A 20-year study of the Leprosy Control Programme at the Hemerijckx Leprosy Centre in Polambakkam in South India.

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dc.contributor.authorNair, N Gen_US
dc.contributor.authorRadhakrishna, Sen_US
dc.contributor.authorChristian, Men_US
dc.contributor.authorRamakrishnan, Ren_US
dc.contributor.authorGopi, P Gen_US
dc.date.accessioned1985-07-01en_US
dc.date.accessioned2009-05-28T10:36:15Z
dc.date.available1985-07-01en_US
dc.date.available2009-05-28T10:36:15Z
dc.date.issued1985-07-01en_US
dc.description.abstractThe Hemerijckx leprosy centre at Polambakkam in South India covers a rural population of about 800,000 and has treated over 40,000 cases of leprosy during the period 1955-75. Based on a stratified random sample of 25% of the case records, information was obtained about the profile of newly-detected cases in various cohorts (1955-57, 1958-60, 1961-64, 1965-69, 1970-75), regularity in drug collection and response to treatment. In newly-detected cases, the ratio of males to females was stable (3:2), but the proportion of adults aged 45 years or more increased from 15% in 1958-60 to 20% in 1970-75 and the lepromatous rate decreased from 9% to 6%; the proportion deformed at the time of diagnosis ranged from 11% to 15%. Regularity in drug collection was unsatisfactory even in the first year of treatment, with less than half the patients making 6 (or more) of the 12 monthly drug collections. The clinical status at 4-6 years was known for 70-75% of the patients who started treatment and of those approximately 60% had inactive or arrested disease. Data from population surveys was sparse; about 60% of the expected numbers were initiated and less than 30% of these had a coverage of 75% or more. The limited evidence, however, showed a decline in the prevalence of about 2 per thousand per annum. Field studies to evolve strategies for better motivation of patients, introduction of short-course regimens, and continuous monitoring of the programme are urgently needed.en_US
dc.identifier.citationNair NG, Radhakrishna S, Christian M, Ramakrishnan R, Gopi PG. A 20-year study of the Leprosy Control Programme at the Hemerijckx Leprosy Centre in Polambakkam in South India. Indian Journal of Leprosy. 1985 Jul-Sep; 57(3): 562-74en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/55568
dc.language.isoengen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshChilden_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Plan Implementationen_US
dc.subject.meshHealth Planningen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshLeprosy --drug therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshMass Screeningen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNational Health Programsen_US
dc.subject.meshPatient Complianceen_US
dc.subject.meshPopulation Surveillanceen_US
dc.titleA 20-year study of the Leprosy Control Programme at the Hemerijckx Leprosy Centre in Polambakkam in South India.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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