Epidemiological Status-quo and Control Strategies of Leprosy in Zhushan County, Hubei Province_Chinese Journal of Evidence-Based Medicine

Authors：

 SUNChang-xi ¹ , YANXian-yu ² , GUOHai-rong ³ , WANGHai-jun ³ , ZHANShu-hua ⁴

1. Center for Disease Control and Prevention of Zhushan County, Zhushan 442200, China;
2. Chinese Medicine Hospital of Zhushan County, Zhushan 442200, China;
3. Family Planning Service Stations of Zhushan County, Zhushan 442200, China;
4. Chinese Medicine Hospital of Shiyan City, Shiyan 442000, China;

Corresponding?author：

Keywords：

Zhushan county(Hubei province); Leprosy; Epidemiological investigation; Prevention

DOI：

10.7507/1672-2531.20140133

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Objective To analyze the epidemiological characteristics and factors and detection ways of leprosy in Zhushan county in Hubei province, so as to provide scientific basis for developing measures to treat and prevent leprosy after basic elimination. Methods We summarized the detection rate, incidence and prevalence of leprosy in Zhushan county in Hubei province during 1955-2012; compared the stage when detecting leprosy, deformity/disability rates and costs according to different detection ways; and conducted descriptive epidemiological analysis. Results Leprosy outbreak distribution in Zhushan county in Hubei province covered 17 villages/towns, of which patients were the most in 4 southeast villages/towns. Among 123 cases of patients with leprosy, the youngest aged 4, the oldest aged 74, and the patients aged 20-39 were the most (42.28%); the sex ratio were 1.73 to 1 (male to female); most patients were peasants (83.74%); the main infection sources were family members and neighbours (45.53%, respectively); economic level, health and living condition were the main factors relevant to the prevalence of leprosy; and applying tests in people with foci contact history detected the most patients with leprosy on early stage, which caused the lowest deformity/disability rates. Conclusion We should consistently strengthen the training of medical personnel; improve medical personnel ability of detecting leprosy; take tests for people with foci contact history and tracking as active detection ways; monitoring patients' family members as well as close contacts during 10-year latent period; and conduct timely tracking, so as to in time detect, isolate, and treat patients with leprosy, reduce the incidence of deformity/disability, and control the transition of leprosy.

Citation： SUNChang-xi, YANXian-yu, GUOHai-rong, WANGHai-jun, ZHANShu-hua. Epidemiological Status-quo and Control Strategies of Leprosy in Zhushan County, Hubei Province. Chinese Journal of Evidence-Based Medicine, 2014, 14(7): 795-797. doi: 10.7507/1672-2531.20140133 Copy

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2.	楊鋼, 張繼衛, 陳偉, 等. 1950-2010年西安市麻風流行病趨勢與防治成果.職業與健康, 2012, 28(18):2269-2270.
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4.	葉勇, 劉新臣, 馬云占, 等.思茅地區1961-2000年麻風病流行狀況分析.中華皮膚科雜志, 2004, 1(2):346-347.
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11.	錢宇平, 主編.流行病學.第1版.北京:人民衛生出版社, 1986:110.
12.	李文忠, 沈建平, 陳祥生, 等. 1990-1998年中國新發麻風病例分析.中華皮膚科雜志, 2000, 33(增刊):6.
13.	張連華.探討低流行區麻風病疫情監測的策略.中國衛生事業管理, 2001, 29(11):692-693.
14.	沈云良, 許亞平, 吳李梅.浙江省麻風病流行情況分析.中國預防醫學雜志, 2010, 5(11):478-480.
15.	舒會文, 江澄, 葉干運.等.麻風防治的經濟效益.中國麻風雜志, 1986, 2(2):62-65.
16.	余小桂.麻風病各種調查方法的效果分析.皮膚病與性病, 1992, 14(2):32.
17.	袁建源, 沈東梅.各種麻風調查方法的分析.中國麻風雜志, 1992, 4(8):238.
18.	洪寶營, 邵康蔚.近5年發現麻風患者情況.中國麻風雜志, 1992, 3(8):144-145.
19.	胡永癸, 周志光.麻風病發現方法的比較研究.中華現代皮膚科學雜志, 2004, 1(2):184-186.
20.	陳西成, 林水淼, 陳演.廈門同安1987年以來新發現麻風44例分析.中國麻風皮膚病雜志, 2002, 18(6):32.
21.	魏衛, 吳仁民, 游曉云.信陽市麻風病流行情況分析.河南預防醫學雜志, 2008, 19(4):289-291.

1. 李文忠, 主編.現代麻風病學.第1版.上海:上海科學技術出版社, 2006:19.
2. 楊鋼, 張繼衛, 陳偉, 等. 1950-2010年西安市麻風流行病趨勢與防治成果.職業與健康, 2012, 28(18):2269-2270.
3. 陳賢義, 李文忠, 陳家琨, 等.麻風病防治手冊.第1版.北京:科學出版社, 2002:2-1.
4. 葉勇, 劉新臣, 馬云占, 等.思茅地區1961-2000年麻風病流行狀況分析.中華皮膚科雜志, 2004, 1(2):346-347.
5. 狄貫一, 主編.流行病學(下冊).第1版.北京:人民衛生出版社, 1981:240-253.
6. 竹山縣皮防所.竹山麻防(1864-1999). 2000:129-147.
7. 陳賢義, 李文忠, 陳家琨.麻風病防治手冊.第1版.北京:科學出版社, 2002.
8. 全國性病麻風病疫情監測工作會議麻風疫情監測工作組會議紀要.中華皮膚科雜志, 2000, 33(增刊):4.
9. 沈建平, 張國成, 陳祥生, 等.中國1949-2007年消除麻風病的歷程及其流行特征.中華流行病學雜志, 2008, 29(11):1095-1100.
10. 劉定春, 杜安惠.綿陽市1959~1998年麻風病流行病學分析.預防醫學情報雜志, 2000, 16(3):251-252.
11. 錢宇平, 主編.流行病學.第1版.北京:人民衛生出版社, 1986:110.
12. 李文忠, 沈建平, 陳祥生, 等. 1990-1998年中國新發麻風病例分析.中華皮膚科雜志, 2000, 33(增刊):6.
13. 張連華.探討低流行區麻風病疫情監測的策略.中國衛生事業管理, 2001, 29(11):692-693.
14. 沈云良, 許亞平, 吳李梅.浙江省麻風病流行情況分析.中國預防醫學雜志, 2010, 5(11):478-480.
15. 舒會文, 江澄, 葉干運.等.麻風防治的經濟效益.中國麻風雜志, 1986, 2(2):62-65.
16. 余小桂.麻風病各種調查方法的效果分析.皮膚病與性病, 1992, 14(2):32.
17. 袁建源, 沈東梅.各種麻風調查方法的分析.中國麻風雜志, 1992, 4(8):238.
18. 洪寶營, 邵康蔚.近5年發現麻風患者情況.中國麻風雜志, 1992, 3(8):144-145.
19. 胡永癸, 周志光.麻風病發現方法的比較研究.中華現代皮膚科學雜志, 2004, 1(2):184-186.
20. 陳西成, 林水淼, 陳演.廈門同安1987年以來新發現麻風44例分析.中國麻風皮膚病雜志, 2002, 18(6):32.
21. 魏衛, 吳仁民, 游曉云.信陽市麻風病流行情況分析.河南預防醫學雜志, 2008, 19(4):289-291.

Chinese Journal of Evidence-Based Medicine

Epidemiological Status-quo and Control Strategies of Leprosy in Zhushan County, Hubei Province

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