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					‫آﺎرﮔﺎﻩ ﻣﺪﻳﺮﻳﺖ اﭘﻴﺪﻣﻴﻮﻟﻮژي ﺷﻬﺮﺳﺘﺎن، ﺗﺒﺮﻳﺰ‬

                                                                     38 new cases in 2007: ..... leprosy is
                                                                    becoming a rare disease in Morocco
                                                                    Decentralization and integration in Low
                                                                    endemic situation:
                                                                    Strategy of the Ministry for health
                                                                    (2008- 2012)
                                                                    (2008-2012): Need to reinforce Commitment for
                                                                    leprosy ( National skin diseases and leprosy Program)

                     PROGRAMME MANAGERS MEETING                     Challenge:        To consolidate the assets of the leprosy
                        ON LEPROSY ELIMINATION                      control within an integrated way.
                            TUNIS, TUNISIA, 7-9 JULY 2008

              ACHIEVEMENTS 2007
              STATISTICAL DATA
              PROSPECTS FOR THE LEPROSY                                        2007


                  In the field of evaluation:                          The objectives of this seminar:

                                                                    To evaluate the 2007 achievements
                                                                    To present the national directives for 2008,
                                                                    To analyze the organization of the skin diseases
                                                                    and leprosy services and the referral system,

                                                                   5 Strategic axes, specific Targets and 18 Indicators

                       National seminar of the evaluation of
                        leprosy activities. February, 2008.
                                                               5                                                                 6

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‫آﺎرﮔﺎﻩ ﻣﺪﻳﺮﻳﺖ اﭘﻴﺪﻣﻴﻮﻟﻮژي ﺷﻬﺮﺳﺘﺎن، ﺗﺒﺮﻳﺰ‬

                     5               Strategic axes
                                                                                                     Decentralization and integration
                                                                                                  12 régional seminary                     Participants:
                                                                                                  The objectives of this                    medical authority
                                                                                                  seminar:                                  Dermatologist
                                                                                                                                            Primary health workers
                                                                                                    To organize the referral                Leprosy control teams
                                                                                                    system                                  Social workers
                                                                                                    Training in new                         IEC
                                                                                                    operational guidelines
                                                                                                                                            ORE and CPE


            kénitra , 29 Mars 2007         Oujda , 08 Mai 2007         Taza , 09 Mai 2007

                                                                                                   Casablanca, 13 septembre 2007                        Safi 22 Novembre 2007

           Larache , 10 avril 2007          Azilal, 21 mai 2007     Rabat, 14 juin 2007

                                                                                                                            Agadir , 12 Novembre 2007
           Meknès, 02 juillet 2007      Fès, 03 juillet 2007
                                                                  Settat 10 septembre 2007   9                                                                                  10

                                                                                                         Operational issues:
                           Operational issues:                                                      Follow up patients under treatment
                                       Detection activities                                               and MB after treatment
               23% of skin diseases and leprosy services are                                     Defaulters = 0, treatment completion rates=
               limited to investigation around of the new                                        100%
               cases and some activities of sensitizing                                          Relapses: MDT= 0, DDS= 2;
               peoples at the Word Leprosy Day.                                                  66 % of services realize control after treatment
               50 % of services realize in addition to the                                       in a proportion between 25 and 75 %
               investigation around new cases (witch are                                         Control after treatment is less than 25% for 23
               systematic) the control of the contacts patient                                   % of services.
               under treatment in a proportion between 25 and
               75 %                                                                                                               follow-
                                                                                                 Only one service ensures the follow-up to 100
               2 services construct the whole of detection    11                                                                                                                12


