Download IMPACT OF MORBIDLY CARE MANAGEMENT IN ELEPHANTIASIS

O -064
R. K. Singh*
A. Singh
G. C. Srivastav
S. K. Mishra
“IMPACT OF MORBIDITY CARE MANAGEMENT
OF LYMPHATIC FILARIASIS IN FIVE DISTRICTS OF
BIHAR”
Introduction
• Lymphatic filariasis (LF), also known as elephantiasis, is among
the oldest and most deilitating of the neglected tropical diseases
• It is caused by 3 species of filarial parasites and transmitted by
mosquitoes
• An estimated 120 million people in 73 countries are currently
infected, and an estimated 1.4 billion live in areas where filariasis
is endemic and mass drug administration (MDA) is needed
• In endemic communities, 10-50% of men and up to 10% of
women can be affected
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• Lymphatic filariasis causes swelling and enlargement
of limbs, the genitals, vulva or/and breasts. Over 40
million people are seriously incapacitated and
disfigured by the disease
• LF is the second leading cause of chronic disability
worldwide due to the stigmatising and disabling
clinical manifestations of the disease
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• A deranged lymphatic system lowers resistance to new infections. If
infected repeatedly, the condition worsens and becomes a source of
unending suffering
• Maintaining good hygiene prevents fungi and bacterial infection
• If regular care is taken at home acute attacks are prevented to a great
extent
• The affected part needs to be taken care of almost throughout the rest of
the patient’s life, with assistance from their families and communities
• This study was designed to measure the outcomes and impact of
morbidity care in rural setup of Bihar
Method
Self-care practices
Home-based care programme
150 (95 female and 55 Male)
LF patients
30 villages in
5 districts of Bihar
Including family, friends or
community, apart from the LF
sufferer
General information, treatment history,
disability details (entry point, acute
attack, disability grading, etc.)
Structured formats
to capture the
progress
Format
Self care & footwear
Results
Age-wise distribution
36
36
26
20
11
8
6
4
3
0
Male
Female
<14
Male
Female
15-30
Male
Female
31-45
Age-wise-Distribution
Male
Female
46-60
Male
Female
61-above
Results
Final Grade (2012)
Initial Grade (2010)
Male
Male
Female
42
41
29
28
26
25
23
22
Female
19
16
6
0
10
8
5
0
I
II
III
IV
I
II
III
IV
Pre & Post
Results
Results
Conclusion
• Morbidity control is one of the two pillars of eliminating LF globally
• WHO (2000) categorized suffering and disability due to LF into four
different aspects: physical, social, psychological, and economical
• Physical components of disability include asymptomatic or
symptomatic body conditions such as acute inflammatory attacks,
disfigurement of the body, decreased mobility and functioning of
limbs, obesity, and hidden disease
• Age is an important determinant among lymphedema patients,
especially in the treatment of legs
• These findings could help design a culturally relevant morbidity control
strategy under the public health programme to tackle LF
Thank You …