There has been an average annual decline in detection rates of all types of leprosy in Malaŵi of around 11.6% between 1977 and 1991. There was no obvious acceleration or slowing down of this decline following the introduction of WHO/MDT in 1983-84. Disability ratios stayed at the same level of about 11% during the 15 years covered by this paper suggesting that patients did not self-report earlier after 1983-84 which might have masked an underlying accelerated decline in detection rates. Thus it is concluded that the influence of WHO/MDT on the pattern of leprosy over a period of time, in a country like Malaŵi, is so far not noticeably different from any influence dapsone monotherapy might have had.
BT - Leprosy review C1 - http://www.ncbi.nlm.nih.gov/pubmed/8231602?dopt=Abstract CN - Infolep Library - available DA - 1993 Sep DO - 10.5935/0305-7518.19930025 IS - 3 J2 - Lepr Rev LA - eng N2 -There has been an average annual decline in detection rates of all types of leprosy in Malaŵi of around 11.6% between 1977 and 1991. There was no obvious acceleration or slowing down of this decline following the introduction of WHO/MDT in 1983-84. Disability ratios stayed at the same level of about 11% during the 15 years covered by this paper suggesting that patients did not self-report earlier after 1983-84 which might have masked an underlying accelerated decline in detection rates. Thus it is concluded that the influence of WHO/MDT on the pattern of leprosy over a period of time, in a country like Malaŵi, is so far not noticeably different from any influence dapsone monotherapy might have had.
PY - 1993 SP - 227 EP - 35 T2 - Leprosy review TI - Does the introduction of WHO-MDT influence trends in the incidence of leprosy?--the Malaŵian experience. UR - http://leprev.ilsl.br/pdfs/1993/v64n3/pdf/v64n3a06.pdf VL - 64 SN - 0305-7518 ER -