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LEPROSY STATUS IN NEPAL

By: Gyaltsen Gurung

Batch 2014 Gandaki Medical College

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CONTENTSNepal’s burden

Nepal’s Elimination Status

Nepal’s Present status

Programmes For its elimination

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Nepal’s BurdenSerious public health problem with

social stigma.Elimination in 2009Prevalence = 0.83/10,000 population, year 2070/71 = 0.82/10,000 population, year 2069/70

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Region wise distribution of registered cases and Prevalence rate in FY 2070/71

Regions

MB PB Total % PR/10,000

EDR 361 190 551 24 0.93CDR 485 324 809 36 0.80WDR 337 82 419 18 0.84MWDR 232 67 299 13 0.81FWDR 126 67 193 9 0.73National 1541 730 2271 100 0.83

Source: Annual Report 2070/71 4

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New Cases = 3223

New Case Detection Rate(NCDR) = 11.8/10,000 population

Source: Annual Report 2070/71

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EDR26%

CDR38%

WDR17%

MWDR10% FWDR

9%

Region-wise under Treatment Cases FY 2070/71

Source: Annual Report 2070/71

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Nepal’s Elimination Status

In 1991, the World Health Assembly passed a resolution to eliminate leprosy before 2000.

Out of 122 countries, as many as 113 countries met the target. Then, assembly reset the target for 2005.

By then, 6 countries eliminated the disease with exception of Nepal, Brazil and East-timor.

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The assembly again set another target and directed the 3 countries to meet target by the end of 2009.

WHO considers a disease eliminated once the number of cases in a country drops to less than 1 instance per 10,000 people.

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Present ConditionPrevalence rate of this disease now

is 0.89/10,000 in Nepal.

The Government of Nepal declared the elimination of leprosy in 20th Jan, 2010.

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ELIMINATION PROGRAMSMDT drug supply and free of cost Technical support for leprosy control

programme Workshop to prepare plan of action for

2014‐15 National seminar on overcoming post

leprosy elimination challenges" for TB/Leprosy officers, supervisors Mid‐term Leprosy Review and Programme Assessment

Supervision and monitoringLeprosy day observation   

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Elimination Programme for Highly Endemic DistrictsCommunity awareness and participatory at

different level.Provision of primary, secondary and tertiary

care through referral centres.Rehabilitation service.Formation of self care and self help groups of

people affected by leprosy or people living with disabilities due to leprosy.

Vocational training to people affected by leprosy

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REFERENCESK.Park(22nd edition) prevention and social

medicine

Annual report (Department of health service)-2070/71

Interent Business Bureau

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Any Questions?