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. 2019 Sep 13;90(9-S):7-14.
doi: 10.23750/abm.v90i9-S.8695.

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

Matteo Riccò  1 , Luigi Vezzosi, Federica Balzarini, Angelo Giosuè Mezzoiuso, Silvia Ranzieri, Fabrizio Giovanni Vaccaro, Anna Odone, Carlo Signorelli
Affiliations

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

Matteo Riccò et al. Acta Biomed. .

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.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Flow of studies through the review
Figure 2.
Figure 2.
Epidemic curve of notification of leprosy cases in Italy by year and source of infection, 1920 - 2018 (2,5,19-27,6,7,9,11,12,16-18)
Figure 3.
Figure 3.
Distribution of leprosy cases in Italy, 1947 and in 1980 (9,11)
See this image and copyright information in PMC

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