View
215
Download
0
Category
Preview:
Citation preview
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 1/44
Control Program
Updates and
Directions
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 2/44
To fnd hidden cases o leprosy and put themon Multi- Drug Therapy (MDT)
Program ThrustProgram Thrust
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 3/44
Guide to ELIMINATE LEPROSY
as PUBLIC HEALTHPROBLEM
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 4/44
To eliminate leprosy we NEED to
detect ALL patients and cure them with MDT.
Improving ACCESS to leprosy
diagnosis and treatment is
crucial
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 5/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 6/44
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 ( "#,###
$opulation
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 7/44
Ketong
Hansen’s Disease
Sangla
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 8/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 9/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 10/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 11/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 12/44
hat is leprosy!
Leprosy is C"##U$%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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 13/44
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)
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 14/44
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.
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 15/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 16/44
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.
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 17/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 18/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 19/44
8iagnosis of leprosy
is mainly based on
clinical signs and symptoms. i
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 20/44
Other signs of leprosy are5
6kin lesion9s: with a decrease orloss of sweating and=or hair growth>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 21/44
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>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 22/44
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:>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 23/44
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>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 24/44
Other signs of leprosy are5
0ollapse of nose bridge>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 25/44
Other signs of leprosy are5
0ollapse of nose bridge>
Enlargement of the breast in males
9gynecomastia:>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 26/44
Other signs of leprosy are5
0ollapse of nose bridge>
Enlargement of the breast in males
9gynecomastia:> 4obile or stiff clawing
of fingers and toes>
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 27/44
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.
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 28/44
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(&'$")
leprosy
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 29/44
Classifi*ation of le"os#
"ased on
# &*I+-&M. .&/'T
&$/ 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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 30/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 31/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 32/44
T"eatin' a *ase )ith MDT
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 33/44
You" hel is )hat )e need2
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 34/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 35/44
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
$atients can lead perfectly 'O%47* lives
h l
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 36/44
Ho, can /"U helpeliminate leprosy in your
community!8isplay posters about leprosy in
public places
Enlist the support of others
9community leaders, teachers,
religious authorities, and traditional
practitioners : to &$.D$1&ITI2 M&&3& "1/T'$.1&4
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 37/44
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
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 38/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 39/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 40/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 41/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 42/44
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 43/44
'et5s 0ork
together to0ardsLeprosy < .ree
Caraga
8/17/2019 Leprosy depEd.ppt
http://slidepdf.com/reader/full/leprosy-depedppt 44/44
Than- you .orlistening=
Recommended