Leprosy: Hansen's Disease

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There are many different diseases that are discussed in the bible. Some are easily fixed while some are gruesome and irreversible. One of those diseases that has long been considered difficult to treat is leprosy, also known as Hansen’s disease. Leprosy is the world’s oldest disease and is one of the most dreadful as well. The prevalence of leprosy has decreased in recent decades thanks to better prevention and treatment strategies. In the 1980, there were nearly 5.2 million cases of leprosy worldwide; today, that number is closer to 200,000 (Cairns, Smith, & Aerts, 2014). The purpose of researching leprosy was to gain a deeper understanding of what this disease is, how it can and has been treated, the nurse’s role in caring for patients with …show more content…

The biblical meaning of leprosy was most likely a broader term than what leprosy is considered today, but it can be safely assumed that some of the skin diseases that they are referencing were Hansen’s disease. In the Old Testament, leprosy is mentioned a total of 55 times. In the New Testament, it is still mentioned 13 times (Answers in Genesis, 2014). One example of this disease being discussed is when it is described in Leviticus 13:1-3, “The Lord spoke to Moses and Aaron, saying, ‘When a person has on the skin of his body a swelling or an eruption or a spot, and it turns into a case of leprous disease on the skin of his body, then he shall be brought to Aaron the priest or to one of his sons the priests, and the priest shall examine the diseased area on the skin of his body. And if the hair in the diseased area has turned white and the disease appears to be deeper than the skin of his body, it is a case of leprous disease. When the priest has examined him, he shall pronounce him unclean.’” This description loosely resembles that of leprosy, which gives evidence that the definition of the disease has changed since biblical …show more content…

In some cases, the signs and symptoms do not appear for 2-10 years after initial exposure and infection (CDC: Leprosy, 2013). Leprosy is caused by mycobacterium leprae. M. leprae is considered an opportunistic infection and is known as an atypical mycobacterial infection (AMI). When people have compromised or depleted immune systems, they are at an increased risk of getting infected with leprosy (Adams & Urban, 2013). A person who is infected with M. leprae will present with skin lesions that are sometimes large, growths on the skin, neuropathy related to nerve damage, pain, muscle weakness, and sometimes paralysis (CDC: Leprosy, 2013). The nerve damage occurs when the infection causes the nerves to thicken, this leads to the neuropathy and paresthesia. If a person infected with leprosy is not treated, the disease can cause severe disfigurement and deformities, including loss of digits (Adams & Urban, 2013). Leprosy can be a communicable or non-communicable disease. This depends on the stage of the disease, the severity, and the effectiveness of the medication therapy. The M. leprae bacterium is most likely spread from person to person. The transmission is believed to be from droplets that are excreted from a person through events such as a sneeze or a cough (CDC: Leprosy, 2013). Evidence also supports that the bacterium may have a very long incubation time that could be

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