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  About Laprosary


WHAT IS LEPROSY?

A slow progressive disease.
Increase burden on society.
Communicable disease caused by M. laprae.
Germs multiply very slowly.
Transmitted by prolonged close contact through droplet infection.
Poor awareness, stigmatized by society.
Cause disabilities.
Poor transmission.
Affects skin & peripheral trunckle nerves.
Incubation period: 5-7 yrs.

SIGNS OF LEPROSY

Pale or slightly reddish patch.
Signs of damage to nerves.
Weakness of muscles of hands/feet/eyes.
Definite loss of sensation in the patch.
Definite loss of sensation in hands/feet.
Visible deformity of hands/feet/eyes.
Presence of nodules on body especially on ear, face, hand & feet.

HOW TO DIAGNOSE LEPROSY?

 

Examine skin for pale & reddish patches.
Test for loss of sensation over the patches.
Look for thickened/tender peripheral trunckle nerves.
Presence of Mycobacterium in skin smears.

HOW TO EXAMINE FOR LEPROSY?

Examine the whole body in a well-lit room.
Ask since when the patch was noticed.
Test for loss of sensation in the skin patch.
Look for any visible deformities in eyes, hands & feet.
Look for thickened peripheral trunckle nerves.

CHECK FOR LOSS OF SENSATION

Examine with the tip of the ball pen.
Lightly touch alternately the patch & normal skin.
Ask the person to point where they were touched.
Ask them to close their eyes and repeat the procedure.
In case of loss of sensation in the skin patch, the person will be able to point to where they were touched on the normal skin but not on the skin patch.

CLASSIFICATION FOR TREATMENT

The diagnosis is made based on finding definite loss of sensation in one or more patches and the numbers of trunckle nerves involved.
When the whole body is examined, count the number of patches.
1-5 patches is pauci bacillary (PB), more than 5 patches is multi bacillary (MB) leprosy
Involvement of one trunckle nerve is PB and involvement of more than one trunckle nerve is multi bacillary (MB).
If there is no skin patch and nerve involvement then perform skin smear.
If no bacteria are in skin smear then PB and if bacteria are present then MB.
If there are nodules over the body, swelling of face, hands & feet, but no skin patches & no trunckle peripheral nerves, then perform skin smear.

INFORMATION TO PATIENTS ABOUT THE DISEASE

Caused by a bacteria.
Progresses slowly.
Lead normal life, do not change life style.
Affects skin and peripheral nerves.
Easy to diagnose and cure.
If treated with MDT at early stage, occurrence of deformity can be prevented.

INFORMATION TO PATIENTS ABOUT THE TREATMENT

MDT will cure you completely.
MDT is free of cost.
MDT is available in all health centers.
MDT should be taken as advised (regular, full course).
If you have problem or questions, contact your health centre.
The medicines are available at all PHCs, CHCs and district Hospitals.

STEPS TO START MDT

Classify as PB or MB leprosy.
Explain the MDT blister pack.
Inform the patient about the disease.
Show drugs to be taken once a month and every day.
Explain possible side effects (e.g. darkening of skin & red coloration of urine) and possible complications and when they must return to the health centre.
Ask the patient when it is convenient for him/her to come back to the health centre. Give enough MDT blister packs to last until the next visit.
Fill out the patient treatment card.

TREATING A CASE WITH MDT (MULTI DRUG THERAPY) LEPROSY – ONE OF THE FEW DISEASE WHICH CAN BE ELIMINATED

Leprosy meets the demanding criteria for elimination.
Practical and simple diagnostic tools; can be diagnosed on clinical signs alone in most cases.
The availability of an effective intervention to interrupt its transmission - multi drug therapy.
A single significant reservoir of infection: humans.

National Leprosy Eradiction Programme

 
 

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