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 by 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: Evaluation off programme:\n\nThere are two main types of indicators in leprosy control\n\na)\xa0\xa0Operational indicators\n\nThese are related to case-finding, treatment, relapses & disabilities for e.g.\nRelapse rate - One of the best indicators of the efficacy of drug regimen\nCase detection ratio - No. of cases registered / no. of cases estimated.\nProportion of children among newly detected cases.\nProportion of multibacillary cases on regular treatment during the year.\nProportion of female cases among newly detected cases.\nTreatment completion/cure rate.\nProportion of new cases presenting with grade 2 disability/impairment at the time of diagnosis.\nProportion of treatment defaulters.\nProportion of patients who develop new/additional disability during MDT.\n\nb)\xa0\xa0 Epidemiological indicators:\n\nTo assess the impact of the actions taken with regard to the problem reduction.\nIncidence rate - most sensitive index of transmission of disease. Only index for measuring the effectiveness of the measure taken i.e. reduction of transmission.\nPrevalence - 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 further transmission of disease.', 'role': 'assistant'}]