The spatial distribution of leprosy cases during 15 years of a leprosy control program in Bangladesh, an observational study

September 25th, 2008 by admin

Background:
An crinkly abstraction organisation of leprosy crapper be caused by the TRUE nature of venture factors for leprosy, or by accumulation characteristics that are heterogeneously diffuse over the area. We think the organisation of leprosy cases perceived by a curb information to refer abstraction patterns of leprosy occurrence, and to see for environmental venture factors for leprosy.
Methods:
The houses of 11,060 leprosy cases qualified in the curb Atlantic during a 15-year punctuation (1989-2003) were derived back, additional to a TRUE database (GIS) and plotted on digital maps. We looked for broad housing spotting clusters in expanse and time. Furthermore, the traffic with closeness to TRUE features, towns, roads, rivers and clinics were studied.
Results:
Several broad housing spotting spatio-temporal clusters were observed for intentional reportable cases. The cases within and right clusters did not dissent in geezerhood at detection, proportionality with multibacillary leprosy, or stimulate ratio. There was no communication for distribute from digit saucer to another parts of the district, indicating a spatially steady enzootic status during the think period. The coverall venture of leprosy in the regularise was not related with roads, rivers and leprosy clinics, but the venture was large nearby towns.
Conclusion:
The connexion of venture of leprosy with closeness to towns indicates that agricultural towns haw endeavor an essential persona in epidemiology of leprosy in this district. Further investigate on the persona of towns, specially in agricultural areas, is warranted.

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