Presentation on theme: "HISTORY 1924 Lady Wellington Leprosy Sanatorium at Tirumani"— Presentation transcript:
1WELCOME CENTRAL LEPROSY TEACHING AND RESEARCH INSTITUTE, TIRUMANI,CHENGALPATTU
2HISTORY 1924 Lady Wellington Leprosy Sanatorium at Tirumani Managed by Church of Scotland. Dr. Paul Brand devoted his life for the reconstructive Surgery1946Before Independence, Mahatma Gandhi Father of our Nation visited the land of Tirumani. He gave written message of blessing to the patients of the Sanatorium and wished well to the staff.SIGNATURE AND GREETINGS OF MAHATMA GANDHIJISignificance of 30th Januaryon – Father of the Nation visited CLTRI Coincidentally, he died on30th January every year celebrated as Anti Leprosy Day.
3HISTORYCLTRI was established by Government of India under a Governing BodyDr. Dharmendra famous Leprologist was associated with CLTRI as Director from 1967 to 1971 he was Emeritus Medical Scientist of CLTRI.Significant Contribution :- Lepromin TestStandardization of DDS (Diamino Diphenyl Sulphone) a drug used for treating leprosy patients.1974CLTRI became a subordinate office of DGHS under MOH&FWStandardization of MDT (Multi Drug Therapy ) done in this Institute.1991Nodal Centre for Thalidoamide drug therapy for ENL (Erythrosom Nodosum Leprosom) reaction Cases.
4OBJECTIVETo undertake research into basic problems relating to the occurrence and spread of leprosy and its control.To train manpower necessary to implement NLEP.To provide specialized services in the area of diagnosis, reaction, relapse and Reconstructive surgery in Leprosy.To monitor and evaluate National Leprosy Eradication Programme.Additional Responsibitiy given in 2005 after Elimination ofLeprosyCBHI TrainingRNTCP Operational ResearchIDSP Training
6AREA OF CLTRI Total Land of CLTRI - 560.83 Acres Institutional Buildings AcresResidential Buildings AcresVacant Land AcresLand Given to HLL(for proposed Mediparkon by MOHFW) Acres
7BUILDING 1.HOSPITAL BLOCK : Out Patient Unit Main Hospital -124 Bedded HospitalSick RoomMedical Investigation WardSurgical Ward with X-ray department & Operation theatrePhysiotherapy BlockMCR and Footwear UnitCentralised KitchenLaundryCentralised Stores
12CLINICAL Medical Record Section Nursing Section Wards Out Patient DepartmentWardsNursing SectionMedical Record Section
13CLINICAL (Cont.)Expert Management of reactions with Thalidomide, Relapses/Drug Resistance etc.Teaching activities in leprosy to Undergraduates, House Surgeons of Medical Colleges, NMS Supervisors and Nurses.Collection and study of relapse/recurrence cases in leprosy.
14CLINICAL (Cont.)On Going research activity Drug Resistance Surveillance using Mouse foot Pad
15Out-Patients particulars for the Last 5 years (Till Oct )1No. of newCases attendedOPD641047490482No. of old715572206192609433533No. of patientsattended OPDfrom GLC block26802074151416947764No. of otherCases (NCL)Attended OPD22241748144111617755Total no. ofpatients seenin OPD1212311146922190394952GLC - Government Leprosy CentreNCL - Not a Case of Leprosy
17Surgical (cont.) The Basic functions: Reconstructive Surgery Patient care activities.Teaching and Training Programs.Research.
18Physiotherapy Section Physiotherapy Services to PAL.Various Teaching and Training programs.Counselling & Health Education.Facilities AvailableWax Bath,Electrical Muscle Stimulator,Inter Ferential Therapy,Ultra Sonic TherapyTraction Table.
19Artificial Limbs & Footwear Section Micro-cellular Rubber Footwear and Prosthetic to the Leprosy patientsMicro-cellular RubberSmall Production unit - Micro-Cellular Rubber sheets (2000 sheets per annum)Providing MCR sheets to other states
20Details of Major and Minor Surgery Done for the Last 5 years SurgeriesMajor Surgeries –(Reconstructive Surgery)1.Claw finger correction714682.Claw thumb correction3513.Wrist drop Correction-4.Drop Foot Correction5.Lagapthalmos Correction26.Surgical Decomposition ofNerves (Ulnar Nerve, MedianNerve, Posterior Nerve)47.Amputation (Below Knee &Below Elbow Amputation)Minor Surgeries8.Ulcer Surgery5316209.Miscellaneous like Biopsy, MTHResection, Calcaneal shaving,lagopthalmus, Skin Grafting,Cystectomy etc.18
21Physiotherapy Activities for the last 5 year S.NoActivities1.New Case705577511952.Assessments9738957085307893.Hand Exercises190518231742175519434.Foot Exercises8577977377147495.Wax Therapy184517411698159817406.Splints4604167783094077.General Cases9160675271
22Footwear and Prosthetic Supplied for the last 5 year No1.Simple andModified Microcellar RubberSandals (in pairs)1234111911999425002.Orthotic andProstheticAppliances(in no’s)2321252853.Major repair ofOrthosis andProsthesis (in no’s)84131214.Modifications ArchSupport andMetatarsal Bars(in no’s)1441151719354
23Division of Epidemiology & Statistics Monitoring& Evaluation UnitStatisticsElectronic Data Processing UnitTechnicalTrainingLibrary
24Division of Epidemiology & Statistics CLTRI Website was created by our unit.Website for our institute was hosted in NIC server (http://cltri.gov.in/).Logo for our Institute was designed.Inventory Management Software was developed.Consultancy services to the BCGVL, Guindy, Chennai for creation of website and Inventory management system.
