19 / 20
Volume 4
Journal of Pediatric Care
ISSN: 2471-805X
Page 47
JOINT EVENT
Pediatric Critical Care 2018 &
World Pediatrics 2018
October 18- 20 , 2018
October 18- 20, 2018 Warsaw, Poland
&
6
th
International Conference on
25
th
World Pediatrics Conference
Pediatric Critical Care and Emergency Medicine
J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C4-015
Childhood leprosy in post elimination era; a real challenge to face
Vikash Paudel
1
and
Baskota Rabindra
2
1
National Medical College, Nepal
2
Leprosy Control Division, Nepal
Introduction
: Leprosy is a chronic infectious, disabling social disease. The most vulnerable group is children since they reflect
disease transmission and the efficiency of disease control.
Objectives
: To study the epidemiological and clinical trends of childhood cases of leprosy in Nepal during 2010-2016
Methods
: A retrospective study was undertaken analyzing childhood leprosy (≤15 years) from national leprosy registry.
Results
: A total of 19206 new cases of leprosy were registered during this period, of which 1177 cases (6.12%) were of children.
National prevalence is below the leprosy elimination cutoff but the trend is gradually increasing in recent years (from 0.77 to
0.82/10000). Similar is with the new cases among the children reflecting the active transmission. The mean age of the children
was 10.5 years. The average slit skin smear positivity was only 27% patients of the tested. The MB among child comprised of
38% and PB comprised 62% whereas total new MB cases were significantly higher (52%). Neuritis occurred in 21% and grade
II disability at the time of diagnosis was noted in 3.5% of total patients including children. Lepra reactions treated in referral
centre were observed with ratio of 2.75:1 between Type 1 and Type 2. There were no cases of relapse among children
vikashpoudel@iom.edu.np