Leprosy Mailing List – November 15, 2015
Ref.: (LML) Draft WHO Leprosy Strategy 2016-2020
From: Dinkar Palande, Pondicherry, India
I fully endorse the views of Wim van Brakel (LML 14-11-2015) and shall particularly like to stress the excellent suggestion, I quote:
" A significant minority, however, is at risk of developing further reactions, additional nerve damage, or additional impairments, if they already have nerve damage. There is evidence that disability will worsen in this group in the absence of surveillance from the health services (see e.g. van Brakel et al, 2012).
For this group, a separate registration category should be created of ‘Persons at risk of post-MDT complications and disability’. People in this category should be actively advised about the risks and should be followed up at least 6-monthly to screen for additional nerve damage, treat any reactions and check whether people know the self-care routines needed to manage existing impairments."
With regards,
Dinkar Palande
from dinkar d. palande
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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