With years of research and advancement in the medical front, leprosy continues to be a social stigma and lepers being treated as ‘misfit’ in society. Still much is to be done to accept this disease and the patients. In 2002, India was ranked with the second highest number of new leprosy patients, and India’s National policy 2002 had set the goal of eliminating leprosy and reduce the number of cases to less than 1 per 10,000 population by 2005. As per the data collected by government-run National Leprosy Eradication Program (NLEP), a total of 1.35 lakh new cases were detected during 2012-13 from all states and union territories, giving an Annual New Case Detection Rate (ANCDR) of 10.78 per 100,000 populations. A total of 0.92 lakh cases were on record as on 1st April 2013.
As per WHO, leprosy is divided into three grades of disabilities:
- Grade 0: No disability
- Grade 1: No deformities but lack of sensation
- Grade 2: Visible deformities and damage to the human body
Leprosy Denotes Stigma
Dr Elizabeth Jayaseelan, Dermatologist, Nova Specialty Hospitals, Bangalore, said that even the term ‘leprosy’ raises a sense of hatred and fear to be sidelined by society. “We never use the word ‘Leprosy’; we name it the ‘Hansen’s disease’. Nobody wants to carry a stigma that they had leprosy ever in their lifetime. Social pressure, fear to face the world and the fear of being tagged as a ‘leper’ even leads to many suicidal attempts by the patients,” she added.
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Resistance and Treatment
It is seen that patients generally drop out mid-way from the treatment as it is a lengthy procedure. Dr Amit Luthra, Dermatologist and Aesthetic Surgeon, Ishra Skin Clinic said, “Many patients do not complete their treatment letting bacteria to spread in the body. To convince a patient is a task as many cannot bear with the sickness. Also, I have seen many patients delay seeking treatment. Early detection and treatment are essential for the prevention of nerve damage and eradication of Leprosy.”
Dr Manmohan Lohra, Consultant Dermatologist, Columbia Asia Hospital, Gurgaon said, “The treatment is not at all painful as the patient has to follow simple medication prescribed by the doctor. It is the stigma of Leprosy, which is painful for a patient.” Though there still lacks a vaccine, Leprosy can be cured with Multi Drug Therapy (MDT). Also, the treatment depends on the type of Leprosy. Dr Elizabeth added, “Regular treatment removes the chances of lifetime deformities. If not treated on time, leprosy can permanently damage your skin, nerves, arms, legs, feet, and eyes.”
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Knowledge Is The key
The only respite that doctors have witnessed is ‘acceptance’ by the educated class. Dr Elizabeth added, “One thing that has improved is the acceptance and the awareness from the educated class. But there is always a fear of the disease due to the stigma stuck with it.” Dr Manmohan Lohra concluded, “It is difficult to counselling the patient. We have to make them understand and acquaint with many things like the colour of skin cannot be the same even after treatment. Also, many patients have this misconception where they fail to understand that a damaged nerve cannot be fixed again.”
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