[Hansen disease in Mercosur].

Acta leprologica Pub Date : 1996-01-01
F A Vazquez, N N Varela, M C Antola, M L Wand-Del-Rey, O R Leguizamón
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Abstract

In the context of the important changes of a political economic, social and health order upon which the Argentina, Brazil, Paraguay and Uruguay have now embarked in the framework of the commitment undertaken to create instruments for the Common Market of the South America (MERCOSUR), the importance of leprosy for public health in this new region is analysed. In this connection a description is given of the background and reasons which led to the creation of the MERCOSUR Committee for technical cooperation on leprosy, composed of the heads of the national leprosy control programmes of the countries in question, for the purpose of implementing the Protocol of Intention signed by the representatives of the Ministers of member countries, with the object of establishing policies of technical cooperation in activities to control this disease, with a view to attaining the goal proposed by WHO of eliminating leprosy as a public health problem by the year 2000. Using the data contributed by the different programmes, the epidemiological situation existing in this region in December 1995 is outlined, with analysis of certain epidemiological, demographic and operational variables, showing that MERCOSUR has a prevalence of 6.03 per 10,000 population, one of the highest rates in comparison with other WHO regions; a high percentage of cases lost to view (abandons); and a low rate of coverage with multidrug therapy. In this region a total of 33,654 new cases were detected during 1995, of which more than 50% were multibacillary forms, while nearly 10% of them were youngsters of less of 15 years of age. The action carried out jointly among the four countries, the successes achieved and the results to be achieved in the short term are also described.

[南方共同市场的汉森病]。
阿根廷、巴西、巴拉圭和乌拉圭在为建立南美洲共同市场(MERCOSUR)所作承诺的框架内,在政治、经济、社会和卫生秩序发生重大变化的背景下,分析了麻风病对这一新区域公共卫生的重要性。在这方面,介绍了成立南方共同市场麻风病技术合作委员会的背景和原因,该委员会由有关国家麻风病控制方案的负责人组成,目的是执行成员国部长代表签署的《意向议定书》,制定控制这一疾病活动的技术合作政策。以期实现卫生组织提出的到2000年消灭作为公共卫生问题的麻风病的目标。利用不同方案提供的数据,概述了该区域1995年12月的流行病学情况,并对某些流行病学、人口和业务变量进行了分析,结果表明,南方共同市场的流行率为每10 000人6.03人,是卫生组织其他区域中发病率最高的地区之一;丢失病例(遗弃)的比例很高;多药治疗的覆盖率也很低。1995年,该地区共发现33,654例新病例,其中50%以上为多菌型,其中近10%为15岁以下的青少年。并介绍了四国联合开展的行动、取得的成就和短期内将取得的成果。
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