leprosy
Let an agent explain leprosy in general terms from WHO and clinical sources, relay classification, treatment and prevention, present history and stigma with attribution, and route personal medical questions to clinicians.
Bundle → Layer → Finding → Questions Filled
4 bundles · 8 layers · 8 findings · 16 questions
Understand The disease.
Definition
Definition and classification.
Definition
Definition.
- What is leprosy, and how is it classified? definition
- Is the question about the modern disease or historical uses of the term? boundary
Illness
Symptoms and transmission.
Illness
Illness.
- What are the signs, and how is leprosy transmitted, in general terms? definition
- Is the user describing personal symptoms, which need a clinician? boundary
Care Treatment and prevention.
Treatment
Treatment.
Treatment
Treatment.
- How is leprosy treated with multidrug therapy, and how are reactions managed, per guidelines? provenance
- Which references are standard? provenance
Prevention
Prevention and elimination.
Prevention
Prevention.
- What prevention measures and elimination strategies exist, including post-exposure prophylaxis? provenance
- Which entry fits neglected tropical diseases? action
Where Epidemiology.
Distribution
Distribution.
Distribution
Distribution.
- Where does leprosy occur today, and what are the case numbers, from WHO? measurement
- Which sources are cited? provenance
Disability
Disability and rehabilitation.
Disability
Disability.
- How is leprosy-related disability prevented and rehabilitated? provenance
- Which entry fits rehabilitation? action
History History and stigma.
History
History.
History
History.
- How has leprosy been understood and treated historically, including leprosaria and Hansen discovery? provenance
- Which entry fits the history of medicine? action
Stigma
Stigma and rights.
Stigma
Stigma.
- How have stigma and discrimination affected people with leprosy, and what rights frameworks exist, with attribution? provenance
- Is the language respectful and person-first? boundary
Classifiers Filled
- Family
- Thing Registry
- Category
- Information and virtual systems
- Entry kind
- thing
- Plane
- INF
- Domain
- INF.KNW
- Other names and narrower kinds
- Erythema nodosum leprosum, alphos, borderline leprosy, paucibacillary leprosy, multibacillary leprosy, lepromatous leprosy, Lucio's phenomenon
What it is Filled
A chronic infectious disease caused by Mycobacterium leprae and Mycobacterium lepromatosis, affecting the skin, peripheral nerves, upper respiratory tract and eyes, classified as paucibacillary or multibacillary and across a spectrum from tuberculoid to borderline and lepromatous forms, with immune reactions such as erythema nodosum leprosum; leprosy, also called Hansen disease, is curable with multidrug therapy, is generally transmitted between people through prolonged close contact with an untreated person, can also be acquired through zoonotic transmission from infected armadillos, and has a long history of stigma and segregation.
Why it exists Filled
Let an agent explain leprosy in general terms from WHO and clinical sources, relay classification, treatment and prevention, present history and stigma with attribution, and route personal medical questions to clinicians.
Distinguishing features Filled
- Slow-growing bacterium
- Nerve damage and disability
- Curable with multidrug therapy
- Historical stigma
What robots and AI may and may not do Filled
Must not
- Use words such as leper for a person affected by the disease.
- Recommend treatment or doses in place of a clinician.
- Disclose a person's diagnosis, past or present, without their consent, except for legally required or permitted public health reporting authorized by a responsible human.
- Support segregation, isolation or exclusion of people affected by it.
Only with a human decision
- Reporting a case to public health authorities.
- Any decision affecting a person's work, housing or family because of the disease.
May
- Give general information about the disease, its treatment and its history from health sources.
- Correct the false belief that it is highly contagious or a punishment.
- Point a person with symptoms towards medical assessment.
Moral aspects Filled
- Stigma has cost people their families, work and freedom for centuries, and still does.
- The disease is curable, yet late diagnosis leaves lasting disability.
Who is affected
- People affected by the disease
- Their families
- Communities in affected regions
Owners Filled
Steward
Each patient owns their health data; national programmes and health authorities answer for care.
Links to other meta-models Filled
parent
- Q18553247 - registry parent class
- Q18558209 - registry parent class
- Q3041498 - registry parent class
- Q4293079 - registry parent class
- Q7705854 - registry parent class
- Q929451 - registry parent class
- neglected tropical disease - per WHO
related
- primary bacterial infectious disease - in registry terms
- Mycobacterium leprae - and M. lepromatosis
- multidrug therapy - rifampicin, dapsone and clofazimine
What else AI and robots need to interact with it Filled
Identity and identifiers required Filled
- Vercy registry: vr.tr.leprosy
- Wikidata: Q36956 (https://www.wikidata.org/wiki/Q36956)
- ICD-11: 1B20
- MeSH: D007918
Direct properties not applicable Not applicable
- new cases per year: about 180000 people - WHO, recent years
- incubation: about 5 years - average, up to 20
Plane INF: no invented physical properties.
Recognition optional Filled
- Chronic mycobacterial disease of skin and nerves
- Paucibacillary, multibacillary, tuberculoid, borderline, lepromatous
- Biblical and historical uses of leprosy covered various skin conditions; alphos was a historical term
- Not a visible object; a clinical illness with skin lesions and nerve damage.
Capabilities and actions required Filled
- explain the disease and classification
- relay treatment and prevention
- present history and stigma
- route personal questions to clinicians
Hazards and failure modes required Filled
- Stigma and discriminatory language
- Delayed diagnosis and disability
- Agents giving personal medical advice
- Confusing historical and modern uses of the term
Standards and interfaces required Filled
- WHO leprosy guidelines and global strategy
- National elimination programmes
- UN principles on eliminating discrimination against persons affected by leprosy
Context of use required Filled
- Not applicable; a disease.
- paucibacillary and multibacillary leprosy
- tuberculoid, borderline and lepromatous forms
- leprosy reactions including erythema nodosum leprosum
- leprosy caused by Mycobacterium lepromatosis
- historical terms such as alphos
Sources Filled
- Wikidata item Q36956: leprosy - identity and sense of the item
- Wikipedia: Leprosy - general description of the item
Open questions
- Should leprosy reactions be a separate entry?
- How should WHO guidance be linked?
- The registry entry has merged aliases naming forms and a historical term; should they be split off?
Machine files
Provenance
thing registry research (pass 2) · unreviewed
Built from: models/things/publications/thing-q36956/spec.json