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Case finding survey for leprosy in Botswana

J A Kumaresan1, P Khulumani, E T Maganu

  • 1Epidemiology Unit, Ministry of Health, Gaborone, Botswana.

East African Medical Journal
|October 1, 1993
PubMed
Summary
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A 1991 survey in Botswana identified 44 active leprosy cases, with 32% newly diagnosed. Leprosy control is now integrated into the TB program due to moderate findings.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Control

Background:

  • Leprosy has been endemic in northern Botswana for years, necessitating a baseline prevalence assessment.
  • Previous systematic efforts for leprosy control in Botswana were lacking.

Purpose of the Study:

  • To establish the point prevalence of leprosy in northern Botswana.
  • To initiate a systematic program for leprosy control.

Main Methods:

  • A cross-sectional survey conducted in July-August 1991.
  • Clinical screening of 799 contacts of 127 index cases and 8235 school children from 18 schools.

Main Results:

  • 44 active cases of leprosy were registered and commenced on multidrug therapy.
Keywords:
AfricaAfrica South Of The SaharaBacterial And Fungal DiseasesBotswanaDemographic FactorsDeveloping CountriesDiseasesEnglish Speaking AfricaExaminations And DiagnosesHealthHealth SurveysInfectionsLeprosyMeasurementPopulationPopulation CharacteristicsPrevalenceResearch ReportSchool Age PopulationScreeningSouthern Africa

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  • 32% of the registered cases were newly identified during the survey.
  • The outcome was deemed moderate, leading to integration with the TB control program.

    • Conclusions:

    • The baseline survey successfully identified active leprosy cases and initiated treatment.
    • Integration of leprosy surveillance and control into the existing TB control program was implemented.
    • This marks the first systematic attempt to establish a comprehensive leprosy control program in Botswana.