Tiendrebeogo A, Sow S O, Sawadogo O, Dembele M S, Ouedraogo K, Bide L, Millan J
Institut Marchoux, Bamako, Mali.
Acta Leprol. 1998;11(1):7-16.
During May and June 1997, we conducted a rapid survey on leprosy prevalence in 30 villages. It was to assess reaching of the leprosy elimination threshold (one case per 10,000 inhabitants) in Burkina Faso. We drew lots for the villages in ten provinces among which five had the highest prevalence rates of leprosy in 1996 and five had the lowest prevalence rates. We added a leprosy elimination monitoring to the survey. This monitoring consisted of visits to the health centers covering the 30 villages. We interviewed and clinically examined 33 cases of leprosy in treatment in those health centers. We found fifty-one patients of leprosy in visited villages. The prevalence rate of leprosy (6.74 per 10,000 inhabitants) was twice higher than the prevalence rate registered in the same villages. We detected 28 new cases of leprosy during the survey. Proportion of hidden cases of leprosy were 54.9%. We estimated geographical coverage of MDT at 75% in the 10 provinces. Eight of the 27 visited health centers (29.6%) did not get sufficient supply. The cure rate has fallen from 93 to 73 per cent between 1992 and 1997. Our results show that leprosy elimination threshold is not reached in Burkina Faso. Leprosy control activities that were declining during the last five years need to be reinforced.
1997年5月至6月期间，我们在30个村庄开展了一项麻风病患病率快速调查。目的是评估布基纳法索是否达到麻风病消除阈值（每万居民1例）。我们在十个省份的村庄中抽签选取，其中五个省份在1996年麻风病患病率最高，另外五个省份患病率最低。我们在调查中增加了麻风病消除监测。该监测包括走访覆盖这30个村庄的卫生中心。我们对这些卫生中心正在接受治疗的33例麻风病患者进行了访谈和临床检查。我们在所走访的村庄中发现了51例麻风病患者。麻风病患病率（每万居民6.74例）比这些村庄登记的患病率高出两倍。在调查期间我们发现了28例新的麻风病病例。麻风病隐匿病例的比例为54.9%。我们估计在这十个省份中，多药疗法的地理覆盖范围为75%。在走访的27个卫生中心中，有8个（29.6%）没有获得充足的供应。治愈率在1992年至1997年期间从93%降至73%。我们的结果表明，布基纳法索尚未达到麻风病消除阈值。过去五年中不断下降的麻风病防治活动需要加强。
