The document summarizes leprosy, a contagious disease caused by Mycobacterium leprae bacteria that affects the skin and nerves. It describes the classification, signs and symptoms, diagnosis, multidrug treatment recommendations from the WHO, and strategies of India's National Leprosy Elimination Programme to detect and manage leprosy cases through education, short-term multidrug therapy, and rehabilitation.
National Leprosy Eradication Programme
Date of creation- Feb 2019
Authors - Dr. Madhushree Acharya, Junior Resident, Community Medicine and Family Medicine, AIIMS Bhubaneswar; Dr. Durgesh Prasad Sahoo, Senior Resident, Community Medicine and Family Medicine, AIIMS Bhubaneswar
National Leprosy Eradication Programme (NLEP)Kavya .
Chronic infectious disease caused by Mycobacterium leprae.
It usually affects the skin and peripheral nerves
Long incubation period generally 5-7 years.
Classified as paucibacillary or multibacillary
permanent disability
Timely diagnosis and treatment of cases
Leprosy is an age-old disease and is described in the literature of ancient civilizations. It is a chronic infectious disease which is caused by a type of bacteria called Mycobacterium leprae. The disease affects the skin, the peripheral nerves, mucosa of the upper respiratory tract, and the eyes. Leprosy is curable and treatment in the early stages can prevent disability. Apart from the physical deformity, persons affected by leprosy also face stigmatization and discrimination
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
National Leprosy Eradication Programme
Date of creation- Feb 2019
Authors - Dr. Madhushree Acharya, Junior Resident, Community Medicine and Family Medicine, AIIMS Bhubaneswar; Dr. Durgesh Prasad Sahoo, Senior Resident, Community Medicine and Family Medicine, AIIMS Bhubaneswar
National Leprosy Eradication Programme (NLEP)Kavya .
Chronic infectious disease caused by Mycobacterium leprae.
It usually affects the skin and peripheral nerves
Long incubation period generally 5-7 years.
Classified as paucibacillary or multibacillary
permanent disability
Timely diagnosis and treatment of cases
Leprosy is an age-old disease and is described in the literature of ancient civilizations. It is a chronic infectious disease which is caused by a type of bacteria called Mycobacterium leprae. The disease affects the skin, the peripheral nerves, mucosa of the upper respiratory tract, and the eyes. Leprosy is curable and treatment in the early stages can prevent disability. Apart from the physical deformity, persons affected by leprosy also face stigmatization and discrimination
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
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2. a contagious disease that affects the skin, mucous
membranes, and nerves, causing discoloration and lumps
on the skin and, in severe cases, disfigurement and
deformities.
Leprosy is now mainly confined to tropical Africa and Asia.
causes:
Leprosy is caused by a slow-growing type of bacteria
called Mycobacterium leprae
7. Paucibacillary Leprosy (PB) :
skin lesions with no bacilli seen in the skin smear
Multibacillary Leprosy (MB):
skin lesions with bacilli seen in the skin smear
8. Discolored patches of skin, usually flat, that may be numb and look faded
(lighter than the skin around)
Growths (nodules) on the skin.
Thick, stiff or dry skin.
Painless ulcers on the soles of feet.
Painless swelling or lumps on the face or earlobes.
Loss of eyebrows or eyelashes.
9. Examine skin
Check for patches
Test for sensation
Count the number of patches
Look for damage to nerve
10. In 1941, promin introduced,but painful injections.
In 1950s, Dapsone pills, but resistance developed.
In 1981, WHO recommends multi drug treatment (MDT): Dapsone,
Rifampicine, Clofazimine
Patients under treatment should be monitored for drug side-effects,
leprosy reactions and for development of trophic ulcers
11. Steps to start MDT
Classify as PB or MB leprosy
Inform patient about the disease.
Explain the MDT blister pack - show drugs to be taken once a month and
every day
Explain possible side effects (e.g. darkening of skin) and possible
complications and when they must return to the health centre
Give enough MDT blister packs to last until the next visit.
Fill out the patient treatment card
12. The National Leprosy Control Programme (NLCP) an been started since
1955 In 1983 Government of India redesignated into Leprosy Eradication
Programme and introduced multidrug theraphy (MUT).
The World Health Assembly in May 1991 adopted a resolution for global
leprosy elimination as public health problem by the year 2000 After the
declaration of the global target was reset for the remaining 15 countries
to achieve elimination at the national level creating by the end of
December, 2015.
India was one of these level for countries. The National Health Policy of
India 2002 also through set the goal of leprosy elimination in India by the
end of -Samooh, year 2005.
13. • enumerates the strategies of NLEP
• discuss MDT explains the strategies for NLEP
• states the organization of NLEP
• describe the roles of key persons
• enumerate the infrastructure
14. list the institute involved in anti-leprosy activities
discuss Modified leprosy elimination campaign
explains NLEP action plan, strategies and indicators
describes the DPMR
list nurses responsibility
15. 1948-hind kusht nivaran sangh
1955- govt. of India launched NLCP
1983- launched NLEP and introduced MDT for treatment
1991- WHO declaration to eliminate leprosy at global level by 2000
1993-2000 World bank supported NLEP 1st
16. 2001-2004 World bank supported NLEP 2nd
2005 national program continues with GOI funds
2005 - India achieved elimination of leprosy at national level December 05
Sponsored by central government
Funding pattern central government
Ministry / department - DGHS✓Beneficiaries-individual and community
Eligibility criteria anyone
17. Early case detection
Short term multi drug therapy
Health education
Rehabilitation services
18. Identifying case detection and MDT coverage in high prevalence states
and areas difficult to access
Strengthening laboratory services PHC/CHC, establishing surveillance
Preparing for and initiating horizontal integration of leprosy program in
to primary health care system
• Providing greater emphasizes on disability prevention and treatment
•Implementation of modified leprosy elimination campaign
• Ensuring rehabilitation of cured patients
19. ■ Early detection of leprosy cases
■ Intensified health education and public awareness campaigns
■ Regular treatment of leprosy cases providing multi- drug therapy( MDT)
at fixed centers near the patient
■ Disability prevention and medical rehabilitation
20. Center level: DGHS and NLEP officer [NLEP commissioner for planning
and policy ]
State level : director of health and services and state NLEP officer
Regional level: Regional NLEP officer [Leprosy control unit, Survey
education and treatment, and Urban leprosy unit ]
21. 1. The leprosy control units
2. Survey education and treatment centers
3. Urban leprosy centers
22. These are established in endemic areas with one medical officer 2 non-
medical supervisor and 20 para medical worker .Each unit covering a
population of 4.5 lakhs, each paramedical workers covers a population of
15 to 20000 and is expected to examine at least 8000 persons per year
23. the team consists of one paramedical workers for 20 25000 population. One
medical supervisor for every 5 paramedical workers. these centers
attached to PHCS
24. One established for every 30-40 thousand population. At central level, the
leprosy division of the directorate general of health services, New Delhi is
responsible for planning, supervision and monitoring of program
25. ■ Late detection of patients, many with visible deformities
■ Poor treatment completion and cure
■ Fear, prejudice and stigma surrounding leprosy
■ Limited community awareness and involvement
26. Find the source of infection
Assist in the examination of household contacts especially children
Education on the early sign and symptoms of leprosy
Help the patients and family to understand the nature of disease
Observe all patients in clinic
Educate patients on care of feet, skin, eyes et
27. Educate members of family and community by imparting correct
knowledge.
Dispel misconception, misbeliefs. Help to remove stigma
Examine contacts of diagnosed cases for presence of hypo pigmented
patch, thick/ tender nerve
Keep record of suspected cases and cases under treatment