NLEP

1. DR. MOHD IRFAN
(INTERN)
NATIONAL LEPROSY
ERADICATION PROGROM (NLEP)

2. WHAT IS LEPROSY?
 It is a chronic infectious disease
caused by M.leprae, an acid fast, rod
shaped bacillus. It mainly affects the
skin, peripheral nerves, and mucosa
of the respiratory tract etc., It has
left behind a terrifying image in
history and human memory of
mutilation, rejection and exclusion
from society.

3. • SPECIFIC LEARNING OBJECTIVES
 Burden of leprosy in India
 Enlist 4 important Milestones in Leprosy
 Enumerate 5 components of National Leprosy
Eradication Program.
 Enlist initiatives under Disability Prevention
and Medical Rehabilitation.

4.  burden of leprosy
 The global registered prevalence of leprosy at the beginning of 2006
was 219,826 cases.There are now only six countries that have still to
reach the elimination target of 1 case per 10,000 population, at the
national level.
 Based on the reports received from all the states and UTs in India for
the year of 2008-09 current leprosy situation in the country has been
observed as below.
 A total of 1.34 lakh new cases were detected during the year 2008-
09, which gives Annual New Case Detection Rate (ANCDR) of 11.19
per 100,000 population.This shows ANCDR reduction of 4.36%
from 11.70 during 2007-08.
 A total of 0.86 lakh cases are on record as on 1st April 2009 giving a
Prevalence rate (PR) of 0.72 leprosy cases per 10,000 population.
 Detailed information on new leprosy cases detected during 2008-
09 indicates the proportion of MB (48.4), Female (35.2), Child (10.1),
Visible Deformity (2.8),

5. •THE LEPROSY SCENARIO IN THE COUNTRY

6. •MONTHLY PROGRESS REPORT FOR THE YEAR 2013-14

8.  MILESTONES OF LEPROSY ERADICATION
 1948 – Hind Kusht Nivaran Sangh
 1955 – National leprosy Control Program
 1980 – Dapsone
 1982 – MDT
 1983 – National Leprosy Eradication Program( MDT started)
 1991 –World Health Assembly resolution to eradicate leprosy by
2000AD.
 1998-2004 – Modified Leprosy Elimination Program .
 2005 Dec – Prevalence rate 0.95 /10,000 and government
declared
 achievement of elimination target.
 2005 – NRHM covers NLEP .
 2012 - Special action plan for 209 high endemic districts 16
States/UTs

9. COMPONENTS OF THE PROGRAM
1.Decentralizing
2.Capacity building
3.Intensified IEC
4.Prevention of DPMR
5.Intensified monitoring

10. NATIONAL LEPROSY ERADICATION PROGRAM
 OBJECTIVES OF NLEP
 To achieve elimination of leprosy at national level by
the end of the project
 To accomplish integration of leprosy services with
general health services in the 27 low endemic states
 To proceed with integration of services as rapidly as
possible in the 8 high endemic states

11. •Leprosy - one of the few diseases which can be
eliminated
 Leprosy meets the demanding criteria for
elimination
 practical and simple diagnostic tools: can be diagnosed
on clinical signs alone;
 the availability of an effective intervention to interrupt
its transmission: multidrug therapy
 a single significant reservoir of infection: humans.

12. •STRATEGIES IN NLEP
 1. Early detection
 2. Regular treatment
 3.Public awareness campaigns
 4.Medical rehabilitation

13. Treatment
 Rifampicin is given once a month. No toxic effects have been
reported in the case of monthly administration.The urine may be
coloured slightly reddish for a few hours after its intake, this
should be explained to the patient while starting MDT.
 Clofazimine is most active when administered daily.The drug is
well tolerated and virtually non-toxic in the dosage used for MDT.
The drug causes brownish black discoloration and dryness of skin.
However, this disappears within few months after stopping
treatment.This should be explained to patients starting MDT
regimen for MB leprosy.
 Dapsone :This drug is very safe in the dosage used in MDT and
side effects are rare.The main side effect is allergic reaction,
causing itchy skin rashes and exfoliative dermatitis. Patients
known to be allergic to any of the sulpha drugs should not be
given dapsone

14. TREATMENT CONTD..

15. DPMR ACTIVITIES- 3 TIER SYSTEM DPMR ACTIVITIES-
3 TIER SYSTEM
 1.Primary level (First level )
 2.Secondary level (Second Level )
 3.Tertiary level (Third Level )
 Central government Institutes
 ICMR Institute JALMA , Agra .

16. •ACHIEVEMENTS OF THE PROGRAM
01 case per 10,000 population
3 States are yet to achieve elimination.
More focus is given to the districts and blocks
Urban Leprosy Awareness Campaigns
AID PROVIDED ARE
Dressing material , ulcer kits.
Footwear.
83 Reconstructive surgery centres (41+42).
Incentives to BPL families.
Support from the government.

17. •THE "FINAL PUSH" STRATEGY FOR
 THE "FINAL PUSH" STRATEGY FOR
 LEPROSY ELIMINATION
 Expand services
 Ensure new cases
 Encourage for treatment
 Promote awareness
 Set targets
 Stratify the problem
 Identify and target
 Promote campaigns
 Monitoring byWHO
 THANKU