01752nas a2200313   4500000000100000008004100001260001700042653003000059653001600089653001100105653001400116653001000130653002300140653001200163653001500175653001800190653002600208653001700234653002200251100002000273700001300293700002000306245005800326300001100384490000700395050002300402520099900425022001401424       2006                            d  c2006 Apr-Jun10aDrug Therapy, Combination10aForecasting10aHumans10aIncidence10aIndia10aLeprostatic Agents10aleprosy10aPrevalence10aPublic health10aSentinel Surveillance10aTime Factors10aTreatment Outcome1 aVijayakumaran P1 aPrasad B1 aKrishnamurthy P00aTrends in new case-detection leprosy in Bihar, India.  a145-510 v78  aVIJAYAKUMARAN 20063 a<p>Multi-drug therapy (MDT) has been successfully implemented in all leprosy endemic countries. Prevalence of leprosy has declined remarkably after the introduction of MDT. Detection of new cases did not show expected decline in many endemic and low endemic situations. Bihar in India started implementing MDT in 1993. The Damien Foundation India Trust (DFIT) supported the leprosy control programme in Bihar by providing a district technical support team (DTST) for each district assigned to DFIT. Effective coverage was achieved in 1996-98. Data for the period 1996-2004 from 10 districts are presented in this paper. The total population in these districts was 29.4 million. Deformity among newly detected leprosy patients declined to 1% indicating effective early case-detection. Intensive new case-detection activities were in vogue contributing to high new case-detection rate (NCDR). The NCDR remained high during the 9-year period reported here and did not show any declining trend.</p>  a0254-9395