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[Leprosy in Guatemala 1982].

F A Cordero

    Acta Leprologica
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Leprosy, historically known as "Lazarus illness," remains endemic in Guatemala. The Institute of Dermatology (INDERMA) has provided extensive care and identified the north-east zone as the primary endemic area.

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    Area of Science:

    • Dermatology
    • Epidemiology
    • Public Health

    Background:

    • Leprosy has been present in Guatemala since 1527, historically referred to as "Lazarus illness."
    • Leprosy patients were historically treated in various institutions, including "The Mercy Hospital" (1530), "The Saint Lazarus Hospital" (1638), "The Piety Asylum" (1874), and "The Ramiro Galvez Leprosarium" (1972).
    • The "Guatemala Leprosy Patronage" and the Institute of Dermatology (INDERMA) were established in 1973.

    Purpose of the Study:

    • To provide a historical overview of leprosy in Guatemala from 1527 to 1982.
    • To detail the services and patient statistics provided by INDERMA from 1973 to 1982.
    • To identify the endemic areas and characteristics of leprosy patients in Guatemala.

    Main Methods:

    • Review of historical records of leprosy treatment facilities and patient care.

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  • Analysis of patient data from INDERMA's hospital and outpatient clinics (1973-1982).
  • Clinical examination of individuals through INDERMA's rural anti-leprosy campaign.
  • Main Results:

    • INDERMA provided 101,206 health services between 1973 and 1982, including treatment for 79,241 skin disease patients and 3,685 new/existing leprosy cases.
    • The rural campaign identified 137 new leprosy cases among 12,096 examined healthy individuals, confirming the north-east zone as the endemic area.
    • As of January 1982, Guatemala had 410 verified leprosy cases, predominantly lepromatous type (49.04%), with males (62.43%) and the 30-39 age group (19.24%) most affected. The endemic zone showed a prevalence index of 0.345%.

    Conclusions:

    • INDERMA's efforts have been crucial in managing leprosy in Guatemala, with a focus on the endemic north-east region.
    • The study highlights the epidemiological characteristics of leprosy in Guatemala, including predominant types and demographic distribution.
    • Ongoing study and care of leprosy patients continue across Guatemala as the endemic area is controlled.