Saxena N B, Aggarwal V, Dhillon G P, Sharma R S, Rao J S
National Institute of Communicable Diseases, Delhi, India.
J Commun Dis. 1996 Jun;28(2):122-8.
A model district action plan for control of Visceral Leishmaniasis a serious public health problem in north-east Bihar was developed in late 1989 and implemented in 1992 in district Vaishali. A two years implementation resulted in decline in cases and deaths due to Visceral Leishmaniasis to the extent of 65.32% and 46.51% respectively in 1993 as compared to 1992 and 41.13% and 44.93% respectively in 1994 as compared to 1993 with an overall decrease of 79.58% in case and 70.54% in deaths in 1994 as compared to 1992. The implementation of action plan not only established declining trends in morbidity and mortality due to Visceral Leishmaniasis in the district but also successfully contained the cases unresponsive to first line treatment with Sodium Stibogluconate by reducing the prevalence of such cases from 12.42% in 1992 to 8.59% in 1994. Various components of the action plan, implementation strategy and consequent impact on disease situation are presented in this paper.
1989年末制定了一项控制内脏利什曼病的模范地区行动计划，内脏利什曼病是比哈尔邦东北部一个严重的公共卫生问题，并于1992年在瓦伊沙利地区实施。经过两年的实施，与1992年相比，1993年内脏利什曼病导致的病例和死亡人数分别下降了65.32%和46.51%；与1993年相比，1994年分别下降了41.13%和44.93%。与1992年相比，1994年病例总数总体下降了79.58%，死亡人数下降了70.54%。该行动计划的实施不仅使该地区内脏利什曼病的发病率和死亡率呈下降趋势，而且通过将对一线治疗药物葡萄糖酸锑钠无反应病例的患病率从1992年的12.42%降至1994年的8.59%，成功控制了此类病例。本文介绍了该行动计划的各个组成部分、实施策略以及对疾病状况的后续影响。
