@article{93831, author = {Yadav N and Kar S}, title = {Clinico-epidemiological profile of disabilities among new leprosy patients in a rural tertiary care hospital in Maharastra, India}, abstract = {Leprosy is a leading cause of preventable disability in India. By diagnosing leprosy at an early stage we can surely reduce the deformity and handicap percentage. The study of deformity and their emerging pattern in different geographical settings also helps in formulating preventive and rehabilitative measures. Aim of this study was to generate information about the clinical pattern and epidemiological aspect of deformities in leprosy patients in a Tertiary Care Hospital in rural settings of Maharashtra, India. All clinically diagnosed leprosy cases over a period of one and half year (January 2014 to August 2015) were included in the study. Detailed history regarding leprosy disability, sensory loss, skin smear for AFB and histopathological examination were done. In our study the persons of 21-40 years age group were found to be most common affected. There was positive association between educational status and occurrence of disability and also number of affected nerves and disability. Statistically significant association was found between lepra reaction and deformity. This study showed a high rate of grade 2 disability and leprosy reactions at the time of presentation which indicate late diagnosis. Further, the high proportion of multibacillary cases is a reason for alarm. All these parameters indicate the need for early detection through active case search in community and not only depending on voluntary reporting of cases. Community based studies should be carried out to understand the magnitude and reasons for taking evidence based public health measures.}, year = {2020}, journal = {Indian journal of leprosy}, volume = {92}, pages = {1-18}, url = {http://www.ijl.org.in/2020/02%20N%20Yadav%20and%20s%20kar%20%20(11-18)%20(1).pdf}, language = {eng}, }