02046nas a2200421 4500000000100000008004100001260001300042653001500055653001000070653002100080653001000101653002100111653001100132653001400143653001100157653001400168653001100182653002000193653001200213653000900225653001900234653001600253653002500269653001500294653002100309100001400330700001200344700001400356700001400370700001200384245008300396856007800479300001000557490000600567050001500573520102200588022001401610 2002 d c2002 Sep10aAdolescent10aAdult10aAge Distribution10aChild10aChild, Preschool10aFemale10aGeography10aHumans10aIndonesia10aInfant10aInfant, Newborn10aleprosy10aMale10aMass Screening10aMiddle Aged10aMycobacterium leprae10aPrevalence10aSex Distribution1 aBakker MI1 aHatta M1 aKwenang A1 aKlatser P1 aOskam L00aEpidemiology of leprosy on five isolated islands in the Flores Sea, Indonesia. uhttps://onlinelibrary.wiley.com/doi/epdf/10.1046/j.1365-3156.2002.00931.x a780-70 v7 aBAKKER20023 a

We conducted a population-based survey on five small islands in South Sulawesi Province (Indonesia) to collect baseline data previous to a chemoprophylactic intervention study aiming at interrupting the transmission of Mycobacterium leprae. Here we describe the present leprosy epidemiology on these geographically isolated islands. Of the 4774 inhabitants living in the study area 4140 were screened for leprosy (coverage: 87%). We identified 96 leprosy patients (85 new and 11 old patients), representing a new case detection rate (CDR) of 205/10 000 and a prevalence rate of 195/10 000. CDRs were similar for males and females. Male patients were more often classified as multibacillary (MB) than women. Of the new patients, 33 (39%) were classified as MB, 16 (19%) as paucibacillary (PB) 2-5 lesions and 36 (42%) as PB single lesion. In this area of high leprosy endemicity leprosy patients were extensively clustered, i.e. not equally distributed among the islands and within the islands among the houses.

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