leprosy
Activities related to prevention of disabilities (POD) PDF Print E-mail

People with leprosy related disabilities
At the end of 2010, a total of 3,346 people affected by leprosy (PALs) with disabilities were registered. Among them 476 (14.2%) were staying  in care centres. Of the registered, 1,915 (57.2 %) were reviewed to assess their physical impairments. As a result of the assessment 2773.1% (1,401) showed improvements, 26.4 %  (506) showed no change while the condition 43 (2.2%) deteriorated.

Leprosy reactions
A total of 960 leprosy patients were reported with reactions and started on treatment. Among them, adult MB cases were 832 (86.6%) and 97  (10.1%) were PB cases. In the case of children 31 (3.2%) of them were started  on reaction treatment. Among those still on treatment, 115 were admitted during reaction treatment. The table below summarises patients reported with reactions.

 

 

Footwear  Programme
In 2010, a total of 3,996 pairs of protective sandals were distributed  to people affected by leprosy. Another 523 pairs of shoes were made locally in several regions by the local shoemakers. In the case of special boots 89 pairs were fabricated and 831 footwear repairs were done for PALs with foot  deformities. The table below shows the amount of footwear distributed to people affected by leprosy by region in 2010. This includes factory made sandals, locally produced shoes, special boots and repairs done.





Specialized care of people with disabilities
In the year 2010, a total of 540 persons affected by leprosy (PALs) were admitted to different hospitals in the country. Ulcers and wounds ranked high as the main reasons for admission of 315 (58.3%) cases. The second reason for admission was reactions 115 (21.3%) followed by surgery (SPRS) which accounted for 16.4% (89), and the least was eye pathology which was 4 % (22). In addition, PALs were fitted with prostheses. The table below summarises the number of surgery done, prostheses fitted and prosthesis repairs for people affected by leprosy in 2010 by regions.

 

Last Updated on Sunday, 05 August 2012 13:44
 
Leprosy treatment outcome PDF Print E-mail

Treatment outcome of PB leprosy
Treatment outcome of PB leprosy cases notified in 2009 shows that, 490 (92.6%) completed treatment while three patients died during treatment period. However, the data also shows that 4 patients did not complete their treatment due to various reasons; 3 (0.6%) defaulted from treatment and 1 (0.2%) cases were transferred out during treatment. Table 11 below summarises treatment outcome of PB leprosy cases notified in 2009 by region.




Treatment outcome of MB leprosy
Among the 2,651 MB leprosy cases notified in 2008, treatment outcome results are available for 2,449 or 96% of the cohort. Of those notified, 2,518 (95%) completed their treatment successfully and 11 (0.4%) cases died while still on treatment and another 22 or 0.8% were transferred out to other regions. A total of  65 (2.5%) cases defaulted while on treatment.
Table 12 below summarizes treatment results of MB cases notified in 2008

Last Updated on Sunday, 05 August 2012 13:44
 
Registered prevalence PDF Print E-mail

In 2010, the national leprosy prevalence rate was 0.5/10,000 population which was less than 0.6 per 10,000 populations in 2009. This is below the WHO leprosy elimination target of 1 per 10,000 populations. Regions with prevalence rates higher than 1 per 10,000 has decreased from four in 2009 to two in 2010. These are Lindi (1.7) and Rukwa (1.6) while three regions have prevalence of 1.0/10,000 namely Ilala (Dar es Salaam), Morogoro and Mtwara. The remaining have already achieved the global  target of 1/10,000 population. Overall, the prevalence of leprosy has showed a steady decline since 2002. Figure 14 and 15 below shows that the prevalence cases and detection ratio has remained about 1 between 2004 and 2010 suggesting that patients are timely removed  from the registered after completing their treatment.



Last Updated on Sunday, 05 August 2012 13:45
 
Case Notification PDF Print E-mail

 

1.1 Tuberculosis case notification 2013


A total of 65,732 cases of all forms were notified in 2013, which shows an increase of 1,840 cases or 2.9% compared to the year 2012. Very interestingly the proportional increase looks the same for both the Mainland and Zanzibar. Among the cases notified, new cases were 62,952 (95.8%) and the re treatment cases were 2,780 (4.2%) which is almost same proportions for the past three years. Among the new TB cases, 24,565 (39%) were smear-positives, 21,393 (37%) were smear negatives and 14, 595 (23%) were extra-pulmonary TB with 10.6% being children under 15 years old. Both the number and proportions of new smear positive cases detected shows a 2% decrease compared to the previous year 2012. Table 3 below shows the comparison of TB notification in 2012 and 2013 by TB category groups.

 

Table 1: Tuberculosis cases notified in Tanzania 2012 – 2013

Indicators

2012

2013

Change

Cases

%

Cases

%

num.

%

All forms

63,892

65,732

1,840

2.9

New forms

- Pulmonary smear positive

25,138

39.3

24,565

37.4

(573)

-2.3

- Pulmonary smear negative

21,393

33.5

23,371

35.6

1,978

9.2

- Extra-pulmonary

14,595

22.8

15,016

22.8

421

2.9

Total

61,126

95.7

62,952

95.8

1,826

3.0

Re-treatment

- Relapse

1,052

1.6

1,101

1.7

49

4.7

- Failure

154

0.2

133

0.2

(21)

-13.6

- Return to control

201

0.3

251

0.4

50

24.9

- others

1,359

2.1

1,295

2.0

(64)

-4.7

Total

2,766

4.3

2,780

4.2

14

0.5

Notification rates (all forms) 100,000popn /yr)

142

142

0

0.1

Notification rates (new sm+/ 100,000popn/yr)

56

53

(3)

-4.9

Children (<=14 yrs)

5,283

8.6

6,658

10.6

1,375

26.0

1.1.1 Tuberculosis notification by regions


Although the proportion of cases notified in Dar es Salaam city is progressively declining, but still it is the major contributor with 21.8%, followed by Mwanza region-9.8% and Shinyanga region with 6.5%. A list of regions which contributed more than 4% remained the same as for the past three year with some other major cities increasing their contribution. Figure 1 below shows individual regions contribution by percentage and it indicates that over 70% of cases notified during the reporting year came from only 10 regions in the united republic of Tanzania. The remaining 20 regions contributed only a third of all TB cases notified in 2013. The reasons for such huge variations in among the regions need to be explored and investigated.

Figure 1: Distribution of TB cases notified by regions in 2013


 

 

Age-sex distribution of the new smear positive cases as in previous years shows that, the highest number of TB cases notified was in the age groups of 25-34 years and 35-44 years for both males and females as summarised in Figure 3 below. Similar patterns were also observed among the new smear negatives and extra-pulmonary TB cases notified.

Figure 2: Age and Sex distribution of new smear positive TB cases notified in 2013

 

The trend of treatment outcome results for the new smear-positive patients in the past ten consecutive years show that the treatment success rate has improved from about 80% in 2001 to 90% in 2012 and consistently maintained above 85% since 2005. Similarly the mortality rate has been declining since 2006 from 8% to 5.4% in 2012.

Figure 3: Trend of TB (new smear +) treatment outcomes for cohorts notified: 2001 – 2012

 

 

Further analysis of the cohort revealed that only three regions of Ilala II in Dar es Salaam, Kilimanjaro and Tabora had treatment success rate of below 85% and half of the rest performing above 90% figure 6 below.

Figure 4: Treatment success rate by region of TB cases (new and relapse) notified in 2012



 

Last Updated on Monday, 14 September 2015 10:49