A New Species of Jasminum Linn. (Oleaceae) from Kerala, India

Sabeena, A.; Mestry, A.; Mulani, Rinkal; Kumar, Ettickal Sukumaran Santhosh; Sibin, N.

doi:10.54207/bsmps1000-2007-kh4u09

Cited by 3 publications

(5 citation statements)

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“…The G2D rate decreased by 10.1% in 2016–20 compared to the rate in 2006–15 in the same centre. [ 10 ] The reports from other referral centres nationally and internationally also showed a higher disability rate. [ 11 12 13 14 15 16 ]…”

Section: Discussionmentioning

confidence: 99%

“…This was higher than what was reported from the same centre between 2006 and 2015. [ 10 ] Other centres have also documented multiple G2D cases. [ 17 18 ] Multiple G2D in this post-elimination era necessitates investigation into the circumstances that led to this and addressing these concerns may help us in stopping the disease's spread.…”

Section: Discussionmentioning

confidence: 99%

“…The high rate of G2D among MB leprosy has also been documented in another research. [ 10 12 19 21 22 ]…”

Section: Discussionmentioning

confidence: 99%

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Disability among Leprosy Patients in the Lustrum 2016-2020

Jayapalan,

Bindu,

Mathew

2023

Indian Journal of Dermatology

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Background: The stigma surrounding leprosy in the community is due to grade 2 disability (G2D). The current global leprosy project aims towards a 90% reduction in G2D by 2030. This research was done to estimate the proportion of leprosy patients who had G2D at the time of diagnosis and to identify the clinical and demographic factors that predicted G2D. Materials and Methods: Design -Hospital-based retrospective cross-sectional study. The outcome variable was G2D and the determinants were demographic and clinical characteristics. Results: G2D was seen in 22.3% and G1D in 17.5%. The M:F ratio of G2D was 5:1. G2D was highest in the hands (62.1%), followed by the feet (59.4%), and the eyes (16.2%). The claw hand was the most common deformity in the hand and the plantar ulcer was the most common deformity in the feet. Age >45 (OR 2.27, 95% CI 1.1–4.8), males (OR 3.3,95% CI 1.3–8.5), multibacillary type (OR 6.95,95% CI 1.6–30.6), pure neuritic type (OR 3.6,95% CI 1.1–12.3), and thickened nerves (OR 14.3, 95% CI 1.9–108.7) were the significant determinants. Conclusion: Being male, being older than 45, having multibacillary leprosy, having pure neurotic leprosy, and having a thicker nerve trunk predicted G2D. Training primary care health workers in recognising the subtle early symptoms and raising community awareness are the need of the hour. Frequent leprosy case detection programmes should be held to identify undiagnosed cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Disability among Leprosy Patients in the Lustrum 2016-2020

Jayapalan,

Bindu,

Mathew

2023

Indian Journal of Dermatology

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“…This observation is in line with studies elsewhere in the world [ 16 ]. Delay in males is possibly due to difficulties for males to come to health facilities on working days because of loss of income [ 13 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…The reduction of detection delay is crucial for two reasons: (1) to reduce the transmission of Mycobacterium leprae , the causative agent of leprosy, and thereby reducing the number of new leprosy cases annually, and (2) to reduce the number of new leprosy cases with G2D and thus preventing disability in leprosy patients. Delayed case detection is associated with disability in leprosy because nerve damage usually becomes irreversibly after six months of onset [ 13 ]. The diagnosis should ideally be made within six months, allowing treatment with corticosteroids to reduce inflammation in and around peripheral nerve fibers caused by leprosy and thereby preventing loss of nerve function and the resulting disabilities [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Measuring leprosy case detection delay and associated factors in Indonesia: a community-based study

Dharmawan,

Korfage,

Abqari

et al. 2023

BMC Infect Dis

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Background Leprosy is a public health burden in Indonesia with a high number of new cases every year and a high proportion of disability among new cases. Case detection delay (CDD) can contribute to ongoing transmission and increased disability chances among leprosy patients. This study aimed to establish the CDD of leprosy and the factors associated with detection delay in Indonesia. Method Community-based study with a cross-sectional design. Data were collected through interviews about sociodemographic and behavioral factors, anticipated stigma, and duration of CDD. Leprosy classification and case detection methods were obtained from health service records. A random sample was taken of 126 leprosy patients registered between 1st October 2020 and 31st March 2022 in the Tegal regency in the Central Java Province. Data were analysed by descriptive and analytical statistics using multiple linear regression. Results The mean CDD, patient delay, and health system delay were 13.0 months, 9.7 months, and 3.2 months, respectively. Factors associated with longer CDD are younger age (below 35 years), male, found through passive case detection, and not having a family member with leprosy. Factors associated with longer patient delay were being younger (below 35 years), being male, not having a family member with leprosy, and anticipated stigma of leprosy. It was not possible to reliably identify factors associated with health system delay. Conclusion CDD in leprosy should be reduced in Indonesia. The Indonesian National Leprosy Control Program (NLCP) is advised to adopt an integrated intervention programme combining active case detection with targeted health education to reduce CDD and thereby preventing disabilities in people affected by leprosy.

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