Assuntos
Humanos , Hanseníase Virchowiana/diagnóstico , Hanseníase Virchowiana/prevenção & controle , Hanseníase Virchowiana/terapia , Hanseníase Virchowiana/transmissão , Hanseníase/diagnóstico , Hanseníase/epidemiologia , Hanseníase/terapia , Índia/epidemiologia , Serviços de Saúde , Serviços de Saúde/provisão & distribuição , Terapia Diretamente Observada , Terapia Diretamente Observada/tendênciasRESUMO
(1) 4:4' diaminodiphenylsulphone (DDS) has been effective in leprosy in very small amounts. (2) In such is amounts it is not more toxic than its derivatives. (3) The effict is shown of vitamin B12 in controlling reaction and anaemia in cases intolerant to DDS. (4) In 58 cases there was an average improvement of over 20 por cent in the bacillary index, while in 12 cases in which the original bacillary index was 10 or less there was an average improvement of almost 50 per cent. (5) There is evidence that lepra reaction induced by DDS, or by another couse during treatment with DDS, favours the more rapid absorption of lepra bacilli. (6) On this account the advisability is discussed of inducing lepra reaction in cases in which it does not otherwise occur. (7) The question of combining local treatment with DDS therapy is discussed. (8) The oral and parenteral methods of giving DDS are compared