KANTHEREDU NOODI (HANSON'S DISEASE)
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- KANTHEREDU NOODI (HANSON'S DISEASE)
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FOREWORD
Ignorance leads to myths about diseases and creates fear
which can be dispelled by information and knowledge accumu
lated through scientific studies, about the causation of the
disease process and treatment methods. Leprosy is a glaring
example of such misconceptions and therefore the terrible
stigma attached to it. In this slim book on Leprosy, Masila Mani
has done an yeoman service in sharing his experience in a
simple and readily understandable format to the common man.
At the same time the information presented is comprehensive
and scientifically accurate.
Epidemiological, clinical features, and diagnosis have been
dealt with sufficient details and the book is punctuated by
excellent illustrations of the skin lesions.
The community health workers, the multipurpose workers and
even physicians would be greatly benefitted by this third edi
tion of the book KAN THERADU NODI (Hansen’s Disease).
I appreciate the efforts of Mr. Masila Mani in publishing this
book.
Bangalore
4, August 1997
M. Gourie-Devi
Director & Vice-Chancellor
Professor of Neurology
National Institute of Mental
Health and Neuro Sciences
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Dsactf : 7 -4 -97
No.HFW/2/267742
Date: 1-4-97
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Government of Karnataka
Offi : 2870943
Phone General: 2873151
Extn : 290/246
CTO IIII
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Dr. (Capt.) V.G. SHETTY,
Director
M.B.B.S., D.P.H.,(Cal), F.I.S.C.D.
Ananda Rao Circle
Bangalore - 560 009
Health and Family Welfare Service
Date/assotf 31-3-97
: 819 :96 - 97
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GOVT. OF INDIA
Regional Office For Health & Family Welfare
2nd Floor., 'F‘ Wing, Kendriya Sadan
Koramangala, Bangalore - 560 034.
% Direct: 5537310
Office : 5537688
Fax : (080) 5537310
NICMAIL - ravi@rohfwbngkar.nic.in
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Dr. K. RAVIKUMAR
MBBS . DPH. MIPHA
CHIEF MEDICAL OFFICER
Date : 6-8-1997
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(oi) eJcy^fdbUJid (Lepromatous),
(25) dad^eSc^edbti^j^NonLeprornatous),
(X))A)fd5aodd e3coja|fc&it3?j6'(Borderline Lepromatous).
d? duadd©, odas^naddLia o^cdo zoriod d^draeri sar3Ai&/a<&,d
dxd^de ziaojisb rijaedO&s&doid. ^dd^ e^Xi
<2odo
^dodos^d. s^odd °?do oedj ddoodd dodd saEsahode
rbraaarizoadcd edzsa doe© S?b8oA>d ddado ddris?©, odadjcsaddaa
ZjOda ddS, dOddFdrda^.zozdcd.)
^cd EJ^dozpi dodd©, toocd ed,^ ioe^odo^ s^dsd&d
sdd5odafi sLraedzosdcd. djdrzs^d do^ararssah ssadroAcb^eie,.
d&5.e, ddbdeoandod_S d.
14
z5c5<sbr<sA5
cuQoiodjdo asarba zoeZoedasartd;^
djad, ^dod^d. sJOedd daed shrift ^do^ae^. ^dd^ dd &s(
-d?rV Xifdjaodd
(Pure Neuritic Lcprosy)30di ddoSooadod^d.
doddjaerid art, d^Oj dsJdoSja^djdo sfratf,.
ds
do^djaertdcD,
AtaodHrd sartja esraodriFu Ofdo±> 3ddo ad^ad doddaaerid
edrarfelra ^dod d. ^cb aodo s±>cd. e±> x> d. ^edj Oe^cdO J^aodfiFf!
daaeddd^ aLiae©2>dd stodj Oed esaodhFd daaeriddo, adasoodd.
eronj^draolran oa, £bd^ zs^or^ ^nretfdrasdrf^ sjO&eiC^jsera.
rfftre^drari s^sad
1. a.23 B.B.
1. SO I
2. 23.^0* B.L
2. 13. U. T.T.
3. d3ej6'.<dCJ€' L.L.
3. 23.13 B.T.
(2J3o3 2336dO00dexra,
(dds3 2336deoadejai
eodd <30.23 M.B.)
eodd &.23 P.B.)
zodod d
^cadjaert dz^d cjaddecxb dosdd dsardie&d ESfiFeddraid d,sad
1. 23.£>0*
B.L.
