Sunday , January 17 2021

Leprosy, stigmatized disease: almost 300 cases were registered in the country



In the Argentina are being diagnosed around 300 cases o leprosy, a illness stigma and very much for those who suffer from it, which creates discrimination other than those affected, although only 5% of cases are; n stupid.

The Lepros was one of the oldest diseases described in ancient times and has deteriorating populations and producing face-to-face forms and losing members. Their stigmatics broadcast cultures, borders and humanity ages.

"Having a leprosy amounted to being a sinner, which meant separation, abandonment, exemption and restoration in the known" leprosarium ", which was in force until the 1960s. That science was not until 1940 I developed effective treatment, if it was applied early, "explained Gabriela Ferretti, clinical doctor, neurologist, legal expert and medical examiner (UBA).

Ferretti stressed, despite the evolution of science, "information about diseases and developments in diagnostic and treatment methods, leprosy or Hansen disease continues to carry a bad reputation for bad reputation and, today, those who suffer this pathologist must cope with a lot of stigmas, which not only affects the quality of life due to the disease itself, but also for all psychological factors that accompany her ".

Leprosy is produced by the Mycobacterium Leprae (Hansen bacillus), discovered by the Norwegian doctor Gerhard Armauer Hansen in the year 1874. It is probably one of the first diseases produced by bacteria acknowledged. More than 200,000 cases have been diagnosed in the world of the year, although their distribution is not completely heterogeneous.

India focuses on 63% of those affected, and then Brazil, with almost 12% (about 25,000 cases, which corresponds to 92% of people with a leprosy in America). It is always linked to poverty, overcrowding and lack of education. In Argentina, an average of 300 cases per year is reported, according to data from the Pan American Health Foundation.

However, the Argentine Dermatology Association estimates that many patients are not diagnosed. The areas that have identified cases of leprosy in the north and central parts of the country: Chaco, Formosa, Corrientes, Missions, Santa Fe, Entre Ros, Crdoba, Santiago del Estero, Tucuman, Salta, Jujuy, Buenos Aires a & # 39 ; r Federal Capital. Although the northeast states, north of Santa Fe and the population councils of the Great Objection, Rosario and the Most Buenos Aires are more important, internal migration means that the spread of the disease is possible to any part of & The country.

"However, although it is an infectious and transferable disease, it is very infectious, in fact, only 5% of the people who are exposed have been infected, but not That is all, so that the assault of a person to a person may take place. Direct contact and long-term relationship, the incubation period (time between the infection and the exposure of the disease) is 3 to 5 years, "said Ferretti, who is the vice president of the Association of Buenos Aires City Specialists. (ABOUT) and a member of the Biotica Council of the Latin American Human Rights Foundation.

Endemic disease

Despite the fact that the number of cases is very low compared to the other regions of the continent, a leprosy is considered to be an endemic disease, because this figure remains stable over the years and is not predicted to eliminate the region. . Its symptoms are specific, as it simultaneously contains different organs.

Mainly, there is evidence of the peripheral and nerve skin, with the appearance of more or less places or bikes with a larger pigment, which creates an increasing reduction of sensitivity in the area, each hair and absence of transmission. At the same time, the peripheral nerves are affected. Two diseases are classified according to clinical symptoms, but WHO simplifies it into two categories: one of them, the more unsafe and less infectious course with up to 5 skin lesions or paucibacillary form, and another in more aggressive and infectious, with more than 5 lesions or multibacillary form.

The approach is through the nasal secretions, which is more among people with the multibacillary form. "Mycobacterium Leprae is an organism associated with the Tuberculosis bacillus, both of which are presented to human cells and the evolution of the disease depends largely on the victim's immune response. . " Both of these diseases also require antibiotic treatment. at least six months, which in many cases make compliance difficult, "said the expert.

Although there is no specific vaccine for a leprosy, vaccine for tuberculosis (BCG) appears to have a protective effect. Meanwhile, it is estimated that there is an individual's tendency to suffer a leprosy that could be hereditary. In addition to skin areas, we can find granulomas (such as skin barriers) that are the result of the inflammation that they produce and which responds to each individual . The marginal nerves are also affected by a change in their function of transfer of sensitivity and motor barriers.

Early diagnosis

Ferretti assured that "the appearance of skin areas (lighter or darker) with persistence is a reason for consultation, as you are in the presence of a leper".

In that sense, he emphasized that "early diagnosis allows more effective treatment and high opportunities for improvement, as well as conducting an investigation into other causes in the immediate environment and preventative treatment when necessary." "In our country, the treatment is provided free of charge through the National Program for the Battle of Lepros (Public Health of the Nation) and includes two or three antibiotics that must be placed between 6 months and a year, "it came to the conclusion.


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