Vijayakumaran P, Reddy N B, Krishnamurthy P, Ramanujam R
Damien Foundation India Trust Support Teams for Bihar, Manda Colony, Morabadi, Ranchi.
Indian J Lepr. 1998 Apr-Jun;70(2):203-10.
Under the National Leprosy Elimination Programme it takes at least one year for the paramedical worker to survey the allotted population for case detection. An alternative strategy in warranted for States like Bihar still having a high case load and poorly functioning leprosy programme. An intensive case finding programme using Primary Health Care (PHC) workers was organized in Bhojpur district, Bihar State, India. The whole population (3, 173, 701 in 1996) of the district was screened within a period of four days and confirmation of suspected cases was carried out in four days. During this screening procedure, 1586 new leprosy cases were detected (NCDR = 5 cases per 10,000) and all were started on MDT. The new cases constituted 26.4% of active cases existing on record before the screening. After this experience, the prevalence rate of active cases increased from 19 to 24 10,000. If such rapid screening programmes are done at least twice a year, it will greatly hasten the process of elimination of leprosy.
在国家麻风病消除计划下，辅助医务人员对分配的人群进行病例检测调查至少需要一年时间。对于像比哈尔邦这样病例负担仍然很高且麻风病计划运作不佳的邦，需要一种替代策略。在印度比哈尔邦的博杰布尔县组织了一项使用初级卫生保健（PHC）工作人员的强化病例发现计划。该县的全部人口（1996年为3173701人）在四天内接受了筛查，疑似病例在四天内得到确诊。在这次筛查过程中，发现了1586例新的麻风病病例（非病例发现率为每万人5例），所有病例均开始接受多药疗法。这些新病例占筛查前记录在案的现有活动性病例的26.4%。经过这次经历，活动性病例的患病率从每万人19例上升到24例。如果每年至少进行两次这样的快速筛查计划，将大大加速消除麻风病的进程。