2. isu'.iie8 L.L.
1. SO I
2. t3.U. T.T.
3. df^o* dja^de4' P
4. Aedraodd ao6ac^ -
(2J3oO 2336deBO±>eX0,
cb.esooois^
B.T.
o
(3d^ zo^deooiseja,
eodd 30.23 M.B.)
eodd 3.23 P.B.)
zjdod.d
15
^ddddJa«X sLseOA fioeacrori ao<d> sJ.d,
«aJ eJ d.ss.sJ
6 o Socdacbd-o c5.
Epsd^eoi
dhFeddcad©
aad
jja.sJeo
wad
eaodO
d.d.
•
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co
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tSUjd ded
sbdra d6336^do^ae^. oj&^eod ^^dusert SdijaFeEsa oi©e&s?3od
eaoi>©, 3osj djsdid B30±>F^^Fdq,dJ3 a?3dseo±) sio^d
sJsssFfddj^ dhFfudradF^e ez^sdronu^^ra^de^ocd sbadsiajnd.
ejaod SdQ 53o±>F^,do^ edou^usjartd’odo oirad cdrod
dhFe^drad© oiracb oiratib ;jad> ts-sieD uaodexra , oiracb oiracb
dd^ j536sie>D eao&ex©^ dcbss dowodi rijas^rtdodi
dhFfSdradd^ dxod ^adoifid.
16
add
djaertd sSfiretfdra Classification of Leprosy
6
1
wab 233,/toO
M.B.
o
BcW us,?too P.B.
eodcra&/ot>
1 .d«&/si>us* (Lepromatous)
(^0,0*1953)
2.A,erfno3d d^edsus*
6
o
(Tuberculoid)
(International
(Borderline Lepromatous)
2.
Madrid 1953)
3.^3*rdeddfi,(Smear positive)
(Un determinate
Leprosy)
(Un determinate)
Io5,2jo**>6osc£>5t3* (Tuberculoid)
wsbso^d ba.uo*
foerxxxxs*
0
o
(Borderline Tuberculoid)
2
OB,
1) a.c5.
Midborderline
1) S3
I
tsa&on*
2) a.ao*
B.L.
2) iW
T.T.
3)
L.L.
3) a.L3
B.T.
zjsdSeoi)
1) ao5
L
1)U
Indian
2)
N?L.
2) ao.aM.A
Ridly &
Jopling
3
T
P
3)
4) as5 ? iso* N?L
Mdodd 04^*4
4
zfosddUaertezs d
z^wseoi)
aJoss’cS 1983
1) aeTLao* L.L.
2) a.ac*
Indian Asso
ciation of
Leprologists
1981
(Consensus)
B.L.
Siesissodd
1) WjX*5! 1
2) UJjtOU* *,0105X3* T
3) t^p,o*
P
4) wslno^d U56t5O* -
*,0105X3*
17
B.T
ados fid
I. aa^fzd oi^dserorsif d^deddda, duaerrarao sarSdados^do)
a) di add© aodDod ado ■&<? did risk ^dad d.
b) aoda dd ^s^djaeriaod sadodandodjda.
II. ado oi^djafrorao (d^dedddS, daaenarao sarfdadod)do)
a) ds add©, tsdo «$aa ed^od ca^ ds? diz3Jri«?diSe)di.
b) addo odss edu±od s°d^ ddrisb asadoiiaAdodjdo.
djsfrtd djaeond ada
di djaertd djaensraid) dfcodd^ d;de&^, djacrfd djsdci
e^rari^d^ d,&3dade» de sad edaodd^djafrtd i&afodd esdQ
iidjOahd.
yuraddreri^o
djaeriri^o
djserid wjaeoid udd
saod
^od rtodrts?od 5 adrtsfe
odi„e-
14 dod 15 ddri^O
^da&jodjaert
16 dod 17 Odrisfe
a^fDoira
2 Dod 6 adrido
d.sadd
€> •
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12 Dod 14 adri^o
di^djaertd e^rarto saf&j&a^en 2 Dod 5 ddFri^o de&.
Seid) esadrod ^oddrri^S .eddsira diel.S/® di djaeri eo.Esri^
fc>de Sorfcbris/©COo±ua ear^ojadzjuddi.
