Leprosy

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Leprosy

Post by studraver69 »

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Post by sgt.null »

could you post the first article, my machine won't let me see it. thanks. and thanks for the info.
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Post by Warmark »

Just for you sarge :)
At the beginning of 2005, the global registered prevalence of leprosy was 286 063 cases and the number of new cases detected during 2004 was 407 791. Among them, 47% were multibacillary cases, 12% were children, and 4% were diagnosed with severe disabilities.

The number of new cases detected globally has fallen by around 107 000 cases (21% decrease) during 2004 compared with 2003. During the past three years, the global number of new cases detected continued to decrease dramatically (a reduction of about 20% per year).

Full control of leprosy has eluded mainly in some parts of Angola, Brazil, Central African republic, Democratic Republic of Congo, India, Madagascar, Mozambique, Nepal, and the United Republic of Tanzania. These countries have intensified their leprosy control activities.

Access to information, diagnosis and treatment with multidrug therapy (MDT) is essential. The treatment is available free of charge from WHO and provides a simple yet highly effective cure for all types of leprosy.

Information campaigns about leprosy in high risk areas are crucial so that patients and their families, who were historically ostracized from their communities, are encouraged to come forward and receive treatment.

Today, diagnosis and treatment of leprosy is easy. Essential work is being carried out to integrate leprosy services into existing, general health services. This is especially important for communities at risk for leprosy, which are often the poorest of the poor and under-served.
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Post by studraver69 »

sgtnull wrote:could you post the first article? my machine won't let me see it. thanks. and thanks for the info.
Here you go:
Elimination of Leprosy as a Public Health Problem


LEPROSY TODAY

At the beginning of 2005, the global registered prevalence of leprosy was 286 063 cases and the number of new cases detected during 2004 was 407 791. Among them, 47% were multibacillary cases, 12% were children, and 4% were diagnosed with severe disabilities.

The number of new cases detected globally has fallen by around 107 000 cases (21% decrease) during 2004 compared with 2003. During the past three years, the global number of new cases detected continued to decrease dramatically (a reduction of about 20% per year).

Full control of leprosy has eluded mainly in some parts of Angola, Brazil, Central African republic, Democratic Republic of Congo, India, Madagascar, Mozambique, Nepal, and the United Republic of Tanzania. These countries have intensified their leprosy control activities.

Access to information, diagnosis and treatment with multidrug therapy (MDT) is essential. The treatment is available free of charge from WHO and provides a simple yet highly effective cure for all types of leprosy.

Information campaigns about leprosy in high risk areas are crucial so that patients and their families, who were historically ostracized from their communities, are encouraged to come forward and receive treatment.

Today, diagnosis and treatment of leprosy is easy. Essential work is being carried out to integrate leprosy services into existing, general health services. This is especially important for communities at risk for leprosy, which are often the poorest of the poor and under-served.

CONTENTS

Status report

Global Strategy

Lessons learnt

Technical Advisory Group

Global leprosy situation

The disease and its treatment

Multidrug Therapy FAQ

Final Push Strategy Q&A

Partners for elimination

The Leprosy Information system

Research

Study Group on Chemotherapy

7th WHO Expert Committee on leprosy

Technical Report on MDT

Guide to Eliminate Leprosy

Learning from success

Training session

Thalidomide and Leprosy

Video Spots on leprosy

Your Comments

Thanks for visiting the WHO/LEP. We hope to hear from you again soon. For information on this Programme, contact us by FAX at (41) 22 791 48 50, or mail it to WHO, 20 Avenue Appia CH-1211 Geneve 27 Suisse.
INET link www.who.int/lep/

Last update 26 August 2005
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Post by sgt.null »

thanks

"Full control of leprosy has eluded mainly in some parts of Angola, Brazil, Central African republic, Democratic Republic of Congo, India, Madagascar, Mozambique, Nepal, and the United Republic of Tanzania. These countries have intensified their leprosy control activities. "

- I had no idea. seems we should give them the resources to combat this, no?
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Post by Variol Farseer »

As the article points out, the resources needed (except for medical staff on the ground) are available free of charge from the WHO. Of the countries on that list, India and Brazil are fast-rising economic powers, and have the resources to treat their own lepers; neither of those countries is looking for a handout from anybody these days. Angola, the Central African Republic, the Congo, Madagascar, Mozambique, and Tanzania are difficult to help because of chronically unstable or simply ineffective governments. Nepal is a particularly difficult case because it has been intermittently subjected to economic strangulation by India for many years.

Really, the problem isn't the availability of resources. It's partly a matter of politics, but primarily a question of time. No disease can be eradicated overnight, especially one like leprosy, which usually incubates in the victim's tissues for years before producing symptoms, and may be infectious all that time. The efforts now being made may not bear their final fruit for five, 10, or even 20 years. That does not prove that the efforts are inadequate. If all M. leprae infections were stopped tomorrow, new cases of leprosy would still show up for many years because of the long incubation period.

There are also two possible nonhuman vectors for the disease, which may complicate prevention efforts. Mice can contract leprosy in their footpads, and mice exist in huge numbers almost everywhere that human settlements can be found. Some of the 'primary' cases in the southern U.S. years ago may have been spread via armadillos. The armadillo, because of its low body temperature, is the only animal that can be infected with leprosy in its central nervous system; and armadillos have occasionally been found that contracted leprosy in the wild. When leprosy strikes the armadillo, it attacks the brain, spinal cord, and lungs, and is usually fatal. The bacillus multiplies in enormous numbers within the host animal, far more than in humans. This fact was invaluable to researchers, who were able to extract M. leprae from armadillo brains when they could not culture the bacillus in vitro. (There is a fascinating article on this subject in the June, 1982, issue of National Geographic.) But even in the armadillo, leprosy incubates for anywhere from six months to four years, and wild armadillos not infrequently are hunted for food. Eating infected armadillo meat, I suspect, would be a rather effective way to expose oneself to the disease. Did Thomas Covenant attend any exotic barbecues in the Deep South in his twenties?
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Post by sgt.null »

most folks here in Texas know about the chance that an armadillo is infected, so eating them is not wildly popular. I have yet to read about anyone getting leporasy from the dillo in 9 years down here. not saying it hasn't happened, but it would be rare.
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Post by Variol Farseer »

Armadillos used to be considered quite a delicacy in some parts of Mexico, and were definitely hunted as edible game in the U.S. It wasn't until the 1970s or thereabouts that they were known to be possible transmitters of leprosy. The author of the National Geographic article I cited had eaten armadillo herself. She said it tasted like high-grade pork.
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Post by sgt.null »

easy enough to find, they litter the highways with their corpses. yuck.
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Post by Variol Farseer »

Yeah, that's because armadillos have a very strange reflex: if a car runs over them, they jump straight up into the undercarriage. This is tremendously sporting of them, since all they would have to do is lie still and the car would pass right over them. Compare the car-crashing behaviour of the porcupine, which can only be killed if hit directly by a wheel, and will then leave you with a tire stuck full of quills. I had this happen to me once during a nighttime drive through Manitoba.
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Post by sgt.null »

had an owl crash into the front of our car grill, not sure why. lots of road kill here in Texas, and the son bloats them. we have dogs that bloat up to four times their size. not a pretty sight, or smell when they burst.

erm, a wee bit off topic on my part.
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