Koticha K K, Pade S S, Nair P R, Patre B B
Int J Lepr Other Mycobact Dis. 1984 Dec;52(4):488-95.
The problem of leprosy in Greater Bombay, India, is presented. Antileprosy measures carried out in this dense, industrialized, endemic urban area are briefly described. The role of survey of various groups of people in case detection is then highlighted. A retrospective study showing the proportion of industrial workers among new, resident leprosy cases is presented. In another retrospective study, various attributes of workers, such as state of origin, source of referral, religion, regularity in attendance, deformity status, nature of occupation, etc., are studied and their significance delineated. This has resulted in undertaking a cross-sectional, prospective survey of over 18,000 industrial workers where the case detection rate turned out to be over 17 per 1000. Accordingly, arguments are advanced for recommending surveys of industrial workers in the scheme of leprosy control in endemic urban areas. A study of socio-economic and cultural attributes of workers and their relatives in maintaining the endemicity is felt distinctly feasible.
介绍了印度大孟买地区的麻风病问题。简要描述了在这个人口密集、工业化且为麻风病流行区的城市所采取的抗麻风病措施。接着强调了对各类人群进行调查在病例发现中的作用。展示了一项回顾性研究，该研究表明新的常住麻风病病例中产业工人的比例。在另一项回顾性研究中，对工人的各种属性进行了研究，如籍贯、转诊来源、宗教、出勤规律、畸形状况、职业性质等，并阐述了其意义。这促使对18000多名产业工人进行了横断面的前瞻性调查，结果发现病例检出率超过每千人17例。因此，提出了在麻风病流行城市地区的麻风病控制计划中对产业工人进行调查的建议。对工人及其亲属在维持疾病流行方面的社会经济和文化属性进行研究显然是可行的。