V
18
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couotf
AJc>O5c).s^0^^OiO 7j3i>.Zj^.^K^O
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uasddaaert dsdaaEocd ioeoa Edrircd tarideaa 5373d) rereads! zaea
oesoda ^jaeodard^a, zsFdbzocadodo, idjatfrecd sdada^ essadaaert^d
ssasajddraudO, adib) addcdodpd. zoud sdrifcd zoddO, d? sadrerteonafi,
daaddaaertaod
dd'dasdsdd dosd.OU
adzda.
o
da^djaert zaeaa^ sdodaaeiaadodasddeaja^ rer5&3jatf,zaadacda.
Aiaz^adraaron dasd-jada de.55 dab,
tfaa^daaeftritfa 20 assdrd
3doirae<badoda3dda,de.45 dabj das^daaefWa 20 dairr!^ dodd d?
djaeri^4 dasajddda.
d; cbaenris?<£), deod.80 de&j zsdooid djaeri addenda, d? djaenri^
ajOSj^f
sdjaoadaaS deod.95 dabj wdjaert6a^odda,d djaeri^
aaOodrarta^aea,. odpod
d? daaertd arin edod e^Faed.
daddjaedaj) dada^ Ajadaaad aoeda ^aadaad^ daaed. Ajjadjaoj^caaM
Ajjdrzi^dd©^, tsdaaertado^dod saraaad edetfdSpdaja d? daaeri
adad adaaadad^cj aoa Se^rfodaja ^jacd esrfeoOdep.
esjde^ Aj.odao ^ead^da, doaec^a drieaaad adada sbaeodo driecd e?3ed
Oedoda dac^djaefirt’&aedid cod adaaadasa d. add aaepdba da diaeriada^
aSdadaaa^aea,.
daddaaeriEd) rieddda adoda. aooriddSpdaja BarS^&Q^^ri.&jrfd
d? daaert^ rtoddda aded^ zaSairortas^d aaoeda et^adaadritfa d<?£>33.
addcdaaS
dapdaaert Ajasdaa^aaan t^odacdod, ro^oaod oddedod rf. odddjri
Nodded draeHodaa tdaaj^ari, A>efda aoaecaari, e^dsaa erorb^caart
dUaenaraarisda na'S’oda©, zddda tsdLraeripdodd cdeadadda. i^edadpd.
19
zsa.d.eDoijarttfo
djaeftda
Eirad,dea^,djadd£,daddorija oasadaffaDcairartaaadida. dnodd
Sd.Azxad wdas ©asadaidOdad doenarajri^o dra ddoia©, dadas^
dada, ded A>addrt$?od daad daad d^deddd^ deadzadada.
z^oda djdedd aossadaad, easadd ez^dri^a, darSd riara,
^djrtvadjd) daaertd dddad^d sadrade,. add zs^ d6dcda ded
ddddada, dz3 A daaeridda ddrtd.zae ;sadad,Fdda d,O dzaea da.
d&jSDod dddaaert dddad^d Eaozoacb doda AiaEirad6 3e>jd.
add d? djaeAri'& Asosa^dac eo,d OeSoS> dLraert^ dasa^dddb.
coca^n AiadFaduDd eddaacsd ded dod^r ^doadda.
tfod daaertdd^ xjado^doadod dauad dozidrttfo dado^
d/a^rrtjd&ead zsaddrteo
Seadd ej’dsj^od
1)
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sSaeSd eMo e^dd: i&sbr sadro, dedda Adreosa. de^ &aedd
dOreas±>E3ah E±da^Bri oUaert &adad d^Ocdaea,.
2)
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daaeAcda
dod^do^&^djafnrfvanddedda,. edd aaa^d edea,. aaeua,
djSjaoiT^, edasa ^cda deri edado&eoia ot^dpe asadcdae, 3ead)
Eirad6E±>ris?od dddad daaerirWod oa^djaeriE^p z^oda. esdood
a&dpod oiJsdja da^djaffiri^ea,.
dod.saoia ^zjjdja, das^djaertEiod dd^a^da^, da^ea^daa
«djaeri6dodE5ahdad eade^ eronaaodrert^d. dod tfaa^djaertd
cctaE^de d6«, ^ea,d jbuaozjrW^ok/a, &E$dL/aeri dd.oiraBd.
