Abstract

This study was done by collecting the retrospective data from 1994 to 2009 of patients attending the urban leprosy centre attached to the department of dermatology, STD & leprosy of PGIMER & Dr. R M L Hospital, New Delhi. The data was analysed according to age, sex, type of leprosy, leprosy reactions, deformities and relapse and compared with the national figures by comparison of proportions after taking the national data per 10,000 population. A total of 3659 patients attended our ULC (Urban Leprosy Centre) among which 2741 were male and 945 females (M:F-3:1). 669 patients (18.2%) were children. The data analysed show a gradual decline in new case detection rate with a marginal rise in 2005 and 2008. Percentage of MB cases was falling consistently till 2005 after which it showed an abrupt rise. The incidence of type 1 reaction varied from 21% in 1994 to 10% in 2009 in PB patients and from 6% in 1994 to 8% in 2009 in MB patients. The trend of type 2 reactions in MB patients showed a slow declining trend. MDT completion rate showed an impressive improvement from 56% in 1994 to 90% in 2009. The number of patients revisiting the ULC with features of relapse also showed a decrease in number. The pattern of visible deformities showed an almost constant trend similar to national figures. Improved MDT completion rate helps in reducing the disease transmission, severity, reactions and disabilities.

Authors

Tiwary PK, Kar HK, Sharma PK, Gautam RK, Arora TC, Naik H, Dhir V

Institution

Deptt. of skin, STD & leprosy, PGIMER & Dr. R ML Hospital, New Delhi. drpkt97@gmail.com

Source

Indian journal of leprosy 83:4 pg 201-8

MeSH

Adolescent
Age Distribution
Child
Child, Preschool
Communicable Disease Control
Drug Therapy, Combination
Female
Humans
Incidence
India
Infant
Leprostatic Agents
Leprosy
Male
Recurrence
Retrospective Studies
Sex Distribution
Socioeconomic Factors
Survival Rate
Treatment Outcome
Urban Population
Young Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22783754