Cargando…

Surveillance of Leprosy in Kiribati, 1935–2017

In Kiribati, unlike most countries, high and increasing numbers of cases of leprosy have been reported despite the availability of multidrug therapy and efforts to improve case finding and management. Historic records show that 28 cases had been identified by 1925. A systematic population survey in...

Descripción completa

Detalles Bibliográficos
Autores principales: Chambers, Stephen T., Ioteba, Nabura, Timeon, Eretii, Rimon, Erei, Murdoch, Helen, Green, Jared, Trowbridge, Emma, Buckingham, Jane, Cunanan, Arturo, Williman, Jonathan, Priest, Patricia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181941/
https://www.ncbi.nlm.nih.gov/pubmed/32308192
http://dx.doi.org/10.3201/eid2605.181746
_version_ 1783526152748400640
author Chambers, Stephen T.
Ioteba, Nabura
Timeon, Eretii
Rimon, Erei
Murdoch, Helen
Green, Jared
Trowbridge, Emma
Buckingham, Jane
Cunanan, Arturo
Williman, Jonathan
Priest, Patricia
author_facet Chambers, Stephen T.
Ioteba, Nabura
Timeon, Eretii
Rimon, Erei
Murdoch, Helen
Green, Jared
Trowbridge, Emma
Buckingham, Jane
Cunanan, Arturo
Williman, Jonathan
Priest, Patricia
author_sort Chambers, Stephen T.
collection PubMed
description In Kiribati, unlike most countries, high and increasing numbers of cases of leprosy have been reported despite the availability of multidrug therapy and efforts to improve case finding and management. Historic records show that 28 cases had been identified by 1925. A systematic population survey in 1997 identified 135 new cases; the mean incidence rate for 1993–1997 was 7.4/10,000 population. After administering mass chemoprophylaxis, the country reached the elimination threshold (prevalence <1/10,000), but case numbers have rebounded. The mean annualized rate of new cases in 2013–2017 was 15/10,000 population, with the highest new case rates (>20/10,000 population) in the main population centers of South Tarawa and Betio. Spread is expected to continue in areas where crowding and poor socioeconomic conditions persist and may accelerate as sea levels rise from climate change. New initiatives to improve social conditions are needed, and efforts such as postexposure chemoprophylaxis should be implemented to prevent spread.
format Online
Article
Text
id pubmed-7181941
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Centers for Disease Control and Prevention
record_format MEDLINE/PubMed
spelling pubmed-71819412020-05-06 Surveillance of Leprosy in Kiribati, 1935–2017 Chambers, Stephen T. Ioteba, Nabura Timeon, Eretii Rimon, Erei Murdoch, Helen Green, Jared Trowbridge, Emma Buckingham, Jane Cunanan, Arturo Williman, Jonathan Priest, Patricia Emerg Infect Dis Synopsis In Kiribati, unlike most countries, high and increasing numbers of cases of leprosy have been reported despite the availability of multidrug therapy and efforts to improve case finding and management. Historic records show that 28 cases had been identified by 1925. A systematic population survey in 1997 identified 135 new cases; the mean incidence rate for 1993–1997 was 7.4/10,000 population. After administering mass chemoprophylaxis, the country reached the elimination threshold (prevalence <1/10,000), but case numbers have rebounded. The mean annualized rate of new cases in 2013–2017 was 15/10,000 population, with the highest new case rates (>20/10,000 population) in the main population centers of South Tarawa and Betio. Spread is expected to continue in areas where crowding and poor socioeconomic conditions persist and may accelerate as sea levels rise from climate change. New initiatives to improve social conditions are needed, and efforts such as postexposure chemoprophylaxis should be implemented to prevent spread. Centers for Disease Control and Prevention 2020-05 /pmc/articles/PMC7181941/ /pubmed/32308192 http://dx.doi.org/10.3201/eid2605.181746 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Synopsis
Chambers, Stephen T.
Ioteba, Nabura
Timeon, Eretii
Rimon, Erei
Murdoch, Helen
Green, Jared
Trowbridge, Emma
Buckingham, Jane
Cunanan, Arturo
Williman, Jonathan
Priest, Patricia
Surveillance of Leprosy in Kiribati, 1935–2017
title Surveillance of Leprosy in Kiribati, 1935–2017
title_full Surveillance of Leprosy in Kiribati, 1935–2017
title_fullStr Surveillance of Leprosy in Kiribati, 1935–2017
title_full_unstemmed Surveillance of Leprosy in Kiribati, 1935–2017
title_short Surveillance of Leprosy in Kiribati, 1935–2017
title_sort surveillance of leprosy in kiribati, 1935–2017
topic Synopsis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181941/
https://www.ncbi.nlm.nih.gov/pubmed/32308192
http://dx.doi.org/10.3201/eid2605.181746
work_keys_str_mv AT chambersstephent surveillanceofleprosyinkiribati19352017
AT iotebanabura surveillanceofleprosyinkiribati19352017
AT timeoneretii surveillanceofleprosyinkiribati19352017
AT rimonerei surveillanceofleprosyinkiribati19352017
AT murdochhelen surveillanceofleprosyinkiribati19352017
AT greenjared surveillanceofleprosyinkiribati19352017
AT trowbridgeemma surveillanceofleprosyinkiribati19352017
AT buckinghamjane surveillanceofleprosyinkiribati19352017
AT cunananarturo surveillanceofleprosyinkiribati19352017
AT willimanjonathan surveillanceofleprosyinkiribati19352017
AT priestpatricia surveillanceofleprosyinkiribati19352017