Leprosy Mailing List – May 8, 2026
Ref.: (LML) Need for rethinking on chemoprophylaxis strategies for leprosy control
From: Ben Naafs, Munnekeburen, the Netherlands
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Dear Pieter and colleagues,
We like to refer to the following article in the attached file:
Need for rethinking on chemoprophylaxis strategies for leprosy control
By Bhushan Kumar, Sukhdeep Singh, Tarun Narang , Nusrat Shafiq, , Sunil Dogra
Department of Dermatology, Shalby Hospital, Punjab, Departments of
Dermatology, Venereology and Leprology and Clinical Pharmacology,
Institute of Medical Education and Research, Chandigarh, India
I read with pleasure the above article voicing worries I also have. The solution; treat the index case and examen the contacts and treat the ones needed treatment and vaccinate with BCG or similar vaccine is a good one.
You will prevent leprosy in the contacts who can develop a protective immunity. But they need a booster if this booster is not supplied by the environmental bacteria.
The problem stays with the ones who can not develop protective immunity and will, when infected, develop polar Lepromatous Leprosy.
The patients with a high BI should be treated longer then the WHO advises and followed up with serology in order to detect early a relapse or reinfection. Polar Lepromatous Leprosy patients in an endemic society should be treated for life. Remember Almeida’s contributions!
With regards
Ben
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LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << edit...@gmail.com
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