Department of Health Library Services ePublications - Historical Collection
Please Note: Aboriginal and Torres Strait Islander people should be aware that this publication may contain images, voices or names of deceased persons in photographs, film, audio recordings or printed material.
Purpose
To apply preservation treatments, including digitisation, to a high value and vulnerable Historical collection of items held in the Darwin and Alice Springs libraries so that the items may be accessed without causing further damage to the original items and provide accessibility for stakeholders.
Reference and Research Disclaimer
Please note: this document is part of the Historical Collection and the information contained within may be out of date.
This copy is a reproduction of an original record. Please note that the quality of the original record may be poor and cannot be enhanced with the scanning process.
Northern Territory Department of Health Library Services Historical Collection
DL HIST
616.998LEP
1982\.
LEPROSY BOOK
for
HEALTH WORKERS
C?
0z- ?/-,---..
HISTORICAL COLLECTION
,
•
'
. ..
LEPROSY
T1l1ii1~1~~1l1~111ij1~~11ll1~111~1~1~i1 l11i1~!
3 0820 00009772 0
EARLY LEPROSY
CENTRAL LIBRARY
- 9 MAR 1999
TERRITORY HEALTH SERVICES
INDETERMINATE
May clear up without treatment or may progress to become
TUBERCULOID (TT)
LEPROMATOUS (LL)
'l>L !-\\ST
6\6. 3~8 L..EP (~8'2
OD'6t-\1//
Localised invasion of "-. ~ Generalised invasion of peripheral nerves "-.
!'Ir/
the bodyNEURITIC
(BT) (BL)
" ' f
BORDERLINE (BB)
Somewhere between the two major types.
Nerve lesions only
.,.
LEPROMATOUS
TUBERCULOID LEPROSY
(TT)
LEPROSY
(LL) ~ ~...:;:...;
BORDERLINE
LEPROSY
(BB)
00'6Y.-I/>
· INDETERMINATE LEPROSY
~ TUBERCULOID (TT) AND
BORDERLINE (BB)
LEPROSY
<J-0-·1..,
LJU' I> - , ' / .::::.
~
: LEPROMATOUS LEPROSY (LL)
A. B. CAUDELL, Government Printer of the Northern Territory
SITES AT WHICH PERIPHERAL NERVES ARE COMMONLY AFFECTED
Lateral Popliteal Nerve
Posterior Tibial Nerve
DAMAGED NERVES
ENLARGED NERVE IN THE NECK FACIAL NERVE
fULNAR AND MEDIAN NERVES CLAW-HAND
LAGOPHTHALMOS- FACIAL NERVE
CLAW-HAND AND PARALYSED THUMB
OLJ~'1 ' / v
COMMON DEFORMITIES
POSTERIOR TIBIAL NERVE
ANAESTHETIC HANDS-
THERE IS NO SENSATION OR FEELING
IN THESE HANDS
'--''-'-.:>""f I/.,
..
0
.
~vo~ '/IV
BEFORE OPERATION AFTER OPERATION
If patients look after their hands carefully they can be repaired to look like the one on the right. It is the patient's job to see that.
every joint of every paralysed finger is moved throughout its
whole range of movement at least once every day. He must also
soak his hands in water for ten to twenty minutes and he must
then pare down any callus or hard skin on them. The same thing
applies to the feet: they need daily care and attention. In addi-
tion, if the patient has lost feeling on the soles of the feet he
must always wear some sort of footwear.
THIS MAN
HAD NO SHOES
THIS MAN HAD A STONE THIS DEFORMITY IS
. IN HIS SHOE THE RESULT OF NEGLECT
DIRTY ULCERS
SHOULD BE PARED DOWN AND CLEANED WITH EUSOL
'
I
DRESSING
SOME OF THEM CAN THEN
HAVE A SKIN
GRAFT
00~4 'II~
When you look at the foot on the left it appears t ~ be healed.
After carefully paring down the hard skin you find an ulcer un-
t
derneath. It is very important to soak hard insensitive feet in water for -ten to twenty minutes a day. After that you should pare down the callus and then thoroughly massage them with grease.
People who have lost the feeling in their feet must wear some sort of footwear and quite often this has to be made specially for them by a proper bootmaker.
A. B. CAUDELL, Government Printer of the Northern Territory
THE
LEPROSY
GERM
'--''-' .,..., I/ 1'1
,
t
REACTIONS MUST BE REPORTED
BY THE HEALTH WORKER
•
..
'DERMATITIS CAUSED
BY A SULPHONE
TREATMENT: DDS or AVLOSULPHONE is the most common and
the cheapest form of treatment for leprosy. However, it can sometimes cause dematitis or anaemia.
HANSOLAR (Acedapsone) is a long-acting injection suitable for use in the rural areas.
RIFAMPICIN is a powerful antibiotic medicine that has to be given under close supervision.
CLOFAZIMINE or 8663 is another very powerful medicine used in treatment. It makes the skin look darker and colours the urine.
All of these medicines have to be given to you by your doctor, your nursing
sister or by your health worker. They are the people who know how much of
each one you should have and they also know of any problems you could
have with any of them.
V'-''b1l/f(o
THESE ARE NOT LEPROSY
"WHITE HANDKERCHIEF" BIRTHMARK
UVb'"1 I/ I I
~
KNIFE WOUND RINGWORM
~
~ THESE PEOPLE WERE PROBABLY BORN llKE THIS
TINEA LEUCODERMA '
"
u Vt:>L-f , / z_,v
THIS PERSON WAS BORN
LIKE THIS
SYPHILIS
t I
SYPHILIS
)
/
HARD SCALY SKIN
A. B. CAUDELL, Government Printer of the Northern Territory
SOMETIMES NORMAL
PEOPLE HAVE A THICK
FOREHEAD
