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Netherlands Leprosy Relief (NLR), a member of International Federation of Anti-Leprosy Associations (ILEP), is supporting National Leprosy Eradication Programme (NLEP) of India since 1993...

Jharkhand

Overview
Jharkhand was carved out of Bihar State in November 2000 and it has 24 districts. It is a beautiful state with green forests, and having large deposits of minerals. It has good road, rail and telecommunication network. State covers an area of 79,714 Square Kilometers and is home to 31,101,898 people (projected for year 2008). Jharkhand is situated in North-eastern part of India surrounded by West Bengal, Orissa, Uttar Pradesh and Bihar, all being endemic for Leprosy.

Jharkhand boasts of the largest steel plant in the country at Bokaro; apart from Jamshedpur being the city of TELCO and TISCO steel industries.

Leprosy programme is well integrated with the GHC services. Cases are detected through self- reporting or referral, diagnosed at health facilities and managed at HCFs’ or at patients’ residence through MPWs. The MOs’ at PHCs are able to diagnose and manage leprosy including reactions cases. The State Leprosy officer is supported by NLEP consultant and Coordinator from ILEP (at State level). At the district level, support to District Nucleus is provided through Leprosy Programme Advisor placed by NLR India.

Essential leprosy indicators

Year Pop (In Mn) Cases Det (1 Apr- 31 Mar) Cases (As on 31 Mar) AN- CDR PR MB % Child % Gr1 % Gr2 % Fem %
99-00 Jharkhand was part of Bihar
00-01 26.9 35565 38678 N.A. 10.9 38.9 18.4 N.A. 2.5 N.A.
01/02/12 27.5 45602 29349 N.A. 12.9 39.8 14.2 N.A. 2.4 N.A.
02/03/12 28.1 28982 35587 103.3 6.5 37.6 16.4 N.A. 1.8 35.3
03/04/12 28.6 17719 18207 61.9 4.1 41.9 16.2 N.A. 1.3 35.1
04/05/12 29.2 19131 11636 65.5 2.7 41 16.3 N.A. 1.5 39.4
05/06/12 29.8 7357 7823 24.7 1.3 46.1 12.5 N.A. 1.5 35.1
06/07/12 30.5 7672 3912 25.2 1.4 47.7 12.8 N.A. 2.9 37.3
07/08/12 31.1 6799 4236 21.9 1.1 49.5 10.9 N.A. 2.7 35.9
08/09/12 31.7 5182 2941 16.31 0.93 50.4 9.3 2.5 2.9 35.1
09/10/12 32.4 5345 3183 16.48 0.98 52.2 10.6 3.2 3.4 35.5

Source: Central Leprosy Division, GOI
Note: N.A. represents that the figures were not calculated by GOI in the relevant years.

ANCDR=Annual New Case Detection Rate per 100,000 population; PR=Prevalence Rate per 10,000 population; MB=Multibacillary; PB= Paucibacillary; Gr 1= Grade 1 Disability (WHO); Gr 2=Grade 2 Disability (WHO)

Analysis of the table

As can be seen in the above table, there has been steady decline in both “Prevalence Rate” and “Annual New Case Detection Rate” since 2002-03. However, there has not been any remarkable change in proportion of “Children”, “Females” and “Grade 2 Disability” amongst new cases since 2002-03. There can be seen steady increase in proportion of “MB cases” amongst new cases since 2000-01. Gr 1 disability cases started reporting regularily since 2008-09.