Document Detail


Childhood leprosy in Essimbiland of Cameroon: results of chart review and school survey.
MedLine Citation:
PMID:  20836334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The WHO targeted to eliminate leprosy from the world as a public health problem by reducing the prevalence to less than 1 case per 10000 population based on the use of multi-drug therapy (MDT). Despite the success of MDT, endemic pools still exist in some countries that have attained the national elimination threshold. OBJECTIVE: Assess the burden of childhood leprosy and control efforts in Essimbiland of Cameroon. METHODS: The records of children patients were reviewed in two main primary health care institutions and 4 primary schools in Essimbiland having 459 pupils were surveyed for leprosy. A purposive sampling of all available registers and pupils was used. RESULTS: A total of 1129 case files were reviewed covering the periods before MDT (1961-1967) implementation in 1982 and post MDT (1982-1999); no records were available from 1968-1991. From chart review, 42 (23.3%) new leprosy cases from 1961-1967 and 35 (12.2%) from 1982-1998 were from the Mbingo leprosarium. 31 (39.7%) of 78 childhood leprosy cases from chart review [1961-1967 and 1982-1999] were from Essimbiland. Of the 35 incident childhood leprosy cases from 1982-1998, 24 (68.6%) were from Essimbiland compared to other divisions. Poor record - keeping on leprosy was common in the study area. Among 459 pupils surveyed in 4 primary schools, 6 (1.3%) new leprosy cases were identified giving a prevalence of 131 per 10,000 pupils. The common skin lesion was on the back but one pupil had both hands clawed. 16 (3.5%) pupils were placed on observation. All the new leprosy cases from the school survey were indigenes of Essimbiland. CONCLUSION: Childhood leprosy is a public health problem in the Essimbiland requiring school surveys and a house-to-house search for new cases.
Authors:
D S Nsagha; E A Bamgboye; A B O Oyediran
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Publication Detail:
Type:  Corrected and Republished Article; Journal Article    
Journal Detail:
Title:  Nigerian quarterly journal of hospital medicine     Volume:  19     ISSN:  0189-2657     ISO Abbreviation:  Nig Q J Hosp Med     Publication Date:    2009 Sep-Dec
Date Detail:
Created Date:  2010-09-14     Completed Date:  2010-10-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9713944     Medline TA:  Nig Q J Hosp Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  214-9     Citation Subset:  IM    
Affiliation:
Department of Public Health and Hygiene, Medicine Programme, Faculty of Health Sciences, University of Buea, P.O.Box 63, Buea, Cameroon. dsnsagha@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Distribution
Cameroon / epidemiology
Child
Female
Health Surveys
Humans
Incidence
Leprostatic Agents / therapeutic use*
Leprosy / classification,  drug therapy*,  epidemiology*
Male
Medical Records
Sex Distribution
Treatment Outcome
World Health Organization
Chemical
Reg. No./Substance:
0/Leprostatic Agents
Comments/Corrections
Corrected and Republished From:
Nig Q J Hosp Med. 2009 Jul-Sep;19(3):125-30   [PMID:  20836314 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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