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BLUE

PETER PUBLIC HEALTH

SHODHANA

&

RESEARCH CENTRE

IN PURSUIT OF EXCELLENCE IN PUBLIC HEALTH

Issue 1

Volume 2

Issue 3

January 2012

From the Director’s Desk

Dear Friends,

Tri Annual E-Newsletter

Wish You A Very Happy & Prosperous New Year 2012.

Greetings from LEPRA India – BPHRC! It is a great pleasure to inform you that this issue is our 3rd tri Annual E-Newsletter of 2011 – Shodhana….in pursuit of excellence in Public Health. BPHRC is a research wing of LEPRA India which conducts research on issues related to leprosy, tuberculosis, HIV, lymphatic filariasis and manages the selected field projects in Andhra Pradesh. 12th Research Advisory Committee (RAC) was held on 28th October, 2011 under the chairmanship of Lt Gen. V.D .Tiwari (Retd.). National and International members attended for the meeting and gave their valuable suggestions/advice on the projects presented to the committee. The centre observed World AIDS day on 1st December, 2011. Organized awareness programmes, rallies, essay writing competitions for school and college students. A blood donation camp was also organized in collaboration with Gandhi Hospital in this respect. This was the first of its kind in LEPRA operational areas in Hyderabad. About 20 people (staff of BPHRC and students from a college) have donated during the event. In December, 6 concept notes were submitted to ICMR responding to the call for leprosy. 11th Institutional Ethical Committee meeting was held under the chairmanship of Shri Justice Dasaratharama Reddi (Retd.) on 29th December, 2011. This edition focuses on the updates and activities from BPHRC & Field projects during September to December, 2011. Wish you all a very happy & prosperous New Year! Wishing a happy reading and appreciate your feedback. With thanks and best regards Dr. J. Subbanna

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7KLV,VVXH Editorial

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BPHRC Lab updates

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Project Update (ARTH, UMEED, KRISCHIP)

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Photos, Case Studies & News Clippings

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Mr. Yohei Sasakawa, Shri Madhu Yaskhi Goud, MP visited and met with leprosy affected people at Ms. Meena Gupta, IAS (Retd.,) Chairperson, LEPRA Dichpally. They interacted with the beneficiaries India visited BPHRC. She interacted with the residing at Devnagar colony. Dr. Subbanna & Dr. beneficiaries. Dr. Laxmi Sudha explained the cases. Ranganadha Rao also accompanied them. They also participated in the seminar “Discriminatory laws against Leprosy� held at Jubilee Hall, Hyderabad. NIPPON foundation, LEPRA India and SLAP organized the seminar on 26.9.2011.

Ms. Madhavi, Programme Officer, LEPRA UK visited BPHRC. She interacted with clients. Dr. Sudha explained on clinical activities. Group leaders of both divisions explained about research activities. Mr. C. Parthasarathi, IAS, Project Director, APSACS visited BPHRC. He visited all the divisions and research scholars explained on their research activities. He was impressed with research laboratory work.

Dr. Paul Nunn, Coordinator-TB, WHO visited BPHRC and was appraised on the research & clinical work.

Prof. Adler, London, UK visited BPHRC. He visited research laboratories, met with research scholars and was appraised about research projects.

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Prof. Adler photograph:

Dr. Subbanna was invited as Resource person for " Intervention Development workshop organized by YRG Care in collaboration with Univeristy of California & San Francisco held at Hyderabad. He presented on issues and possible Intervention approaches among Female Sex Workers.

Mr. Roger Rosedale, Executive Chairman, Microsens Medtech Ltd., London, UK visited BPHRC. He demonstrated updates on beads technique for diagnosis of tuberculosis. Dr. Subbanna presented as a panel speaker during the 42nd Union World Conference on Lung Health, held in Lille, France from 26th to 30th October 2011 focussed on the theme “Partnerships for scaling-up and care”. He also presented a poster in the symposium on “Sputum Transportation for MDRTB diagnosis and follow-up – A Public Private Partnership experience in India.

