Analysis of newly detected leprosy in Sohag Governorate, Upper Egypt, 2004-2008.
BACKGROUND
Leprosy is a chronic and complex infectious illness; the new-case detection rate is better than prevalence as an indicator of disease trends. This study presents an analysis of pattern of new cases of leprosy detected annually from 2004 to 2008 in Sohag Governorate, Upper Egypt.


METHODS
Data about patients with newly diagnosed leprosy were collected from Sohag leprosy hospital, the main referral centre in the governorate. Case detection rates (CDR) were calculated for each year by dividing the newly diagnosed cases by mid-year populations for the same year.


RESULTS
587 patients were newly diagnosed between 2004 and 2008. The mean age of patients at diagnosis was 34 years, 62% were males, and 11% were children below 15 years of age. The overall leprosy case detection rate was 3-1/100,000 population and it decreased from 3.4/100,000 population in 2004 to 2.8/100,000 population in 2008. Ninety three percent were classified as multibacillary, and 20.4% had Grade 2 disability at diagnosis.


CONCLUSIONS
Leprosy remains a health problem in Sohag Governorate. It is possible that new cases are being detected late owing to inadequate community awareness of the disease. Leprosy control activities should be provided in primary health care units in order to detect new cases, and continued surveillance is required to detect relapses and to ensure good patient compliance with treatment.
Department of Dermatology, Venereology and Andrology, Sohag Faculty of Medicine, Sohag, Egypt. Ezz_Reham@yahoo.com
Reham Ezz
RE
El-Dawela
Abeer Sheneef
AS
Mohamed
Fouad
F
Yousef
D000293:Adolescent; D000328:Adult; D002648:Child; D003140:Communicable Disease Control / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends*; D003625:Data Collection / Q000379:methods; D057210:Delayed Diagnosis / Q000706:statistics & numerical data; D004185:Disability Evaluation; D019988:Children with Disabilities; D006233:Persons with Disabilities; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006266:Health Education / Q000706:statistics & numerical data; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007918:Leprosy / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D055815:Young Adult