national leprosy eradication programme

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NATIONAL LEPROSY ERADICATION PROGRAMME:

NATIONAL LEPROSY ERADICATION PROGRAMME Kirandeep Randhawa Clinical instructor , ACN

INTRODUCTION:

INTRODUCTION NLCP Has been in operation seen 1955 . The NLCP moved a head initially at a slow pace. It gained momentum during the fourth FIVE YEAR plan. In 1980 the government of INDIA declared, it is resolve to eradicate leprosy by the year 2000 .

CONTD…:

CONTD … Working group submitted its report in 1982 and recommended a revised strategy eradication based on the early detection of cases. Provided free domiciliary treatment in endemic districts through specially trained staff. In moderate to low endemic districts –provide services through mobile leprosy treatment unit and PHC personnels.

MODIFIED LEPROSY ELIMINATION CAMPAIGN:

MODIFIED LEPROSY ELIMINATION CAMPAIGN Leprosy elimination campaign was launched to provide short-term orientation training in leprosy to health staff. To increase public awareness about leprosy and house to house search has been conducted to detect new leprosy cases.

CONTD…:

CONTD … The first round was conducted during 1997-1998 Five such campaigns were carried out in the country. Fourth was different from the first three campaigns. It include three categories :- category 1 category 2 category 3

NATIONAL ACTION PLAN FOR 2006-2007:

NATIONAL ACTION PLAN FOR 2006-2007

OBJECTIVES:

OBJECTIVES To continue the efforts to achieve elimination of leprosy. To maintained the gains achieved & to continue the efforts to achieve elimination at district & block levels. To make quality leprosy services available.

STRATEGIES:

STRATEGIES Decentralization and institutional development. Strengthening and integration of services delivery. Disability care & prevention. Information , education & communication. Training of the staff.

TENTH FIVE YEAR PLAN GOALS FOR LEPROSY ELIMINATION:

TENTH FIVE YEAR PLAN GOALS FOR LEPROSY ELIMINATION Training of the existing personnel in PHC institutions for the early detection and management of leprosy patient and identification & referral of those with complication. Completing horizontal integration of the programme into the general health care system by 2007.the personnel employed under NLEP will be transferred to the states.

CONTD…:

CONTD… Reconstructive surgery to improve functional status of the individuals. Rehabilitation of leprosy patient. Involvement of NGOs.

NATIONAL VIT. A PROPHYLAXIS PROGRAMME:

NATIONAL VIT. A PROPHYLAXIS PROGRAMME

CLINICAL FEATURES OF VIT. A DEFICIENCY:

CLINICAL FEATURES OF VIT. A DEFICIENCY

NIGHTBLINDNESS:

NIGHTBLINDNESS

CONJUNCTIVAL XEROSIS:

CONJUNCTIVAL XEROSIS

BITOT’S SPOT:

BITOT’S SPOT

CORNEAL XEROSIS:

CORNEAL XEROSIS

KERATOMALACIA:

KERATOMALACIA

TREATMENT OF VITAMIN A DEFICIENCY:

TREATMENT OF VITAMIN A DEFICIENCY SPECIFIC TREATMENT Immediately on diagnosis,oral vitamin A administered in a dose of :- 50000 I.U –In children aged below 6 months. 100000 I.U- 6 to 12 months. 200000 I.U – More than 1 year of age respectively

CONTD…:

CONTD … 2. The same dose is repeated next day and 4 week later. 3. Parental water soluble vitamin A is recommended in the dose suggested above For 6-12 months For below 6 months 3/4 th of the previous dose if oral intake is impaired

CONTD…:

CONTD… LOCAL TREATMENT :- Antibiotic drops or ointments should be instilled 3 times a day to prevent secondary infection. Padding the eye in such cases prevents dehydration and further corneal exposure. Padding also enhance epithelial healing and reduce pain and photophobia.

PREVENTION:

PREVENTION Infants who are not breast-fed should receive a 50000 I.U of vitamin A by 2 months of age in area of endemic vitamin A deficiency. Every infant should be administered one dose of 100000 I.U of vitamin A along with measles vaccine at 9 month followed by 4 more doses of 200000 I.U each at 18,24,30 and 36 months

CONTD…:

CONTD … 3. Consumption of vitamin A rich food should be encouraged including locally available carotene rich food. 4. Milk and milk products and liver must be promoted. 5.In vitamin A endemic area children suffering from measles and PEM should be administered 2 doses of oral vitamin A. 100000 I.U- below the age of 1 year 200000 I.U- above 1 year of age.

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