01278nas a2200265   4500000000100000008004100001260001300042653001500055653001200070653001000082653003000092653001100122653001100133653002300144653001200167653000900179100001500188700001500203700001300218245007700231300001000308490000700318520067300325022001400998       1991                            d  c1991 Mar10aAdolescent10aBurundi10aChild10aDrug Therapy, Combination10aFemale10aHumans10aLeprostatic Agents10aleprosy10aMale1 aPattyn S R1 aBourland J1 aKakeze C00aEvolution of the leprosy endemicity in Burundi during the years 1981-88.  a57-610 v713 a<p>Between 1981 and 1988 the detection rate of leprosy in Burundi increased from 2.4 per 100,000 during 1981-84 to 3.09 per 100,000 during 1985-88. The proportion of multibacillary disease remained constant at 30%. The detection rate in children decreased significantly from 21 to 9% for paucibacillary disease (PB) but remained constant for multibacillary disease (MB). The proportion of patients with disabilities doubled in both PB and MB patients. It seems thus that the detection rate is high but that cases are diagnosed fairly late. Health education of the public and staff in the Health Centers should stress the importance of better and earlier detection.</p>  a0772-4128