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World Health Organization : Year 1997 ; World Health Organization, Leprosy Ec, Working Paper, No. 97.1: Working Paper

By Ji Baohong, Dr.

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Book Id: WPLBN0000145599
Format Type: PDF eBook
File Size: 2.3 MB
Reproduction Date: 2005
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Title: World Health Organization : Year 1997 ; World Health Organization, Leprosy Ec, Working Paper, No. 97.1: Working Paper  
Author: Ji Baohong, Dr.
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

Citation

APA MLA Chicago

Dr, J. B. (n.d.). World Health Organization : Year 1997 ; World Health Organization, Leprosy Ec, Working Paper, No. 97.1. Retrieved from http://members.worldlibrary.net/


Description
Medical Reference Publication

Excerpt
Since the last meeting of the WHO Expert Committee on Leprosy (I), held in Geneva fiom 17 to 24 November 1987, tremendous progress has been made in controlling the disease worldwide, and the global picture of leprosy endemicity has been changed dramatically. The very promising results achieved in the first ten years of implementing multidrug therapy (MDT) led to the vision of eliminating leprosy as a public health problem by the year 2000. This was formally adopted as a goal by the World Health Assembly in 1991, in a resolution (WHA44.9) which defined elimination as reducing the prevalence to a level below one case oer 10 000 population. The resolution declared W O ' s commitment . . to -gl obal elimination and urged its Member States to give it their full political support, and to promote the use of all control measures includin-g MDT tog-e ther with case-findin-g . The elimination g- oal received enthusiastic endorsement from the governments of the leprosy-endemic countries and resulted in widespread political commitment. This was further reinforced by the first and second International Conferences on the Elimination of Leprosy held, respectively, in Hanoi in July 1994 and in New Delhi in October 1996. Thus, the adoption of the WHA resolution on the elimination of leprosy represented a giant step forward in dealing with this centuries-old scourge of mankind.

Table of Contents
CONTENTS Page INTRODUCTION...............................................................................................................................1 1 . GLOBAL LEPROSY SITUATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 1.1 Estimated cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. 1.2 Registered cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. 1.3 Case detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. 1.4 Achievements with multidrug therapy (MDT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.5 Situation in the major cndcmic counnics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 EPIDEMIOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 2.1 Defmition of a casc of leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.2 Diagnosis of leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.3 Single lesion leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.4 Clinical classification for control programmes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6. 2.5 Prevalence trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6. 2.6 H idden prevalence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7. . 2.7 Detection vends and incidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7. . 2.8 Subclinicalinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2.9 Exua-human rcscrvoirs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8. . . 2.10 Contact survcillancc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.11 Changing profile of new cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.12 ImpactofHNepidemic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.13 Impact of BCG vaccination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 2.14 Disability burden . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9. . 2.15 Simulation modelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 . . . 2.16 Leprornin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 CHEMOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . 1 Currently available drugs: antibacterial activity and toxicity . . . . . . . . . . . . . . . . . . . . . . . . . 3.1.1 Dapsone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1.2 Rifamp. ic.l n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1.3 Clofazlmlne . . . . . . . . . .

 

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