03175nas a2200229   4500000000100000008004100001653001800042653000900060653002400069653001600093653001200109653001000121100001500131700001300146700001800159245008100177856006300258300001000321490000700331050001600338520259100354       2013                            d10aUrban leprosy10aNLEP10aMultidrug treatment10aMaharashtra10aleprosy10aIndia1 aMohite R V1 aMohite V1 aDurgawale P M00aDifferential trend of leprosy in rural and urban area of Western Maharashtra  uhttp://www.ijl.org.in/oct-dec/3%20Mohite%20(11-18)%20f.pdf  a11-180 v85  aMOHITE 20133 aLeprosy, major public health problem in Satara District with prevalence rate of 61/10000 population in 1990.
With a view to eliminate Leprosy, Government of India launched National Leprosy Eradication Programme
(NLEP) in Satara district during July 1990 to overcome the burden of Leprosy with Multi-Drug Treatment and
subsequently Modified Leprosy Elimination Campaign and Block Leprosy Awareness Campaign. The objective
of the study is to assess the differential trend of Leprosy in rural and urban area of Satara district. Record based
retrospective time series study was conducted in Urban Leprosy Control Units and Primary Health Centers of
Satara district on NLEP evaluation indicators; prevalence rate, new case detection rate, percentage of cases
released from treatment, proportion of female cases among new cases, proportion of multi bacillary cases
among new cases, proportion of grade- II disability among new cases and proportion of child cases among
new cases. Leprosy elimination was achieved in rural area i.e. prevalence rate < 1/10000 population but
disease was still endemic in urban area of Satara district i.e. prevalence rate of leprosy was 1.3/10000
population in March 2007-08. Not a single case of grade -II disability was reported in both urban and rural area
since March 2006-07onward. New case detection rate was decreased to 0.7/10000 population in rural area
but upward trend was recorded in urban area from 0.1/10000 population to 1.1/10000 population since
2 March 2006-07 and trend was statistically significant (÷ trend = 37.26, p <0.001*). Proportion of female cases
among new cases decreased from 63% to 46.7% in rural area but reverse trend was observed in urban area
2 from 39.6% to 52.8% with significant difference (÷ trend=5.42, p=0.01*). Proportion of multi bacillary cases
among new cases showed little fluctuation in rural area from 57% to 55.2% but proportion was decreased in
2 urban area from 59.1% to 44.4% and trend was statistically significant (÷ trend =29.82, p< 0.001*). Proportion
of child cases among new cases decreased from 23.7% to 10.4% in rural but reverse trend was observed in
2 urban area from 7% to 22.2% since March 2005-06 and proportion was significant (÷ trend=15.90,
p=0.0001*). More than 90% cases were released from treatment in rural area but proportion was low in urban
2 area and trend was statistically significant (÷ trend=19.38, p<0.001*). The National Leprosy Eradication
Programme showed favorable impact in rural area as compared to urban area in Satara District of
Maharashtra.