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Leprosy
(Hansen’s Disease)
What is Leprosy?


 • It is a chronic infectious disease
 • characterized by lesions of the
   peripheral nerve, skin, and mucus
   membrane of the URT.
 • World's oldest recorded disease
 • Stigmatized disease

Every year January 27 is World Leprosy Day
What causes it?


                  •Mycobacterium leprae
                  •Rod Shaped
                  •First bacterium disease in
                  humans
Natural host?



                • Humans




                • Armadillos
                 are only known natural hosts
What are the types of leprosy?

• Lepromatous: damages respiration, eyes, and
  skin (Paucibacillary Leprosy (PB)

• Tuberculoid: affects nerves in fingers and toes,
  and surrounding skin (Multibacillary Leprosy
  (MB)

• Borderline: (BL) has effects of both types
What can leprosy do to people?

• Leprosy attacks the cooler areas of the body
• Leprosy destroys neurons in these areas,
  taking feeling away from them
• Leprosy also causes cartilage in those areas to
  get absorbed back into the body, causing
  fingers, toes, ears and noses to disappear
• Leprosy also causes large bumps in the skin
  that do not feel pain and do not heal
How the human body is
affected by Leprosy
                               Nerve is      Large bumps (legions)
                               damaged and   on the skin that do
                               broken by     not heel and cannot
             Leprosy infection leprosy
                                             feel pain.
     Nerve                     infection.
Incubation Period
• Mycobacterium leprare multiplies very slowly

• Symptoms can take as long as 20 years to appear

• Development of disease take from months to years
  (1 year to 7 years)
Who is at risk?

• It can affect all ages and both sexes

• 95% of people who are exposed do not develop disease

• Mainly affects:
   – Skin
   – Eyes
   – The peripheral nerves
   – Mucosa of the upper respiratory tract
Who is at risk?




                                                  bp2.blogger.com/.../s320/lepromatous_lepr
                                                  osy.jpg
                                                                                                http://www.leprosymission.o
                                                                                                rg/web/pages/leprosy/image
                                                                                                s/girlwithleprosypatch.jpg




 http://microbes.historique.net/images/lep3.jpg   http://www.leprosymission.org/web/pages/lep
                                                  rosy/leprosy.html
Cases around the World




                                      http://upload.wikimedia.org/wikipedia/commons/9/91/Lepra_2003.png


A 20% annual decrease in new cases detected globally since 2001
Decline in Leprosy cases
1985-1997
Number of Cases




                  6000
(thousands)




                  4000




                  2000




                  0

                         1985   1989   1993
                         1997
DIAGNOSIS OF LEPROSY


• Hypopigmented or reddish skin
  lesion(s) with definite loss of sensation
• Damage to the peripheral nerves, as
  demonstated by loss of sensation
• Weakness of the muscles of hands, feet
  or face
• Positive skin smear
What are the sings?

• Large bumps on the skin that do not feel pain
• Large bumps on the skin that do not heal for
  weeks or months
• Muscle weakness
• Disappearance of eyebrows or eyelashes
What are the symptoms?
• Mycobacterium leprare multiplies very slowly
• Symptoms can take as long as 20 years to appear

• Paucibacillary (PB) Leprosy symptoms are:
  – Well defined skin lesions that are numb


• Multibacillary (MB) Leprosy symptoms are:
  – Chronically stuffy nose and many skin lesions and
    nodules on both sides of the body
How can you avoid getting
leprosy?


• To avoid Contracting leprosy, avoid
  close contact with someone who has
  untreated leprosy
Goals of Prevention & Treatment


 • Major goals of treatments are:

     1. Early detection of patients
     2. Appropriate treatment
     3. Adequate care for the
        prevention of disabilities and
        rehabilitation
Is there a cure?



