Single-dose ROM treatment for multilesion paucibacillary leprosy--further observations.
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Biomedical subjects
Publications and source records attributed to C R Revankar.
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This study was undertaken to identify the extent of the problems such as inadequate disability prevention services and poor compliance of the disabled leprosy patients and also to develop solutions, in Ulhasnagar block of Thane district, Maharashtra, India. A total of 233 patients out of 269 non-colony patients were evaluated before and after the intervention. The interventions consisted of staff training, educating the patient and his family and provision of supplies and aids. Almost all patients complied with the given advice and were using the aids provided. Improvement was noted in physical, social and disability status. About 25% indicated that they could now undertake activities of daily life and 43% stated that they could attend to their vocation. Substantial improvement in service provider's knowledge and skill was observed. Long-term follow-up is necessary to determine the sustainability of results.
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With the reduction on caseload due to the impact of multidrug therapy (MDT) in most parts of India, we believe that there is a need to understand the epidemiology of disabilities in leprosy which may not necessarily correlate with the distribution pattern of active disease. We present a methodology of data collection and verification taking the district as a unit to calculate the prevalence rate of disability as an exclusive entity in the district population, unrelated to the problems posed by the communicable component of leprosy. This study indicated that the prevalence rate of Grade II disabilities in 14 hyperendemic districts was 0.82/1000, whereas it was 0.22/1000 in low endemic districts. Limb disability data collected from three hyperendemic districts in Andhra Pradesh following task-oriented training enabled the paramedical worker to offer services to 5753 disabled patients after assessing the disability caseload per worker.
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