Pattyn S R, Grillone S
Institute of Tropical Medicine, Leprosy Unit, Antwerpen, Belgium.
Ann Soc Belg Med Trop. 1991 Mar;71(1):51-5.
The evolution of the leprosy endemic in the République Fédérale Islamique des Comores between 1981 and 1988 is described. Leprosy on Grande Comore seems to be extinct. On the island of Anjouan the yearly detection rate is 0.38 per 1,000 with a high multibacillary rate (34%). Leprosy is highly endemic in children: during the last 6 years, 30% of multibacillary and 44% of paucibacillary cases are detected in the less than 15 years age group. Detection seems to be early as illustrated by the high proportion of paucibacillary patients with a small number of skin lesions and a low proportion of patients with severe infirmity. In the detection process both patient's and doctor's delays are short. Most diagnoses are suspected by relatives or others who had the disease in the past and who referred the suspects directly to the specialised service.
描述了1981年至1988年间科摩罗伊斯兰联邦共和国麻风病流行情况的演变。大科摩罗岛的麻风病似乎已绝迹。昂儒昂岛的年发病率为每1000人中有0.38例，多菌型发病率较高（34%）。麻风病在儿童中高度流行：在过去6年中，30%的多菌型病例和44%的少菌型病例是在15岁以下年龄组中发现的。由于少菌型患者皮肤损害数量少且严重残疾患者比例低，因此检测似乎较早。在检测过程中，患者和医生的延误时间都很短。大多数诊断是由亲属或其他曾患过该病的人怀疑的，他们将疑似患者直接转诊至专门机构。
