Abstract

The integrated approach is the new recommendation of the World Health Organization (WHO) for the control of neglected tropical diseases. The goal of this cross-sectional study was to implement this approach in 4 municipalities with a high prevalence of leprosy in Benin from September 2019 to August 2020. Mobile medical consultations were organized in these municipalities following the mobilization and sensitization of the populations. In the 4 municipalities, 6416 people were examined. The mean age was (27.3 ±19.8) years. Women represented 52.7% of people examined. Among the 6416 people examined, 1230 (19.2%) had skin conditions. The most common skin conditions were pityriasis versicolor (421 cases; 34.2%); eczema (203 cases; 16.5%); ringworm (159 cases; 12.9%); pruritus sine materia (81 cases; 6.6%); acne (62 cases; 5.0%); epidermophytia (37 cases; 3.0%); achromic nevus (35 cases; 2.8%); keloids (28 cases; 2.3%); chronic ulcers (27 cases; 2.2%) and depigmentation stigmata (24 cases; 2.0%). 8 new leprosy cases (0.7%) were detected. This study proves the efficiency of the integrated approach in the control of neglected tropical diseases (NTDs) with cutaneous manifestations in Benin. Key words: Neglected tropical disease, leprosy, skin disease, integration, disease control, Benin.

Highlights

  • The skin is the most visible structural element both for patients and caregivers who examine them

  • neglected tropical diseases (NTDs) with cutaneous manifestations are co-endemic in many countries, districts and communities (Amazigo, 2008; Alvar et al, 2012; van de Sande, 2013; Mitjà et al, 2014; World Health Organization (WHO), 2014; Mitjà et al, 2015; Yotsu et al, 2015; WHO, 2016)

  • These cutaneous NTDs are responsible for the loss of a large number of disability-adjusted life years (DALY) (WHO, 2010)

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Summary

Introduction

The skin is the most visible structural element both for patients and caregivers who examine them. NTDs cause changes in the skin, with symptoms ranging from pruritus to changes in colour, feeling or appearance (OMS, 2018a). NTDs with cutaneous manifestations are co-endemic in many countries, districts and communities (Amazigo, 2008; Alvar et al, 2012; van de Sande, 2013; Mitjà et al, 2014; WHO, 2014; Mitjà et al, 2015; Yotsu et al, 2015; WHO, 2016). These cutaneous NTDs are responsible for the loss of a large number of disability-adjusted life years (DALY) (WHO, 2010)

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