The positive development is continuing, prevalence rates are below the WHO recommended threshold, between 0.27 per 10,000 population in Karachi and 0.04 in Azad Kashmir, and are decreasing further; incidence rates are only up in Karachi with 1.68 per 100,000 population, still above the required figure. Rates of total patients are now so low that for Northern Areas, Azad Kashmir, and Balochistan, percentage can no longer be calculated. Of all the Provinces, only Punjab, though a low prevalence area, is showing increasing numbers of Leprosy cases, otherwise trends are persistent, there are no new developments to be seen, except for an unexplained slight increase in new cases in 2009 which may be incidental and will be kept under observation.
Tuberculosis control is only aimed at in Azad Kashmir and Northern Areas; the remaining provinces are supporting the National Tuberculosis Program with defaulter tracing, contact surveillance, social mobilization, supervision of DOTS supporters, and an offer of comprehensive care.
Blindness control is based on identification and registration of all patients known to suffer from potentially blinding conditions. These patients are plotted on care cards, and then followed up until optimal treatment is completed.