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Childhood Leprosy: A Retrospective Descriptive Study from Delhi
Sneha Ghunawat1, Vineet Relhan1, Shankila Mittal1
1Department of Dermatology, Venereology and Leprology, Maulana Azad Medical College, New Delhi, India.
Insights
Childhood leprosy remains a concern, with high prevalence despite elimination efforts. Vulnerable children require better healthcare access and public awareness to combat this persistent disease.
Area of Science:
- Medical Research
- Public Health
- Epidemiology
Background:
- Childhood leprosy indicates ongoing community transmission.
- Despite leprosy elimination in 2005, childhood case prevalence remains high.
Purpose of the Study:
- To analyze trends in childhood leprosy.
- To identify risk factors and outcomes in pediatric leprosy patients.
Main Methods:
- Retrospective analysis of 11-year records (2005-2015) of leprosy patients under 15.
- Data collected from a tertiary care hospital in central Delhi.
- Statistical analysis using SPSS 22.0.
Main Results:
- 113 childhood leprosy cases (7.6%) reported over 11 years.
- Multibacillary (50.4%) and paucibacillary (49.6%) cases were nearly equal.
- 15% experienced reactions, and 24.7% had deformities.
Conclusions:
- Childhood leprosy rates persist at high levels.
- Vulnerability is linked to limited healthcare access, public ignorance, and immature immune systems.
- Further research is needed to address these challenges.
Background:
Childhood leprosy is an important marker of the status of the ongoing leprosy control programme, as it is an indicator of active disease transmission in the community. Despite achievement of elimination status of leprosy in 2005, the reported prevalence of childhood cases continue to be high.
Method:
A retrospective analysis of 11 year records of leprosy patients aged less than 15 years in a tertiary care hospital of central Delhi was carried out from 2005-2015. Data were analysed using SPSS 22.0 system.
Result:
A total of 113 (7.6%) cases of childhood leprosy were reported during the 11 year period from 2005-2015. Multibacillary cases constituted a total of 57 (50.4%), while paucibacillary constituted 56 (49.6%) cases. The M:F ratio noted was 2.5:1. Signs of reaction were found in 15% cases, while deformity was noted in 24.7% cases.
Conclusion:
The rate of childhood leprosy continues to be high. Lack of proper access to health facilities, ignorance among the general population, high susceptibility due to immature immune system etc make this population highly vulnerable.
Limitations:
Limited data of 11 years from an urban center were analyzed.
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