Enhanced Global Strategy for Further Reducing the Disease by Regional Office for South-East Asia

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Marked oedema of the hands, feet or face. • Pain and or redness of the eyes, with or without loss of visual acuity. • Painful swelling of the joints with fever. Reactions which show none of these signs of severity, but which are limited to mildly inflamed skin lesions, may be treated symptomatically with aspirin. 1) and should be examined regularly for the same. 6. Recent nerve function impairment (appearing within the last six months) is the most important sign of a reaction requiring treatment with steroids.

Counselling and information about the importance of regularity of drug intake is essential. They should also be advised to report to the clinic in case of any problem. 4 Who is a defaulter and what should be done for people who return to the clinic after defaulting? Although every effort must be made to ensure that PB patients complete their treatment regimen in six months and MB patients in 12 months, the treatment regimen for PB leprosy must be completed within a maximum period of nine months.

Treat with a full, 12-month course of MB-MDT. 9). Any defaulter, particularly one who remains very irregular on treatment and repeatedly defaults despite every effort on the part of the health staff, may be referred to a more experienced person so that the latter can decide if further treatment is required and how much of it. 5 What is a relapse? How is it recognized and managed? Relapse is defined as the re-occurrence of the disease at any time after the completion of a full course of treatment with WHOrecommended MDT.

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