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Editorials, September 1997 by

机译:社论,1997年9月,作者:

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Both the Editorials by Drs Smith and Fine raise issues on 'incidence' in leprosy elimination programmes. One of the objectives of leprosy elimination campaigns is to reduce disease burden in the community by detecting backlog cases and treating all active leprosy cases, thus reducing the pool of infection in the community well before the target date. For the leprosy elimination campaign, elimination indicators (direct and indirect) described in the LEM guidelines of WHO should be adequate for assessment of all situations. As the measurement of incidence (with its severe limitations) is operationally not feasible at the moment, we have no alternative but to rely on prevalence and detection indicators.
机译:史密斯(Smith)博士和芬(Fine)的社论都提出了消除麻风计划中“发病率”的问题。消灭麻风运动的目标之一是通过发现积压病例并治疗所有活跃的麻风病病例来减轻社区的疾病负担,从而在目标日期之前就减少社区的感染量。对于消除麻风运动,世卫组织LEM指南中描述的消除指标(直接和间接)应足以评估所有情况。由于目前对发生率进行测量(有其严重的局限性)在操作上尚不可行,因此我们别无选择,只能依靠患病率和检测指标。

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