01573nas a2200301 4500000000100000008004100001260001300042653001600055653001700071653002800088653003100116653001100147653001400158653001100172653001200183653002500195653001500220100001700235700001500252700001800267700001300285700001500298245005000313300001400363490000800377520087200385022001401257 1993 d c1993 Aug10aAge Factors10aAge of Onset10aCross-Sectional Studies10aEmigration and Immigration10aHumans10aIncidence10aIsrael10aleprosy10aLongitudinal studies10aPrevalence1 aSeidenbaum M1 aSlater P E1 aEver-Hadani P1 aCostin C1 aLeviatan A00a[Epidemiology of Hansen's disease in Israel]. a65-8, 1280 v1253 a
There are currently 200 patients with Hansen's disease in Israel who are being followed by the Hansen's Disease Government Hospital and the Ministry of Health (prevalence 4.4/100,000). Most of them immigrated from countries where the disease is endemic. Dermatological findings dominated the initial clinical picture, although 5% of patients are asymptomatic contacts of known cases. Age at onset of disease was less than 20 years in 1/4 of the cases. The incidence in Israel is falling: 0.4/100,000 in 1985-89 compared to 3.6/100,000 in 1950-54. Neurologic and dermatologic findings in an immigrant of any age originating from countries where Hansen's disease is endemic, should prompt appropriate diagnostic evaluation, even years after immigration to Israel. Contacts of known cases of Hansen's disease should be aggressively screened, even if asymptomatic.
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