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Created with Fabric.js 1.4.5 Endemic in the Amazon Region of Brazil Leprosy/Hansen's Disease This region counts with Indonesia and India for 77% of all reported cases world wide Language: PortugueseWorld's 5th largest countryGDP 2.23 Trillion USD (7th)Racial discrepancy: white workers double incomeof black workersFastest growing major economyFemale president: Dilma RousseffHealth Care Infrastructure: free primary care, funded by taxes, but some rural areas are hard to reach and do not have a hosptial Leprosy Surveillance System in Brazil (since 1999)- Notifiable disease since 1980- Reported cases are recorded in health authority database- Cases in database go to the Ministry of Health Education-->Leprosy = Hansen's disease (1988 change) = pamphlet understanding in general population Medication adherence Brazil 341,849 MD's,1,277,381 nurses to 199,000,000 people Host Agent Environment Unhygenic living conditions, overpopulation, malnutrition Symptoms: disfiguring skin patches/sores/bumps, peripheral nerve damage Complications: Blindness,disfiguration, ED, kidney failure, muscle weakness,chronic, stuffy nose,permanent nerve damage including arms and leg, loss of limbs Droplet Infection Caused by a slowly multiplying Mycobacterium leprae Approximate time untilsymptoms appear: 5 to 20 years Incubation period: 5 years The organism has never been grown in bacteriologic media or cell culture, but has been grownon mouse feet Chronic but CURABLE disease Worldwide: 1-2 million are permanetly disabled double click to change this title text! double click to changethis text! Drag a cornerto scale proportionally. double click to changethis text! Drag a cornerto scale proportionally. double click to changethis text! Drag a cornerto scale proportionally. double click to changethis text! Drag a cornerto scale proportionally. Primary Prevention Treatment Education double click to changethis text! Drag a cornerto scale proportionally. Information campaigns in high risk areasEncouragement to self-reportEncouragement to receive treatmentTreatment is free of charge 94 % cure rateMultidrug therapy (MDT) with dapsone, rifampin,and clofazimine for 6-12 months Avoiding close physical contact with untreated patients(avoid touching rashes and body fluids)Leprosy treatment integrated in general health servicesAnnual monitoring for 5 years following diagnosis Vaccines under developmentUntreated: nerve damage, muscle weakness and atrophywith permanent disability Facts Tubercoloid leprosy mild form (70 %), lepromatous leprosy more severe form M. leprae only divides every 2 weeksLeprosy: Bimodal age distibution (10-14 years and 35 - 44 years)Men > WomenChildren gender affected equallyEliminated means <1/10,0002009: 119 of 122 endemic countriesleprosy was eliminated with MDT Only 11 % of Brazil's population lives here Nursing Role Focus
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