01473nas a2200301 4500000000100000008004100001260001300042653001500055653001000070653003000080653001100110653001100121653001000132653002300142653001200165653000900177653001600186653002300202653002100225100001600246700001400262700001300276245007800289300001000367490000700377520077300384022001401157 1984 d c1984 Dec10aAdolescent10aAdult10aDrug Therapy, Combination10aFemale10aHumans10aIndia10aLeprostatic Agents10aleprosy10aMale10aMiddle Aged10aPatient Compliance10aUrban Population1 aKoticha K K1 aPatre B B1 aNair P R00aProblems of urban leprosy control with special reference to case holding. a482-70 v523 a

The prevalence of leprosy and the proportion of bacteriologically positive cases in different parts of endemic and highly dense Bombay, India, are presented. The attendance of 8574 cases is retrospectively analyzed with respect to age, sex, occupation, type of leprosy, and presence or absence of deformity. Defaulters (6090) were traced, and the reasons for nonattendance were ascertained in 22% of the cases. In those cases who could be contacted and in those who had high bacterial and morphological indexes, multidrug therapy was being given at either a clinic or, if not possible, at their homes by experienced field workers under supervision. Recommendations are made for improving urban leprosy control work in general and for case holding in particular.

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