Prevalence of Anxiety and Depression among People Living with Leprosy and its Relationship with Leprosy-Related Stigma.

Background: Leprosy, a chronic infectious disease, is associated with a high risk of psychiatric disorders. Aims and Objectives: We aim to estimate the prevalence of anxiety and depressive symptoms among people living with leprosy at a special community residence in Nepal. We also aimed to find the correlation between anxiety and depression. Materials and Methods: This is a cross-sectional descriptive study conducted in a community of people with leprosy staying at a centre in Nepal using all enumerative sampling. The semi-structured schedule, hospital anxiety and depression scale and stigma assessment and reduction of impact (SARI) stigma scale were applied among 119 participants. Results: About 10.1% (n = 12) and 12.6% (n = 15) of participants scored above the threshold score indicative of definitive clinically significant anxiety and depression symptoms. In multivariable analysis, leprosy-related stigma and attribution of leprosy to bad deeds were significant correlates of anxiety; whereas leprosy-related stigma and duration of stay at the centre were significant correlates of depression. Conclusion: The prevalence of depression and anxiety symptoms among people living with leprosy is higher than that in the general population. Sigma is a significant correlation for both. It is important to screen for mental health issues while managing patients with leprosy and implement strategies aimed at leprosy-related stigma reduction.

Foreign body oesophagus in neonate with unusual presentation.

Children up to the age of 6 years present commonly in the ENT Department with the foreign bodies in the aero-digestive tract. The most common foreign body is coin in the cricopharynx. But it is rare to see foreign body in neonate. Authors have come across with a rare case of foreign body oesophagus in neonate causing obstructive symptoms to both respiratory and food passages after homicidal attempt.