No Footprints in the Sand – A Memoir of Kalaupapa

No Footprints in the Sand – A Memoir of Kalaupapa

Leprosy – below for more information.

Leprosy

The sand beach that stretches nearly a mile beyond the Kalaupapa wharf was always laid smooth by the tide. Hansen’s disease plays havoc with feet, ulcerating them, crippling them. Such feet walk poorly. And in sand they cannot walk at all. Most patients in Henry’s time left no footprints in that golden sand.

When Henry Nalaielua was diagnosed with Hansen’s disease in 1936 and taken from his home and family, he began a journey of exile that led him to Kalaupapa—the remote settlement wi

No Footprints in the Sand – A Memoir of Kalaupapa

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Leprosy
Chitpur Leprosy Clinic Image by Calcutta Rescue

The Test for Leprosy (with lyrics)

1st song from album “Stop the Bleeding” by Tourniquet Under the law Set by Almighty God The priests had the power To change your destiny Festering boils Chronic disease For seven days Complete isolation The test for lepresy Find you unclean Consigned to neglect Outside the city gates Tear all your clothes And cover your face One hope you have Your sores will turn white Thru ritual atonement Pronunce you clean The test for leprosy Heal the unclean Leprosy, leprosy Unclean Leprosy, leprosy Unclean We are all like lepers Without Christ’s love in us Let him heal you let him Heal you let him will you
Video Rating: 4 / 5

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Hansen’s Disease — Causes, Symptoms and Treatment

Article by Peterhutch

The term Hansen disease instead of leprosy is now preferred by some experts, because of it being less perjorative. Hansen disease was named in honor of the Norwegian physician, Gerhard Armauer Henrik Hansen, who in 1873 discovered the bacillus Mycobacterium leprae, the first microbe found to be the causative agent of a human disease. Hansen’s discovery demonstration of the bacterial cause of anthrax by 3 years. Hansen’s research helped to establish fundamental principles in microbiology, immunology, and public health.

Hansen disease, is a chronic infectious disease with a wide range of clinical manifestations. It is a chronic granulomatous disease of the skin, mucous membranes, nerves, lymph nodes, eyes, and internal organs such as the liver, spleen, and testicles. Hansen disease and is one of the oldest known diseases of mankind. It is curable but if untreated can lead to severe deformities.

Causes

Hansen’s disease in an attempt to eliminate the centuries-old stigma, is transmitted generally by direct, person-to-person contact, usually repetitive, over a prolonged period of time. However, it is one of the least contagious of all communicable diseases, and only about four to five percent of the world’s population is even susceptible to it.

The most common cause of hammertoe is a muscle/tendon imbalance. This imbalance, which leads to a bending of the toe, results from mechanical (structural) changes in the foot that occur over time in some people

Symptoms

Hansen’s disease attacks the nerves in the hands and feet and cause them to become numb. A person may get cuts or burns on the numb parts and not know it, leading to infections which cause permanent damage. Fingers and toes may be lost to infection. Serious infections in the feet may require amputation. Paralysis may cause the fingers and toes to curl up permanently.

Hansen’s disease can cause a wide variety of skin abnormalities, including spots or areas which are thicker than normal and have lighter skin color than normal. These spots may have increased, lessened or missing touch and/or temperature sensation. Hansen’s disease can also involve the interior nasal surfaces, causing nasal congestion and nosebleeds. Long-term complications may include loss of digits, facial changes and secondary infection.

Once infected with the mycobacteria, the average incubation period is two to three years, but it can range from 6 months to 40 years or longer. In 90% of patients the first sign of the disease is a feeling of numbness, which may precede skin lesions by a number of years. Temperature is the first sensation lost, followed by light touch, pain and then deep pressure. Sensory loss usually begins in the extremities (toes and fingertips).

Treatment

The best way to prevent the spread of leprosy is the early diagnosis and treatment of people who are infected. For household contacts, immediate and annual examinations are recommended for at least five years after last contact with a person who is infectious.

Dapsone is the first effective drug against Hansen’s disease but the bacteria developed resistance against the drug. Hence in 1970s the scenario shifted from monotherapy to Multiple Drug Therapy (MDT). The drugs used in WHO-MDT are a combination of rifampicin (600mg once a month), clofazimine (300 mg once a month and 50mg daily) and dapsone (100mg daily) for one year for Multibacillary (MB) leprosy patients and rifampicin (600mg once a month),and dapsone (100mg daily) for six months for Paucibacillary leprosy patients.

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