Leprosy Mailing List – February 23, 2014
Ref.: (LML) Hazards of setting targets to eliminate disease: lessons from the leprosy elimination campaign
From: Aguinaldo Gonçalves, Campinas, Brazil
Dear Dr. Schreuder,
Considering the recent communication by Diana Lookwood et al about lessons from the leprosy elimination campaign, I am sending herewith the article (in English, as it was published) as an attached file. The web link of Braz. J. of Epidemiology is http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2013000300611&lng=pt&nrm=iso&tlng=en
“In the light of successive therapeutical difficulties for leprosy control, the application of drug therapy combination over the last decades has brought about an expectation of cure for leprosy patients and also for the elimination of this illness as a Public Health problem. However, there has been a progressive reduction in the prevalence of leprosy, but without any apparent impact on transmission, which has led to recognized need for solid assessment of respective epidemiological evidence as grounds for interventions to solve the problem. In this regard, here we present a retroanalytical qualitative and quantitative study. The conclusions that have been reached indicate, mainly, that the reality of leprosy control with the use of combination drug therapy, still needs to be handled with care, even more so as this is just a fragment of the set of people once under medical attention, which also correspond to a parcel of the set of people affected by the ailment” (Gonçalves A. Realities of leprosy control: updating scenarios. Rev. bras. epidemiol. vol.16 no.3 São Paulo set. 2013).
Other research about this matter, see the references 1,2 and 3.
Best regards,
Prof. Dr. Aguinaldo Gonçalves, MD, MSc, PhD
A2 Researcher Professor of Dermatology, PUC Campinas, Brazil
Formerly Director of Leprosy National Division, Ministry of Health, Brazil
aguinaldogon@uol.com.br
http://lattes.cnpq.br/8140651861738248
1 - GONÇALVES, A. & GONÇALVES, N.N.S. – Multdrugtherapy in Leprosy, with special reference to Brazil. Bras. Med. 23(1-4): 5-10, 1986.
2- GONÇALVES, A.; MANTELLINI, G. G.; PADOVANI, C. R. Leprosy Control: perspectives & epidemiological and operational aspects. Rev Inst Méd Trop S.Paulo 52(6): 311-322, 2010.
3- MANTELLINI, G.G.; GONÇALVES, A.; PADOVANI, C.R. Leprosy dual paradigm control or elimination: the critical period 2000-2005. Hansenol Internat 36(2): 17-23, 2011
LML - S Deepak, B Naafs, S Noto and P Schreuder
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