Leprosy

All 11 Member States in the WHO’s SEA Region reported in 2011, with DPR Korea reporting 0 cases, detailed data is available in WER No. 36, 2011, 86, 389–400. The report reveals that out of 18 countries reporting more than 1 000 cases globally, six are from the SEA Region (Bangladesh: 3 970; India: 127 295; Indonesia: 20 023; Myanmar: 3 082; Nepal: 3 184; and Sri Lanka: 2 178).

Regional registered prevalence rate at the end of December 2011, was 0.64 per 10 000 population which showed a slight increase as compared to the previous year (0.625/10 000 in 2010). The increase number of registered prevalence mainly occurred in Bangladesh, India, Indonesia, Myanmar, Nepal and Sri Lanka. These six countries in the Region also detected more than one thousand new cases during 2011. A detailed leprosy data for 2011 is presented in the Table 1. Table 2 provides leprosy data of the SEA Region from 2001 to 2011.

In similar trend, annual new case detection rate for the Region has also increased slightly from 8.64/100 000 population in 2010 to 8.75/100 000 population in 2011. India, Nepal and Sri Lanka documented above annual new case detection rate of more than 10, i.e., 10.25, 10.44 and 10.35 respectively while the rate Indonesia was 8.26/100 000. Number of new detected cases also increased from 156 204 in 2010 to 160 132 in 2011.

The percentage of MB shows a slow but gradual increase among new cases detected during 2001-2011. It was 36% in 2001 and became 54% in 2011.

There is no significant change in the proportion of female among new detected cases from 2009 to 2011. It was 36% and 37% in 2009 and 2011, respectively.

The proportion of child cases among annual new detected cases has been unchanged, i.e., 10%, since 2007.

Similarly, the proportion of new cases with grade 2 disability of 4% remains the same since 2007.

The number relapses after treatment with MDT has been kept under 1 000 except in 2010 (1140 relapse cases).

Cure rate is the SEA Region during 2011 was 82% and 78% for PB and MB cases, respectively.

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