Dermatologists combat leprosy in Yemen

In the Republic of Yemen leprosy patients face social stigmatization and considerable suffering. Diagnosis and treatment are delayed by the poor health infrastructure difficult terrain and political instability resulting in unnecessary complications and deformities. The National Leprosy Control Program established in 1982 with the support of the German Leprosy Relief Association and the World Health Organization has sought to reach people in remote rural areas. 63 leprosy clinics have been established in 14 regions; 60 of these clinics are integrated into the primary health care system. In addition dermatologists with support from international nongovernmental organizations have campaigned through the media and mobile teams for an end to the ostracism of leprosy patients and urged their reintegration into the community. Other interventions have included the production of posters for health education construction of an orthopedic workshop reconstructive surgeries performed by an international corps of volunteer physicians training courses for medical personnel and a rehabilitation program to teach sewing to women with leprosy. As a result of early passive detection and other leprosy control efforts Yemens leprosy caseload has declined from a peak of 2314 registered for treatment in 1989 to 765 in 1996. The prevalence of leprosy has declined from 1.9/10000 population in 1989 to 0.5/10000 in 1996. A combined leprosy-tuberculosis pilot project is under development. By the year 2000 leprosy should be eliminated as a public health problem in Yemen.