DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20211698

Skin disorders prevalent among orphanage children in Puducherry

Preethi Kanagaraj, Damayandhi Kaliyaperumal, Oudeacoumar Paquirissamy

Abstract


Background: Around 20 million children, about 4% of the total population of India, higher than the population of Delhi, are abandoned and most of them dwell in orphanages.

Methods: There are only few studies were carried out to analyse the spectrum of skin diseases in orphanage children and there is a paucity of data from orphanages in Puducherry. Hence this study was carried out to analyse the spectrum of skin disorders in orphanage children, in and around Puducherry. In this cross sectional study, three orphanages in and around Puducherry was chosen. Two dermatologists carried out the examination, including the skin, hair, nails and oral cavity of all the residents for a period of six months. Diagnoses were made clinically and recorded, treatment recommendations were offered.

Results: The data analysis was carried out using Graphpad Prism, a p<0.05 was considered significant. A total of 216 children were enrolled in this study, of which 203 (93.98%) were found to have skin diseases. Infectious dermatoses were observed in 148 (68.52%) children whereas non-infectious dermatosis was evident in 83 (32.43%). Among the infectious dermatoses infestation was the most common (37.50%), followed by fungal in 48 (22.22%), bacterial 12 (5.56%) and viral in 7 (3.20%). Acquired disorders such as acne, eczema and xerosis and pigmentary, papulosquamous and other miscellaneous dermatoses constituted the non-infectious group dermatoses.

Conclusions: Skin disorders in orphanage children are ought to be more common due to overcrowding, lack of personal hygiene etc, which is evident from higher incidence of contagious infectious dermatoses. Hence improving the standard of living, counseling and education to the care takers, and the children and good nutrition will help to bring down the skin diseases in orphanages.


Keywords


Orphanage, Orphans, Puducherry, Children, Epidemiological

Full Text:

PDF

References


Orphans, UNICEF. Available at: http://www.unicef. org/media/media_45279.html. Accessed on 20 December 2020.

SOS children’s village, Orphans. Available at: https://www.sos-usa.org/our-impact/childrens-statistics. Accessed on 20 December 2020.

Orphan statistics, skyward journey. Available at: https://skywardjourney.wordpress.com/orphan-statistics/. Accessed on 20 December 2020.

About 20 million kids in India orphans. Available at: http://www.hindustantimes.com/delhi/about-20m-kids-in-india-orphans-study/story-CM5xsW91-McYBjQ3WLhh6MO.html. Accessed on 20 December 2020.

Childline India foundation. Available at: http://www.childlineindia.org.in/children-without-parental-care-india.htm. Accessed on 20 December 2020.

Musisi S, Kinyanda E, Nakasujja N, Nakigudde J. A comparison of the behavioral and emotional disorders of primary school-going orphans and non-orphans in Uganda. Afr Health Sci. 2007;7:202-13.

Kvrgic S, Jovovic J. Children without parental care as a vulnerable population group. Med Pregl. 2003;56: 436-8.

Monika K, Balvir ST, Rakesh B. Prevalence and demographic profile of skin disorders in school going children of urban and rural Jaipur. Int J Cont Med Res. 2019:7;G6-10.

Jawade SA, Chugh VS, Gohil SK, Mistry AS, Umrigar DD. A clinico-etiological study of dermatoses in pediatric age group in tertiary health care center in South Gujarat region. Indian J Dermatol. 2015;60(6):635.

Kouotou EA, Nansseu JR, Kouawa MK, Zoung-Kanyi, Bissek AC. Prevalence and drivers of human scabies among children and adolescents living and studying in Cameroonian boarding schools. Parasit Vectors. 2016;9(1):400.

Katelaris CH, Peake JE. Allergy and the skin: Eczema and chronic urticaria. Med J Aust. 2006;185:517-22.

Thappa DM. Common skin problems. Indian J Pediatr. 2002;69:701-6.

Patel JK, Vyas AP, Berman B, Vierra M. Incidence of childhood dermatoses in India. Skinmed2010;8:136-42.

Baruah MC, Bhat V, Bhargava R. Prevalence of dermatoses in the neonates in Pondicherry. Indian J Dermatol Venereol Leprol. 1991;57:25-8.

Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol. 2003;20:482-7.

Agrawal S, Puthia A, Kotwal A, Tilak R, Kunte R, Kushwaha AS. Mass scabies management in an orphanage of rural community: An experience. Med J Armed Forces India. 2012;68:403-6.

Doni SN, Mitchell AL, Bogale Y, Walker SL. Skin disorders affecting human immunodeficiency virus-infected children living in an orphanage in Ethiopia. Clin Exp Dermatol. 2012;37:15-9.