20
3. toe^djaeri -
dozxidrWod
°?oda d.Soiraza.ortja eaaad doiadda, erootia drasdad z^oda
djadsi
daaeri as^.. «?daaoda dda, o Ortra riaa3 dad asada
^odd dsasafidad daazrt. add ^ddd,
eJ drodfead doasada eloftS
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(djaertri^ ddzs^,a?f dddarWd^ sari ena^&a^cafid)
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d,dod> dada dodead dp.drW daed zpetJd dOraada aedadd.
dd. wdjaert. do?5 oia d.sad <^od dJaerWa ddddd wdcaadrs,
Aiadjad^ doartaa ddads?t5oi> zadeaadfsod dOreadarohd.
d.oH^dod
aad rfda„ odadasdondad ezsa'n’daonan.d^ djaerirto
eno
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?jaz3f3and. -d? daaertCU sadzaaad daasa^raa
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22
ddri<& d>ddJaertd otf/arteex edcL-a ddri^d^
t?dpod
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dda,o rifdd
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sadra, de^djaehrtsb derode Oedod dae/faJri Zu^rortesyS.
drodrod &6sex>rt'&
eroodariddida.
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djaert ddduddcssd dod^ dddd djaeArf^i), rod)
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sodded auoddd e
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23
daad^daadacaad^ d^dea.
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ddad. Sedea ddad Ort ^edaddea. odd© saraad ddaadd,
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edrart'e cart •SSdaSaasfc.djda erid.
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rtada3?iad)da od<^ Ahead.
edSA di OfSo±> ea^eari^ eari^ s^addeSa.
1) ddard arao oSaee^ riarad©, ^t.32*^ BsrSft&asfc^d. (ddar
ajdv dcdasari, deac^odsrori Sodri daa^oiosda^d.)
2)
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^s?da-
diaoadod odri^a dedd o±iad;df zparidS, sarf^dja^adada.
3)
dedd Sod; zjsrtrisb djSrd edadddd^ S^do&as^dPd-
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o±sad)de ddaao ed*32 a^dn, das^daaeri assadraa dodoia d^d^d,
edna
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doe^daseri^ zSddj:
1854 d©CO zaaddd
d.d.4eo±>
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•
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Dr. Mouat
aada^d
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Soddaaeri dedjri
erodoiaaeridad "eased daaeri," aada^d txada ^F^cdad^ ridajaddda.
24
dodd 1903
"Engel Bay"
ad^djjdb aodb StefiJ
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1909 d©co
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25
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35
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36
ACKNOWLEDGEMENTS
I am deeply grateful to the following people who have been my inspiration
and strength, even willing to sacrifice their time and energy to bring out
this booklet.
Most. Rev. Alphonsus Mathias
- Arch Bishop, Bangalore.
Dr. R. Ganapati
-
Dr. Daisy Kandathil
- AIFO - Regional Representative,
Bangalore.
Mr. M.V. Jose
- AIFO - Regional Administrator,
Bangalore.
Dr. C.M. Francis
- Convenor, CBR Forum, Bangalore
Dr. Maya Thomas
- Consultant in Rehabilitation, Editor Asia Pacific Disability Rehabilitation
Journal.
Community Health Cell Team
- Bangalore.
Director, Bombay Leprosy Project,
Bombay.
Sr. Jacqueline, Sr. Laurent-Marie Sr. Maria Recchia, Sr. Jean
Daughters of Wisdom
Bangalore.
Dr. Girish
-
D.L.O., Bangalore Urban Dist.,
Bangalore.
Fr. Maurice D' Souza, C.S.C.
-
Provincial, Fathers of Holy Cross,
Bangalore
Fr. James Mundackal, C.M.F.
- Director, Sumanahalli Society,
Bangalore
Dr. M.H. Srikantaiah
- Banashankari II Stage, Bangalore.
Mr. Joe Paul
- Associate Director, "REDS",
15, Curly Street, Richmond Town,
Bangalore
Mr. N.P. Swamy
-
Hon. President, Karnataka
Slumdwellers Federation, Bangalore
Dr. Shrdi Prasad Tekur
- Bangalore
Mr. C.M. Nagendrasa
•
Proprietor, Megha Vision
(Dealers in: Audio Visual
Equipments)
24/1,1st Main Road, C.K.C. Garden,
Mission Road Cross, Bangalore - 27
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