Navegando por Assunto "Lepra"

Agora exibindo 1 - 4 de 4

Acesso aberto (Open Access)
Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population
(Universidade Federal do Pará, 2017-04) ABEN-ATHAR, Cintia Yolette Urbano Pauxis; LIMA, Sandra Souza; ISHAK, Ricardo; VALLINOTO, Antonio Carlos Rosário
Introduction: Leprosy often results in sensory and physical limitations. This study aimed to evaluate these limitations using a quantitative approach in leprosy patients in Belém (Pará, Brazil). Methods: This epidemiological, cross-sectional study measured the sensory impairment of smell and taste through the use of a questionnaire and evaluated activity limitations of daily life imposed by leprosy through the Screening of Activity Limitation and Safety Awareness (SALSA) Scale. Data were collected from 84 patients and associations between the degree of disability and clinical and epidemiological characteristics were assessed. Results: The majority of patients were men (64.3%), married (52.4%), age 31-40 years old (26.2%), had primary education (50%), and were independent laborers (36.9%). The multibacillary operational classification (81%), borderline clinical form (57.1%), and 0 degrees of physical disability (41.7%) were predominant. SALSA scores ranged from 17 to 59 points, and being without limitations was predominant (53.6%). The risk awareness score ranged from 0 to 8, with a score of 0 (no awareness of risk) being the most common (56%). Evaluation of smell and taste sensory sensitivities revealed that 70.2% did not experience these sensory changes. Patients with leprosy reactions were 7 times more likely to develop activity limitations, and those who had physical disabilities were approximately four times more likely to develop a clinical picture of activity limitations. Conclusions: Most patients showed no sensory changes, but patients with leprosy reactions were significantly more likely to develop activity limitations. Finally, further studies should be performed, assessing a higher number of patients to confirm the present results.
Acesso aberto (Open Access)
A Cidade dos Lázaros: isolacionismo, políticas públicas e lepra no Pará (1900-1934)
(Universidade Federal do Pará, 2024-06-28) VIEIRA, Elis Regina Corrêa; SANJAD, Nelson Rodrigues; http://lattes.cnpq.br/9110037947248805; https://orcid.org/0000-0002-6372-1185
At the end of the XIX century and the beginning of XX, leprosy went through a process of singularization marked by an intense debate about etiology, therapy and prophylaxis of the disease. In this context, there was a theoric effort to consolidate leprosy as a disease caused by a bacillus and transmitted by contagion. At the same time, if the disease was contagious and its means of transmission was uncertain, the idea of isolating the patients was the only way of avoiding the spread of the disease became strength. In Brazil, many doctors and intellectuals participated in an international network of scientists that debated about the disease. In the same context, the health movement demanded that the Union increase its responsibilities in public health. The leprosy prophylaxis was benefited by these discussions and the federal government started to implement several leprosariums in partnership with the state government. Lazarópolis do Prata, in the state of Pará, was created in this context. It was installed in 1923 and officially opened in June 1924. My thesis proposes that doctors created a model of isolation to Lazarópolis, however, the experience of different individuals recreated the senses of this isolation, challenging the hygienist ideal of a kind, disciplined, and submissive "lázaro" to the doctors. Thus, even an institution seen as a model faced challenges such as escapes and violations to the established norms.
Acesso aberto (Open Access)
Do índio Passos ao doutor Chernoviz: experiências de cura da lepra no Pará do século XIX
(Fundação Oswaldo Cruz, 2023) COUTO, Márcio Couto
This article analyzes an experiment to cure leprosy using the assacu plant (Hura crepitans L.) conducted in Santarém, Pará, in 1847, by an Indigenous man named Antonio Vieira dos Passos. The experiment was later repeated in other Brazilian provinces and abroad. This article establishes relationships between medical practices in other parts of the country while focusing on the dialog between official and Indigenous medicine. Newspaper articles and official documents of the time show that Indigenous knowledge of medicinal plants was widely recognized and utilized by physicians wishing to incorporate it into the official therapeutic repertoire.
Acesso aberto (Open Access)
Escravos no purgatório: o leprosário do Tucunduba (Pará, século XIX)
(Casa de Oswaldo Cruz, Fundação Oswaldo Cruz, 2012-12) HENRIQUE, Márcio Couto
The article analyzes the experience of the slaves interned at the Tucunduba Leprosarium in Belém, state of Pará during the nineteenth century. The slaves were freed once they showed the marks of their leprosy, and expectations were that they would submit to the segregation policy meant to keep them from contact with the rest of the population. The documentation produced by Santa Casa de Misericórdia hospital in Pará and by the province's political authorities reveals the strategies the slaves devised in response to this policy; they used their numerical predominance at the leprosarium to create a network of solidarity that allowed them to recreate their lives and stand in opposition to the type of nation that the era's hygienist theories envisioned.