Muthuvel Thirumugam, Isaakidis Petros, Shewade Hemant Deepak, Kattuppara Lucy, Singh Rajbir, Govindarajulu Srinivas
German Leprosy and TB Relief Association, Chennai, India;
Médecins Sans Frontières (MSF)/Doctors Without Borders, Mumbai, India.
Glob Health Action. 2016 Nov 23;9:32962. doi: 10.3402/gha.v9.32962. eCollection 2016.
Leprosy remains an important cause of preventable disabilities. After the advent of multidrug therapy, new leprosy cases have come down dramatically. Despite this achievement, India, which contributes 60% of the global leprosy burden, faces some challenges to eliminate the disease, including active transmission in the community and delayed diagnosis of leprosy patients.
The objectives of the study were 1) to determine sociodemographic and clinical characteristics of newly diagnosed adults and children (less than 15 years) with leprosy and their trends over time (2008-2015) and 2) to describe the profile of surgical procedures among leprosy patients registered for reconstructive surgeries during 2006-2015.
Retrospective descriptive study was conducted involving a record review of new patients with leprosy registered in Vimala Dermatological Centre, Mumbai.
A total of 578 new leprosy cases were registered in the hospital during 2008-2015. There has been a steady increase in the trend of child cases (less than 15 years) registered in the facility (from 3% in 2008 to 18% in 2015), =12.11, 0.01. The majority of the patients (68%) were migrants of Uttar Pradesh and Bihar.
Targeting children and migrants and ensuring early diagnosis and treatment initiation are essential components for leprosy elimination in an urban metropolis in India.
麻风病仍然是可预防残疾的一个重要原因。多药疗法出现后,新的麻风病病例大幅下降。尽管取得了这一成就,但承担全球60%麻风病负担的印度在消除该疾病方面面临一些挑战,包括社区内的疾病传播以及麻风病患者的诊断延误。
本研究的目的是:1)确定新诊断的成年和儿童(小于15岁)麻风病患者的社会人口统计学和临床特征及其随时间(2008 - 2015年)的变化趋势;2)描述2006 - 2015年期间登记进行重建手术的麻风病患者的手术情况。
进行回顾性描述性研究,对孟买维马拉皮肤病中心登记的新麻风病患者记录进行审查。
2008 - 2015年期间,该医院共登记了578例新的麻风病病例。该机构登记的儿童病例(小于15岁)呈稳步上升趋势(从2008年的3%升至2015年的18%),=12.11,0.01。大多数患者(68%)是北方邦和比哈尔邦的移民。
针对儿童和移民并确保早期诊断和开始治疗是印度一个大都市消除麻风病的重要组成部分。