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Emerg Infect Dis ; 25(12): 2183-2190, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31742506

RESUMO

Buruli ulcer is a neglected tropical disease caused by Myocobacterium ulcerans; it manifests as a skin lesion, nodule, or ulcer that can be extensive and disabling. To assess the global burden and the progress on disease control, we analyzed epidemiologic data reported by countries to the World Health Organization during 2010-2017. During this period, 23,206 cases of Buruli ulcer were reported. Globally, cases declined to 2,217 in 2017, but local epidemics seem to arise, such as in Australia and Liberia. In 2013, the World Health Organization formulated 4 programmatic targets for Buruli ulcer that addressed PCR confirmation, occurrence of category III (extensive) lesions and ulcerative lesions, and movement limitation caused by the disease. In 2014, only the movement limitation goal was met, and in 2019, none are met, on a global average. Our findings support discussion on future Buruli ulcer policy and post-2020 programmatic targets.


Assuntos
Úlcera de Buruli/epidemiologia , Úlcera de Buruli/microbiologia , Mycobacterium ulcerans , Fatores Etários , Úlcera de Buruli/diagnóstico , Úlcera de Buruli/história , Doenças Endêmicas , Saúde Global , História do Século XXI , Humanos , Mycobacterium ulcerans/classificação , Mycobacterium ulcerans/genética , Reação em Cadeia da Polimerase , Vigilância da População , Estudos Retrospectivos , Fatores Sexuais , Organização Mundial da Saúde
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