云南省43个县基本消灭麻风后监测18年的流行情况

Longitudinal follow- up of 18 years post leprosy elimination in 43 counties in Yunnan province

目的通过对基本消灭麻风达标验收的43个县疫情长期监测,探讨达标后麻风流行变化,为制定科学的麻风防治措施提供依据。方法对2001至2013年达标县原始个案、麻风疫情报表及全国麻风病防治管理信息系统(LEPMIS)数据进行统计分析。结果原达标县中已有16个超过基本消灭达标标准,其中8个县患病率及5年平均发现率均超标,6个县患病率超标,2个县5年平均发现率超标。结论我省要保持达标县麻风疫情控制在一个较低水平,实现"消除麻风危害规划"的总体目标,还有很长的路要走,目前需要研究直接针对麻风传播的防治措施。

Objective Longitudinal surveillance post leprosy elimination in 43 counties for the purpose of elucidating trends in epidemiology and informing leprosy preventive strategies. Methods The raw data, disease notifications from counties of interest and national surveillance database between 2001-2013 were statistically analyzed. Results During the study period, post elimination, 16 counties failed to maintain elimination targets, of which 8 counties exceeded target prevalence and 5 year average detection rates. 6 counties exceed target prevalence rates and 2 counties exceed 5 year average detection rates. Conclusion There is still a long road to travel for our province in the fulfillment of the objective of leprosy elimination and maintenance of leprosy control. There is a present need for research targeted at leprosy control strategies.