02581nas a2200421   4500000000100000008004100001260004900042653001500091653001000106653001000116653003300126653002000159653002200179653002600201653002200227653002100249653001000270653001100280653002100291653001400312653001100326653001200337653000900349653001600358653002900374653003000403653001600433100001700449700001500466700001300481245008500494856005100579300000900630490000700639050001800646520148100664022001402145       2012                            d  c2012 MarbLEPRA Health in ActionaColchester10aAdolescent10aAdult10aChild10aCommunicable Disease Control10aData Collection10aDelayed Diagnosis10aDisability Evaluation10aDisabled Children10aDisabled Persons10aEgypt10aFemale10aHealth Education10aHospitals10aHumans10aleprosy10aMale10aMiddle Aged10aNational Health Programs10aSeverity of Illness Index10aYoung Adult1 aEl-Dawela RE1 aMohamed AS1 aYousef F00aAnalysis of newly detected leprosy in Sohag Governorate, Upper Egypt, 2004-2008.  uhttps://leprosyreview.org/article/83/1/07-1079  a71-90 v83  aELDAWELA 20123 a<p><b>INTRODUCTION: </b>Leprosy is a chronic and complex infectious illness; the new-case detection rate is better than prevalence as an indicator of disease trends. This study presents an analysis of pattern of new cases of leprosy detected annually from 2004 to 2008 in Sohag Governorate, Upper Egypt.</p><p><b>PATIENTS AND METHODS: </b>Data about patients with newly diagnosed leprosy were collected from Sohag leprosy hospital, the main referral centre in the governorate. Case detection rates (CDR) were calculated for each year by dividing the newly diagnosed cases by mid-year populations for the same year.</p><p><b>RESULTS: </b>587 patients were newly diagnosed between 2004 and 2008. The mean age of patients at diagnosis was 34 years, 62% were males, and 11% were children below 15 years of age. The overall leprosy case detection rate was 3-1/100,000 population and it decreased from 3.4/100,000 population in 2004 to 2.8/100,000 population in 2008. Ninety three percent were classified as multibacillary, and 20.4% had Grade 2 disability at diagnosis.</p><p><b>CONCLUSIONS: </b>Leprosy remains a health problem in Sohag Governorate. It is possible that new cases are being detected late owing to inadequate community awareness of the disease. Leprosy control activities should be provided in primary health care units in order to detect new cases, and continued surveillance is required to detect relapses and to ensure good patient compliance with treatment.</p>  a0305-7518