The Medical Department visited Alele-lele Leprosy settlement in Alero Sub-county, Nwoya District; Northern Uganda and met with Mr. Yakobo Orach.
Orach is one of the pioneers of the leprosy settlement in Northern Uganda and in his testimony, we noted these details.He said he developed leprosy signs and symptoms in 1944 from Nyapeya Collage. He then left the colledge and came back home for treatment that was herbal by then. He went to the catholic mission that suggested he should be transferred to "Opkwari" in Southern Sudan (Currently). But as he prepared to go, the Church Missionary Society led by Dr. Brown, opened up leprosy treatment centre in Kumi then he was redirected there.
Leprosy is a chronic granulomatous disease caused by Mycobacterium leprae that principally affects skin and peripheral nerves. The principal means of transmission is by aerosol spread from infected nasal secretions to exposed nasal and oral mucosa. Leprosy is not generally spread by means of direct contact through intact skin, although close contacts are most vulnerable.
Tissue damage depends on the degree to which cell-mediated immunity is expressed, the type and extent of bacillary spread and multiplication, the appearance of tissue-damaging immunologic complications and the development of nerve damage and its sequelae, that now result in Neuropathic pain, associated with psychological morbidity.The correct diagnosis and proper treatment of pain is an important public health concern, but this community is missing it as they do not have easily accessible health unit in their settlement, and they are only able to reach the nearby health unit over 5km away, with support of other people.
In this situation, Favor of God Ministries plan to conduct more regular medical outreaches in the area while plan to put up a health unit in the settlement is underway. This is to help support them in their health problem.
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