01711nas a2200337 4500000000100000008004100001260001300042653001500055653001000070653000900080653001000089653002100099653001100120653001100131653001200142653001100154653000900165653001600174100001900190700001700209700001200226700001900238700001400257245011700271856005900388300001100447490000700458050003200465520086200497022001401359 1990 d c1990 Dec10aAdolescent10aAdult10aAged10aChild10aChild, Preschool10aFemale10aHumans10aleprosy10aMalawi10aMale10aMiddle Aged1 aPonnighaus I M1 aBoerrigter G1 aFine PE1 aPonnighaus J M1 aRussell J00aDisabilities in leprosy patients ascertained in a total population survey in Karonga District, northern Malaŵi. uhttp://leprev.ilsl.br/pdfs/1990/v61n4/pdf/v61n4a06.pdf a366-740 v61 aInfolep Library - available3 a
This paper describes the pattern of disability among 1654 leprosy patients ascertained between 1973 and 1987 in Karonga District, Northern Malaŵi. Approximately 20% of patients identified prior to 1980 had some disability at registration, but this percentage fell to approximately 10% with the introduction of total population surveys in the Lepra Evaluation Project. The proportion of patients with disabilities at registration increased with age, was higher among males than females, was higher among borderline and lepromatous than tuberculoid patients, and was higher for passively than for actively detected patients. The risk of developing disabilities among patients without any disabilities at registration was approximately 5 per 1000 person years, and appeared to be slightly higher after the completion of treatment than during treatment.
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