Training - Leprosy - one of the few diseases which can be...

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Unformatted text preview: Leprosy - one of the few diseases which can be eliminated Leprosy meets the demanding criteria for elimination practical and simple diagnostic tools: can be diagnosed on clinical signs alone; the availability of an effective intervention to interrupt its transmission: multidrug therapy a single significant reservoir of infection: humans. Why integrate leprosy into the general health services? Integration means to provide comprehensive essential services from one service point to improve patients access to leprosy services and thereby ensure timely treatment to remove the special status of leprosy as a complicated and terrible disease to consolidate substantial gains made to ensure that all future cases receive timely and correct treatment to ensure that leprosy is treated as a simple disease Why is coverage so important? Good coverage means that: health facilities are easily accessible to every member of the community health services are provided on a daily basis health workers are able to diagnose, cure and provide basic information about the disease health facilities are distributed equally in all areas urban/rural, male/female, poor/rich, tribal/others, etc. Advantages of Integrating Leprosy Services Patients detected early Patients treated early Transmission of infection interrupted early Development of deformities prevented Stigma reduced further Diagnosing a case of leprosy We must follow good practices Good practices are: be friendly give correct information about the disease answer questions /doubts keep confidentiality keep up to date records give choice to patient to decide when and where to come back use MDT in a flexible manner provide leprosy services free of cost avoid unnecessary investigations How to diagnose leprosy Examine skin Check for patches Test for sensation Count the number of patches Look for damage to nerves Signs of leprosy Pale or slightly reddish patch Definite loss of sensation in the patch Signs of damage to nerves definite loss of sensation in hands/feet weakness of muscles of hands/feet/face visible deformity of hands/feet/face What is not leprosy Skin patches which have normal feeling are present from birth cause itching are white, black, dark red or silver coloured show scaling appear and disappear periodically spread quickly What is not leprosy (cont.) Signs of damage to hands/feet/face without loss of sensation due to other reasons like injury, accidents, burns, birth defects due to other diseases like arthritis due to other conditions causing paralysis How to examine for leprosy?...
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This note was uploaded on 01/02/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Training - Leprosy - one of the few diseases which can be...

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