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A comparison of rapid village survey and leprosy elimination campaign, detection methods in two districts of East Java, Indonesia, 1997/1998 and 1999/2000

机译:1997/1998年和1999/2000年印度尼西亚东爪哇两个地区的快速村庄调查和麻风消除运动,检测方法的比较

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A Rapid Village Survey (RVS) was planned to estimate the extent of the leprosy problem in two well documented endemic districts of East Java, Indonesia. Furthermore, the aim was to investigate the efficacy of the routine programme in detecting new and early cases, as well as the feasibility of RVS in detecting disabled people affected by leprosy in the community. A random sample survey (RVS: a simple method compared to a Population Sample) was used to determine the extent of the leprosy problem. In addition, a Leprosy Elimination Campaign (LEC), was used particularly to detect new and backlog cases in the community. Both RVS and LEC involve a health education campaign followed by the examination of persons voluntarily reporting. Routine programme case finding, involving passive case finding and contact examinations, was also carried out. The RVS prevalence rate of 12 per 10,000 was more than twice the known prevalence rate of 5 per 10,000. The LEC prevalence rate was less than the rate found by RVS, but was within the RVS confidence interval. During the RVS, many children with leprosy were detected, and 10% of all RVS new cases already had disability grade II. The population disability grade II rate due to leprosy was 9 per 10,000. Despite the fact that an active leprosy control programme had been carried out in the surveyed endemic area over a period of many years, the actual prevalence rate found was more than twice the known prevalence. Many children were found during the RVS, thus indicating continuing widespread transmission. In general, it seems that there is still a serious delay in detecting new cases under the routine programme. Consequently, there are substantial numbers of persons affected by leprosy in those districts in need of rehabilitation.
机译:计划进行一次快速村庄调查(RVS),以估计印度尼西亚东爪哇省两个有据可查的地方性地区麻风病的严重程度。此外,其目的是调查常规程序在发现新病例和早期病例中的功效,以及RVS在社区中检测受麻风病影响的残疾人的可行性。随机抽样调查(RVS:与人口抽样比较的简单方法)用于确定麻风病的严重程度。此外,麻风消除运动(LEC)特别用于发现社区中的新病例和积压病例。 RVS和LEC都参与了健康教育运动,然后对自愿报告的人员进行检查。还进行了例行程序案例查找,包括被动案例查找和联系检查。 RVS的患病率为每10,000个12倍,是已知的患病率为每10,000个5倍的两倍。 LEC患病率低于RVS发现的患病率,但在RVS置信区间内。在RVS期间,发现了许多麻风病儿童,并且所有RVS新病例中有10%已经患有II级残疾。麻风病导致的II级人口残障率为每10,000人9。尽管已在被调查的地方病地区实施了多年的积极麻风控制计划,但实际发现的患病率是已知患病率的两倍以上。在RVS期间发现了许多儿童,因此表明持续传播。总的来说,在常规方案下,发现新病例似乎仍然存在严重的延迟。因此,在那些需要康复的地区,有相当多的人受到麻风病的影响。

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