1381 ‫اردﻳﺒﻬﺸﺖ‬
‫آﺎرﮔﺎﻩ ﻣﺪﻳﺮﻳﺖ اﭘﻴﺪﻣﻴﻮﻟﻮژي ﺷﻬﺮﺳﺘﺎن، ﺗﺒﺮﻳﺰ‬

                  Operational issues:                                    In the training field:
               Prevention and treatment disabilities                Organization of seminar of training to the
                                                                    profit of the personnel of the National Leprosy
             50 % does not have any information on the
             patients carrying disability                           Organization of 12 peripheral Seminars of
                                                                    training in leprosy to the profit of 360 doctors
             Systematic reference to the national leprosy
                                                                    and of 130 nurses.
                                                                    Organization of a hospital training course
                                                                    within the NLC for 5 dermatologist, 4 general
                                                                    doctors and 5 nurses from the endemic
                                                               13                                                       14

                 In the communication

            In the occasion of the Leprosy world day,
              Organization of many conferences for the
              professionals of Health.
                                                                     STATISTICAL DATA
              Organization of sensitizing meetings to the
              profit of the general public. (10 000 persons)
              World leprosy Day:
              “Global initiative to reduce stigma”


                  LEPROSY DETECTION                                     TREND OF LEPROSY
              AND PREVALENCE RATES ( 2007)                          PREVALENCE RATE ( 1991-2007)

              Nb of New cases : 38                                                                  Clearing of registrer

              Leprosy Detection Rate : 0.12 / 100 000
                                                                                                        Start of WHO

              Nb of under treatment patients : 100
              Leprosy Prevalence Rate : 0.32 / 100 000

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‫آﺎرﮔﺎﻩ ﻣﺪﻳﺮﻳﺖ اﭘﻴﺪﻣﻴﻮﻟﻮژي ﺷﻬﺮﺳﺘﺎن، ﺗﺒﺮﻳﺰ‬

                    TREND OF LEPROSY                       TREND OF LEPROSY
                DETECTION RATE ( 1991-2007)
                                 1991-              % Disability grade 2 among detection
                                                                 ( 1991-2007)

                  TREND OF LEPROSY                         TREND OF LEPROSY
             % MB among detection ( 1991-2007)
                                    1991-           % Females among detection ( 1991-2007)

                   TREND OF LEPROSY
            % Childs among detection ( 1991-2007)

                                                         PROSPECTS FOR
                                                          THE LEPROSY

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‫آﺎرﮔﺎﻩ ﻣﺪﻳﺮﻳﺖ اﭘﻴﺪﻣﻴﻮﻟﻮژي ﺷﻬﺮﺳﺘﺎن، ﺗﺒﺮﻳﺰ‬

             Health Ministry work plan                                    New Target Diseases
                                                                       Dermatology of poverty and precariousness
                                                                       (leprosy, scabies, pyodermites, tineas…)
                       National Leprosy Program                        Skin diseases with disabilities
                                                                     ( Several Genodermatosis, DBAI)
                                                                       Cutaneous cancers
                                                                            For 2008: Psoriasis Projet
                Skin Diseases and Leprosy Program                                       Several Genodermatosis projet


                                                                                  Major actions
                   Objectives Specific                                             (Leprosy control)
              To reduce the rate of detection of leprosy to 0, 10     To integrate the structures of epidemiology
              per 100 000 inhabitants by 2012                         (ORE and CPE)
              To reduce the incidence of disabilities related to      To review the mission and the organization of
              the dermatological diseases target program.             National Leprosy Center : Skin diseases hospital
              to satisfy the other requirements in dermatology        To develop the activities of prevention of
              for public health                                       disabilities
                                                                      Training and IEC
                                                                      To mobilize additional resources ( partnership)

                                                                27                                                          28

                                                                                              •Dermatology of poverty and
                                                                                              precariousness (leprosy,
                                                                                              scabies, pyodermites,
                                                                       •Leprosy               •Skin diseases with
                                                                         cases                disabilities
                                                                                              ( Several Genodermatosis,
                        CONCLUSION                                                            •Psoriasis
                                                                                              •Cutaneous cancers

                                                                                                Public health problem
                                                                            To consolidate the assets
                                                                              of the leprosy control

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