02149nas a2200385 4500000000100000008004100001260001300042653001000055653002100065653002200086653001500108653001100123653001200134653001300146653003100159653001900190653001700209653001400226100001200240700001000252700001200262700001000274700000900284700000900293700001100302700001500313700001500328700001300343245008100356300001100437490000700448050001500455520127900470022001401749 2000 d c2000 Sep10aChina10aDisabled Persons10aFollow-Up Studies10aFoot Ulcer10aHumans10aleprosy10aNeuritis10aPatient Education as Topic10aPilot Projects10aPrednisolone10aSelf care1 aZhang G1 aYan L1 aJiang J1 aWei X1 aWu Y1 aLi W1 aChen X1 aSamson P D1 aWatson J M1 aPiefer A00aFinal report about Stage II Collaboration Project on Leprosy Rehabilitation. a187-900 v15 aZHANG 20003 a

OBJECTIVE: To undertake the pilot experiments of prevention of disability (POD) in 14 different geographical areas to serve as examples for future development of rehabilitation work in China and in Asia.

METHODS: According to the principles and national criterion, 27 000 people affected by leprosy were selected and assessed using disability record forms at beginning and followed up regularly for observing changes of different indicators.

RESULTS: A total of 197 neuritis cases were detected and treated with prednisolone out of 1 407 new or active cases. Self-care training of eyes, hands and feet were conducted for 10 500 disabled people affected by leprosy. Comprehensive therapy was given to 1 804 cases having complicated ulcers of which 1 055 cases have got their ulcers healed. Out of 706 prostheses, 613 were given to patients with satisfactory results. Surgical treatment was given to 269 cases and 251 have shown good progress.

CONCLUSION: Most of patients have got benefit from the project in function or appearance which is very helpful for their going back to the society and agreed by foreign experts during the final evaluation. The experiences from the project can be implemented in the whole country.

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