Daumerie D, Antiope L, Husser J A, Vimont-Vicary P, Nebout M
Institut Marchoux, Bamako, Mali.
Acta Leprol. 1987 Jul-Sep;5(3):183-97.
A sample survey on households was conducted in Bamako (capital of the Republic of Mali) in order to estimate epidemiological and logistical indexes relating to Hansen's disease. With a prevalence rate reaching 7.37 +/- 1.83 per thousand, a detection rate reaching 0.91 +/- 0.49 per thousand the city is a high level endemic area. All observed parameters (age, sex, racial, hygiene status, geographic distribution) seem to have no influence on disease aspect. The majority of the patients (80%) are treated by monotherapy with Dapsone, generally for excessive duration. The sociocultural impact of the Hansen's disease is very important, the physical and sensorial handicaps are frequent (34%). The survey's results could be used in order to elaborate a strategy for leprosy control based on multi-drug therapy in urban areas.
在巴马科(马里共和国首都)对家庭进行了抽样调查,以估计与麻风病相关的流行病学和后勤指标。该市麻风病患病率达千分之7.37±1.83,发现率达千分之0.91±0.49,属于高度流行区。所有观察到的参数(年龄、性别、种族、卫生状况、地理分布)似乎对疾病状况均无影响。大多数患者(80%)采用氨苯砜单一疗法治疗,且治疗时间通常过长。麻风病的社会文化影响非常大,身体和感官残疾很常见(34%)。该调查结果可用于制定基于多药疗法的城市地区麻风病控制策略。