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World Health Organization : Year 1998 ; World Health Organization, Leprosy, No. 98.2: Action Programme for the Elimination of Leprosy

By S. K. Noordeen, Dr.

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Book Id: WPLBN0000157162
Format Type: PDF eBook
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Reproduction Date: 2005
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Title: World Health Organization : Year 1998 ; World Health Organization, Leprosy, No. 98.2: Action Programme for the Elimination of Leprosy  
Author: S. K. Noordeen, Dr.
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Noordeen, Dr, S. K. (n.d.). World Health Organization : Year 1998 ; World Health Organization, Leprosy, No. 98.2. Retrieved from http://hawaiilibrary.net/


Description
Medical Reference Publication

Excerpt
Foreword As wc approach the end of thc. tnillcnnium, lcpros!. is no 1onp.r the drcndcd tlisc:~sc that it used t o bc, ant1 lepros!. pnticnts fxcc a fnr bc.rrc.r fi~turcrh an c.\.ct. 11c.ti)rc.. This does not mean that all the problems in leprosy have been resolved, nor does it mean that we can afford to slacken our efforts towards the elimination of the hsease as a public health problem. In spite of the fact that the profde of the hsease is much milder, and in spite of the fact that disability among new patients is quite low, the social image of lepsosy has not greatly changed in many parts of the world; this is all too well reflected in the attitude of the community, particularly towards individuals disabled due to the disease. Today we can be confident that elimination -- reduction of prevalence to less than one case per 10 000 population -- is within our reach. There must be no complacency, for there are still countries where very special efforts will be needed to reach that goal. And there are even more areas of the world where, long after the country has attained elimination, continuing and sustained efforts wdl be required to reach the target at provincial and &strict level. So the year 2000 wdl in no sense see an end to manhd's battle against leprosy Quite apart from the need to detect every last case in every last community and provide that person with MDT, there wdl be a continuing need to care for those patients for whom dapsone and MDT came too late, and who accordingly will live out their lives with grievous dsabilities.

Table of Contents
Contents Abbreviations and definitions ............................................................................................... VII Introduction .............................................................................................................................. 1 1 . Leprosy : the disease and its global burden ........................... 3 1. 1 Leprosy in 1998 ................................................................................................................3 1.2 Prevalence ......................................................................................................................... 3 1.3 Detection of cases ........................................................................................................... 5 1.4 Situation in the endemic countries ............................................................................... 9 1.5 Leprosy trends. 1985-1997 ............................................................................................ 13 1.6 MDT drug supply and delivery ..................................................................................... 18 1.7 Prevention of disabilities and rehabilltation ............................................................... 20 2 . Accelerated Plan of Action ....................................................... 23 2.1 Reaching underserved populations ............................................................................... 23 2.2 Special Action Projects (SAPEL) .................................................................................. 23 2.3 Leprosy Elimination Campaigns (LEC) ....................................................................... 26 2.4 Leprosy Elimination Monitoring (LEM) ...................................................................... 31 3 . A~vroachinpe limination ......................................................3 3 3.1 Identification of endemic districts ............................................................................... 33 3.2 Promoting community action ........................................................................................ 33 3.3 MDT services integrated into all general health facilities ....................................... 34 3.4 Impairments. handicaps and stigma ............................................................................. 35 3.5 Obstacles in the path of elimination ........................................................................... 36 4 . The role of WHO ...................................................................... 43 4.1 LEAG: aims and functions ............................................................................................ 41 4.2 Seventh Expert Committee ........................................................................................... 42 4.3 Support to regional and country programmes ............................................................ 43 4.4 Capacity Budding and Health Systems Research (HSR) ......................................... 44 4.5 Monitoring and evaluation ............................................................................................ -4 6 4.6 International conferences on leprosy elimination ..................................................... 51 5 . Partnership for elimination ...................................................... 53 6 . After the vear 2000 ..................................................................... 55 List of WHO/LEP Publications and Documents ........................ 57

 

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