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Leprosy in England and Wales 1953-2012: surveillance and challenges in low incidence countries

Fulton, N; Anderson, LF; Watson, JM; Abubakar, I; (2016) Leprosy in England and Wales 1953-2012: surveillance and challenges in low incidence countries. BMJ Open , 6 (5) , Article e010608. 10.1136/bmjopen-2015-010608. Green open access

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Abstract

OBJECTIVE: To review all notified cases of leprosy in England and Wales between 1953 and 2012. DESIGN: National surveillance study of all reported cases. SETTING: England and Wales. OUTCOME: Number and characteristics of reported cases. RESULTS: During this period, a total of 1449 leprosy cases were notified. The incidence fell from 356 new cases notified between 1953 and 1962 to 139 new cases between 2003 and 2012. Where data were available, leprosy was more common in men, 15-45 year olds and those from the Indian subcontinent. There was considerable undernotification in 2001-2012. CONCLUSIONS: The high level of under-reporting indicates a need for improved surveillance in the UK. Public Health England, in collaboration with the UK Panel of Leprosy opinion, has revised the UK Memorandum on Leprosy in order to provide updated guidance on diagnostic procedures, treatment, case management, contact tracing and notification.

Type: Article
Title: Leprosy in England and Wales 1953-2012: surveillance and challenges in low incidence countries
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjopen-2015-010608
Publisher version: http://dx.doi.org/10.1136/bmjopen-2015-010608
Language: English
Additional information: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Keywords: England and Wales, Leprosy
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/1489903
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