de Barros, Barbara; Lambert, Saba M; Negera, Edessa; de Arquer, Guillermo Robert; Sales, Anna M; Darlong, Joydeepa; Dias, Vivianne LA; Rozario, Benjamin Jewel; Pai, Vivek V; Alinda, Medhi Denisa; +5 more... Listiawan, M Yulianto; Hagge, Deanna A; Shah, Mahesh; Lockwood, Diana NJ; Walker, Stephen L; (2021) An assessment of the reported impact of the COVID-19 pandemic on leprosy services using an online survey of practitioners in leprosy referral centres. Transactions of the Royal Society of Tropical Medicine and Hygiene, 115 (12). pp. 1456-1461. ISSN 0035-9203 DOI: https://doi.org/10.1093/trstmh/trab084
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Abstract
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has led to governments implementing a variety of public health measures to control transmission and has affected health services. Leprosy is a communicable neglected tropical disease caused by Mycobacterium leprae and is an important health problem in low- and middle-income countries. The natural history of leprosy means that affected individuals need long-term follow-up. The measures recommended to reduce transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can create barriers to health services. We evaluated the impact of the COVID-19 epidemic response on leprosy services and disease management. METHODS: We conducted a cross-sectional online survey with healthcare professionals in leprosy referral centres. RESULTS: Eighty percent of leprosy diagnostic services were reduced. All respondents reported that multidrug therapy (MDT) was available but two reported a reduced stock. Clinicians used alternative strategies such as telephone consultations to maintain contact with patients. However, patients were not able to travel to the referral centres. DISCUSSION: This study highlights the effects of the initial phase of the SARS-CoV-2 pandemic on leprosy services in a range of leprosy-endemic countries. Many services remained open, providing leprosy diagnosis, MDT and leprosy reaction medications. Centres developed innovative measures to counter the negative impacts of the COVID-19 pandemic.
Item Type | Article |
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Faculty and Department | Faculty of Infectious and Tropical Diseases > Dept of Clinical Research |
Research Centre | Covid-19 Research |
PubMed ID | 34077950 |
Elements ID | 161388 |
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Filename: Barros_etal_2021-An-assessment-of-the-reported-impact.pdf
Licence: Creative Commons: Attribution-Noncommercial-No Derivative Works 3.0
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