It endangers and still needs more efforts to dispel leprosy

It endangers and still needs more efforts to dispel leprosy
It endangers and still needs more efforts to dispel leprosy
Staff reporter Wang Dan Describe leprosy patient at the 20th century Michel good fortune Ke, philosopher of French, for " God's abandoned child " . Even to this day, a lot of leprosy villages in our country (institute) Hang on the outer wall " Leprosy can defend being can not be cured terribly " Slogans declare silent,for diseases such a,there are powerless no longer already on mankind. It is that the world prevents and cures on January 30 on leprosy day. Before this, some leprosy prevent and cure expert, say frankly when being interviewed by reporter, our country prevent and cure leprosy work, take more efforts even. Leprosy finds the delay one is average for more than 3 years "When World Health Organization recommended the whole world to implement the high-efficient leprosy that sterilizes and unite chemotherapy strategy in 1981, the domestic and foreign expert thinks and implements with uniting chemotherapy, the leprosy morbidity will drop naturally. However, prove, the leprosy morbidity has not dropped in the whole world notably through the prevention and cure of more than 30 years, some countries, for example rise instead in Brazil, our country faces and the similar situation in the world. " Chief of the office Yan Liang's refined what say of leprosy of centre of prevention and cure of Chinese leprosy, say the enormous challenge that the present leprosy of our country encounters. Yan LiangBin says, leprosy is as chronic infectious disease, there is not effective vaccine at present, prevent and cure the tactics still by finding in early days and treating in time. It is long because of incubation period of leprosy, early symptom is hidden, the knowledge to leprosy of the medical workers of most comprehensive medical organizations is deficient, in addition, lack the effective technology that finds the patient in early days, cause the delay of the case to find. The statistics show, in the past 10 years, leprosy has found the delay one is average for more than 3 years, the lopsided incomplete rate is still up to more than 20%. "That is to say, a patient is before making a definite diagnosis of, the patient's close contact crowds may be infected and threatened. And because infect the existing continuously of the source, will make disease spread at a same level continuously, the example is counted and remained high to result in having illness coming on newly finally. " In addition, it cause patient's subject problem unwilling to seek medical advice that the leprosy detection method is single at present. Sichuan Province the intersection of institute of internal medicine and disease accuse of the intersection of department and section chief would rather tell reporter whether though therapeutic field in leprosy make some progress these decades, but there is no great improvement yet in diagnosing. The bacillus of leprosy is the so far only not bacterium that able person's engineering trained, though and tubercle bacillus which initiate tuberculosis is all bacillus genera of the branches, but can not diagnose through advanced medical technology such as serology, molecular biology, X-ray like tuberculosis, " cut " Sick skin tissue, patient of leprosy, carry on pathology live, it examines to be a kind of important means to make a definite diagnosis of leprosy, and this kind have, create, measure, let a lot of patient too " Inspire awe even from distance " . It is introduced, finished last year <>Have already proposed " eleven five " clearly in the assessment report in middle period It have difficulty in for three major goals that leprosy prevents and cures in planning to realize, include some provinces with the county (market) Dispel for unit leprosy have difficulty, have illness coming on newly the intersection of people and lopsided incomplete rate fail control below 20%, some leprosy villages basically ' Institute) Transforming the construction project can't contribute normally. It is one of the seriously ill epidemic disease provinces of national leprosy that should solve personnel and lack problem Sichuan Province at first, leprosy has a history of more than 2000 years here. 2010, the whole province ill rate greater than 1 / county (market) of Wan There are 14. Talk these would rather be stated outright, it is the greatest problem to lack funds several years ago, now nowadays, the knowledge of medical worker at the basic level does not have high level, lack in talent's team but the subject problem. " it is an example to take Dechang county, it is the county (market) where the ill rate of 14 pieces of leprosy is not up to standard of The first, the whole county responsible for only one persons of part-time person that leprosy prevent and control at present. " Would rather said personnels part-time,it is last centre venereal disease, leprosy, AIDS the staff members of department divide into not to refer to by county disease on Dechang. Because prevent and cure leprosy with endemic disease, venereal disease, AIDS, tuberculosis and prevent and cure and mix together with in a lot of places in the whole country at present, though there is leprosy that prevents and cures personnel on the name, the efforts of launching the leprosy prevention and control in fact does not quite or scarcely carry on the work. "At present, the personnel responsible for leprosy prevention and control of the county are decades already drier in Dechang, there are clinical working backgrounds, there is disease that accuses of working experience too. Insist ' old man ' in the forefront has been already rare in each county in the work like this. " Would rather tell reporters, while preventing and curing the team at leprosy at the basic level at present, personnel change hardworkingly, the