Sahu T, NC Sahani
Department of Community Medicine, MKCG Medical College, Brahmapur 760 004, Orissa.
Indian J Lepr. 2005 Jan-Mar;77(1):38-46.
Four Modified Leprosy Elimination Campaigns (MLECs) were conducted in Orissa by March 2003. Their impact on various leprosy indicators was analyzed. More than 70% of the people of the State were examined during these campaigns. The suspect rate decreased from 1.44% to 0.37% towards the fourth MLEC. About 15% of the suspects were clinically confirmed to be having leprosy. The total number of new cases detected during the MLEC years was on the decrease. A marked fall in new case-detection rate was observed during inter-MLEC years. This has resulted in fluctuation in the prevalence rate during the MLEC years, but the overall PR/10,000 population decreased from 12.18 in 1996-97 to 7.3 in March 2003. More than 40% of the total new cases and about 45% of total new child cases for the corresponding year were detected during the MLECs, and the proportion of total new case-detection was as high as 60.8% during the first MLEC. The proportion of female cases detected during succeeding MLECs improved and an almost equal number of female cases were detected during MLECs III and IV. Considering the present leprosy situation in Orissa and the effectiveness of MLECs in case-detection, it was recommended that such campaigns should be undertaken in select high prevalent blocks of the State at regular intervals, along with the strengthening of the integration of NLEP activities into primary health care activities.
截至2003年3月，在奥里萨邦开展了四次改良麻风病消除运动（MLECs）。分析了这些运动对各种麻风病指标的影响。在这些运动期间，该邦70%以上的人口接受了检查。在第四次MLEC时，疑似病例率从1.44%降至0.37%。约15%的疑似病例经临床确诊患有麻风病。在开展MLEC的年份里，新病例的总数呈下降趋势。在两次MLEC之间的年份里，新病例发现率显著下降。这导致了在开展MLEC的年份里患病率出现波动，但每万人口中的总体患病率从1996 - 1997年的12.18降至2003年3月的7.3。相应年份超过40%的新病例总数和约45%的新儿童病例是在MLEC期间发现的，在第一次MLEC期间，新病例发现总数的比例高达60.8%。在后续的MLEC中，检测出的女性病例比例有所提高，并在第三次和第四次MLEC期间检测出的女性病例数量几乎相等。考虑到奥里萨邦目前的麻风病情况以及MLEC在病例发现方面的有效性，建议定期在该邦选定的高流行区开展此类运动，并加强将国家麻风病消除计划（NLEP）活动纳入初级卫生保健活动。
