VISION : "The Attainment of Leprosy Free Status for the People of India"
 
NLEP Data :-
Leprosy Situation as on August 2007
 

As on August 2007, 96228 leprosy cases were on record with a prevalence rate of 0.83/10,000 population . A total of 62,610 new leprosy cases were detected from April to August 2007.

 
 
NLEP – Leprosy Situation in India as on 1st April 2007
 
The country achieved the goal of leprosy elimination as a public health problem i.e PR<1 case per 10,000 population at the National level in December 2005. The year 2006-07 started with 0.95 lakh leprosy cases on hand as on 1st April 2006, with PR 0.84/10,000 population. 26 States/ UTs had attained the level of leprosy elimination. 439 districts (73.7%) out of total 596 districts also achieved elimination by March 2006.
 
 
After detailed scrutiny, 29 districts as high priority were identified, in which a Sustained Activity Plan (SAP- 2006) was carried out during the year 2006-07. In 12 states 433 blocks were identified as high priority where Block Level Awareness Campaigns through intensified IPC were conducted during September - October 2006. Intensified Supervision and Monitoring exercise was also carried out in all States/ UTs during October – November 2006, when all the PHCs were visited by the supervisory officers for correction of deficiencies. 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 2006-07 (Annexure –I), following is the current leprosy situation in the country.
 
1 A total of 0.83 lakh cases are on record as on 1st April 2007 giving a Prevalence rate (PR) of 0.72 leprosy cases per 10,000 population.
2 A total of 1.39 lakh new cases were detected during the year 2006-07 which gives Annual New Case Detection Rate (ANCDR) of 12.07 per 100,000 population. This shows ANCDR reduction of 15.4% from 14.27 during 2005-06.
3
Detailed information on new leprosy cases detected during 2006-07 indicates the proportion of MB (45.0), Female (34.3), Child (10.1), Visible Deformity (2.3), ST cases (12.4) and SC cases (18.8).
Further analysis of information received from the States / UTs has shown the following situation (Annexure – II)
4

6 States / UTs viz. West Bengal, Bihar, Chhattisgarh, Jharkhand, Delhi and Chandigarh have PR between 1 and 2 per 10,000 population. Only Dadra & nagar Haveli has PR of 2.11/10,000. These 6 states with 14.6% of country’s population, contribute 25% of country’s recorded caseload and 28% of the country’s new case detected during the year 2006-07.

5

28 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.

The last 3 states are new entrants this year. As West Bengal is in the borderline with PR 0.99/10,000 and the state may take about 4-5months time to stabilize, till such time the elimination status of West Bengal may be kept on hold.

6

District wise situation on PR basis as on 1st April 2007 is given as Annexure-III. Progressive Improvement in districts situation during last 7 years are as below –

Year wise Endemicity Status Of District



At present only 19 districts in 8 states are having PR > 2/10,000. These states are Chhattisgarh (3), Jharkhand (3), Gujarat (3), Madhya -Pradesh (1), Maharashtra (1), West Bengal (3), D& N Haveli (1) and Delhi (4). Only New Delhi district has recorded PR > 10/10,000 which is due to recording of all cases in the major hospitals located therein as from the district, whereas patients come from all over the city and also outside Delhi.

7 Trend of leprosy Prevalence Rate (PR) and Annual New Case Detection Rate (ANCDR) are indicated in the graph below:


8 A total of 4709 (75.48%) out of 6239 blocks have also achieved elimination.
9

Block wise analysis has shown that 75.5% of the blocks have achieved elimination, where as another 20% are having PR below 2/10,000. Only 275 blocks are having PR above 2/10,000. The states having high number of block with PR>2/10,000 are Andhra Pradesh (29) Bihar (12), Chattisgarh (21), Gujarat (41), Jharkhand (42), Uttar-pradesh (30) and West Bengal (65).

10
As per information available on the urban localities, 69.8% have reached elimination status till March 2007. Only about 10.5% of the urban localities have PR>2/10,000 population.
11

Out of the total 1.52 lakh cases deleted from records, a total of 1.37 lakh (90.6%) completed their treatment within the specified period and were released from treatment (RFT) as cured during 2006-07 (Annexure – IV).
14 States/ UTs remained below the national level of 90.6% of treatment completion.

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Deputy Director General (Lep.) Directorate General of Health Services
Govt. of India, 'A' Wing, Nirman Bhawan, New Delhi – 110011 Tel. / Fax: 23062401