Burden of depression and anxiety among leprosy affected and associated factors—A cross sectional study from India

BackgroundLeprosy is a Neglected Tropical Diseases (NTDs) known to cause stigma and discrimination in low-and middle-income countries. It often results in visible impairments, thus pre-disposing to poor mental health. Aim of the study was to estimate the prevalence of depression and anxiety among people affected by Leprosy and to determine the associated factors.Methodology/Principal findingsA multi-centric, cross-sectional study was carried out in four leprosy endemic states of India—Chhattisgarh, Maharashtra, West Bengal and Tamil Nadu in randomly selected blocks (a sub-unit of district), from one district in each state. From selected blocks those registered for leprosy treatment at public health or referral centres, people above the age of 18 years were interviewed with PHQ-9 and GAD-7 questionnaires for Depression and Anxiety, respectively. Disease profile like leprosy classification, deformity grade, number and site of the patches and socio-economic status were collected along with individual data.Of the total 220 respondents, prevalence of depression and anxiety symptoms was, 33% (73) and 19% (42), respectively. Presence of disability (47%) and Female gender (46%) were significantly associated with depression. Presence of disability (32%), Lower income group (27%) and low education (22%) were significantly associated with symptoms of anxiety. As the severity of disability increased, risk of developing depression and anxiety increased.ConclusionThe study indicates that more than 30% of people affected by leprosy have mental health problems, which emphasizes the importance of mental health care services in leprosy. Women, those who had lower level of education, those belonging to lower socio-economic status and those with any level of disability due to leprosy are at risk of developing depression and/or anxiety. The study concludes more attention to be paid to the categories identified to be at risk.     

Non‐edible oil seed producing Calophyllum inophyllum ideal for India's future biofuel development

The impending climate change crisis has stimulated enormous interest in the development of biofuel globally. The supporters of biofuel hail that it is naturally carbon‐neutral whereas the critiques argue that the large‐scale plantations and production of biofuel based on Jatropha can not only strain agricultural resources but also threaten future food security. India's subsistence farmers are often faced with challenges and constraints of poverty. Foremost among the challenges are the marginal environmental conditions for agriculture often influenced by erratic rainfall, drought, poor soil quality, and unreliable irrigation water supply. In this article, we have presented a case study on the potential to use nonedible seeds from naturally occurring tree species, Calophyllum inophyllum to meet the increasing demand for biofuel production in India.