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HEPATITIS

LEPROSY - A MISUNDERSTOOD DISEASE

1. what is leprosy ?

Logo of world leprosy day

Leprosy is a misunderstood disease .this  is an infectious disease. It is caused by a bacteria known as Mycobacterium lap rae. The disease affects skin, peripheral nerves, mucosa of the upper respiratory tract and the eyes areas. Leprosy day is celebrated  world wide every year on the last sunday of january, to spread awareness among the people. This year 2024 leprosy day was celebrated on  January 28 . It is celebrated internationally.

But in India leprosy day is always celebrated on January 30,because of the death of Mahatma Gandhi. Gandhi ji worked for many leprosy patients, therefore in the memories of Gandhi ji, it is celebrated on  January 30 , every year.

2.  WHY LEPROSY IS A MISUNDERSTOOD DISEASE  ?

 this  is a misunderstood disease from a long time ago. In our society,  patients of this disease are discriminated against on every basis. Because of its wrong information about spreading the disease, it is considered as misunderstood. 

THIS IS - A MISUNDERSTOOD  disease .

this is  transmitted through droplets coming from nose and mouth. this  doesn't spread through shaking hands. It doesn't spread while sitting together. this doesn't spread while sharing foods. 

A leprosy patient

this is  a misunderstood disease

1 . Numbness

2 . Tingling

3 . Red patches appeared on skin

4 . Loss of sensation in the feet and hand region

5 . Loss of eyelashes and eyebrows [Facial leprosy]

 6 . Tip region of hand and feet and elbows are mostly affected.

 7   skin pigmentation starts disappearing 

8 .  Fingers tips start falling slowly 

9 . Social discrimination

 10 . Stigmatization 11 .  Physical deformity

Leprosy misunderstood diseases. disease is diagnosed by finding the following signs :-

1 . Thickened or enlarged peripheral nerve, with loss of sensation, and weakness of muscles supplied by the nerve. 

2 . Microscopic detection of Bacillus in the slit skin smear. 

3 . Hypopigmentation Or reddish skin, and the red skin has no sensation. 

this is a misunderstood disease Leprosy is a curable disease. To cure leprosy, it can take  6 to 12 months . Cure process for leprosy is very slow, with an incubation period of onset of signs and symptoms of 5 years. Mycobacterium leprae, is an acid - fast , rod shaped bacilli, multiplies very slowly. Treatment  is  of two types of this disease:-

PAUCI BACILLARY CASE [PB] 

It is a leprosy case with 1 - 5 skin lesions  , without demonstrated presence of bacilli in the skin smear.

 2 . MULTI BACILLARY CASE [MB] 

It is a case of this disease  with more than 5 skin lesions,  demonstrated with the presence of bacilli in slit skin smear. Some medicines are prescribed to the patients - 

 1 . Rifampicin  

2 . Clofazimine

  3 . Dapsone .   

The combination of these drugs are called MDT [multi drug therapy ]. 

Bacillus

SOME DATA ON this leprosy  [ WHO]this is  a misunderstood disease 

1. In 2022 ,  174087 new cases were recorded worldwide. 

2 .this  disease occurs in more than 120 countries. 

3 . Brazil comes on top for leprosy patients. 

4 . As per data of 2019 , Brazil, India and Indonesia reported more than 10 , 000 new cases. Other countries are, Bangladesh,  Democratic Republic of congo, Madagascar, Mozambique, Nigeria, Nepal, Myanmar, Philippines, Somalia, Ethiopia, South Sudan, srilanka, United Republic of Tanzania, each reported 1000 - 10,000 cases. 

5WHO provides technical support to member states on Leprosy prevention and control. 

6 . Every year WHO collects Epidemiological data on leprosy from all its member states and publishes a consolidated report in English and French in weekly Epidemiological records, for data pertaining to the previous calendar year. These data are provided by the Countries. 

7 . Confirmed case of this disease  775,583,309 and confirmed death 7,050,691 . [  date-   2 June 2024 , updated  report from WHO ]

8 . WHO developed e - learning enhances knowledge and skills of health workers at all levels on topics related to diagnosis and treatment of this disease and management of disabilities. These can be accessed the Open WHO platform. 

9 . WHO's  Global leprosy strategy 2021 - 2030 " Towards Zero" makes combating stigmas and respect for human rights . 

10 . This is also the goal of the annual Global Appeal to End - Stigma and Discrimination against persons affected by this disease , an initiative launched by the SASAKAWA LEPROSY [ HANSEN'S DISEASE]  initiated in 2006.

 

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