Current Leprosy Situation as on April 2008

The year 2007-08 started with 0.83 lakh leprosy cases on hand as on 1st April 2007, with PR 0.72/10,000. 28 States/ UTs had attained the level of leprosy elimination .487 districts (79.7%) out of total 611 districts also achieved elimination by March 2007.
 
After detailed scrutiny, 19 districts as high priority were identified, in which a Situational Activity Plan (SAP-2007) was carried out during the year 2007-08. In 19 states, 275 blocks were identified as high priority where Block Leprosy Awareness Campaigns (BLAC-IV) through intensified IPC were conducted during September - December 2007. Similarly Urban Leprosy Sensitization and Awareness Campaign (ULSAC) was also carried out in 49 urban areas. All these efforts further helped in progressive improvement of leprosy situation in the country.
 
Based on the reports received from all the states and UTs for the year of 2007-08 (Annexure –I), following is the current leprosy situation in the country.
 
1
A total of 1.38 lakh new cases were detected during the year 2007-08, which gives Annual New Case Detection Rate (ANCDR) of 11.70 per 100,000 population. This shows ANCDR reduction of 3.07% from 12.07 during 2006-07.
   
2
A total of 0.87 lakh cases are on record as on 1st April 2008 giving a Prevalence rate (PR) of 0.74 leprosy cases per 10,000 population.
 
3
Detailed information on new leprosy cases detected during 2007-08 indicates the proportion of MB (47.2), Female (34.5), Child (9.4), Visible Deformity (2.5), ST cases (13.0) and SC cases (18.9).
 
Further analysis of information received from the States / UTs has shown the following situation (Annexure –II).
 
4
5 States / UTs viz. Bihar, Chhattisgarh, Jharkhand, West Bengal and Chandigarh have PR between 1 and 2 per 10,000 population. Only Dadra & Nagar Haveli has PR of 2.34/10,000 . These 6 states/UTs with 20.8% of country’s population, contribute 33% of country’s recorded caseload and 35% of the country’s new case detected during the year 2007-08.
   
5
29 States/ UTs have achieved the level of elimination i.e. PR less than 1 case per 10,000 population and they include:
   
 

Nagaland, Haryana, Meghalaya, Himachal Pradesh, Mizoram, Tripura, Punjab, Sikkim, Jammu & Kashmir, Assam, Manipur, Rajasthan, Kerala, Arunachal Pradesh, Daman & Diu, A & N Islands, Pondicherry , Gujarat, Karnataka, Lakshadweep, Tamil Nadu, Andhra Pradesh, Uttaranchal, Madhya Pradesh, Maharashtra , Goa, Orissa , Uttar Pradesh and Delhi.

Only Delhi is the new entrant this year.

   
6
District wise situation on the basis of ANCDR as on 31st March 2008 is given at (Annexure –III). 377(61.4%) of districts out of total 614, have ANCDR < 10 per 100,000 population. 96 districts in 12 states/UTs have ANCDR > 20/100,000. 6 districts with ANCDR > 50/100,000 population are in Chhattisgarh (3), Gujarat (1), Maharashtra (1) and West Bengal (1).
   
7
District wise situation on PR basis as on 1st April 2008 is given as (Annexure –IV). Improvement in district situation during last 8 years are as below –
   
 
Year wise Endemicity Status Of Districts
 
Endemicity
(PR/10,000)
2001
2002
2003
2004
2005
2006
2007
2008
<1
171
181
212
250
337
439
487
482
1-2
82
80
88
105
131
128
105
111
2-5
179
156
172
163
118
28
18
20
5-10
91
108
90
68
8
0
0
0
>10
40
51
28
4
1
1
1
0
Total
563
576
590
590
595
596
611
614
  As at present only 21 districts in 7 states are having PR > 2/10,000. These states are Chhattisgarh (6), Jharkhand (2), Gujarat (6), Orissa (2), Maharashtra(1), West Bengal (3) and Delhi (1).
   
8
Trend of leprosy Prevalence (PR) and Annual New Case Detection Rate(ANCDR) in India
 
   
9
Position of districts as per grade II disability status has been given as (Annexure –V). Altogether 240 districts (39.1%) were with >2% gr. II disability amongst new cases detected.
   
10
Out of the total 1.33 lakh new cases deleted from records, a total of 1.21 lakh (90.6%) completed their treatment within the specified period and were released from treatment (RFT) as cured during 2007-08 (Annexure –VI).
 
11
Out of the total 7318, “others cases” recorded for treatment during 2007-08, a total of 5963 (81.43%) completed their treatment in time and were released from treatment (RFT) as cured during 2007-08 (Annexure –VII).
 
12
Total number of cases released as cured during 2007-08, thus comes to 126957 as against total deletion of 140821.
 

 

Figures in brackets indicate proportion of state population to total population