290 likes | 599 Views
وزارة الصحة. Ministery of Health. بسم اللة الرحمن الرحيم Leprosy in Saudi Arabia. Supercourse. Presented by:. Dr Khalid Al-Aboud Medical Director and Consultant Dermatologist. King Faisal Hospital, Makkah,Saudi Arabia. E-mail amoa65@hotmail.com. Background. L.
E N D
وزارة الصحة Ministery of Health بسم اللة الرحمن الرحيم Leprosy in Saudi Arabia Supercourse Presented by: Dr Khalid Al-Aboud Medical Director and Consultant Dermatologist King Faisal Hospital, Makkah,Saudi Arabia. E-mail amoa65@hotmail.com
Background L eprosy is a chronic granulomatous diseases caused by Mycobacterium Leprae.It is regarded as public health problem because of its capacity to cause permanent disabilities with their social consequences of discrimination and stigma It is of 3main types ; Tuberculosis, Borderline and the Lepromatous.However, there is a neural type which affect the nerves only.
Leprosy It is also known as Hansen disease after the scientist who discoverer the M Leprae
M Leprae It is similar to M tuberculosis but resistant to culture. It is an obligate intracellular microbe that multiplies slowly. It has a predilection for cooler areas of human body (skin, peripheral nerves, nose, anterior chamber of the eyes). It has 3 main targets: peripheral neural tissues (Schwann cells), small vessels, and monocytes.The skin and nerves are the most commonly affected organs.
Armadillo Some types of monkeys Rabbits and Mices (foot pads) Animals that may harbor the M Leprae in nature
Leprosy It is known in Germany as ,Aussatz and as Prokaza in Russia and as Lepre in French and as Lepra in Spanish and as Mafung Chinese and as Raibyo in Japanese and as Kushtha In Hindi and in most Sengalese languages , it is known as ‘’The great disease’’
Mainly respiratory route . Others (broken skin lesion ,Pregnancy, insect or contact with animals that harbor the organism) Leprosy Ways of Infection
Main Types of leprosy Borderline Tuberculoid Lepromatous
Few morphologies for leprosy Hypopigmented patches Nerve enlargment Nodules on the ears Neurological deficits
Clinical features. Smear or biopsy from the skin lesion stained with Fite stain . Lepromin test : Intradermal injection of M Leprae.It is a tuberculin type of reaction. Diagnosis of Leprosy
Leprosy Approximately 83% of the leprosy cases live in 6 countries: Nepal, Madagascar, Manamar, Indonesia, and especially,India and Brazil.
Leprosy in Saudi Arabia It is known to exist in the Saudi Arabia for long time. But, it is not a public health problem. Ministry of Health has established the Ibn Sina Hospital in 1963 , a specialized hospital for leprosy, in Hada area, around 35 KM from Jeddah.
Leprosy in Saudi Arabia The prevalence of the disease decrease from 3.27 for each 100,000 in population in 1984 to 0.14 for each 100,000 in 2004. Most of the cases are from expatriates coming from endemic areas.
Registered leprosy cases in Saudi Arabia from 1978-2005 Total =2542
Leprosy in Saudi Arabia ش Northern boundaries اAljoof Tabouk Madinah Riyadh Makkah Eastern province Albaha Najran Assir Gazan Most affected region
Reported cases of leprosy in Saudi Arabia from 1995-2005 according to the nationality
Reported cases of leprosy in Saudis from 1995-2005 according to the sex
Reported cases of leprosy for non-Saudis according to the sex
Reported cases of leprosy in Saudi Arabia from 1995-2005 according to the sex
Distribution of registered leprosy cases in Saudi Arabia from 1995-2005 according to the nationality Number of cases
Distribution of registered leprosy cases in Saudi Arabia from 1995-2005 according to the sex Number of cases
Distribution of registered leprosy cases in Saudi Arabia from 1995-2005 according to the region Number of cases
Distribution of registered leprosy cases in Saudi Arabia from 1995-2005 according to the age Number of cases
Distribution of registered leprosy cases in Saudi Arabia from 1995-2005 according to the city
Distribution of registered leprosy cases in Saudi Arabia from 1995-2005 according to the age