01925nas a2200337 4500000000100000008004100001260001300042653001500055653001000070653003300080653002500113653001100138653001100149653001000160653001200170653000900182653001900191653001600210653002900226653002100255100001200276700001700288700001600305245012300321856005900444300001100503490000700514050001300521520103900534022001401573 2000 d c2000 Sep10aAdolescent10aAdult10aCommunicable Disease Control10aDeveloping countries10aFemale10aHumans10aIndia10aleprosy10aMale10aMass Screening10aMiddle Aged10aNational Health Programs10aRural Population1 aRao P V1 aBhuskade R A1 aDesikan K V00aModified leprosy elimination campaign (MLEC) for case detection in a remote tribal area in the State of Orissa, India. uhttp://leprev.ilsl.br/pdfs/2000/v71n3/pdf/v71n3a19.pdf a377-810 v71 aRAO 20003 a

A leprosy project was established in a difficult to reach area under guidelines of Government of India. The leprosy services were provided by Koraput Leprosy Eradication Project (KORALEP) and general health services by Primary Health Care (PHC). Leprosy elimination campaigns (LECs) were suggested by WHO to detect more cases in the community. A modified leprosy elimination campaign (MLEC), carried out utilizing the services of primary health care workers is discussed in this paper. Apart from the trained health workers, Anganwadi workers along with some literate people from the district were also included in the search teams. In all, 1543 cases were shortlisted from the suspects identified and on re-examination 576 cases were confirmed as active cases. Sixty percent of the cases detected were very early cases with two to three skin lesions. This could be achieved with a very brief training of health workers and involving village voluntary workers. MLEC was found to be a useful tool for case finding in such areas.

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