02238nas a2200229 4500000000100000008004100001653001200042653001000054653001000064653001100074653002500085100001300110700001500123700001300138700001300151700001100164245010100175856006900276300001200345490000700357520164400364 2016 d10aleprosy10aDelhi10aIndia10aTrends10aTertiary care centre1 aRelhan V1 aGhunawat S1 aTenani A1 aMittal S1 aGarg V00aTrends in Profile of Leprosy Cases Reporting to a Tertiary Care Centre in Delhi during 2006-2015 uhttp://www.ijl.org.in/2016/4%20V%20Relhan%20et%20al(217-225).pdf a217-2250 v883 a

Leprosy has been declared to have been eliminated as a public health problem in India in 2005 and in Delhi in the year 2008. However, due to variety of problems the reported prevalence continues to be high in the national capital. This study has been carried out to understand the profile of leprosy cases reporting to a Tertiary Care Centre in Delhi. A retrospective analysis of 1487 registered cases from the leprosy clinic of Lok Nayak Hospital, New Delhi from the year 2005-06 to 2015-16 was carried out. Among these 66.71% cases had multibacillary disease, while 33.29% were found to have paucibacillary disease as per WHO classification being used for treatment purposes. This ratio has remained nearly same during this 10 year period. 10.96% had pure neurtitic leprosy. The mean age at presentation was found to be 31.72 years. Male to female ratio was found to be 2.9:1. Childhood leprosy was present in 7.59% of the total patients. Migrant population constituted 89.51% of the total patient load, 80% of them belonging to two endemic states of Uttar Pradesh and Bihar. A total of 22.1% patient developed signs of reaction, while 26.5% (7.5% grade 1 and 19% grade 2) had deformities. Overall Delhi govt data and our hospital data are similar, can be considered to be representative of National Capital Region (NCR). As such the conclusions drawn from this study are meaningful and can be considered important in planning strategies to strengthen the National Leprosy Eradication Programme (NLEP) in NCR by proper planning, expertise building of care providers for improving the access to services required by these people.