Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria

Nigeria achieved the leprosy elimination target in the year 2000. Data demonstrating the trend of leprosy in Nigeria during the post-elimination era is limited. This study evaluates the epidemiological trend of leprosy at a referral hospital in Nigeria using leprosy control indicators. A 15...

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Main Author:	Abu Bakar, Usman
Format:	Article
Language:	English
Published:	Hind Kusht Nivaran Sangh, New Delhi 2020
Subjects:	RA Public aspects of medicine
Online Access:	http://irep.iium.edu.my/79376/ http://irep.iium.edu.my/79376/1/2%20U%20Abubakar%20%20et%20al%20%20257-265%20%281%29.pdf

id	iium-79376
recordtype	eprints
spelling	iium-793762020-03-03T04:37:46Z http://irep.iium.edu.my/79376/ Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria Abu Bakar, Usman RA Public aspects of medicine Nigeria achieved the leprosy elimination target in the year 2000. Data demonstrating the trend of leprosy in Nigeria during the post-elimination era is limited. This study evaluates the epidemiological trend of leprosy at a referral hospital in Nigeria using leprosy control indicators. A 15-year retrospective study involving new leprosy patients registered at a referral hospital in Nigeria was conducted. Patient data were retrieved from Leprosy register and patient records. Findings shows that the new case detection rate decreased significant 5 5 from 1.6 cases per 10 in 2001 to 0.4 case per 10 by the year 2015 (regression coefficient: -0.113, 95% CI: - 0.159 – -0.067, P < 0.001); representing a 75% decline in new case detection rate. Multibacillary (MB) was the dominant type of leprosy and the proportion in new cases ranged between 74.5% and 100% during the period under review. There was also no significant change in the proportion of new cases with Grade-2-Disability (G2D), 37% in 2001 and 29.2% in 2015. The average proportion of G2D in new cases was 33.6% during the 15 year period. There was a substantial decrease in the incidence of leprosy during the period under review as reflected in the significant decline in new case detection rate. However, the high proportion of MB cases and G2D in new case underlines the need to intensify active case finding efforts as we march towards a leprosy- free-word. While the cases reporting to a referral hospital can not be use to calculate epidemiological situation at community/population level, these trends appear to be meaningful and can be used to plan studies as well as interventions at public health level. Hind Kusht Nivaran Sangh, New Delhi 2020-02-28 Article PeerReviewed application/pdf en http://irep.iium.edu.my/79376/1/2%20U%20Abubakar%20%20et%20al%20%20257-265%20%281%29.pdf Abu Bakar, Usman (2020) Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria. Indian Journal of Leprosy, 91. pp. 257-265.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Abu Bakar, Usman Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria
description	Nigeria achieved the leprosy elimination target in the year 2000. Data demonstrating the trend of leprosy in Nigeria during the post-elimination era is limited. This study evaluates the epidemiological trend of leprosy at a referral hospital in Nigeria using leprosy control indicators. A 15-year retrospective study involving new leprosy patients registered at a referral hospital in Nigeria was conducted. Patient data were retrieved from Leprosy register and patient records. Findings shows that the new case detection rate decreased significant 5 5 from 1.6 cases per 10 in 2001 to 0.4 case per 10 by the year 2015 (regression coefficient: -0.113, 95% CI: - 0.159 – -0.067, P < 0.001); representing a 75% decline in new case detection rate. Multibacillary (MB) was the dominant type of leprosy and the proportion in new cases ranged between 74.5% and 100% during the period under review. There was also no significant change in the proportion of new cases with Grade-2-Disability (G2D), 37% in 2001 and 29.2% in 2015. The average proportion of G2D in new cases was 33.6% during the 15 year period. There was a substantial decrease in the incidence of leprosy during the period under review as reflected in the significant decline in new case detection rate. However, the high proportion of MB cases and G2D in new case underlines the need to intensify active case finding efforts as we march towards a leprosy- free-word. While the cases reporting to a referral hospital can not be use to calculate epidemiological situation at community/population level, these trends appear to be meaningful and can be used to plan studies as well as interventions at public health level.
format	Article
author	Abu Bakar, Usman
author_facet	Abu Bakar, Usman
author_sort	Abu Bakar, Usman
title	Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria
title_short	Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria
title_full	Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria
title_fullStr	Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria
title_full_unstemmed	Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria
title_sort	epidemiological trend of leprosy in the post-elimination era at a referral centre in northern nigeria
publisher	Hind Kusht Nivaran Sangh, New Delhi
publishDate	2020
url	http://irep.iium.edu.my/79376/ http://irep.iium.edu.my/79376/1/2%20U%20Abubakar%20%20et%20al%20%20257-265%20%281%29.pdf
first_indexed	2023-09-18T21:51:26Z
last_indexed	2023-09-18T21:51:26Z
_version_	1777413795744841728

Epidemiological Trend of Leprosy in the Post-Elimination Era at a Referral Centre in Northern Nigeria

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