Ms. Catherine Cherry, Programme Officer, LEPRA UK visited BPHRC interacted with patients at clinical division. Dr. Sudha explained on clinical activities. She also visited research laboratories and interacted with research scholars. Dr. Subbanna presented on BPHRC activities and Mr. Sathiraju Dr. Vishnu, Director, STDC and Dr. Aruna Kumari, updated on the activities related to field projects . DTCO, Ranga Reddy District visited BPHRC as part of internal evaluation of RNTCP in Ranga Reddy District.

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Dr. Douglas Young , NIMH London, Member, explained on 6 concepts submitted to ICMR Research Advisory Committee (RAC) visited responding to the call for leprosy. BPHRC.

Mr. Jayachandra Reddy, Joint Director, APSACS visited BPHRC. Dr. Sudha briefed on clinical activities including ICTC. He also interacted with Group Leaders of both the research lab divisions and shown interest on research activities.

Updates on Clinical & Epidemiology Division: Ms. Veronica, ICTC Counselor attended VCTC training for 2 days from held at Taramani, Chennai organized by YRGK. The project has developed linkages with one more UHC - Mallapur for screening of HIV for ANC mothers. Every Tuesday LT and a Counsellor visits the UHC and test the mothers attended for health check-up at this UHC. Photographs of field activities:

Ms. Uma Rani, HR Incharge along with Ms. Lakshmi Prabha, HR Executive, LIHO convened HR Review meeting for Umeed project staff and explained on how to fill up appraisal forms, planning sheets and the purpose of these forms. Explained to the staff about the leaves and the process of availing leaves. Planning to convene the same HR Review meeting to the other BPHRC field projects staff and aware them on HR related matters. 11th Institutional Ethical Committee meeting held at LEPRA India Head office under the chairmanship of Justice S. Dasaratharama Reddi (Retd.,). Presented on 2 new concepts and

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Updates from Immunology/Molecular Biology Updates on Microbiology Division: Division: Ms. Meena Gupta, Chairperson, LEPRA India Ms. Meena Gupta, Chairperson, LEPRA India visited Microbiology division. She interacted with visited Immunology/Molecular Biology division. division staff. Research scholars explained on their Research scholars explained on their research based activities. laboratory activities.

Ms. Ch. Kavitha, Research Fellow attended National workshop for 3 days from 7th to 9th September on Luciferase Reporter Phage assay (LRP)-2011 at National Institute for research in Tuberculosis, Chennai .

The closure report of the completed project, Mycobacterium tuberculosis Genotypes and host susceptibility to TB in HIV infected and HIV non infected Persons - A community based study, funded by DBT was presented at the 3rd Expert Dr. Aparna Principal Investigator of Drug Committee meeting on Tuberculosis at New Delhi. Resistance project sanctioned by ICMR organized a A project titled “Determine Immune Based workshop at Orissa LEPRA projects to aware the Interventions That Can Enhance NK Cell & T-Cell staff on this project for 2 days 9th & 10th Functions in HIV+ Persons with TB “ was November, 2011. Ms. Vidyagourie and Mr. Gopal sanctioned by ICMR-NIH and initial work has been Rao also coordinated with Dr. Aparna and started. successfully conducted the workshop at Orissa. Dr. Douglas Young, NIMH, London visited the research laboratories. Research scholars explained Ms. K. Neelima and Ms. Ch. Kavitha Attended on their ongoing projects by showing the posters XXXV National Conference of Indian Association presented for RAC meeting. of Medical Microbiologists (IAMM) MICROCON-2011 held from 23rd to 26th November, 2011 at Swatantrata Bhawan, Banaras Hindu University (BHU). Varanasi Organized by Department of Microbiology , Institute of Medical Science, BHU, Varanasi. Ms. Kavitha gave a oral presentation on “Prevalence of second line anti TB drug resistance from four districts of Andhra Pradesh - a community based study” Ms. Neelima presented a poster on “Genotyping of Mycobacterium tuberculosis from MDR TB suspects- a community based study”

