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Leprosy

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Leprosy is a long-term infection caused by tiny bacteria.

Mycobacterium leprae in Magnification of 2000X
Mycobacterium leprae in Magnification of 2000X

These germs are called Mycobacterium leprae and Mycobacterium lepromatosis. This sickness is also known as Hansen's disease. It matters because it can cause serious damage to the body. It can hurt the skin, the eyes, and the respiratory tract. It can even damage the nerves that send signals through the body.

Leprosy
Leprosy

The way it works often starts with nerve damage. The bacteria can bind to Schwann cells in the nerves. This leads to inflammation and a loss of nerve function. Because of this, a person might lose the ability to feel touch or heat. This loss of feeling is called a loss of nociception. If a person cannot feel pain, they might get injured without knowing it. These unnoticed wounds can lead to the loss of fingers or toes.

Monofilament testing
Monofilament testing

People have studied this disease for thousands of years. The name leprosy comes from a Greek word meaning "scale." The name Hansen's disease honors a Norwegian physician named Gerhard Armauer Hansen.

Gerhard Armauer Hansen
Gerhard Armauer Hansen

Scientists who study leprosy are called leprologists. In the past, people often treated those with leprosy poorly. They sometimes lived in separate places called leper colonies. Japan had laws to prevent leprosy, but they repealed them in 1996.

Municipality of Culion outlook from local hillside
Municipality of Culion outlook from local hillside

There are many important facts about how the disease spreads. It is not highly contagious and is spread through close contact. It can spread through a cough or contact with nasal fluid. However, 95% of people who are exposed do not get sick. In the 1980s, there were 5.2 million cases around the world. By 2020, this number dropped to fewer than 200,000 cases.

reported cases of leprosy, World, 2023 (cropped)
reported cases of leprosy, World, 2023 (cropped)

Most new cases happen in 14 countries. India has more than half of all new cases.

Today, leprosy is curable with a thing called multidrug therapy.

MDTRegimens
MDTRegimens

Doctors use medicines like dapsone, rifampicin, and clofazimine. People with paucibacillary disease take them for six months. People with multibacillary disease take them for 12 months. The World Health Organization provides these medicines for free. This helps people live normal lives with their families. They can go to school and work just like anyone else.

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🖼️ Images & Media (13)
File:Mycobacterium leprae in Magnification of 2000X.jpg
Mycobacterium leprae in Magnification of 2000X.jpg
File:Monofilament testing.jpg
Monofilament testing.jpg
File:Leprosy; patients showing symptoms. Wellcome L0077162.jpg
Leprosy; patients showing symptoms....
File:Municipality_of_Culion_outlook_from_local_hillside.jpg
Municipality_of_Culion_outlook_from_local_...
File:MDTRegimens.jpg
MDTRegimens.jpg
File:reported cases of leprosy, World, 2023 (cropped).svg
reported cases of leprosy, World, 2023...
File:Gerhard Armauer Hansen.jpg
Gerhard Armauer Hansen.jpg
File:Distribution of leprosy around the world Wellcome L0032805.jpg
Distribution of leprosy around the world...
File:Leprosorium.jpg
Leprosorium.jpg
File:Leprosy bell.JPG
Leprosy bell.JPG
File:Leprosy.jpg
Leprosy.jpg
Mary Glowrey (1887-1957) with a patient...

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