01569nas a2200325 4500000000100000008004100001260000900042653001500051653001000066653000900076653001000085653002100095653001100116653002100127653001100148653001000159653001200169653000900181653001600190653001500206100001600221700001400237700001600251245011600267300001200383490001300395050003200408520078900440022001401229 1998 d c199810aAdolescent10aAdult10aAged10aChild10aChild, Preschool10aFemale10aHealth Education10aHumans10aIndia10aleprosy10aMale10aMiddle Aged10aPrevalence1 aPennini S N1 aPedrosa L1 aRebello P F00aEarly diagnosis and treatment of leprosy in intradomiciliary contacts in a high prevalence area: Amazon region. a73S-77S0 v70 Suppl aInfolep Library - available3 a

The importance of dermato-neurological examination of intradomiciliary contacts is well known as an important secondary preventive measure in leprosy control, due to the fact that it allows early diagnosis and treatment. This is an intervention trial in an area of high leprosy prevalence (Manaus/Brazil) where the proportion of contacts examined is low. The aim of the study is to assess whether a simple educational session conducted among patients increases contacts examination and leads to early case detection. The intervention group had examined more contacts (p < 0.05) but, paradoxically, presented fewer new cases than the control group. The authors discuss the probable causes for this unexpected outcome, the advantages of the intervention and other related issues.

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