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Spatial patterns of leprosy in an urban area of central Brazil

MARTELLI, C M T
et al
1995

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Reported is the spatial variation of leprosy in an urban area of Brazil and its correlation with socioeconomic indicators. From November 1991 to October 1992 a total of 752 newly diagnosed leprosy patients who were attending all outpatient clinics in Golania city, central Brazil, were indentified. A database of leprosy cases was set up linking patients' addresses to 64 urban districts. Leprosy cases were detected in 86 of the districts and three risk strata were identified. The highest risk area for leprosy was in the outskirts of the city and detection rates increased on moving from more developed to poorer areas. The risk of detecting leprosy cases was 5.3-fold greater (95CL: 3.8-7.4) in the outskirst of the town than in the central zone.
Discussed are the methodological issues related to leprosy case ascertainment, completeness and reliability of information, and the interpretation of the spatial distribution of leprosy per unti area. High lighted also are the lack of deprosy control activities in primary health care units and the usefulness of geographical analysis in planning health services.

Innovations in developing countries for people with disabilities

O'TOOLE, Brian
MCCONKEY, Roy
Eds
1995

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A unique resource book for anyone working in community-based services. The 17 chapters have been written by experienced practitioners drawn from various disciplines and across the continents. The chapter are grouped into three main sections - service foundations, meeting needs and developing services - and cover issues as diverse as family involvement, mobilising communities; fund-raising and evaluating services. Since its publication in 1995, the book has been widely used in training courses around the world. It is now available free-of-charge on the internet thanks to the gracious permission of the publishers, Lisieux Hall Publications

Disaster mitigation for persons with disabilities : fostering a new dialogue

BLANCK, Peter David
1995

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This report, written within the context of the USA, covers two main areas: communications policy in disaster relief and mitigation, and communications and disability policy. It identifies key issues concerning the needs of people with disabilities when disasters strike, develops effective strategies for resolving these issues and builds relationships and delineates responsibilities among disaster mitigation organisations, the media and disability organisations

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