Leprosy depEd.ppt

44
 Control Program  Updates and Directions

Transcript of Leprosy depEd.ppt

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 Control Program

 Updates and

Directions

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 To fnd hidden cases o leprosy and put themon Multi- Drug Therapy (MDT)

Program ThrustProgram Thrust 

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Guide to ELIMINATE LEPROSY

as PUBLIC HEALTHPROBLEM

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To eliminate leprosy we NEED to

detect  ALL patients and cure them with MDT.

Improving ACCESS to leprosy

diagnosis and treatment is

crucial

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This final ush to eli!inate

le"os# in$ol$es%

Ma&in' le"os# dia'nosis and t"eat!enta$aila(le, free of charge, at all health centers.

Ena(lin' e$e"# health )o"&e" to dia'nose andtreat leprosy

Disellin' the fea" of le"os#, improvingawareness of its early signs, and motivatingpeople to seek treatment.

Ensuring that all le"os# atients a"e *u"ed

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The Final Push to EliminateLeprosy Eli!ination means bringing the disease

burden down to a very low level. This willlead to a reduction in the source of infection,so that leprosy is likely to disappearnaturally as it already has in many parts of

the world.

WHO has defined elimination! as aprevalence of less than " case per "#,###inhabitants

$% & 'umber of ongoing treatment ( "#,###

  $opulation

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Ketong

Hansen’s Disease

Sangla

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hat is leprosy!

Leprosy is C"##U$%C&'LE disease caused (yMycobacteruim leprae by

Dr. Hansen in 1873

%t mainly a)ects $E*+ES ,ith s-in mani.estations

%t progresses SL"L/  ,ithan average incu(ation

period o. 0123 years

Leprosy can a)ect all agesand (oth se4es

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hat is leprosy!

Leprosy can (e CU*ED5#DT -ills the (acteria andstops the spread o. thedisease5

Leprosy patients can leadcompletely $"*#&L L%+ES6

%. detected early andtreated ,ith #DT6 leprosy,ill $"T lead to disa(ilities

  It is $"T T*UEthat leprosy iscaused by evil

spirits, eatingcertain kinds ooods, bathingin the river, or

suddeneposure to hotor cold

temperature( asma)

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TRANSMISSION

Transmission is mainly

airborne.

) *eprosy is an infectious

disease directly transmitted

from man to man.

) It is ac+uired through

prolonged eposure.

) It is transmitted from one

untreated person to another

via the respiratory tract.

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SOURCES O+ LEPROSY

IN+ECTION

". -ntreated leprosy patients

. $atients who do not take ade+uate treatment

regularly These patients most probably transmit the

disease to susceptible individuals through

snee/ing or coughing. 0hildren are considered more susceptible

than adults

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PRE,ENTION AND CONTROL

". Treat all known leprosy cases to preventinfection

. 1oung children should avoid direct contact

with untreated patients

2. $ractice personal hygiene

3. 4aintain body resistance by healthful living5

good nutrition, enough rest and eercise,

clean environment.

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Ho, to diagnose leprosy!

6igns of leprosy  7 leprosy patient is someone who5 Has a S-IN PATCH o" at*hes )ith a definite LOSS

O+ SENSATION. and has not *o!leted a full*ou"se of t"eat!ent )ith MDT

Le"os# at*hes 0an be pale or reddish or copper&colored

0an be flat or raised 8o not itch -sually do not hurt *ack of sensation to heat, touch, or pain

0an appear anywhere

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Si'ns of le"os#

$ale or slightly reddish patch

9P 7T0H:

8efinite loss of sensation in the patch9A'E6THE6I7:

6igns of damage to nerves

9NE%;E 8747<E: definite loss of sensation in hands=feet weakness of muscles of hands=feet=face visible deformity of hands=feet=face

