Ganapati R, Revankar C R, Dongre V V
Indian J Lepr. 1985 Apr-Jun;57(2):383-8.
Transmission of leprosy which is related directly to the total quantum of infection in the community as a whole is decided by the existence of patients suffering from progressive and infectious forms of leprosy and their movement from place to place. This information is of great importance in cities like Bombay to identify the priority areas as targets towards which control efforts should be directed. In this presentation an attempt has been made to compare the leprosy survey figures from three different situations in the city. Selection is arbitrary, not made on statistical basis. The data of particular importance is from a leprosy colony located in North Bombay representing a hyperendemic situation and a normal slum adjacent to this colony, movement of population between these two colonies being free. Age specific prevalence rates of leprosy after examining more than 80% of population from these colonies are compared with data derived from normal slums situated elsewhere in the city. The figures reveal varying prevalence rates marked by an increasing trend in the prevalence figures, leprosy colony representing the largest pool of infection. These figures indicate that wider statistically planned investigations on similar lines in urban areas may provide epidemiological data useful for planning control measures on a more rational basis.
麻风病的传播与整个社区的感染总量直接相关，它取决于患有进行性和传染性麻风病的患者的存在以及他们在各地的流动情况。这一信息对于像孟买这样的城市确定优先控制区域至关重要，这些区域应成为控制工作的目标。在本报告中，已尝试比较该城市三种不同情况下的麻风病调查数据。选择是任意的，并非基于统计依据。特别重要的数据来自位于孟买北部的一个麻风病聚居地，它代表了高流行情况，以及与该聚居地相邻的一个普通贫民窟，这两个聚居地之间人口可以自由流动。在对这些聚居地80%以上的人口进行检查后，比较了按年龄划分的麻风病患病率，并与该城市其他地方普通贫民窟的数据进行了对比。这些数据显示患病率各不相同，且患病率呈上升趋势，麻风病聚居地是最大的感染源。这些数据表明，在城市地区按照类似思路进行更广泛的统计规划调查，可能会提供有助于更合理地规划控制措施的流行病学数据。