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Dr. Venkata Subbulakshmi from Chromus Bio-Tech Private Limited visited BPHRC. She explained about “In the process of the development of a quick method of detecting tuberculosis by molecular methods like PCR, also their efforts towards developing a diagnostic kit for Malaria as well ‘. In this regard she presented on “Multiplex Fast-PCR based diagnosis of tuberculosis”

Dr. Srinivas Joint Director-State TB, Dr. Amul Wankedi, WHO consultant visited Adilabad district to assess the situation on RNTCP at Adilabad District and also visited 4 DMCs of Narsapur-G Treatment Unit. The purpose of visit was to launch the DOTS plus progrmme in Dr. Douglas Young, NIMH, London visited the Telengana districts. Dr. Subbanna and Mr. research laboratories. Research scholars explained Sathiraju participated in the discussions. on their ongoing project showing their posters presented for RAC meeting.

Rapid Enquiry Survey conducted at tribal pockets (Mandals) viz; Wankidi, Bheemini, Dehagoan, Capacity building for diagnosis services of Kagaznagar Rural and Adilabad urban areas where Tuberculosis for the Post Graduation students of the prevalence rate is little high as compared to Aurora college, Hyderabad. other areas. In this regard the ARTH project organized training programme to ASHA workers and explained the survey procedures.

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Dr.Raju, Addl. DM&HO (Leprosy & AIDS) Adilabad examining the leprosy suspects at Dehagoan PHC during his visit to tribal pockets. He has visited 4 sub centres and validated around 150 suspects. Of them 10 have been confirmed as leprosy cases.

Organized free eye camp for Santhoshnagar colony inmates on the occasion of World Sight day. 38 clients have undergone eye screening and diagnosed 10 persons as having cataract. They were inturn referred to eye hospital for surgery. Provided medicines for other eye ailments.

LEPRA SASAKAWA—Chetana organized footwear mela at Hari Hara Kalabhavan, Secunderabad in collaboration with NTPC on 7th November 2011. In this program 20 Grade II The Shantinagar colony inmates requested a footwear, 14 Grade I footwear and 34 ulcer kits refrigerator for clinic to keep the insulin medicine provided for the needy clients. for diabetes patients. One of the supporters Mr. Malkait Singh from UK donated a refrigerator for needy persons at Shantinagar. Mr. Mallikarjun Presedent of Shantinagar colony inaugurated the refrigerator on 28th September 2011.

Organized capacity building program for ASHA Volunteers and ANMs at UHP Seethapalmandi with the coordination of UHP staff. They were explained about the symptoms of Leprosy and Tuberculosis, availability of treatment for these diseases and important of regular treatment.

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Dr Robert Jerskey from USA visited Dhoolpet Referral Centre & BPHRC. Dr. Robert examined some of the reaction patients and interacted with the staff during the visit.

Mr. Tim, Head—Finance, LEPRA UK visited DLRC. Mr Omprakash, Head—Finance, LEPRA India accompanied him. He interacted with the patients and staff at the centre. Mr. Sreenath CEO from Volkart Foundation, Mumbai, visited DLRC on 14th November 2011. He saw some of the Leprosy reaction patients and interacted with the staff and other patients like TB, TB/HIV.

Target Intervention—Tolichowki: The staff along with Project Director were participated in world AIDS day program at LB stadium with 180 CBO (Community Based Organisation) members held on 1.12.2011. SASAKAWA Chetana organized World Disability Day event at NLRC Nallakunta. Dr. Ravi Kumar Addl. Medical &Health Officer, (Leprosy & AIDS), Hyderabad urban dist invited as chief guest. Mrs. Bhagyam, Psychologist from Vocational Rehabilitation Centre for Handicapped invited as speaker. Ms Catherine, Program Officer, LEPRA UK, Dr. Subbanna, Mr. Narasappa, Dr. Krishnamoorthy, staff from UMEED, Chetana and clients from Colonies participated in the program.

