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Introduction: Leprosy is a chronic infectious disease caused by Mycobacterium leprae prevalent in Brazil. In order for there to be a holistic resolution of this problem, it is necessary to consider the precepts of One Health. Objective: To determine the clinical-epidemiological and spatial profile of leprosy in a health region in the Amazon between 2012 and 2022. Materials and Methods: This is an ecological analytical study, which uses data from public databases, through analysis of sociodemographic and clinical variables from 15 municipalities in the Araguaia health region. To understand the data, descriptive and inferential statistics were applied, as well as geographic mapping. Results: During the study period, 4346 cases of leprosy were analyzed in the health region analyzed, the municipality with the highest number of cases was Redenção-PA with 22.6%. Furthermore, it was observed that the cases were concentrated in men, adults, mixed race and with low education. Furthermore, the most prevalent clinical form was Dimorfa, 51.9%, the multibacillary classification, 79.3% and the most used therapeutic regimen was multibacillary multidrug therapy with twelve doses, 78%. Other important observations were the low adherence to smear microscopy, a reduction in the number of cases from 2020 onwards and few records in the indigenous population. Conclusion: Therefore, it is noted that there is a need to expand leprosy surveillance and control measures, with an emphasis on diagnosis, tracking and notification of cases, in order to obtain essential information for the development of assertive local strategies, which aim to control, mitigate cases and reduce damage to the health of affected individuals. [ABSTRACT FROM AUTHOR]

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