Domergue V, Clyti E, Sainte-Marie D, Huber F, Marty C, Couppié P
Service de dermatologie, Centre hospitalier Andrée Rosemon de Cayenne, Guyane.
Med Trop (Mars). 2008 Feb;68(1):33-7.
French Guyana borders Brazil with the second highest number of cases of leprosy in the world. The purpose of this retrospective study of leprosy cases diagnosed in Guyana between January 1997 and December 2006 was to calculate the incidence of the disease and to identify any special clinical and epidemiological features. A total of 90 new cases were recorded during the study period for a mean incidence of 0.53 cases/10,000 inhabitants/year. Since this incidence is below the 1/10,000 threshold defined by the World Health Organization, leprosy is no longer considered as a major public health issue in French Guyana. However it must be noted that while the number of "native leprosy" cases has declined, the number of Brazilian cases has increased (p<0.01). Brazilian leprosy has different epidemiological features, i.e., dominance of multibacillary forms and high incidence in gold panning and western regions of the country where the incidence is over 1/10,000 inhabitants/year.
法属圭亚那与巴西接壤，是世界上麻风病例数第二多的地区。本回顾性研究旨在计算1997年1月至2006年12月在圭亚那诊断出的麻风病例的发病率，并确定任何特殊的临床和流行病学特征。研究期间共记录了90例新病例，平均发病率为0.53例/10000居民/年。由于这一发病率低于世界卫生组织定义的1/10000阈值，麻风病在法属圭亚那不再被视为主要的公共卫生问题。然而，必须注意的是，虽然“本地麻风病”病例数有所下降，但巴西病例数有所增加（p<0.01）。巴西麻风病具有不同的流行病学特征，即多菌型占主导，在淘金地区和该国西部地区发病率较高，那里的发病率超过1/10000居民/年。
