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首页> 外文期刊>Leprosy review >The decline of leprosy in the Republic of Korea; patterns and trends –
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The decline of leprosy in the Republic of Korea; patterns and trends –

机译：大韩民国麻风病的下降;模式和趋势–

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Background: Though the World Health Organization declared the ‘elimination ofleprosy as public health problem’ in 2000, the disease remains endemic in manycountries. Current trends in incidence of infection and disease are unclear.Methods: Data on leprosy prevalence between 1977–2013 and data on new leprosycases detected in the Republic of Korea between 1989–2013 were analysed by age,sex, clinical types, mode of detection, family history, disability grading andgeographical distribution.Results: Both prevalence and incidence have declined greatly. There has been a shiftto an increased proportion of multibacillary disease, and older age groups, consistentwith a dramatic decrease in infection transmission in recent decades. An increase inproportion of cases with family history of disease is consistent with these declines.There is evidence that declines in infection and disease have been greater in the north ofthe country, as revealed in patterns by place of birth over time. Cases in immigrantsnow form a substantial proportion of leprosy disease in the Republic of Korea.Conclusions: Leprosy has declined dramatically in the Republic of Korea in recentdecades, and transmission of M. leprae may have effectively stopped. There remainsa burden of care for individuals whose disease developed in the past, and there may besome additional newly detected cases among immigrants and among olderindividuals who acquired autochthonous infections decades ago.
机译：背景：尽管世界卫生组织（WHO）在2000年宣布“将麻风病消除为公共卫生问题”，但该疾病仍在许多国家流行。方法：按年龄，性别，临床类型，检测方式，年龄，性别，性别，性别，家族史，残疾等级和地理分布。结果：患病率和发病率均大大下降。近几十年来，多细菌性疾病和老年人群的比例已经增加，这与感染传播的急剧减少相一致。具有家族病史的病例比例的增加与这些下降是一致的。有证据表明，该国北部感染和疾病的下降更大，如出生地随时间的变化所揭示的那样。结论：大韩民国近十年来麻风病发病率急剧下降，麻风分枝杆菌的传播可能已经有效地停止了。过去病情发展的个人仍然要承担医疗服务的负担，而且几十年前在移民和年龄较大的个体中，自发感染的其他新发现病例可能还会增加。

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