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An assessment of the reported impact of the COVID-19 pandemic on leprosy services using an online survey of practitioners in leprosy referral centres.
de Barros, Barbara; Lambert, Saba M; Negera, Edessa; de Arquer, Guillermo Robert; Sales, Anna M; Darlong, Joydeepa; Dias, Vivianne L A; Rozario, Benjamin Jewel; Pai, Vivek V; Alinda, Medhi Denisa; Listiawan, M Yulianto; Hagge, Deanna A; Shah, Mahesh; Lockwood, Diana N J; Walker, Stephen L.
  • de Barros B; Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
  • Lambert SM; Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
  • Negera E; Department of Dermatology, ALERT Center, Addis Ababa, Ethiopia.
  • de Arquer GR; Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
  • Sales AM; Lepra, UK.
  • Darlong J; Leprosy Laboratory, Oswaldo Cruz Institute, Fiocruz, Rio de Janeiro, Brazil.
  • Dias VLA; Leprosy Mission Trust India, New Delhi, India.
  • Rozario BJ; Leprosy Laboratory, Oswaldo Cruz Institute, Fiocruz, Rio de Janeiro, Brazil.
  • Pai VV; Department of Medicine, Leprosy Mission International, Dhaka, Bangladesh.
  • Alinda MD; Bombay Leprosy Project, Mumbai, India.
  • Listiawan MY; Department of Dermatology and Venereology, Faculty of Medicine Universitas Airlangga, Dr Soetomo Teaching Hospital, Surabaya, Indonesia.
  • Hagge DA; Department of Dermatology and Venereology, Faculty of Medicine Universitas Airlangga, Dr Soetomo Teaching Hospital, Surabaya, Indonesia.
  • Shah M; Department of Dermatology and Mycobacterial Research Laboratories, Leprosy Mission Nepal, Anandaban Hospital, Kathmandu, Nepal.
  • Lockwood DNJ; Department of Dermatology and Mycobacterial Research Laboratories, Leprosy Mission Nepal, Anandaban Hospital, Kathmandu, Nepal.
  • Walker SL; Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
Trans R Soc Trop Med Hyg ; 115(12): 1456-1461, 2021 12 02.
Article in English | MEDLINE | ID: covidwho-1254842
Semantic information from SemMedBD (by NLM)
1. Mycobacterium leprae CAUSES Neglected Diseases
Subject
Mycobacterium leprae
Predicate
CAUSES
Object
Neglected Diseases
2. Mycobacterium leprae CAUSES Neglected Diseases
Subject
Mycobacterium leprae
Predicate
CAUSES
Object
Neglected Diseases
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic has led to governments implementing a variety of public health measures to control transmission and has affected health services. Leprosy is a communicable neglected tropical disease caused by Mycobacterium leprae and is an important health problem in low- and middle-income countries. The natural history of leprosy means that affected individuals need long-term follow-up. The measures recommended to reduce transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can create barriers to health services. We evaluated the impact of the COVID-19 epidemic response on leprosy services and disease management.

METHODS:

We conducted a cross-sectional online survey with healthcare professionals in leprosy referral centres.

RESULTS:

Eighty percent of leprosy diagnostic services were reduced. All respondents reported that multidrug therapy (MDT) was available but two reported a reduced stock. Clinicians used alternative strategies such as telephone consultations to maintain contact with patients. However, patients were not able to travel to the referral centres.

DISCUSSION:

This study highlights the effects of the initial phase of the SARS-CoV-2 pandemic on leprosy services in a range of leprosy-endemic countries. Many services remained open, providing leprosy diagnosis, MDT and leprosy reaction medications. Centres developed innovative measures to counter the negative impacts of the COVID-19 pandemic.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Leprosy Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Trans R Soc Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Trstmh

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Leprosy Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Trans R Soc Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Trstmh