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Updated ulcer imaging and reporting forms for Buruli are now available
Accurate, standardized data recording and reporting is essential for disease control activities. Supervision is the continuous collection, collection and analysis of data and the timely dissemination of information to decision makers for the activities to be undertaken. The introduction of new templates will also help to collect high-quality data on ulcers on Buruli to monitor progress towards the objectives of the new WHO Roadmap for Neglected Tropical Diseases 2021-2030.
First published in 2000, forms BU 01 (clinical) and BU 02 (register) were used by all countries where Buruli ulcer is endemic to report standardized data to the WHO. In 2012, following progress involving the use of antibiotics, the forms were revised and BU 03 (laboratory form) was added.
The forms have been revised again after further progress and lessons learned over the last 8 years. For the first time, a Buruli ulcer scoring form was included to sharpen the accuracy of the clinical diagnosis.
Major changes to the new forms include:
- for BU 01, a change in the recommended treatment regimen, the introduction of clarithromycin instead of streptomycin, and the harmonization of some clinical variables with other cutaneous NTDs;
- for BU 02, the inclusion of variables used to calculate the clinical outcome, together with variables on laboratory outcomes and completion of treatment; and
- for BU 03, the inclusion of fluorescence thin layer chromatography to detect mycolactone as one of the interim recommended diagnostic tests for the confirmation of Buruli ‘s ulcer.
On August 27 and 28, 2020, the WHO will organize a virtual workshop where updated paper and electronic forms will be presented to national control programs, laboratory staff, and health facilities to ensure a common understanding in filling out the forms.
1a. Dermal NTD – BU 01 – clinical and treated form of treatment
1b. MTNc – UB 01 – Clinical and therapeutic sheet
2a. Leather NTD – BU02 – Registers
3a. Leather NTD – BU 03 – Laboratory form
3b. MTNc – UB03 – Laboratory form
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