logging in or signing up Review of NLEP_ Dr Nihar drnihar Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 510 Category: Science & Tech.. License: All Rights Reserved Like it (0) Dislike it (0) Added: April 01, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: drnihar (38 month(s) ago) Nice preparation Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript National Leprosy Eradication Program A Review : National Leprosy Eradication Program A Review Dr Nihar Ranjan Ray Indian Institute Of Public Health, Gandhinagar Introduction to NLEP : Introduction to NLEP IMPORTANT MILESTONES IN NLEP IN INDIA 1955 – Government of India launched-National Leprosy Control Program. 1983 – Government of India launched NLEP and introduced MDT 1993 - 2000 – World Bank supported NLEP – I 2001 - 2004 – World Bank supported NLEP – II 2005 (Jan.) – NLEP continued with Government of India funds & donor partners support 2005 (Dec.) – India achieved elimination as a public health problem. Slide 3: As on 31st December 2005, Prevalence Rate recorded in the country was 0.95/10,000 population. Present Scenario : Present Scenario Increased efforts put on IEC, 72 high priority districts with PR > 5/10,000 In 836 blocks with PR > 5/10,000 as on 31st March 2004, a two week long Block Leprosy Awareness Campaign (BLAC-I) was conducted State wise contribution of the disease load as of March 2004 Strength : Strength Easy clinical diagnosis Leprosy came to be dealt within the public health terms after the advent of Dapsone MDT brought leprosy to the main stream of medicine. MDT with its finite duration of treatment has proved to be quite effective in treating millions. Single dose administration leads to non-infection MDT : MDT The relapse rate is very low (0.1% per year for PB and 0.06% per year for MB on the average). Weakness : Weakness The NLEP didn’t address the involvement of Dermatologist. Single skin smear examination in leprosy was first to be deleted/made optional in the leprosy program. Top to buttom approch of MDT distribution Govt. Of India guidelines on MDT not widely distributed/used at PHC/CHC level Inadequate case detection & immigration not adequately addressed. Ex:Two dist. of Delhi PR > 5/10,000 . Discrepancy (%) between MDT drug register and actual availability of drugs in district stores : Discrepancy (%) between MDT drug register and actual availability of drugs in district stores Source: LEM 2004 Slide 9: A small number of patients do not show any clinical or bacteriological improvement with MDT. Coz: Inadequate treatment or concomitant, debilitating, intercurrent infection. Non availability of vaccine. State wise contribution of the disease load as of March 2004 Opportunity : Opportunity Free MDT by WHO from 1995 (Novartis) Funds-World Bank NGO, INGO (Lepra Society, DANLEP, SIDA,ILEP) The Goal of NHP 2002 to “Eliminate Leprosy by 2005” Threats : Threats Social stigma, Discrimination continues. Misconception,- Prejudice The disability and loss of productivity are not been adequately addressed. Long incubation period (5-10 yrs) Medical sc. still knows a little about spread of the disease (Dr V.Despande ) Conclusion : Conclusion Elimination reached finally Thanx to MDT Thanx to NGOs, INGOs & WHO Miles to go….. Cont. vigilance………resurgence Addressing the disablities ( 7 lakh) Eradication..?? Patience is the key of success : Patience is the key of success Thank you for Your Cooperation Elimination of Leprosy reached finally You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Review of NLEP_ Dr Nihar drnihar Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 510 Category: Science & Tech.. License: All Rights Reserved Like it (0) Dislike it (0) Added: April 01, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: drnihar (38 month(s) ago) Nice preparation Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript National Leprosy Eradication Program A Review : National Leprosy Eradication Program A Review Dr Nihar Ranjan Ray Indian Institute Of Public Health, Gandhinagar Introduction to NLEP : Introduction to NLEP IMPORTANT MILESTONES IN NLEP IN INDIA 1955 – Government of India launched-National Leprosy Control Program. 1983 – Government of India launched NLEP and introduced MDT 1993 - 2000 – World Bank supported NLEP – I 2001 - 2004 – World Bank supported NLEP – II 2005 (Jan.) – NLEP continued with Government of India funds & donor partners support 2005 (Dec.) – India achieved elimination as a public health problem. Slide 3: As on 31st December 2005, Prevalence Rate recorded in the country was 0.95/10,000 population. Present Scenario : Present Scenario Increased efforts put on IEC, 72 high priority districts with PR > 5/10,000 In 836 blocks with PR > 5/10,000 as on 31st March 2004, a two week long Block Leprosy Awareness Campaign (BLAC-I) was conducted State wise contribution of the disease load as of March 2004 Strength : Strength Easy clinical diagnosis Leprosy came to be dealt within the public health terms after the advent of Dapsone MDT brought leprosy to the main stream of medicine. MDT with its finite duration of treatment has proved to be quite effective in treating millions. Single dose administration leads to non-infection MDT : MDT The relapse rate is very low (0.1% per year for PB and 0.06% per year for MB on the average). Weakness : Weakness The NLEP didn’t address the involvement of Dermatologist. Single skin smear examination in leprosy was first to be deleted/made optional in the leprosy program. Top to buttom approch of MDT distribution Govt. Of India guidelines on MDT not widely distributed/used at PHC/CHC level Inadequate case detection & immigration not adequately addressed. Ex:Two dist. of Delhi PR > 5/10,000 . Discrepancy (%) between MDT drug register and actual availability of drugs in district stores : Discrepancy (%) between MDT drug register and actual availability of drugs in district stores Source: LEM 2004 Slide 9: A small number of patients do not show any clinical or bacteriological improvement with MDT. Coz: Inadequate treatment or concomitant, debilitating, intercurrent infection. Non availability of vaccine. State wise contribution of the disease load as of March 2004 Opportunity : Opportunity Free MDT by WHO from 1995 (Novartis) Funds-World Bank NGO, INGO (Lepra Society, DANLEP, SIDA,ILEP) The Goal of NHP 2002 to “Eliminate Leprosy by 2005” Threats : Threats Social stigma, Discrimination continues. Misconception,- Prejudice The disability and loss of productivity are not been adequately addressed. Long incubation period (5-10 yrs) Medical sc. still knows a little about spread of the disease (Dr V.Despande ) Conclusion : Conclusion Elimination reached finally Thanx to MDT Thanx to NGOs, INGOs & WHO Miles to go….. Cont. vigilance………resurgence Addressing the disablities ( 7 lakh) Eradication..?? Patience is the key of success : Patience is the key of success Thank you for Your Cooperation Elimination of Leprosy reached finally