question that the gap between generations, professional ability are different,etc. is outstanding. Trace it to its cause, people's discrimination of leprosy is to the more important thing is to compare with prevention and control of other diseases such as AIDS on one hand, rough to prevent related policy support from to be insufficient and attention degree low it subsidizes little daily work load to be loud by fundsing. "Take global project of AIDS as examples, define the regulation on the project specification, as to the thing that follow up a case by regular visits to and subsidize between 50 yuan and 80 yuan once of a patient's, including travel charge, service charge,etc.. It is quite a few though country and locality allocate funds, because has not used the specification, leprosy can't be put in place in time while preventing and curing special funds, a patient only has between 6 yuan and 8 yuan to follow up a case by regular visits to the once subsidy. Even so, one that is because of leprosy high and getting prevailing in the remote mountain area, disease accuses of personnel's visiting a patient to want ' go and work in the countryside and mountainous areas ' each time, the work load can be well imagined. " Would rather say. Yan LiangBin tells reporters: "No matter the medical personnel at the basic level of nowadays, or the medical worker of the general hospital, attention degree in leprosy very low, as to clinical manifestation, diagnose, treat, know little about of disease this, happen while leaking and examining. For example, according to the data in 2007, the number of people of disease found that year only accounts for 13.6% of the ill number of people, other 86.4% of the patients can't be found in time, but enter and propagate links and is infected with others. " Would rather be thought, steady and rough to defend the team, ensure special funds, improve the attention that the governments at all levels prevent and cure to leprosy, train, strengthen media's propaganda strength to the medical worker at the basic level regularly, the aspect is made in the country exhaustive leprosy prevents and cures the project specification, all the work needed launching emphatically at the next stage. Who come, receive will it be the eighties last century such as patient such as leprosy, of our country leprosy prevent and cure tactics, realize 4 transitions, namely change from single drug therapy into uniting chemotherapy, from isolating for treatment it in order to mainly change into society's preventing and curing as the main fact, change medical treatment into antibacterial to treat and recovering to combine together from the simple antibacterial treatment, change from the single fight of the professional team into mobilizing the cooperation of social forces. "Among them, the prerequisite of mobilizing cooperation of social forces is that the public know to the straight affirmation of leprosy, but not yet fully up to expectations on this. " One engaged in leprosy and prevents and cures the expert for more than 30 years and says. As to this, Would rather have an intimate knowledge. Though the country has already transferred the leprosy prevention and control from professional organization to a general hospital and born, but the technical support unit prevented and cured as leprosy of Sichuan Province, the institute of internal medicine of the People's Hospital of Sichuan Province will still receive a lot of leprosy patients unwillings to receive of general hospital at the basic level in recent years. Would rather tell reporters, once a leprosy patient of Sichuan Province Guangan Wusheng county phoned help of request. This patient present rash at the same time liver function is damaged seriously because of the medicine bad reactions, need hospital treatment, until " whether leprosy easy to infect other patient " local general hospital In order to be rejected, mediate several times, the patient tosses about in bed to come to institute of internal medicine located in Chengdu finally. Would rather say frankly, the infectious hospital does not receive, the general hospital at the basic level is unwilling to accept, cause the leprosy patient to stay at home to accept disease accuses of personnel's entering the family and making a diagnosis and giving treatment finally. It was defended in the work that it was rough that this phenomenon became a lot of places in the whole country " Can't speak the pain talked about " . Because this not only involves the result of making a diagnosis and giving treatment of disease, but also involve disease and accuse of personnel's having legal question that qualification carries on clinical medical treatment. "It is it certain to know it is medical medical personnel at knowledge so,ordinary people on not to mention. " Chinese leprosy association's president Zhang GuoCheng tells reporters, because of each leprosy village of the whole country (institute) Have not received the new patient for more than 20 years, is held up in the leprosy village (institute) now More than 20,000 inside cure the incomplete old person, their life needs someone to look after. But situation he find out about, Jiangsu Province the intersection of Gaoyou and municipal government bid every month 1500, it is the leprosy village in the society ' Institute) Recruiting the daily server publicly, nobody applied for finally. At present, team of the volunteers of few non-governmental organizations becomes for the national leprosy village (institute) Mainstay of the service. An expert stated outright, can reach to eliminate leprosy in 20 years of 10 when being perhaps only needsed, but how dispel the public to the whole country, hundreds of thousands the intersection of leprosy and person who recover and lopsided getting incomplete discrimination and prejudice older challenge.


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