International Journal of Epidemiology, Volume 33, Number 2, pp. 269-270
IJE vol.33 no.2 © International Epidemiological Association 2004; all rights reserved.
Commentary |
Commentary: Leprosy and poverty
London School of Hygiene and Tropical Medicine, Keppel St, London, WC1E 7HT, UK. E-mail: diana.lockwood{at}lshtm.ac.uk
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A hundred years ago the hot debate in leprosy circles revolved around disease causation; was leprosy hereditary or could the bacterial hypothesis of Armauer Hansen be believed? These arguments had important and very different public health consequences. If hereditary then patients should be stopped from reproducing but did not need isolation and confinement. However, if a bacterial aetiology was believed then leprosy patients should be isolated from society to prevent spread of infectious