Experts fear a resurgence of leprosy in India

Cousins, Sophie

doi:10.1016/s0140-6736(18)31982-2

Cited by 5 publications

(4 citation statements)

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“…The WHO has recognized that certain developing countries have to integrate better the control programs of neglected tropical diseases (NTD), improve management of these diseases, reduce disparities, and increase the efficiency of services to reach a higher percentage of the population. 22 We are moving forward; however, there is still a long way to go. The long-term control of hanseniasis has to re-consider better forms of detection and examination of contacts.…”

Section: Discussionmentioning

confidence: 99%

Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?

Araújo¹,

Abreu

Laporta

et al. 2021

The Brazilian Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 99%

Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?

Araújo¹,

Abreu

Laporta

et al. 2021

The Brazilian Journal of Infectious Diseases

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“…The advantages are that in endemic areas the same blister pack can be used for treating both types of disease, in addition to decreased impact of misclassification of MB leprosy as PB leprosy, since all patients will receive a three-drug regimen. Early diagnosis and complete treatment with MDT remain the key strategies for reducing the disease burden of leprosy [8, 9].…”

Section: Discussionmentioning

confidence: 99%

“…In India, indigenous communities known as Adivasis bear the major burden of disease. They accounted for 13•3 % of new cases of leprosy in 2009, while in 2017 that proportion rose to 18•8 % [9,10].…”

Section: Introductionmentioning

confidence: 99%

Asymptomatic filariasis and leprosy co-morbidity in a patient with suspected Guillain–Barrè syndrome: the first case report of an incidental finding in a slit-skin smear

Nag

Gupta

Sisodia

et al. 2019

Access Microbiology

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Introduction. Lymphatic filariasis (LF) and leprosy are both endemic in India. These diseases are on the World Health Organization (WHO) list of neglected tropical diseases (NTDs), as they affect the most marginalized communities in the world, resulting in deformities and functional limitation. We report the first case of asymptomatic filariasis and leprosy co-morbidity in a patient with suspected Guillain-Barré syndrome. Case presentation. A 55-year-old male who was a farmer by occupation presented to the Neurology Outpatient Department (OPD) of our institute with complaints of weakness in all four limbs for the last 15 days. After admission, a detailed history revealed that the patient had been taking multi-drug therapy (MDT) for leprosy for the previous 6 months. After symptomatic management of the presenting complaints, the patient was sent to the Department of Microbiology for a consultation and sixsite slit-skin sampling. The initial screening of Ziehl-Neelsen (ZN)-stained smears under a 10× objective led to the incidental finding of sheathed structures resembling microfilaria (Mf) on the smear made from ear lobules. In addition, short acid-fast bacilli (AFB) were also observed under the oil-immersion objective. Conclusion. We emphasize that a high index of suspicion and thorough screening of smears by a microbiologist is essential in specimens obtained from any body site.

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“…Leprosy is a chronic contagious infectious disease caused by Mycobacterium leprae , an obligate intracellular alcohol-acid resistant bacillus (AARB) 1 , 2 , 3 , 4 . This microorganism mainly affects the skin and peripheral nerves and is of clinical and epidemiological importance mainly due to its disabling potential 5 , 6 , 7 , 8 .…”

Section: Introductionmentioning

confidence: 99%

Epidemiological, temporal and spatial dynamics of leprosy in a municipality in northeastern Brazil (2008-2017): an ecological study

Albuquerque

Silva

Barreto

et al. 2020

Rev. Soc. Bras. Med. Trop.

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Introduction: Leprosy is a chronic infectious disease caused by Mycobacterium leprae.This study aimed to analyze the epidemiological, temporal, and spatial dynamics ofleprosy in a municipality in northeastern Brazil. Methods: This is an ecological study on new leprosy cases in the population of Arapiraca (Alagoas, Northeast Region, Brazil), from 2008 to 2017. Data extracted from a national database were analyzed forepidemiological indicators, factors associated with physical disabilities, and spatialanalysis in the neighborhoods of Arapiraca. Results: A total of 292 new cases of leprosy were recorded, particularly occurring among the following groups: women, the age group of 46-59 years, brown-skinned individuals, people with less than eight years of schooling, and urban residents; the new cases were also predominantly the tuberculoid form and were of the paucibacillary classification of the disease. Almost 1/3 of the people had some degree of physical disability, which was mainly associated with the group 60 years of age and older, black ethnicity, and the multibacillary clinical form of leprosy. The joinpoint regression showed a stationary temporal behavior of indicators. There was a heterogeneous spatial distribution with active transmission areas, especially in the neighborhoods Primavera, Baixão, Ouro Preto, and downtown. Conclusions: The epidemiological indicators revealed complexity in the process of leprosy development. These spatial and temporal studies are relevant to help in the planning, monitoring, and guidance of interventions in the municipality. The spatial analysis showed heterogeneous distribution in the analyzed neighborhoods.

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Experts fear a resurgence of leprosy in India

Cited by 5 publications

References 0 publications

Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?

Hanseniasis in the municipality of Western Amazon (Acre, Brazil): are we far from the goal of the World Health Organization?

Asymptomatic filariasis and leprosy co-morbidity in a patient with suspected Guillain–Barrè syndrome: the first case report of an incidental finding in a slit-skin smear

Epidemiological, temporal and spatial dynamics of leprosy in a municipality in northeastern Brazil (2008-2017): an ecological study

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