Results of field trial of POD and rehabilitation in leprosy

Title:
Results of field trial of POD and rehabilitation in leprosy

Author:
Zhang G, Yan L, Jiang J, Wei X, Wu Y, Li W, Chen X, Zhu C, Samson PD*, Watson JM* Piefer A*

Address:
National Center for STD and Leprosy Control, Institute of Dermatology, Chinese Academy of Medical Sciences, 12 Jiangwangmiao Road, Nanjing 210042, P.R.China
The Leprosy Mission International*

Source:

Abstract:
OBJECTIVES: To study the feasibility and result of thimlementation of Prevention of Disability (POD) and rehabilitation of leprosy in the fields. METHODS: According to the national criteria and principles on leprosy ease selection, 27959 cases or cured patients in 14 pilot areas were selected for the following projects: early detection and training (10500), prevention and treatment of peripheral neuritis (1 407) provision and follow-up of protective footwears (8200) and prosthesis (613), comprehensive therapy of complicated ulcers (1804) and reconstructive surgery (269). RESULTS: Nerve function improved or recovered in most of cases (166) out of 193 cases in those treated with corticosteroids. Out of the 10500 disabled affected by leprosy receiving self-care training, 6743 cases were proficient in self-care and their secondary impairments including ulcers, cracks, vision loss, etc. reduced or markedly improved. Ulcers healed in 1055 cases out of 1804 with complicated ulcers. The function and appearance got improvement very much in the cured patients who got prosthesis and reconstructive surgery . CONCLUSIONS: It is feasible to implement POD and rehabilitation project in the field conditions, and is worthy to be popularised.

Key words: Leprosy; Rehabilitation; Prevention of Disability;

Language: Chinese