中文摘要：

目的分析麻风病流行现状、流行因素，为制定基本消灭麻风病后的防治措施提供科学依据。方法对历年麻风病的发现率、发病率、患病率进行统计、汇总，对不同方式发现麻风病的病期、畸残和费用进行统计、比较，用描述流行病学方法进行分析。结果疫情分布于17个乡镇，以东南部4个乡镇居多。发病最小年龄4岁，最大年龄74岁，以20—39岁发病较多，占42．28％；男性多于女性，男比女为1．73：1；发病职业主要为农民，占83．74％；主要传染来源为家庭内和邻居亲朋好友，各占45．53％；治愈率98．23％，畸残率43．90％；群众的经济、卫生、生活环境等因素是影响麻风病流行的原因。结论经过多年的积极防治，已有效地控制了麻风病流行。为巩固防治成果，应继续加强医务人员培训，提高医务人员对麻风病的发现能力；将疫源地接触者体检作为发现麻风病患者的重要方式，对患者家属和密切接触者监测一个最长潜伏期（10年），并适时开展线索调查，以及时发现、隔离、治疗麻风病人，减少畸残的发生，控制传播。

英文摘要：

Objective To analyze the epidemiological factors and status of leprosy in Zhushan County and provide scientific basis for the elimination of leprosy. Methods Detection rate, incidence and prevalence of leprosy were collected and statistically treated over the past 47 years. Different stages of the disease and different ways of finding patients,deformity rate and cost were compared and calculated. Descriptive epidemiological analysis was performed. Results Patients were distributed in 17 towns,most patients were in the four towns in the southeast part. The youngest patient was 4 years old,whereas the oldest was 74. The majority of the patients were from 20 to 39 years old,aecounting for 42. 28% ,and the incidence of male was higher than that of female,the ratio of male to female was 1.73：1 ;most patients were peasants, accounting for 83.74% ;the main source of infection was within the family, friends and neighborhood contact, each accounting for 45.53%. The cure rate was 98.23%, the deformity rate was 43.90%. Economic, health and living conditions were the main factors affecting the prevalence of leprosy. Conclusions Leprosy was effectively under control after years of active prevention. In order to consolidate the achievement, personeel in charge of prevention and treatment should be stable, the training of medical workers should be strengthened, and the ability of medical personnel to discover leprosy patients should be enhanced. Physical examination for foci contacts, was the most important proactive approach todiscover leprosy patients. At the same time, monitoring period should be extended, as the maximum incubation period reached up to 10 years. People with close contacts with leprosy patients should be detected ,isolated and treated timely, so as to reduce the transmission and the occurrence of deformity, and to consolidate the outcome.