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trained on Tailoring. They were provided with the sewing machines from “Madras Cements Limited�, Jayanatipuram, Krishna District The Chetana Project organized a Footwear Mela and self-care camp to sensitize the differently abled persons due to leprosy for promoting self-care practices at Gampalagudem PHC, Nuzividu Division, Krishna District. The programme was conducted in collaboration with District Nucleus Team and PHC Staff.

Mr. Bernard Farmer, Deputy Chief Executive, LEPRA UK and Dr. P.V. Ranganadha Rao, Chief Executive Officer, LEPRA India visited the Krishna Health Interventions from 15th to 17th December, 2011.

Chetana project conducted a programme on occasion of World Disability day at Gracy Leprosy colony, Kesarapalli. Distributed Tri Cycles, Crutches, MCR footwear, Self-care kits to the participants.

Ms. Catherine Cherry, Programmes Officer, LEPRA UK visited on 5th & 6th December, 2011 to Krishna Operational areas.

Sreyassu, a Community Based Organisation is working towards the mainstreaming of PLHIV s in improving quality of life and protect and promote their rights to health in Jagayyapeta Mandal, Krishna District. 5 Women Living with HIV who are

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2011 Year end celebrations at BPHRC

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Diwali celebrations at BPHRC

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1. Restoring hopes as a good will ambassador Gaju Muthyam a 50-year-old from Adilabad District has already been suffering from cough, when it was diagnosed that he has pulmonary tuberculosis. He sought treatment from Narsapur-G DMC running under LEPRA-India, and was put on ‘Category I’ DOTS treatment. But, due to some initial side-effects, he discontinued the treatment. He decided to go to a private doctor for better treatment. Fortunately, the Senior Treatment Supervisor of TU Narsapur G approached him in time and counseled him. He prevailed upon him to have faith in the treatment. He assured him positive results and cure. Hence he continued DOTS treatment and was declared completely ‘cured’. He also came forward voluntarily to act as a DOTS provider and accordingly the TU staff gave the sensitization on DOTS and its procedures. Then he became DOTS provider for one CAT-I patient for six months. During this period he focused on regular treatment and follow up of the patient. After treatment the patient became negative. Then Muthyam taken charge of two more CAT-I patients as a DOTS provider. He has successfully administered the dosage of DOTS for three new patients. All the cured patients and their family members showed their gratitude towards the Muthyam. Gaju Muthyam is now advocating DOTS and serving as a role model in the community. This shows that a cured TB patient can act as a good TB advocate in the community.

2. A 19 year old engineering student presented with red anaesthetic patch on the left hand of 9 months duration. Examination revealed tenderness of left ulnar nerve. A diagnosis of Hansen’s disease BT in type one reaction was made. He had been taking PB MDT for 4 months and 1 course of WHO regime of steroids at a local PHC following which the patch totally subsided .However on stopping the steroid the erythema and nerve pain recurred. Patient was highly anxious about recurrence of the condition and felt that the treatment prescribed was incorrect. He revealed that he was planning to shift to alternative system of medicine in hope of cure. Patient was explained in detail about the clinical course of leprosy and recurrent nature of lepra reactions. He was started on MB MDT and 30 mg prednisolone for the management of reaction. Presently erythema over the patch has subsided and he is on tapering dose of steroids. This case has been reported to highlight the importance of educating patients about all aspects of leprosy at first and every subsequent interaction to remove all misconceptions about the disease and will prevent patients from discontinuing MDT.

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News Clippings

Forthcoming Special Days/Events

Anti Leprosy week—30th January to 5th February World Cancer Day—4th February International Women Day—8th March World TB Day—24th March World Malaria Day—25th April

Editorial Board: Ms. Uma Rani; Mr. Kameswara Rao We’re on the Web! Visit us at: www.leprasociety.org

Blue Peter Public Health & Research Centre (BPHRC) Near TEC Building, Cherlapally, Hyderabad – 501 301 Phone: + 91-40 – 27264547 / 27261261 Contact us at: bphrc@leprahealthinaction.in

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Contributions can be made to LEPRA India 125% exemption u/s 35 (i & ii) 100% exemption u/s 35 AC and 50% deduction u/s 80 G of the I.T. Act


Shodhana