WORLD HEALTH ORGAN I ZATION
ORGANISATION MONDIALE DE LA SANT~
REGIONAL OFFICE FOR
THE WESTERN PACIFIC
BUREAU R~GIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMI'l'.rEE Fourteenth Session Port Moresby 5-10 September 1963
TECHNICAL DISCUSSIONS
WP/RC14/TD3 22 July 1963 ORIGINAL: ENGLISH
GUDJEL.rnES FOR THE TECHNICAL DISCUSSIONS
"The Role of the Local Health Services in Leprosy Control" 1.
General Considerations .. Influencing factors The prevalence of leprosy - the extent of the problem The Central Leprosy Service of the Health Programme
1.1 1.2
l 1.3 '(
a) b) c) d)
Overall planning - administration and execution Planning for participation of local health services Training of personnel Supervision - consultations, assistance, co-operation
The stage of development of the local health services
~a) ~c) d) 1.4
b)
Personnel - availability, training Financial resources Health programme priorities Relationships with Central Leprosy Service .. leprosaria
Leprosy legislation Technical Considerations Treatment of cases of leprosl Selection of cases for treatment by local health services Early treatment - importance of Drug of choice .. Dapsone Administration .. schedules 1 oral, parenteral Reactions
)
2. 2.1
WP/RC14/TD3 page 2
2.2
Follow-up of cases under treatment Importance of early regular treatment Home visiting Priorities
2.3
Case-finding Importance and feasibility of early diagnosis Examination and surveillance of contacts Examination of - routine out-patients for leprosy selected groups - schools, recruits, employees, etc. groups collected for yaws surveys, immunizations, etc. Priorities
2.4
Follow-up of discharged patients Finding of relapsed cases - lepromatous Priorities
2.5
Health education In clinic, home, collected groups, patients
2.6
Social Services Assistance where possible
2.7
Rehabilitation Prevention of deformities by early treatment Mental and social
2.8
Training in leprosy Medical officers Nurses and other health personnel Para-medical personnel Ex-patients
2.9
Problems and limitations