01699nas a2200277   4500000000100000008004100001260001300042653002900055653002600084653002100110653002000131653001100151653001000162653001200172653002800184653003900212653003000251653001700281100001300298245011800311300001000429490000800439050001600447520094400463022001401407       2006                            d  c2006 Dec10aCongenital Abnormalities10aDisability Evaluation10aDisabled Persons10aEarly diagnosis10aHumans10aIndia10aleprosy10aNervous System Diseases10aReconstructive Surgical Procedures10aReferral and Consultation10aTime Factors1 aMahato M00aDisability prevention and medical rehabilitation (DPMR)--prevention of disability and timely referral in leprosy.  a682-50 v104  aMAHATO 20063 a<p>The stigma and discrimination due to disabilities in leprosy has a profound effect on a leprosy individual and the disability hampers his/her earning capacity and therefore socio-economic status. The Government of India has recently come out with an approved plan for disability prevention and medical rehabilitation. There are some objectives to provide appropriate services to the disabled or to prevent the disability. In order to prevent disability early treatment is necessary but there are a lot of studies on delayed presentation. It is in fact suggested that not only early correct treatment of leprosy with MDT but also early correct treatment of reactions and nuritis can prevent disability. Some cases as specified in the text require referral to prevent the menace. Many deformities can be corrected by reconstructive surgery. The management protocol to prevent primary impairment is depicted in Figs within the article.</p>  a0019-5847