAPC = 2,2; p&lt;0,001) presentaron una tendencia de crecimiento; la distribución espacial fue heterogénea, con concentración en tres regiones de destaque (norte, oeste y sur del estado) y variación entre indicadores.  Conclusión:  sugiere persistencia de la transmisión de la lepra en el estado, diagnóstico tardío y elevada prevalencia oculta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: to describe the trend and the spatial distribution of leprosy in the state of Bahia, Brazil, 2001-2015.  Methods: this was a mixed ecological study of epidemiological indicators of leprosy; Joinpoint regression was used for the temporal analysis, while spatial scan statistics were used to identify clusters of the disease; the trend was classified as stationary, increasing or decreasing; we calculated the annual percent change (APC) and average annual percent change (AAPC).  Results: there was a reduction in prevalence (AAPC = -5.6; p&lt;0,001), treatment dropout (AAPC = -13.7; p&lt;0.001), and females with leprosy (AAPC = -0.6; p&lt;0.001); the new grade II case coefficient (AAPC = 2.7; p&lt;0.001) and the proportion of multibacillary cases (AAPC = 2,2; p&lt;0.001) showed a growing trend; spatial distribution was heterogeneous and concentrated in three regions in particular (north, west and south of the state), with variation between the indicators.  Conclusion: persisting leprosy transmission in the state, late diagnosis and high hidden prevalence is suggested.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hanseníase]]></kwd>
<kwd lng="pt"><![CDATA[Análise Espacial]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Negligenciadas]]></kwd>
<kwd lng="pt"><![CDATA[Estudos de Séries Temporais]]></kwd>
<kwd lng="pt"><![CDATA[Estudos Ecológicos]]></kwd>
<kwd lng="es"><![CDATA[Lepra]]></kwd>
<kwd lng="es"><![CDATA[Análisis Espacial]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades Desatendidas]]></kwd>
<kwd lng="es"><![CDATA[Estudios de Series Temporales]]></kwd>
<kwd lng="es"><![CDATA[Estudios Ecológicos]]></kwd>
<kwd lng="en"><![CDATA[Leprosy]]></kwd>
<kwd lng="en"><![CDATA[Spatial Analysis]]></kwd>
<kwd lng="en"><![CDATA[Neglected Diseases]]></kwd>
<kwd lng="en"><![CDATA[Time Series Studies]]></kwd>
<kwd lng="en"><![CDATA[Ecological Studies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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