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Is Leprosy Control In Urban Slums Possible ? - A Study In Bombay

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Author(s): Ganapati R | Dongre V.V | Goyder E.C

Journal: Indian Journal of Community Medicine
ISSN 0970-0218

Volume: 14;
Issue: 4;
Start page: 157;
Date: 1989;
Original page

ABSTRACT
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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