2. The causative agent of leprosy mycobacterium leprae was
discovered by hansen in 1873 making the first
bacterium to be identified as causing disease in
human.
3. According to medical dictionary
a disease that effect the skin,mucus,membranes,
and nerve and lumps on the skin. Leprosy is now mainly
confined to tropical africal and asia.
According to wikipedia
A chronic infection disease caused by a mycobacterium
leprae affacting especially the skin and peripheral
nerves by loss of sensation with eventual paralysis and
preduction of deformities called also hansen’s disease.
4. Hypopigmented patches
Partial or total loss of sensation in the affected areas
Presence of thickened nerves
5. World
2,15,656 new cases detected during 2013
1,80,618 cases registered prevalence at beginig of 2014
Prevalence rate dropped from 21.2 cases per 10,000 in
1985 to 0.32 case per 10,000 population beginning of
2014
Leprosy has been eliminated from 119 of122 countries
6. India
Widely prevalent in india
57.6 cases per 10,000population in 1981to <1 case per
10,000 population December 2005
India achived goal of leprosy elimination at nation level
1.27 lac new cases during 2013-14
Prevalence rate 0.68 per 10,000 population
Chhattisgarh and dadra and nagar still has prevalence
rate of 2-4 per 10,000
7. 1. Droplet infection – an infection transmitted from one
individual to another by droplets of moisture from the
upper respiratory tract ex. sneezing or coughing
2. Contact transmission – transmission to parson to
parson by close contact between an infection patient
and healthy person.
3. Other rotes – transmitted by insect vectors or tattoo
needle.
8. Incubation period average of 3 to 5 year or
more but in some cases symptoms can take
as long as 20 year to appear.
9. Mainly two types
1. Multibacillary leprosy –
Rifampicin -600mg once monthly ,under
supervision
Dapsone-100mg daily ,self administered
Clofaziminine-300mg daily once monthly
supervision and 50mg daily self administerd
10. 2.Paucibacillary leprosy
Rifampicin -600mg once month supervised
Dapsone-100mg daily self administered
Duration of treatment
Mb for 12 month within 18 month
Pb for 6month within 9 month
11. Operation since 1955 to achieve control of
leprosy through early detection
Stared as national leprosy control
programme[nlcp]
Nlcp moved at slow
The elimination was defined as a prevalence
rate <1case per 10,000population
12. Highly effective care
Combination of 2-3 drug
Care patient in 6 month pb/12 month mb
Kill the leprobacili and stop transmission
Available free cost
13. Decentralization of nlep
Achieve elimination of leprosy at national
level by the end of the project
strategies
Early detection and complete treatment of new leprosy
cases
Household contact surves
Invalvement of asha
14. Primary level care
Phc
Chc
Sub divisional hospital
Secondary level care
All district hospital
District nuclus unit
Tertiary level care
Central govt institute
15. Receive incentive
At confirmation and diagnosis-250/-
Completion of full tretment-additional 400/-
[pb]additional 600/-[mb]
Activities by asha
Search for case
Follow up all case
Advice and motivation self care practices
16. Behaviour change in community leprosy
affected parson
Making the public aware about the
-availability of mdt
- leprosy affected person can live a normal
life with family