• Yes! Leprosy is curable with MDT
  (multidrug therapy)
• Treatments include taking Dapsone
  and Clofimine together
Conclusion

• Fortunately, modern medicine has cured most
  of the world of Leprosy
• People with Leprosy are being more accepted
  by communities around the world
• Leprosy still Remains a problem in
  undeveloped countries
  – The World Health Organization is putting a stop to
    this
  – If they reach their goal, Leprosy should be
    eliminated from the world within 20 years
Questions

    Leprosy
(Hansen’s Disease)
        More

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Leprosy

  • 2. What is Leprosy? • It is a chronic infectious disease • characterized by lesions of the peripheral nerve, skin, and mucus membrane of the URT. • World's oldest recorded disease • Stigmatized disease Every year January 27 is World Leprosy Day
  • 3. What causes it? •Mycobacterium leprae •Rod Shaped •First bacterium disease in humans
  • 4. Natural host? • Humans • Armadillos are only known natural hosts
  • 5. What are the types of leprosy? • Lepromatous: damages respiration, eyes, and skin (Paucibacillary Leprosy (PB) • Tuberculoid: affects nerves in fingers and toes, and surrounding skin (Multibacillary Leprosy (MB) • Borderline: (BL) has effects of both types
  • 6. What can leprosy do to people? • Leprosy attacks the cooler areas of the body • Leprosy destroys neurons in these areas, taking feeling away from them • Leprosy also causes cartilage in those areas to get absorbed back into the body, causing fingers, toes, ears and noses to disappear • Leprosy also causes large bumps in the skin that do not feel pain and do not heal
  • 7. How the human body is affected by Leprosy Nerve is Large bumps (legions) damaged and on the skin that do broken by not heel and cannot Leprosy infection leprosy feel pain. Nerve infection.
  • 8. Incubation Period • Mycobacterium leprare multiplies very slowly • Symptoms can take as long as 20 years to appear • Development of disease take from months to years (1 year to 7 years)
  • 9. Who is at risk? • It can affect all ages and both sexes • 95% of people who are exposed do not develop disease • Mainly affects: – Skin – Eyes – The peripheral nerves – Mucosa of the upper respiratory tract
  • 10. Who is at risk? bp2.blogger.com/.../s320/lepromatous_lepr osy.jpg http://www.leprosymission.o rg/web/pages/leprosy/image s/girlwithleprosypatch.jpg http://microbes.historique.net/images/lep3.jpg http://www.leprosymission.org/web/pages/lep rosy/leprosy.html
  • 11. Cases around the World http://upload.wikimedia.org/wikipedia/commons/9/91/Lepra_2003.png A 20% annual decrease in new cases detected globally since 2001
  • 12. Decline in Leprosy cases 1985-1997 Number of Cases 6000 (thousands) 4000 2000 0 1985 1989 1993 1997
  • 13.
  • 14. DIAGNOSIS OF LEPROSY • Hypopigmented or reddish skin lesion(s) with definite loss of sensation • Damage to the peripheral nerves, as demonstated by loss of sensation • Weakness of the muscles of hands, feet or face • Positive skin smear
  • 15. What are the sings? • Large bumps on the skin that do not feel pain • Large bumps on the skin that do not heal for weeks or months • Muscle weakness • Disappearance of eyebrows or eyelashes
  • 16.
  • 17.
  • 18. What are the symptoms? • Mycobacterium leprare multiplies very slowly • Symptoms can take as long as 20 years to appear • Paucibacillary (PB) Leprosy symptoms are: – Well defined skin lesions that are numb • Multibacillary (MB) Leprosy symptoms are: – Chronically stuffy nose and many skin lesions and nodules on both sides of the body
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. How can you avoid getting leprosy? • To avoid Contracting leprosy, avoid close contact with someone who has untreated leprosy
  • 32. Goals of Prevention & Treatment • Major goals of treatments are: 1. Early detection of patients 2. Appropriate treatment 3. Adequate care for the prevention of disabilities and rehabilitation
  • 33. Is there a cure? • Yes! Leprosy is curable with MDT (multidrug therapy) • Treatments include taking Dapsone and Clofimine together
  • 34. Conclusion • Fortunately, modern medicine has cured most of the world of Leprosy • People with Leprosy are being more accepted by communities around the world • Leprosy still Remains a problem in undeveloped countries – The World Health Organization is putting a stop to this – If they reach their goal, Leprosy should be eliminated from the world within 20 years
  • 35. Questions Leprosy (Hansen’s Disease) More