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Leprosy in children: a Cuban experience on leprosy control
Jenny Laura Ruiz-Fuentes1, Raisa Rumbaut Castillo2, Laura de la Caridad Hurtado Gascón3
1Bateriology and Micology Department, Pedro Kouri Tropical Medicine Institute, La Habana, Cuba.
Insights
Cuba diagnosed 103 childhood leprosy cases between 2000-2017, highlighting ongoing transmission. Early detection through health education and contact tracing is crucial for reducing the disease burden.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Childhood leprosy is a key indicator of community disease transmission and control program effectiveness.
- While not a national health issue, Cuba diagnoses new childhood leprosy cases annually.
Purpose of the Study:
- To review Cuba's experience in controlling childhood leprosy over the last 20 years.
Main Methods:
- Analysis of childhood leprosy case data in Cuba from 2000 to 2017.
- Review of case detection methods, clinical presentation, and disability rates.
Main Results:
- 103 childhood leprosy cases were diagnosed between 2000-2017 across 13 provinces.
- Most cases were multibacillary (66%), with 60% presenting with over five lesions.
- Voluntary reporting was the primary detection method; familial/extrafamilial contact indicated ongoing transmission.
Conclusions:
- Early case detection via health education, consistent multidrug therapy (MDT), and contact tracing are vital for reducing leprosy burden.
- Combined clinical surveillance and laboratory testing may enhance early childhood leprosy detection.
Background:
Children are believed to be the most vulnerable group to leprosy. Childhood leprosy reflects disease transmission in the community as well as the efficiency of ongoing disease control programmes. In Cuba, leprosy is not a national health problem; however, new childhood leprosy cases are diagnosed every year.
Objective:
We summarise the experience of Cuba on childhood leprosy control over the past two decades.
Results:
Between 2000 and 2017, a total of 103 children in Cuba have been diagnosed with leprosy, showing that active transmission of cases remains in 13 of 15 provinces of Cuba. The majority of cases were multibacillary (66%), and 34% were paucibacillary cases. Clinically 60% of children have more than five lesions all over their body. Voluntary reporting was the principal method of case detection. The presence of familial and extrafamilial contact with leprosy cases may be a cause of concern, as it implies continuing transmission of the disease. Only four children had disabilities (one with grade 2 disabilities and three with grade 1 disabilities). A set of national investigations have been developed to intervene in a timely manner. Intervention strategies that combine clinical surveillance and laboratory test could be an option for early detection of childhood leprosy.
Conclusions:
Early detection of cases due to effective health education campaigns, regular and complete treatment with MDT, and contact tracing may be important in reducing the burden of leprosy in the community.
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