[The physician's responsibility in the fight against leprosy in Guadeloupe].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to J Millan.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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.
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.
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.
A screening on qualitative abnormalities of hemoglobin for 10.559 blood-donors has been done in Guadeloupe. Results give 8,08% for sickle trait and 2,52% for C trait. Scarce hemoglobins such as S Korle Bu, J Broussais and N Baltimore have so been found.