25Monitoring & Evaluation of NLEP Activities Monitoring & Evaluation of NLEP Activities amongTamil Nadu, Karnataka, Kerala and Lakshawdeepstates/UT was carried out.Visits Made for Monitoring ActivitiesLakshadweep Islands population of school children were Examined on January 2012.Tamil Nadu, Karnataka, Pondicherry States/UT for planning M & E Activities.M & E conducted in Erode District, Tamil Nadu.
26Surveillance Activities Phase I of the Activity Study of the Household and Neighbourhood Contacts of newly Reported Leprosy cases in the CLTRI OPD from Thirukalukundram Taluk area work was carried out during October 2011.Phase II of the Activity is started on August 2012and completed on September 2012Analysis of the collected data is under process.
27PROPOSALSSFC proposal for Strengthening of CLTRI was Prepared and submitted in DGHS (17 Oct 2012).Operational Research Study to ascertain the reasons for High Endemicity in 24 districts of 3 states (Andhra Pradesh, Gujarat, Karnataka) was send to CLD(31 May 2012).
28Data Analysis OPD Data -New case attending CLTRI OPD for the past 2 year were entered and analysed.Spatial Distribution of (Geographical Information) of New cases attending CLTRI was prepared.Monthly progressive Report from districts of Tamil Nadu, Andhra Pradesh and other states were received and entered into Computerised Simplified Information System (CSIS).Analysis of Reaction Case data is under process.
29Training ActivitiesState/District Leprosy Officer (SLO/DLO) = 3 batches(5 days)Medical Officer Training Course (5 days) = 2 batchesNon-Medical Health Supervisor’s (2 months) = 2 batchesSkin smear Technician Training (5 days) = 1 batchLaboratory orientation Training (BCG Staff) = 2 batchesFinal MBBS students (one day visit) =125 studentsCRRI Training (5 days ) =110 TraineesTertiary case management of Leprosy (10 days) = 1 batchInplant training in Microbiology & = 1 batchMolecular Biology to Biotechnology students
31Workshop/Conference / Training Attended Dr. V.C.Giri Assistant Director (Epid) attended HIVCONGRESS 2012, Held at Mumbai from 16th to 18th March 2012, Presented one Research paper and Two paper by Co-authors in scientific session.Attended RTI Act for Public Information Officer training at ISTM, New Delhi –August 2012Published 2 paper in International Journals.Dr. V.C.Giri, AD (Epid) & Dr. R. Veerkumaran, CMO delivered lectures in Leprosy CMC organised by Tirunelveli Medical College, Tirunelveli, Tamil Nadu.Mr. U. Aravindan, Statistical Investigator Gr. II attended training in Statistical Analysis system (SAS) training held at Christian Medical College, Vellore, Tamil Nadu.
33LABORATORY (cont.)Investigation for Leprosy related and other Routine InvestigationsBasic and Applied Research activities in Leprosy.Research in field of Diagnosis, Molecular Biology, Drug therapy, Animal studies in the field of Leprosy etc.,
34LABORATORY (cont.) On going Research projects: Study on surveillance of Drugs [rifampicin and dapsone] resistance, among smear positive multibacillary leprosy casesDetection of fumonisin producing Fusarium species from rice seeds by polymerase chain reaction.Variable number tandem repeats VNTRs finger printing as an Epidemiological marker for Mycobacterium leprae haplotyping
35Laboratory Investigations in the Last 5 years NoDEPARTMENTS / SECTIONS1Clinical Pathology & SkinSmear1233101083111686692Hematology & Serology225533163000376719803Microbiology262397100129824Histopathology &Molecular biology (Routine &Research activities)483713315Biochemistry17053130324414636Animal Position in theAnimal House1. Balb/C Mice Inbred Strain2. Swiss Albino Mice Inbred Strain3. Rabbit … …4. Rat … …5.Sheep32326914548496
36Scientific Publications in last 1 year Detection of mutations in folp1, rpoB and gyrA genes of M. leprae by PCR- direct sequencing--a rapid tool for screening drug resistance in leprosy. Lepr Rev. 2011 Mar;82(1):36-45.OXA beta-lactamase-mediated carbapenem resistance in Acinetobacter baumannii. Indian Journal of Medical Microbiology, Vol. 29, No. 3, July-September, 2011, ppDetection of Amp C genes encoding for beta-lactamases in Escherichia coli and Klebsiella pneumoniae. Indian Journal of Medical Microbiology, Vol. 30, Issue 3, 2012, ppblaIMP AND blaVIM Mediated Carbapenem Resistance in Pseudomonas and Acinetobacter species in a Tertiary Care Hospital in India. The Journal of Infection in Developing Countries, October 2012.
39Phase I: Phase II: 9 cluster are surveyed out of 18 clusters 2531 population was Examined13 Cases case were found. NCDR= per 10000Phase II:3702 population was Examined13 Cases case were found. NCDR= per 10000AdultChildTotalPaucibacillary (PB)639Multibacillary (MB)4AdultChildTotalPaucibacillary (PB)6311Multibacillary (MB)2