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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...

Uttarakhand

Overview
Uttarakhand is a beautiful state which is situated in the northwest portion of India and it is spread over 53,484 sq Km i.e. 1.73% of India’s total land area. Approximately 64.4 percent of area is covered by forests. It has a population of about 9,415,340 with a population density of 176 persons per sq. Km. Dehradun is the capital city of the state. It is surrounded by Tibet, Nepal, Himachal Pradesh and Uttar Pradesh. In November 2000, Uttaranchal became a full-fledged state of India; it was renamed as Uttarakhand in the year 2007.

Uttarakhand is comprised of 13 Districts; most of the population lives in the difficult terrain as 7 districts are high Himalyas, 4 districts are mid Himalayas and only 2 districts are plains. Major rivers in the state are Ganga and Yamuna, which meet at Allahabad in Uttar Pradesh. Uttarakhand state also boasts of few Himalayan peaks viz. Trishul, Nanda devi, Chaukhamba and Panchachuli. Major source of income of people of Uttarakhand are tourism and horticulture. Uttarakhand has third highest dam of the world i.e. Tehri Dam having >2400 Mega Watt production capacity.

Since 2002, Leprosy services are being provided through general health care services so as to mitigate the stigma associated with it and to increase the accessibility of the leprosy treatment to persons affected with leprosy. Now the cases are examined and diagnosed by the medical officers and provided MDT from the health care facility like patients with any other diseases. Though, the state has a vast network of health care delivery system varying from primary health care centers to specialized care centers. But, majority of population do not have access to good quality of services because more than 50 percent of medical officers’ posts are lying vacant. Furthermore, quite a large number of other health care staff positions are also lying vacant.

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 Uttarakhand was part of Uttar Pradesh                  
00-01 8.48 1894 1971 N.A. 1.8 45.9 11.9 N.A. 2.7 N.A.
01/02/12 8.63 2541 1424 N.A. 2.2 38.3 7.8 N.A. 2.3 N.A.
02/03/12 8.78 2246 1912 25.6 1.9 35.1 8.4 N.A. 2 29.9
03/04/12 8.94 1767 1655 19.8 1.9 38 7 N.A. 2.4 38.7
04/05/12 9.09 149 850 1.6 0.8 47.7 3.4 N.A. 0 27.5
05/06/12 9.25 894 850 9.7 0.7 51.2 4.9 N.A. 1.8 27.2
06-07 9.42 763 661 8.1 0.6 46.8 4.9 N.A. 0.9 30.1
07-08 9.58 763 600 7.9 0.6 43.5 3.3 1.1 1.9 30.5
08/09/12 9.74 667 436 6.8 0.45 47.9 4.2 4.3 0.7 30.1
09/10/12 9.92 587 376 5.9 0.38 43.1 2.5 4 2 27

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 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 significant change in proportion of “Females” and “Grade 2 Disability” amongst new cases since 2002-03. There can be seen steady increase in proportion of “MB cases” and decline in the proportion of “Children” amongst new cases over the past ten year. Gr 1 disability cases are being reported regularily6 since 2007-08.In the year 2009-10 Gr2 disabilty has slightly increased.