01313nas a2200241 4500000000100000008004100001260001000042653001900052653001200071653000800083653001700091653001200108653001300120100001500133700001500148700001300163245009900176856005200275300000800327490000700335520071500342022001401057 2024 d bLepra10aGeneral Energy10aLeprosy10aNTD10aEpidemiology10aEndgame10aResearch1 aCrampin AC1 aNyirenda M1 aFine PEM00aThe leprosy endgame in Malawi: From leprosy control project to national public health resource uhttps://leprosyreview.org/article/95/1/20-24007 a2-60 v953 a

Leprosy is in decline in most endemic countries around the world. A Lepra-supported project in Malawi has evolved over the last 50 years from a unit initially dedicated solely to the study of leprosy epidemiology and control, to one that can apply its expertise and experience in an ever-widening array of public health challenges. The ultimate result of this process, the reduction of leprosy to very low levels in Karonga (averaging only 1 case per year for the last decade, most of them from outside the district) and the evolution of a leprosy project into a major national resource for medical and public health research in Malawi, may serve as a model for how the leprosy endgame can be managed.

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