@article{12750, keywords = {Acedapsone, Adult, Child, Dapsone, Drug Resistance, Microbial, Humans, leprosy, Micronesia, Patient Compliance, Recurrence}, author = {Russell D A and WORTH R M and Jano B and Fasal P and Shepard C C}, title = {Acedapsone in the prevention of leprosy: field trial in three high prevalence villages in Micronesia.}, abstract = {

The 1,659 non-leprous people in a Micronesian population experiencing an annual leprosy incidence rate of about 7/1,000 were offered 15 acedapsone (DADDS) injections during 1967--1970 for leprosy prevention purposes. Subsequent annual surveillance showed an initial cessation of new cases during the 3-year DADDS campaign, followed by a resumption of cases thereafter at a yearly level of about 2/1,000 with a longer pause and slower rise among those who received the full regimen. A secondary wave of cases that has occurred since 1973 among children born after 1968 shows that post-campaign transmission occurred, probably principally from relapsing multibacillary cases with onset before the campaign. Recommendations are made for a balanced, long-term control program with DADDS preventive treatment limited to contacts of multibacillary cases.

}, year = {1979}, journal = {The American journal of tropical medicine and hygiene}, volume = {28}, pages = {559-63}, month = {1979 May}, issn = {0002-9637}, language = {eng}, }