Desfontaine M, Somse P, Baquillon G, Kanda P, Limbassa J
Acta Leprol. 1988 Apr-Dec;6(5):47-55.
The Central African Republic, which once had the highest Hansen disease prevalence rate in the Central African States, had exemplary results in the control carried out on the basis of sulfonic monotherapy since 1958. In 1983, a cluster sample survey in Upper-Sangha seemed to show that the prevalence of the disease was underestimated. It then became necessary to adopt a new national strategy whose objective would be to reduce the prevalence of leprosy in the country by 50% within five years. For this, a "National Programme for the Control of Leprosy in C.A.R." has been developed; in part it foresees the setting up of polychemotherapy for patients. These treatment protocols should insure healing of paucibacillary forms within six months and of multibacillary forms within twenty-four months. The new strategy of screening and decentralized treatment required retraining personnel and combining health education at individual and collective levels. The preliminary results of a national survey for the evaluation of the prevalence of leprosy are presented.
中非共和国曾是中非国家中麻风病患病率最高的国家，自1958年以来在基于磺基单药治疗开展的防治工作中取得了堪称典范的成果。1983年，上桑加省的一次整群抽样调查似乎表明该病的患病率被低估了。于是有必要采取一项新的国家战略，其目标是在五年内将该国麻风病的患病率降低50%。为此，制定了一项“中非共和国麻风病防治国家计划”；该计划部分内容预见要为患者建立联合化疗。这些治疗方案应确保少菌型在六个月内治愈，多菌型在二十四个月内治愈。新的筛查和分散治疗战略需要对人员进行再培训，并将个人层面和集体层面的健康教育结合起来。本文介绍了一项评估麻风病患病率的全国性调查的初步结果。
