Studies on mode of detection of leprosy in China during the years 1981-1998

Title:
Studies on mode of detection of leprosy in China during the years 1981-1998

Author:
Chen X, Li W, Jiang C, Zhu C, Ye G

Address:
National Center for STD and Leprosy Control, Institute of Dermatology, Chinese Academy of Medical Sciences, 12 Jiangwangmiao Road, Nanjing 210042, P. R. China

Source:
Leprosy Review, 2001; 72: 260-271

Abstract:
OBJECTIVE: To study the evolution in the mode of detection of leprosy cases in China. METHOD: Based on the nationwide registration of newly detected cases, the profile of patients at detection has been studied. RESULTS: The proportions of cases corrected significantly with calendar years in detection by dermatological clinics, contact checks, 'clue survey' and mass survey, showing a significant increase in percentage of cases detected through dermatological clinics and contact checks, and decreases through 'clue survey' and mass survey. Detection of cases through dermatological clinics and voluntary reporting have become the main modes of case-finding during 1997-1998. In areas with good dermatological services, a significantly higher proportion (75.9%) of cases was detected through dermatological clinics, where voluntary reporting and 'clue survey' were the main modes of detection in endemic areas. As regards confirmation of diagnosis, the great majority of cases were confirmed by leprosy units, even though they were detected in various other situations. CONCLUSION: This study emphasizes the cardinal importance of the dermatological clinics in the detection of leprosy cases in China at the present time and hence the need to strengthen the training of doctors in these clinics, while continuously encourage their involvement in leprosy control.

Key words: Leprosy; Mode of detection; China

Language: English