PREVALENCE OF RHEUMATOID-ARTHRITIS IN THE ADULT INDIAN POPULATION

The prevalence of rheumatoid arthritis was studied in the adult Indian population. As the first step, a house-to-house survey of a rural pop ulation near Delhi was conducted by two trained health workers. The ta rget population comprised 44 551 adults (over 16 years old). The healt h workers identified the possible cases of rheumatoid arthritis (RA) u sing a questionnaire. These cases were then further evaluated by the a uthors using the 1987 revised ARA criteria for the diagnosis of RA. A response rate of 89.5% was obtained and 3393 persons were listed as po ssible cases of RA by the health workers. Of these, 299 satisfied the revised ARA criteria for the diagnosis of RA, giving a prevalence of 0 .75%. Projected to the whole population, this would give a total of ab out seven million patients in India. The prevalence of RA in India is quite similar to that reported from the developed countries. It is hig her than that reported from China, Indonesia, Philippines and rural Af rica. These findings are in keeping with the fact that the north India n population is genetically closer to the Caucasians than to other eth nic groups.