Epidemiology of leprosy in Italy (1920 – 2019): a comprehensive review on existing data

Epidemiology of leprosy in Italy (1920 – 2019): a comprehensive review on existing data

Authors

  • Matteo Riccò Azienda USL di Reggio EmiliaV.le Amendola n.2 - 42122 REServizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL)Dip. di Prevenzione http://orcid.org/0000-0002-6525-2159
  • Luigi Vezzosi Azienda Socio Sanitaria Territoriale di Cremona, Direzione Medica Ospedale di Cremona, 26042 Cremona, Italy
  • Federica Balzarini School of Hygiene and Public Health, Vita-Salute San Raffaele University, Via Olgettina 58, 20132 Milano
  • Angelo Giosuè Mezzoiuso School of Hygiene and Public Health, Vita-Salute San Raffaele University
  • Silvia Ranzieri School of Occupational Medicine, Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43123 Parma, Italy
  • Fabrizio Giovanni Vaccaro School of Hygiene and Public Health, Vita-Salute San Raffaele University, Via Olgettina 58, 20132 Milano, Italy
  • Anna Odone School of Hygiene and Public Health, Vita-Salute San Raffaele University, Via Olgettina 58, 20132 Milano, Italy
  • Carlo Signorelli School of Hygiene and Public Health, Vita-Salute San Raffaele University, Via Olgettina 58, 20132 Milano, Italy

Keywords:

Emigration and Immigration, Incidence, Leprosy/epidemiology, Retrospective Studies

Abstract

Background and aims: Incidence of leprosy in Italy has declined steadily over the last century, but available evidence remains fragmentary. Our review aims to summarize available data on the epidemiology of leprosy cases in Italy. Methods: The following keywords were used to explore PubMed and Embase: leprosy, Hansen’s disease, (Mycobacterium) leprae, Italy, without any chronological restriction. Results: We identified a total of 39 reports, including 7 national reports, 11 international reports, 20 case reports. Notified leprosy cases were: 839 between 1925 and 1948; 434 between 1955 and 1979; 76 cases for the decade 1980-1989; 112 between 1990 and 1999; 62 between 2000 and 2009, and a total of 25 cases since 2009. Since 2003, 53% of all cases occurred in illegal residents. Focusing on individual cases, latency between early signs/symptoms and a proper diagnosis ranged between 2 and 20 years in 52.1% of individual cases. Conclusion: Imported cases of leprosy are responsible for most leprosy incidence in Italy, and social stigma, the unfamiliarity of healthcare professionals with such disorders, and difficulties of some high-risk groups to be appropriately assessed hint to a possible under-diagnosis. Professionals should be made more aware of the potential for leprosy incidence among patients from countries where the disease is endemic.

Author Biography

Matteo Riccò, Azienda USL di Reggio EmiliaV.le Amendola n.2 - 42122 REServizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL)Dip. di Prevenzione

Dipartimento di Sanità Pubblica

Dirigente Medico di Medicina del Lavoro

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Published

13-09-2019

How to Cite

1.
Epidemiology of leprosy in Italy (1920 – 2019): a comprehensive review on existing data. Acta Biomed [Internet]. 2019 Sep. 13 [cited 2024 Jun. 20];90(9-S):7-14. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/8695

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