Um Boock A, Ntozo'o J P, Boua B, Vander Plaetse B
Fairmed, Unit programme, Berne, Suisse.
Fairmed, Unit programme, Berne, Suisse, Projet santé primaire de Baiki, RCA, Fondation Fairmed.
Med Sante Trop. 2019 May 1;29(2):155-158. doi: 10.1684/mst.2019.0876.
The incidence of neglected tropical diseases (NTD) can serve as an indicator for assessing the quality of healthcare systems because these diseases affect the poorest populations, living in areas where healthcare access is most difficult. The Central African Republic Ministry of Health, in collaboration with FAIRMED, decided to conduct the survey reported here in a village named/owned by the Central African Society of Agriculture and Wood Peeling (SCAD). The study took place from June 11-20, 2017. There were 137 clinical diagnoses of yaws, 102 of them positive on laboratory tests. Moreover, 79% were highly contagious forms. The prevalence of yaws in our study is higher than the 11% found in 2012 in the Lobaye region [4]. We also identified 57 cases of leprosy by screening; 68.42% (n= 39) were multibacillary. Among children younger than 15 years, 8 (16.66%) had grade 2 impairments. The screening rate for new cases is 13.333 per 10 000, quite substantially higher than the mean rate of 2.9 per 10 000 for the 121 countries and territories of this WHO region in 2016 [6]. Among the cases screened during the study, 51% (n=29/57) were already known to healthcare facilities. This study demonstrates the extent of the NTDs in Lobaye in the Central African Republic.
被忽视热带病（NTD）的发病率可作为评估医疗保健系统质量的一项指标，因为这些疾病影响着最贫困人群，他们生活在医疗服务最难获取的地区。中非共和国卫生部与FAIRMED合作，决定在一个名为/归中非农业与木材剥皮协会（SCAD）所有的村庄开展此处报告的这项调查。该研究于2017年6月11日至20日进行。有137例临床诊断为雅司病，其中102例实验室检测呈阳性。此外，79%为高传染性类型。我们研究中雅司病的患病率高于2012年在洛巴耶地区发现的11%[4]。我们通过筛查还发现了57例麻风病病例；68.42%（n = 39）为多菌型。在15岁以下儿童中，8例（16.66%）有二级损伤。新病例筛查率为每10000人中有13.333例，大大高于2016年世卫组织该区域121个国家和地区每10000人2.9例的平均筛查率[6]。在研究期间筛查出的病例中，51%（n = 29/57）已为医疗机构所知。这项研究表明了中非共和国洛巴耶地区被忽视热带病的流行程度。
