【作者】 王景权； 吴李梅； 谭又吉； 张国成；

【Author】 Wang Jingquan;Wu Limei;Tan Youji;Institute of Dermatology of Zhejiang Province;

【机构】 浙江省皮肤病防治研究所； 中国疾病预防控制中心麻风病控制中心；

【摘要】 2012年全球新发现麻风病患者232 857例,发病率为4.00/10万,有16个国家麻风病发现病例数超过1 000例,占全球报告新病例的95%,继续呈现从2005年以来的平台现象,全球现有300多万麻风病残疾者有待康复,麻风病的社会歧视排斥等问题加剧了全球解决麻风病问题的难度。本课题组对当前全球基本的控制策略以及部分有待调整的技术措施进行了述评,并对今后麻风病控制的趋势进行了展望。本课题组认为,在当前麻风病防治资源减少及政治承诺降低的大背景下,为实现最终消灭麻风病的远景目标,需要对当前全球麻风病控制的部分策略进行调整。在控制目标上,应该在扩大重视残疾预防导向基础上,强调加强麻风病的消除;在控制手段上,应推广化学预防和主动发现措施,终结控制停滞不前的局面,在控制动力上,除高度重视政治意愿主导作用外,吸取麻风病受累者组织和被忽视的热带病相关防治资源是新的方向。更多还原

【Abstract】 The number of new cases reported globally in 2012 is 232 857,with a detection rate of 4.00/100000,in which 16 countries reported more than 1000 new cases,accounted for 95% of total new cases reported worldwide.The incidence of leprosy have plateaued since 2005.There are more than 3 millions of leprosy disabled persons worldwide to be rehabilitated and the social stigma and discrimination against leprosy hamper the solution to the leprosy problem.The authors reviewed the global leprosy control strategy and some countermeasures to be adjusted and provided a glimpse into the future of leprosy control.The authors considered that some global leprosy control strategies should be adjusted in the settings of limited control resources and declined political committment to reach the ultimate goal of eradication of leprosy in the future.In the control targets,elimination of leprosy should be reemphasized on the basis of keeping the disability prevention at dominated place;In the control means,chemoprophylaxis and active case-finding should be applied to halt leprosy transmission.In the control forces,the resources from leprosy affected persons’ organizations and the agencies of neglected tropical diseases should be utilized besides of the dominated political committment.更多还原