Ponnighaus I M, Boerrigter G, Fine P E, Ponnighaus J M, Russell J
Lepra Evaluation Project, Chilumba, Malawi.
Lepr Rev. 1990 Dec;61(4):366-74. doi: 10.5935/0305-7518.19900034.
This paper describes the pattern of disability among 1654 leprosy patients ascertained between 1973 and 1987 in Karonga District, Northern Malaŵi. Approximately 20% of patients identified prior to 1980 had some disability at registration, but this percentage fell to approximately 10% with the introduction of total population surveys in the Lepra Evaluation Project. The proportion of patients with disabilities at registration increased with age, was higher among males than females, was higher among borderline and lepromatous than tuberculoid patients, and was higher for passively than for actively detected patients. The risk of developing disabilities among patients without any disabilities at registration was approximately 5 per 1000 person years, and appeared to be slightly higher after the completion of treatment than during treatment.
本文描述了1973年至1987年期间在马拉维北部卡龙加区确诊的1654例麻风病患者的残疾模式。1980年之前确诊的患者中，约20%在登记时存在某种残疾，但随着麻风病评估项目中引入总人口调查，这一比例降至约10%。登记时残疾患者的比例随年龄增加而上升，男性高于女性，界线类和瘤型患者高于结核样型患者，被动发现的患者高于主动发现的患者。登记时无任何残疾的患者发生残疾的风险约为每1000人年5例，且治疗结束后的风险似乎略高于治疗期间。
