Shen Jian-ping, Yang Rong-de, Wang Juan, Zhou Min
Department of Leprosy Control, Chinese Academy of Medical Sciences, Nanjing, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Jun;32(6):565-7.
To analyze the current situation and prevalence of leprosy in Wenshan district, Yunnan province.
To collect various data on leprosy reported by the health workers at the county level.
The number of newly registered patients did not decrease significantly in 1989, 1999 and 2009, respectively. The mean age of patients at detection was 33 - 35 years old. Time of delay between the disease onset and being diagnosed was shortened from 35.2 months in 1989 to 15.9 months in 2009. However, the proportion of patients with more than 12 months of delay still accounted for nearly 50%. The proportion of Grade II disability fluctuated between 15.2% - 17.7% and the proportion of child cases increased from 8.1% in 1989 to 13.1% in 2009. Clinics for skin diseases were the main locations for case detection. The proportion of new cases detected through 'active case finding' program accounted for 44.3% in 1999 and 42.6% in 2009, both higher than 17.7% in 1989.
The situation of leprosy in Wenshan district, Yunnan province, was still serious and the reason for the occurrence of new cases was related to the fact that the infectious source of leprosy had not been under full control.
分析云南省文山地区麻风病的现状及流行情况。
收集县级卫生工作者报告的各类麻风病数据。
1989年、1999年和2009年新登记患者数量分别无显著下降。患者确诊时的平均年龄为33 - 35岁。从发病到确诊的延迟时间从1989年的35.2个月缩短至2009年的15.9个月。然而,延迟超过12个月的患者比例仍占近50%。二级残疾比例在15.2% - 17.7%之间波动,儿童病例比例从1989年的8.1%增至2009年的13.1%。皮肤病诊所是主要的病例发现地点。通过“主动病例发现”项目发现的新病例比例在1999年占44.3%,2009年占42.6%,均高于1989年的17.7%。
云南省文山地区麻风病情况依然严峻,新病例出现的原因与麻风病传染源未得到全面控制有关。