NATIONAL LEPROSY

ERADICATION PROGARMME
 CURRENT STATUS OF LEPROSY
 The prevalence of leprosy has been brought down
from 57.6 cases/10,000 population to 0.72/10,000 in
March 2009.
 32 states/UTs have achieved the status of leprosy
elimination except for Bihar, Chattisgarh, D & N
Haveli.
 Proportion of children among the new cases is 10.2%.
 Among new cases, 2.8% have visible deformity and
48% were MB cases.
 HISTORICAL PRESPECTIVE
 1955 : National Leprosy control prog was launched.
( early case detection of cases and regular sustained
Dapsone monotherapy)
 1983 : National Leprosy Eradication programme
with MDT.
 1988 : Whole country was covered with MDT
 Technical guidelines :
case detection
 Mainly voluntary reporting.
 Active case search is indicated in blocks where PR is more than
5/10,000.
 Case detection is mainly on clinical grounds.
 Disease activity status is indicated by
 Erythema and infiltration
 Tender nerves
 Extension or appearance of new skin lesions
 Extension of anaesthesia or paresis or occurrence of new
anaesthetic areas.
 Presence of acid fast bacilli in new skin lesions.
 Technical guidelines :
case detection
 WHO CLASSIFICATION
Paucibacillary Multibacillary
PB MB
Skin lesions
≤ 5 lesions 6 and more
lesions
Nerve involvement
No /only one More than one
nerve trunk nerve trunk
involved involved
 Technical guidelines :
Treatment Regimen
 Multibacillary (adult)
Duration : 12 months
Supervised once a month :
Rifampicin 600mg
Clofazimine 300mg
Dapsone 100mg PLUS
Unsupervised daily (self administered) :
Clofazimine 50mg
Dapsone 100mg
 Technical guidelines :
Treatment Regimen
 Paucibacillary (adult)
Duration : 6 months
Supervised once a month :
Rifampicin 600mg
Dapsone 100mg PLUS
Unsupervised daily (self administered) :
Dapsone 100mg

MDT drugs are supplied in blister calendar packs each containing four
weeks treatment.
c/I for drugs : severe anaemia, liver and kidney disorders
 Technical guidelines :
case holding
 Regular attendance of patients is ensured
through intensive health education, pre-clinic
motivation and default retrieval action
through contact by leprosy workers or by
mailing reminders.
 Technical guidelines :
Surveillance
 It is done by clinical examination at the time
of completion of treatment and
subsequentaly annually for 2yrs in PB and
5yrs in MB cases.
Major initiatives

 Treatment completion rate

 Disability Prevention and Medical
Rehabilitation
 Intensive IEC
 Involvement of NGOs