Is Leprosy Control In Urban Slums Possible ? - A Study In Bombay
Effectiveness of community-based leprosy control operations spanning almost a decade in two locations, a small self settled leprosy colony (I) of about 800 subjects as well as a large slum (II) with a population of about 20,000 in the metropolitan city of Bombay are compared. New case detection thro...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
1989-01-01
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Series: | Indian Journal of Community Medicine |
Online Access: | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=1989;volume=14;issue=4;spage=157;epage=162;aulast=Ganapati;type=0 |
Summary: | Effectiveness of community-based leprosy control operations spanning almost a decade in two locations, a small self settled leprosy colony (I) of about 800 subjects as well as a large slum (II) with a population of about 20,000 in the metropolitan city of Bombay are compared. New case detection through survey in location I and voluntary reporting in location II during the period 1982-86 is taken as an index of the impact of the intervention, which consisted of field based administration of multi-drug therapy. Though the leprosy colony concentrates an abnormal reservoir of infectious cases in a small population, it was relatively easier to achieve success in reducing the transmission rate through field-based chemotherapy programme. The same degree of success however, could not be achieved in a normal slum. Health care delivery system in relation to leprosy eradication at the grass-root levels has to be planned giving maximum importance to cost-effective methods of identification of multi-bacillary leprosy patients and monitoring their movements carefully during the treatment phase. |
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ISSN: | 0970-0218 1998-3581 |