RESUMO
In 2012 the WHO Expert Committee on Leprosy published its 8th report, 14 years after the publication of its 7th report in 1998. This report, the first since the leprosy reduction goal was met in 2000, highlights key points such as improvements in the quality of various services available to patients and the efforts of individuals and societies, in addition to medical progress in diagnosis and treatment. This review will mainly describe the changes made since the 7th report. Some of the main modifications are the deletion of single lesion paucibacillary type, elongated treatment of patients with high bacterial indices, the introduction of promising new drugs, and a shift from reducing the statistical number of patients to a new target for disability prevention.
Assuntos
Comitês Consultivos/organização & administração , Hanseníase , Relatório de Pesquisa/tendências , Organização Mundial da Saúde/organização & administração , Pessoas com Deficiência , Humanos , Hanseníase/diagnóstico , Hanseníase/prevenção & controle , Hanseníase/terapia , Fatores de TempoRESUMO
The epidemiological situation of leprosy is reported by the health division of each country to WHO. The reported data is collected by WHO and is immediately run on the Weekly Epidemiological Record. On this latest edition, data from the beginning of 2012 was reported. The Enhanced global strategy for further reducing the disease burden due to leprosy (plan period: 2011-2015) emphasizes reducing grade-2 disabilities among new cases. The sustained and committed efforts by the national programmes along with the continued support from national and international partners have led to a decline in the global burden of leprosy. It is important that all endemic countries continue to provide innovative solutions to address barriers to timely case detection and treatment completion, to ensure that the current declining trend is sustained.
Assuntos
Saúde Global , Hanseníase/epidemiologia , Hanseníase/prevenção & controle , Efeitos Psicossociais da Doença , Feminino , Humanos , Masculino , Prevalência , Fatores de Tempo , Organização Mundial da SaúdeRESUMO
The epidemiological situation of leprosy is reported by the health division of each country to WHO. The reported data is collected by WHO and is immediately run on the Weekly Epidemiological Record. On this latest edition, data from the beginning of 2010 was reported. The Enhanced global strategy for further reducing the disease burden due to leprosy (plan period: 2011-2015) emphasizes reducing grade-2 disabilities among new cases. The burden of leprosy continues to decline globally as a result of sustained efforts carried out by national leprosy programmes along with continued support from both national and international partners. Improving the management of complications through the development of an effective referral service and increased community awareness about the disease will ensure that cases present for diagnosis at an early stage and will help reduce the disease burden further.
Assuntos
Saúde Global/estatística & dados numéricos , Hanseníase/epidemiologia , Organização Mundial da Saúde , África/epidemiologia , América/epidemiologia , Ásia/epidemiologia , Austrália/epidemiologia , Europa (Continente)/epidemiologia , Feminino , Humanos , Masculino , Ilhas do Pacífico/epidemiologia , PrevalênciaRESUMO
The epidemiological situation of leprosy is reported by the health division of each country to WHO. The reported data is collected by WHO and is immediately run on the Weekly Epidemiological Record. On this latest edition, data from the beginning of 2010 was reported. In almost all of the highly endemic countries, control activities have been integrated within the general healthcare system. However, early case detection and prompt treatment with MDT remain the cornerstone of leprosy. In order to reduce the physical, mental and socioeconomic burden of leprosy, much remains to be done.
Assuntos
Saúde Global , Hanseníase/epidemiologia , Atenção à Saúde , Diagnóstico Precoce , Humanos , Incidência , Hanseníase/diagnóstico , Hanseníase/prevenção & controle , Prevalência , Sistema de Registros , Classe Social , Fatores de Tempo , Organização Mundial da SaúdeRESUMO
The tenth meeting of the WHO Technical Advisory Group (TAG) on Leprosy Control was held in New Delhi, India on 23rd April 2009. The meeting was chaired by Professor WCS Smith and attended by TAG members, several experts, WHO secretariat, and members of the technical bodies of International Leprosy Association (ILA) and the International Federation of Anti-Leprosy Associations (ILEP) also attended the meeting.
Assuntos
Controle de Doenças Transmissíveis/organização & administração , Hanseníase/prevenção & controle , Sociedades Médicas/organização & administração , Organização Mundial da Saúde/organização & administração , Quimioterapia Combinada , Humanos , Cooperação Internacional , Hansenostáticos/administração & dosagem , Hanseníase/tratamento farmacológico , Hanseníase/microbiologia , Estudos Multicêntricos como Assunto , Mycobacterium leprae/patogenicidadeRESUMO
The main principles of leprosy control, based on timely detection of new cases and their treatment with effective chemotherapy in the form of multidrug therapy, will not change over the coming years. The emphasis will remain on sustaining the provisions for quality patient care that are equitably distributed, affordable and easily accessible. The Enhanced Global Strategy for Further Reducing the Disease Burden due to Leprosy: 2011-2015 together with the updated Operational Guidelines of the Enhanced Global Strategy. The Strategy will require endorsement and commitment from everyone working towards the common goal of reducing the disease burden due to leprosy and its detrimental physical, social and economic consequences in order to move closer to achieving the common dream of "world without leprosy".