01247nas a2200265   4500000000100000008004100001260001300042653001000055653004000065653002500105653001100130653001400141653001000155653001200165653000900177100001200186700001600198245007000214856006500284300001000349490000700359050001500366520058600381022001400967       2006                            d  c2006 Mar10aChild10aDelivery of Health Care, Integrated10aDisease Notification10aHumans10aIncidence10aIndia10aleprosy10aSkin1 aKumar A1 aGirdhar B K00aIs increasing MB ratio a positive indicator of declining leprosy?  uhttp://ismocd.org/index.asp?page=jcd/jcd_frames.asp?vol=38_1  a24-310 v38  aKUMAR 20063 a<p>In recent years, an increasing MB ratio-trend has been seen in most state reported leprosy data in India and elsewhere. The programme of leprosy all over the world has been integrated with general health system (GHS). This has given rise to gross under reporting of leprosy cases and increasing MB ratio. This paper examines this critical issue and attempt to find out the causes of this trend. The findings suggest clearly that increasing MB ratio is the result of early cases of leprosy being missed out. This can be to the extent of 73% when MB ratio is reached to 47.5%.</p>  a0019-5138