caa a22 4500 465769489 CHVBK 20180323111925.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF00151715 doi (NATIONALLICENCE)springer-10.1007/BF00151715 The reduction of the leprosy endemicity in Northeastern Zaire 1975/1989 [Elektronische Daten] [R. Tonglet, S. Pattyn, Bola Nsansi, E. Eeckhout, J. Deverchin] The leprosy endemy in Uele, North Eastern region of Zaire has decline considerably since the 1950's, particularly since 1975. The hypothesis is advanced that the most important causal factor has been the distribution of dapsone for many years, through a vertical programme. The gradual increase of dapsone resistance has been taken care of by the introduction of combined, multidrug therapy in the 1980's. The cost per patient detected and treated rises in inverse proportion to the decline in endemy; therefore, the time has come for the integration of a leprosy control in the primary health care strategy. However, central specialized teams financed by voluntary organisations should be maintained to assure training of personnel, to give advice in diagnosis, prevention and treatment of complications, to provide drugs and to assist in rehabilitation. Kluwer Academic Publishers, 1990 Leprosy nationallicence Epidemiology nationallicence Endemicity nationallicence Africa nationallicence Zaire nationallicence Tonglet R. Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut Pattyn S. Leprosy Laboratory, Institute for Tropical Medicine, Antwerpen, Belgium aut Nsansi Bola Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut Eeckhout E. Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut Deverchin J. Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut European Journal of Epidemiology Kluwer Academic Publishers 6/4(1990-12-01), 404-406 0393-2990 6:4<404 1990 6 10654 https://doi.org/10.1007/BF00151715 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00151715 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tonglet R. Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut NATIONALLICENCE 700 1- Pattyn S. Leprosy Laboratory, Institute for Tropical Medicine, Antwerpen, Belgium aut NATIONALLICENCE 700 1- Nsansi Bola Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut NATIONALLICENCE 700 1- Eeckhout E. Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut NATIONALLICENCE 700 1- Deverchin J. Foundation Père Damien pour la Lutte contre la Lèpre, Pawa, Zaire aut NATIONALLICENCE 773 0- European Journal of Epidemiology Kluwer Academic Publishers 6/4(1990-12-01), 404-406 0393-2990 6:4<404 1990 6 10654 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer