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Dr Paul T Francis, MD Community Medicine College of Medicine, Zawia
Leprosy Dr Paul T Francis, MD Community Medicine College of Medicine, Zawia
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Leprosy Is a chronic disease caused by M leprae
Leprosy is still prevalent in many parts of the world, especially in the poor developing countries Leprosy is a very rare disease in Libya
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Tuberculosis and Leprosy cases, Libya 1972-2005
TB Leprosy
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Epidemiological factors
Agent – M leprae Reservoir of infection – man Portal of exit – nose, upper respiratory tract and skin Host factors Can occur in any age
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Epidemiological factors
Environmental factors – seen more in hot humid climate Social factors – more common in poor socio-economic class Mode of transmission Direct and indirect contact Droplet infection (of respiratory secretions) Incubation period – few months to few years
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Leprosy patient who has lost most of the fingers holding flowers
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A leprosy patient
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Leprosy lesions on the back
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Prevention and control
Primary prevention Improvement in socio-economic status Avoiding close contact with leprosy patients Secondary prevention Early diagnosis and treatment
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Leprosy control strategy in Libya
Early detection of cases Contact tracing – examine all persons who have come in contact with a leprosy patient Survey of certain high risk groups Mass survey Notification The detected cases are notified/informed to the Ministry of Health
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Leprosy control strategy in Libya
Chemotherapy – MultiDrug therapy (MDT) Follow-up – It is important to make sure that the patient takes the drug for the entire period of treatment. The patient is examined once every 3 months Other measures Improving living conditions Health education Rehabilitation of patients who have severe damage to limbs, nerves etc.
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