This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Social & Preventive Medicine
[{'content': 'Effective leprosy control programme may be indicated bn all of the following except ? \nSelect and explain. \nA. Increasing number of children affected, B. Decreased grade 2 disability, C. Low MDR resistant, multibacillary cases, D. High new case detection rate', 'role': 'user'}, {'content': "Answer: A \nExplanation: Ans. is 'a' i.e. Increasing number of children affected' FNaluation of programme: here are two main types of indicators in leprosy control a) Operational indicators These are related to case-finding, treatment, relapses & disabilities for e.g. o Relapse rate - One of the best indicators of the efficacy of drug regimen o Case detection ratio - No. of cases registered / no. of cases estimated. o Propoion of children among newly detected cases. o Propoion of multibacillary cases on regular treatment during the year. o Propoion of female cases among newly detected cases. o Treatment completion/cure rate. o Propoion of new cases presenting with grade 2 disability/impairment at the time of diagnosis. o Propoion of treatment defaulters. o Propoion of patients who develop new/additional disability during MDT. b) Epidemiological indicators: To assess the impact of the actions taken with regard to the problem reduction. o Incidence rate - most sensitive index of transmission of disease. Only index for measuring the effectiveness of the measure taken i.e. reduction of transmission. o Prevalence - This provides a measure of case load & is useful in planning of the treatment services. High new case detection rate comes under operational indicators which shows that the Leprosy Control Programme is effective in detecting new cases from the already pool of leprosy cases. Thus these new cases could be treated to reduce fuher transmission of disease.", 'role': 'assistant'}]