01547nas a2200289   4500000000100000008004100001260001700042653001100059653001100070653001100081653001200092653000900104653000900113653002100122653002100143100001500164700001400179700001500193700002000208700001300228245013100241300001100372490000600383050001700389520083700406022001401243       1987                            d  c1987 Jul-Sep10aFamily10aFemale10aHumans10aleprosy10aMale10aMali10aSampling Studies10aUrban Population1 aDaumerie D1 aAntiope L1 aHusser J A1 aVimont-Vicary P1 aNebout M00a[Evaluation of endemic leprosy in an urban zone--sampling survey at the household level: results at Bamako, Republic of Mali].  a183-970 v5  aDAUMERIE19873 a<p>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.</p>  a0001-5938