DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20172842

A 10 year retrospective analysis of Hansen’s disease patients in an urban leprosy centre of Himachal Pradesh

Renu Rattan, Gita R. Tegta, Anuj Sharma, Meena Chauhan

Abstract


Background: Leprosy is a chronic disease caused by Mycobacterium leprae, which is a non culturable, slowly multiplying bacillus. The incubation period is variable and may take as long as twenty years for the symptoms to appear. It mainly affects the skin and peripheral nerves, but has a wide range of clinical presentations. The disease is associated with deformities and social stigma.

Methods: Records of Hansen’s disease patients from January 2007 to December 2016 were taken and analysed retrospectively. A total of 288 patients were registered during this period.

Results: Out of 288 registered patients, 78.8% were males and 21.2% were females. Maximum number of patients (62.15%) was in the age group of 20-40 years. Multibacillary patients constituted 86.11% and only13.88% were paucibacillary patients. 66.66% patients had grade 0 deformities, 22.56% had grade 1 deformities and 10.76% had grade 2 deformities.

Conclusions: The study recommends that continuous efforts should be made for early detection of cases to prevent spread of disease in the community and to avoid development of deformities. 


Keywords


Leprosy, Prevalence, Multibacillary, Paucibacillary, Deformities

Full Text:

PDF

References


Definition, Epidemiology and World distribution. In: WH Jopling & AC Mc Dougall eds. Handbook of Leprosy. 5th ed. CBS Publishers & Distributors; 1996:1.

Joshi PL. National scenario, National Leprosy Eradication Program (NLEP) and new Pardigms. In: Kar HK, Kumar B, eds. IAL Textbook of Leprosy. 1st ed. Jay Pee Brothers Medical Publishers (P) Ltd; 2010: 35.

National Institute of Epidemiology & Indian Council of Medical Research. Report on 20 sep 2005. Chennai, India: National Institute of Epidemiology: 37.

NLEP Annual report for year 2015-16.

Kumar B, Dogra S. Case definition and clinical types. In: Kar HK, Kumar B, eds. IAL Textbook of Leprosy. 1st ed. Jay Pee Brothers Medical Publishers (P) Ltd; 2010: 155.

Jindal N, Shanker V, Tegta GR, Gupta M, Verma GK. Clinico-epidemiological trends of Leprosy in Himachal Pradesh. Indian J Lepr. 2009;81:173-9.

NLEP. Monthly progress report for the year 2015-16.

Thorat DM, Sharma P. Epidemiology. In: Hemanta Kumar Kar, Bhushan Kumar eds. IAL Textbook of Leprosy. 1st ed. Jay Pee Brothers Medical Publishers (P) Ltd; 2010: 26.

Casabianca MN. Leprosy situation in Uttar Pradesh. J Commun Dis. 2006;38(1):7-14.

Patili AA, Sherkhane MS. Clinico-epidemiological study of Hansen’s disease patients attending a tertiary care centre in South India. Int J Community Med Public Health. 2016;3(11):3292-5.