Monitoring and detection of leprosy patients in Southwest China: A retrospective study, 2010–2014 View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Wang Le, Jiang Haiqin, Hao Danfeng, Shi Ying, Zhang Wenyue, Yang Jun, Xiong Li, Shui Tiejun, Shen Limei, Liu Jie, Wang De, Ning Yong, Liu Yangying, Wang Hao, Kuang Yanfei, Li Bin, Yumi Maeda, Malcolm Duthie, Yu Meiwen, Wang Hongsheng, Yan Liangbin, Zhang Guocheng, Wang Baoxi, Gu Heng

ABSTRACT

More than 100 counties, mainly in southwest China, report incidence rates of leprosy >1/100,000. The current study analysed the epidemiology of leprosy in southwest China to improve our understanding of the transmission pattern and improve control programs. 207 counties were selected in southwest China. Leprosy patients and their household contacts were recruited. The data from the medical interview and the serological antileprosy antibody of the leprosy patients were analysed. A total of 2,353 new cases of leprosy were interviewed. The distribution of leprosy patients was partly associated with local natural and economic conditions, especially several pocket areas. A total of 53 from 6643 household contacts developed leprosy, and the incidence rate of leprosy in the household contacts was 364/100,000 person-years. We found that NDO-BSA attained higher positive rates than MMP-II and LID-1 regardless of clinical types, disability and infection time in leprosy patients. By means of combination of antigens, 88.4% patients of multibacillary leprosy were detected, in contrast to 59.9% in paucibacillary leprosy. Household contacts should be given close attention for the early diagnosis, disruption of disease transmission and precise control. Applications of serology for multi-antigens were recommended for effective coverage and monitoring in leprosy control. More... »

PAGES

11407

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-018-29753-4

DOI

http://dx.doi.org/10.1038/s41598-018-29753-4

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PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30061618


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