title: [Evaluation of endemic leprosy in an urban zone--sampling survey at the household level: results at Bamako, Republic of Mali].
abstract: A sample survey on households was conducted in Bamako (capital of the Republic of Mali) in order to estimate epidemiological and logistical indexes relating to Hansen's disease. With a prevalence rate reaching 7.37 +/- 1.83 per thousand, a detection rate reaching 0.91 +/- 0.49 per thousand the city is a high level endemic area. All observed parameters (age, sex, racial, hygiene status, geographic distribution) seem to have no influence on disease aspect. The majority of the patients (80%) are treated by monotherapy with Dapsone, generally for excessive duration. The sociocultural impact of the Hansen's disease is very important, the physical and sensorial handicaps are frequent (34%). The survey's results could be used in order to elaborate a strategy for leprosy control based on multi-drug therapy in urban areas.
authors.affiliation: Institut Marchoux, Bamako, Mali.
authors.forename: D
authors.initials: D
authors.lastname: Daumerie
authors.forename: L
authors.initials: L
authors.lastname: Antiope
authors.forename: J A
authors.initials: JA
authors.lastname: Husser
authors.forename: P
authors.initials: P
authors.lastname: Vimont-Vicary
authors.forename: M
authors.initials: M
authors.lastname: Nebout
mesh_terms: D005190:Family; D005260:Female; D006801:Humans; D007918:Leprosy / Q000453:epidemiology* / Q000235:genetics; D008297:Male; D008302:Mali; D012494:Sampling Studies; D014505:Urban Population
vernacular_title: Evaluation de l'endémie lépreuse en zone urbaine--enquête par sondage au niveau des ménages: résultats à Bamako, République du Mali.