Line Spacer Emmaus Swiss Hospital - Palamaner  Emmaus Swiss Hospital - Palamaner
 
Leprosy

If you look at the “2007 trend”of leprosy cases in the table , it does seem that new cases are dropping slowly, but, the number of relapse cases, are increasing. However, with the advent of the DPMR program, we are happy to see that a better awareness is being created. However, we can only hope, that with better nutrition; better education of children & parents; better sanitation practices; less consanguineous marriages; & better economy, leprosy will slowly disappear, in-spite of the fact that, a) the reservoir of infection is still there &, b) the early “diagnostic mechanism” has been stopped & MDT is still not easily available.


Leprosy was an enigma in the rural areas prior to 1977 with a lot of deformity and social stigma, with a high incidence rate of over 22.4 cases per 1000 population.

Leprosy prevalence has dropped dramatically but the incidence per year is still running on a horizontal. A lot of children are still affected, several of them with deformities who need reconstructive surgeries. A good majority of cases are also admitted for severely infected ulcers of the feet and some also requiring amputation.

Thanks to our team of dedicated workers and multi-drug therapists, the prevalence of leprosy has now dropped to less than 0.5 cases per 1000 population. However, a lot still needs to be done since the incidence of new cases is still more or less the same. New deformity cases are lesser in the controlled areas and this is due to early detection and better treatment. Emmaus also provides free food and treatment to all the leprosy and TB patients.

Before & After Surgery

(Below)Lot of the cases for reconstructive surgery is for the young children. The story of their inner feelings are reflected in their eyes before & after surgery
(Below) Dr.Hehl from Switzerland & Dr.Jacob (the Director since 1981) are seen doing a session of reconstructive surgery




January to July 2007 New Leprosy cases = 264: Old Case reporting for problems = 1497 Admissions 716

 

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

New Leprosy Cases-Palamaner

774

572

578

567

434

473

410

428

380

287 264

Leprosy Cases reporting for treatment at Outpatients

 

 

 

 

 

 

 

1500

1566

1321 1497
Relapses Palamaner

 

 

6

2

20

25

22

28

10

5 23
Total Leprosy Admissions

1267

898

1348

923

754

900

715

719

715

794 716

Surgery for Claw- Hand

87

35

64

61

22

42

42

51

41

36 75

Surgery for Drop- foot

4

13

13

9

4

13

12

12

7

5 17

Nerve Decompressions & others

59

17

13

7

7

16

13

22

17

11 14

Skin-Grafts

29

23

27

16

10

15

19

11

24

31 15

Leprosy Eye Cataract operations

10

92

54

24

31

25

26

16

29

43 16

Amputations

4

4

2

2

5

1

0

3

3

6 3

Ulcer admissions

646

458

493

465

425

495

451

482

442

630 403

Septic OT cases

 

100

43

172

268

292

352

375

113

215 386

New M.C.R sandals
 Repairs of old sandals

 869.  1103

 704
677

517
1206

952
1475

716
1489

651
 1538

438
1504

524
889

592
860

620
863
616
815

Leprosy Reactions

115

72

87

130

117

180

91

82

82

64 189

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