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8iagnosis of leprosy

is mainly based on

clinical signs and symptoms. i

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Other signs of leprosy are5

6kin lesion9s: with a decrease orloss of sweating and=or hair growth>

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Other signs of leprosy are5

6kin lesion9s: with a decrease orloss of sweating and=or hair growth>

0onstant redness in the eyes from

irritation and dryness>

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Other signs of leprosy are5

6kin lesion9s: with a decrease orloss of sweating and=or hair growth>

0onstant redness in the eyes from

irritation and dryness> *oss of eyebrows and

eyelashes 9madarosis:>

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Other signs of leprosy are5

6kin lesion9s: with a decrease orloss of sweating and=or hair growth>

0onstant redness in the eyes from

irritation and dryness> *oss of eyebrows and

eyelashes 9madarosis:> 'asal congestion = obstruction and

fre+uent nosebleed>

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Other signs of leprosy are5

0ollapse of nose bridge>

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Other signs of leprosy are5

0ollapse of nose bridge>

Enlargement of the breast in males

9gynecomastia:>

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Other signs of leprosy are5

0ollapse of nose bridge>

Enlargement of the breast in males

9gynecomastia:> 4obile or stiff clawing

of fingers and toes>

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Other signs of leprosy are5

0ollapse of nose bridge>

Enlargement of the breast in males

9gynecomastia:> 4obile or stiff clawing

of fingers and toes>

0hronic ulcers,usually in the sole of

the foot, palm of the

hands and fingers.

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Classi7cation o. leprosy

". 0*I'I07* 47'I?E6T7TIO'

&CC"*D%$8 T" THE $U#'E* "F LES%"$9S:

/ TYPES%

More than !patches isMultibacillary(M") leprosy

#-! patchesis$aucibacillary ($")

leprosy

% patch is&ingle 'esion$aucibacillary(&'$")

leprosy

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Classifi*ation of le"os#

"ased on

# &*I+-&M. .&/'T

  &$/ P&T%E$T SH"%$8 & P"S%T%+E SK%$

S#E&*6 %**ESPECT%+E "F THE CL%$%C&LCL&SS%F%C&T%"$6 SH"ULD 'E CL&SS%F%ED #'&$D T*E&TED %TH THE #DT *E8%#E$ F"* #'LEP*"S/5

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Ho, to E;&#%$E a patient .orleprosy!

E0a!ine the s&in indaylight or in a well&lit room

E0a!ine the )hole (od#,taking care to respect thepatient@s privacy

As& the atient if the patchitches. If so, it cannot beleprosy

Test only one or two skinpatches for sensory loss

If there is a definite loss ofsensation, it is leprosy

)  7sk about t"eat!ent

"e*ei$ed in the ast 

)  A person who has completed afull course of MDT very rarelyneeds further treatment 

 ) Loo& for any visible disability

of eyes, face, hands, and feet

) When in doubt about the diagnosis,

always send the patient to thenearest referral center 

) I you suspect leprosy0ithout sensory loss or haveany doubts, please reer

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 Ho, to test .or Sensory Loss! Take a ointed o(1e*t such

as ballpen Sho) the person what you are

going to do. Li'htl# tou*h the s&in with a

pen 7sk the person to oint to

)he"e the# felt the pen 'ow ask them to *lose thei"

e#es so that they cannot seewhat you are doing Li'htl# tou*h the *ente"  of

the most prominent skin patchand ask them to oint to

where they felt the pen

) Reeat theprocedure on

normal skin andon the same patch

again

) If the person feelsnothin' on the

skin patch, it isleprosy)  

) Sta"t t"eat!ent 

immediately

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T"eatin' a *ase )ith MDT

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 You" hel is )hat )e need2

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Ho, can /"U help eliminateleprosy in your community!

*OOA out for skin lesions during the routine activities

8iagnose leprosy and 6T7%T 48T treatment

immediately

<ive 7ccompanied 48T to all patients who cannotvisit the health center regularly

E'0O-%7<E patients to complete the full course oftreatment

Aeep 78EB-7TE stocks of 48T at the health center 

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Ho, can /"U help eliminateleprosy in your community!

IN+ORM the Co!!unit# that 5

6kin patches without sensation, which 8O 'OT

IT0H, can be leprosy

Treatment to cure leprosy is available ?%EE of

charge at all health center

The drugs 6TO$ the spread of leprosy

E7%*1 treatment prevents disabilities $atients who have completed treatment are 0-%E8 

even if they have deformities

$atients can lead perfectly 'O%47* lives

h l

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Ho, can /"U helpeliminate leprosy in your

community!8isplay posters about leprosy in

public places

Enlist the support of others

9community leaders, teachers,

religious authorities, and traditional

practitioners : to &$.D$1&ITI2 M&&3& "1/T'$.1&4

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Ho) *an #ou#ou hel in the fi'ht

a'ainst le"os#3

Re*o'ni4e that 56

Le"os# is "e$enta(le

Le"os# is *u"a(le

+"ee t"eat!ent is a$aila(le

So*ial dis*"i!ination has no la*e

Le"os# atients dese"$es "ese*t and di'nit#

Offe" suo"t to the atient and thei" fa!il#7

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'et5s 0ork

together to0ardsLeprosy < .ree

Caraga

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Than- you .orlistening=