China leprosy victims walk again with prosthetic limbs
CHINA: Thanks to Fan Guoshun, thousands of leprosy sufferers
can walk again.
Fan, whose lack of facial hair and eyelashes are telltale signs of
his own fight with leprosy, travels around China’s southern Guangdong
province making prosthetic limbs and customised shoes for people left
disabled by the disease.
“When we fit the limbs on them, they are able to stand up for the
first time in years and they are so happy,” said 29-year-old Fan, now
recovered from the disease.
Fan works for Handa, a Chinese charity that helps sufferers of
leprosy, or Hansen’s disease.
“Some have lost all their toes or entire feet, so we custom-make
shoes for them. Some are able to do light housework or go back to the
farm afterwards,” Fan told Reuters.
In the past, leprosy sufferers were ostracised by their communities
as the disease was incurable, disfiguring and wrongly thought to be
highly infectious.
However, modern medicine made it curable from the 1940s, and victims
can now be treated effectively with a multidrug therapy for between six
months to a year. If diagnosed and treated early, the disease leaves no
traces.
But in some places such as China, stigma still surrounds the disease
and victims don’t seek treatment until it is too late.
Caused by the Mycobacterium leprae, leprosy affects the skin, mucous
membranes, peripheral nerves and eyes. As nerve damage is permanent,
even those who have recovered can’t feel pain. Minor cuts and abrasions
on fingers and toes often turn into gaping, inflamed ulcers because of
unsanitary living conditions.
These open sores overrun the digits, which slowly shrink and many
sufferers end up with stumps. Some have legs amputated.
Contrary to popular belief, leprosy ranks lowly in terms of
infectiousness and is not congenital. It is passed via respiratory
droplets among people in close and prolonged contact. Ninety-five
percent of people are naturally immune to it.
Stigma and ignorance
Fan’s grandfather and parents had leprosy and suspected he had the
disease when he was 16. He eventually received treatment with an
antibiotic cocktail before the disease had caused irreversible damage.
“After I recovered, I heard that Handa was conducting training
classes to make prosthetic limbs. That was how I started this career. I
am very lucky,” Fan said happily.
Leprosy is officially eliminated in China, meaning prevalence is
lower than 1 in 100,000. There are 3,510 active cases today.
But over 200,000 victims who have recovered, and their healthy
descendents, still live in villages with little or no hope of rejoining
society because of the disease’s stigma.
“Those in Guangdong are a lot more isolated because they were
forbidden from getting married. Up to the 1980s, they would have to be
sterilised if they wanted to get married. This was due to
misunderstanding that their children would be sick too,” said Michael
Chen, project coordinator of Handa.
Handa believes one way to reduce stigma is to stop using words like
“leper”, a term loaded with age-old misconceptions.
Fan and his colleagues a team of four people have custom-made over
9,000 pairs of shoes and 359 prosthetic limbs since 2000 for people
disabled by the disease.
“We not only make shoes and prosthetic limbs, but we help them change
their lives and let them walk again,” Fan’s supervisor Yuan Yahua
explained. |