BACKGROUND: Pakistan have 400 to 500 new cases annually.


is a chronic bacterial infectious disease caused by Mycobacterium Leprae.It
involves Nerves, respiratory tract and produces skin sores, and nerve damage.
If leaves untreated can cause severe disability. About 72% of the patients’ develop
ocular complications.(1)

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of the decrease in the Leprosy cases, the registered prevalence globally at the
beginning of 2012 was 181 941 and the number of new cases increasing in all
countries except America and Africa.(2)

to WHO in the light of reports from the member countries the, the prevalence
registered at the end of 2015 was 176,176 cases (0.2 cases per 10,000 people).
The number of new cases reported globally in 2015 was 211973 (2.9 new cases per
100,000 people).(3)

is an endemic country having both indigenous and migratory Leprosy. Pakistan
have 400 to 500 new cases annually. And it is going to increase. District wise
prevalence ranges from 2% to as high as 12% in certain union councils while
others are entirely free. The District Dir has a population of 425,096 with 247
cases and a prevalence of 0.58%.(4)

the need of the time to review and sort out the deficiencies in the existing
surveillance system of leprosy in Pakistan and especially in district Dir lower
and to improve the surveillance system for optimal and early detection of the
new cases and to provide multi drug treatment to reduce the mortality and


Method:This Evaluation is to be done according to the latest
guidelines of CDC regarding evaluation of surveillance system of the leprosy.
This evaluation will give us a detailed overview of the simplicity, data quality,
acceptability and the usefulness of the program.


To evaluate the Leprosy
Surveillance system in District Dir lower.

To get an updated
knowledge of the authenticity, Data quality, acceptability, usefulness of the
existing surveillance system.

To highlight the
deficiencies in the existing system and to recommend the necessary steps for



1.         @healthline.
Leprosy: Types, Symptoms & Diagnosis. 2018.

2.         WHO | Epidemiology. WHO. 2016.

3.         Khan T, Awan AA, Kazmi HS, Shah AA,
Muhammad S. Frequency of ocular complications of leprosy in institutionalized
patients in NWFP Pakistan. J Ayub Med Coll Abbottabad. 2002;14(4):29-33.

4.         Analysis
of Leprosy Control Programme in Pakistan 2018 Available from: