Health in Malaysia
Leptospirosis is a water contract disease caused by bacteria of the genus Leptospirabacterial. It is a disease that affects both humans and animals. The number of leptospirosis cases had steadily increased from 2011 (2,268 cases with 55 death) to 2015 (8,291 cases with 78 death) and 5,284 cases with 52 death in 2016. Leptospirosis can have important health impact and is a burden to the nation if not well controlled. Addressing leptospisoris includes maintain a clean environment and by not swimming or wading in water that might be contaminated with animal urine, or eliminating contact with potentially infected animals.
Leprostatic agent
At the other extreme, lepromatous leprosy is characterized by depressed cell-mediated immunity, numerous bacilli within the tissues, no granulomas, and a negative skin test for lepromin. Within these two extremes are the patients with an intermediate or borderline form of leprosy who show a variable lepromin reaction and few bacilli; they may progress to either tuberculoid or lepromatous
leprosy.Current recommendations for the treatment of leprosy suggest multidrug regimens rather than monotherapy because such a regimen has proven to be more effective, delays the emergence of resistance, prevents relapse, and shortens the duration of therapy. Established agents used in the treatment of leprosy are dapsone, clofazimine, and rifampicin. Treatment of tuberculoid
leprosy is continued for at least 1 to 2 years, while patients with lepromatous leprosy are generally treated for 5 years. In addition to chemotherapy, patients with leprosy need psychosocial support, rehabilitation, and surgical repair of any disfiguration.