New Case Detection

 

Leprosy Mailing List – May 20,  2013 

Ref.:    (LML) New Case Detection

From:  Dr. Joseph Kawuma, Kampala, Uganda

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Dear Peter,

 

The case presentation of Dr. Barreto (LML May 9, 2013) illustrates a situation that is likely to arise more often in other settings outside Brazil.

 

Three important issues emerge:

(i)            the practice of looking for leprosy among school children (how this would be done in a cost-effective, ethical etc. way in 2013 and beyond?);

(ii)           the "histamine test" ( what happened to the reasons for scaling it down in the first place?); and

(iii)         (iii) the thermo-sensibility testing (there were attempts to develop a simple tool for this test which, as far as I remember, did not go into widespread use because of cost and other reasons).

 

Would Dr. Berreto and other LML readers give some further comments and updates on these three?

 

 

Best regards,

 

H Joseph Kawuma,

 GLRA, Uganda

 

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LML - S Deepak, B Naafs, S Noto and P Schreuder
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