麻痺という病気です
1Division of National Hansen's Disease Programs, Gillis W Long Hansen's Disease Center, Carville, LA 70721-9607, USA. jkrahe1@lsu.edu
Lancet (London, England)
|February 25, 1999
まとめ
麻痺の管理は改善され,汚名を軽減しました. しかし,この疾患の発生率は安定しており,撲滅には,化学療法以外にも継続的なコントロールが必要である.
科学分野:
- 医学科学 医学科学 医学科学 医学科学
- 公衆衛生は公衆衛生である.
- 感染症 感染症は感染症です.
背景:
- 古くから恐れられてきた病気であるハンセン病は,しばしば誤解されています.
- 30年以上にわたり,ハンセン病管理の重要な進歩は,患者の汚名を軽減し,アウトカムを改善しました.
- 世界保健機関 (WHO) が2000年までにハンセン病を撲滅するという目標を掲げていることは,公衆の意識を高めていますが,その撲滅に関する誤解も引き起こしています.
研究 の 目的:
- 医療従事者に対して,ハンセン病とその管理に関する基本的な理解を提供すること.
- コントロールの努力にもかかわらず,長続きする麻痺の発生率に対処するために.
- 移動する世界の人口の中で,ハンセン病の診断と管理の継続的な関連性について医師に知らせる.
主な方法:
- 歴史的データと,現在進行中の麻痺の発生率と登録症例の見直し.
- WHOの撲滅目標が公衆の認識と疾病管理に与える影響の分析.
- 細菌による感染症の根絶において,化学療法のみの限界の評価.
主要な成果:
- 登録された症例の減少にもかかわらず,ハンセン病の発生率はほとんど変化していない.
- 公衆の認識は,WHOの根絶目標によって影響を受け,根絶への信念につながっています.
- 化学療法だけでは,麻痺の根絶には不十分です.
結論:
- 麻痺は,化学療法によってのみ,近い将来に根絶される可能性は低い.
- 2000年以降の継続的で適切な予防対策は,麻痺の発生率を潜在的に減らすために不可欠です.
- 世界中の医師は,ハンセン病の症例に遭遇することがあり,患者の移動により,病気とその管理に関する基本的な理解を必要とします.
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