the United States

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Woodall, Patricia ; Scollard, David ; Rajan, Latha
• Description:
  An increasing proportion of Hansen disease cases in the United States occurs among migrants from the Micronesian region, where leprosy prevalence is high. We abstracted surveillance and clinical records of the National Hansen's Disease Program to determine geographic, demographic, and clinical patterns. Since 2004, 13% of US cases have occurred in this migrant population. Although Hawaii reported the most cases, reports have increased in the central and southern states. Multibacillary disease in men predominates on the US mainland. Of 49 patients for whom clinical data were available, 37 (75%) had leprosy reaction, neuropathy, or other complications; 17 (37%) of 46 completed treatment. Comparison of data from the US mainland with Hawaii and country-of-origin suggests under-detection of cases in pediatric and female patients and with paucibacillary disease in the United States. Increased case finding and management, and avoidance of leprosy-labeled stigma, is needed for this population.
• Subjects:
  Adolescent Adult Child Child, Preschool Demography Female Humans Leprostatic Agents Leprosy Longitudinal Studies Male Mycobacterium Leprae Prevalence Research

  More +
• Source:
  Emerg Infect Dis. 17(7):1202-1208.
• Document Type:
  Journal Article
• Place as Subject:
  Hawaii ; Micronesia
• Location:
  Oceania
• Volume:
  17
• Issue:
  7
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:5a019a20ff9344ef74f87e9772eeab0bcd5496c01c9a6b197341d667a4fc87c1
• Download URL:
  https://stacks.cdc.gov/view/cdc/18540/cdc_18540_DS1.pdf
• File Type:
  [PDF - 516.07 KB ]