Leprosy Status of Nepal, 2014

Leprosy Status of Nepal, 2014

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  By: Gyaltsen Gurung Batch2014 Gandaki Medical College 09/04/2016 1
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  CONTENTS Nepal’s burden Nepal’s EliminationStatus Nepal’s Present status Programmes For its elimination 09/04/2016 2
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  Nepal’s Burden  Seriouspublic health problem with social stigma.  Elimination in 2009 Prevalence = 0.83/10,000 population, year 2070/71 = 0.82/10,000 population, year 2069/70 09/04/2016 3
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  Region wise distributionof registered cases and Prevalence rate in FY 2070/71 Regions MB PB Total % PR/10,000 EDR 361 190 551 24 0.93 CDR 485 324 809 36 0.80 WDR 337 82 419 18 0.84 MWDR 232 67 299 13 0.81 FWDR 126 67 193 9 0.73 National 1541 730 2271 100 0.83 Source: Annual Report 2070/7109/04/2016 4
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  New Cases =3223 New Case Detection Rate(NCDR) = 11.8/10,000 population Source: Annual Report 2070/71 09/04/2016 5
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  EDR 26% CDR 38% WDR 17% MWDR 10% FWDR 9% Region-wise under TreatmentCases FY 2070/71 Source: Annual Report 2070/71 09/04/2016 6
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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. 09/04/2016 7
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   The assemblyagain 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. 09/04/2016 8
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  Present Condition  Prevalencerate of this disease now is 0.89/10,000 in Nepal.  The Government of Nepal declared the elimination of leprosy in 20th Jan, 2010. 09/04/2016 9
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  ELIMINATION PROGRAMS  MDTdrug 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 monitoring  Leprosy day observation 09/04/2016 10
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  Elimination Programme forHighly Endemic Districts  Community 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 09/04/2016 12
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  REFERENCES K.Park(22nd edition) preventionand social medicine Annual report (Department of health service)- 2070/71 Interent Business Bureau 09/04/2016 13
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  Any Questions? 09/04/2016 15