02742nas a2200349 4500000000100000008004100001260001300042653001000055653001000065653001100075653002100086653001900107653001100126653001400137653001200151653000900163653001900172653001500191653003100206100001600237700001200253700001400265700002000279700002000299245016000319856005100479300001100530490000700541050003200548520179800580022001402378 2002 d c2002 Dec10aAdult10aChild10aFemale10aHealth Promotion10aHealth Surveys10aHumans10aIndonesia10aleprosy10aMale10aMass Screening10aPrevalence10aSurveys and Questionnaires1 aSchreuder P1 aLiben D1 aWahjuni S1 aVan Den Broek J1 aDe Soldenhoff R00aA comparison of Rapid Village Survey and Leprosy Elimination Campaign, detection methods in two districts of East Java, Indonesia, 1997/1998 and 1999/2000. uhttps://leprosyreview.org/article/73/4/36-6375 a366-750 v73 aInfolep Library - available3 a

A Rapid Village Survey (RVS) was planned to estimate the extent of the leprosy problem in two well documented endemic districts of East Java, Indonesia. Furthermore, the aim was to investigate the efficacy of the routine programme in detecting new and early cases, as well as the feasibility of RVS in detecting disabled people affected by leprosy in the community. A random sample survey (RVS: a simple method compared to a Population Sample) was used to determine the extent of the leprosy problem. In addition, a Leprosy Elimination Campaign (LEC), was used particularly to detect new and backlog cases in the community. Both RVS and LEC involve a health education campaign followed by the examination of persons voluntarily reporting. Routine programme case finding, involving passive case finding and contact examinations, was also carried out. The RVS prevalence rate of 12 per 10,000 was more than twice the known prevalence rate of 5 per 10,000. The LEC prevalence rate was less than the rate found by RVS, but was within the RVS confidence interval. During the RVS, many children with leprosy were detected, and 10% of all RVS new cases already had disability grade II. The population disability grade II rate due to leprosy was 9 per 10,000. Despite the fact that an active leprosy control programme had been carried out in the surveyed endemic area over a period of many years, the actual prevalence rate found was more than twice the known prevalence. Many children were found during the RVS, thus indicating continuing widespread transmission. In general, it seems that there is still a serious delay in detecting new cases under the routine programme. Consequently, there are substantial numbers of persons affected by leprosy in those districts in need of rehabilitation.

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