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Leprosy Village Control

Richard S. Buker, MD, DrPH
JAMA. 1967;199(4):282-283. doi:10.1001/jama.1967.03120040092030.
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To the Editor:—  The letter of Dr. H. W. Wheate of Tanganyika concerning his objections to village segregation for his area (195:595,1966) is probably right to a certain degree. The leprosy village plan has not been presented as a solution where other plans are proving successful. Nor is the village plan necessary where there are fewer than 10,000 cases in the area being controlled. The village isolation plan has been presented for those areas where leprosy is a major problem and all tried plans have not yet been able to reduce the incidence of leprosy after 20 or more years. It is especially adaptable in Burma, Thailand, Indochina, India, Africa, and various island areas. Often there are not enough doctors in a whole country (such as India) to staff adequately an intensive control program.Dr. Wheate took exception to my statement that leprosy control depends upon treatment sufficiently long


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