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Biomedical subjects

J Millan

Publications and source records attributed to J Millan.

96 records · Page 6Linked to original sources

[Detection of leprosy in a district of Guadeloupe (F.W.I.). Organisation and evaluation (1973-1978) (author's transl)].

Data give evidence of: 1) a progressive decrease of the infections with a significant fall in the school age group; 2) an almost constant number of infectious patients; 3) a growing importance of the detection by private practioners. Passive detection detects patients who, in most cases, are more seriously infected than those detected by active detection. Active detection is the only effective leprosy prophylactic method.

Adolescent↗

[Leprosy control in Guadeloupe (French West Indies). I General organization notification and registration of patients (author's transl)].

The French department of Guadeloupe gets good health structures and a high number of physicians in regard to its population. The Institut Pasteur of Guadeloupe is in charge of the leprosy control, with a team of specialized physicians who are in the same time microbiologists. The control methodology must take into account the fear still caused by the disease in the population, the patient's request to remain anonymous, the rquirements of the law concerning the notification and the registration of every new patient, and the real contagiosity of leprosy. In thirty years, a pragmatic, effective and not too compelling approach has been set up. A full cooperation, has been developed between the private practioners, the Public health service with its hospitals for specialized treatments, and the Institut Pasteur in charge of epidemiological control.

Health Policy↗

[Leprosy control in Guadeloupe (French West Indies). II. Rules of treatment and monitoring in "Grande Terre" district (author's transl)].

Modern treatment of leprosy must take into account the contagiosity of the disease and the risk of inducing the appearance of drug resistant strains. It must be adapted to the estimated charge of bacilli presented by the patient and, in all possible extent, ambulatory. Several therapeutic schemes are proposed. A periodic monitoring of the patient and of its human environment is necessary.

Drug Resistance, Microbial↗