Cover Image
close this book Combatting Hansen's disease
View the document Table of contents
View the document List of common abreviations
View the document I. Introduction
Open this folder and view contents II. Pertinent physiology and immunology
Open this folder and view contents III. Hansen's disease - Three perspectives
Open this folder and view contents IV. Health education
Open this folder and view contents V. Case finding
Open this folder and view contents VI. Diagnosis - Symptoms and testing in HD
Open this folder and view contents VII. Patient management
Open this folder and view contents VII. Co-operating institutions
Open this folder and view contents IX. Getting started
View the document Appendix I
View the document Appendix II
View the document Appendix III
View the document Appendix IV

Table of contents

List of common abreviations

I. Introduction

II. Pertinent physiology and immunology

A. Physiology

1. Skin

2. Nerves

3. Muscle

4. Bones, joints


B. Immunology

1. Introduction

2. Induction of the immune response

3. Expression of immune response

4. Immunological findings in HD

III. Hansen's disease - Three perspectives

A. Epidemiological perspective

1. Introduction

2. Magnitude of the problem

3. Factors influencing prevalence and distribution

B. Clinical-pathological perspective

1. Introduction

2. Classification

3. Earl clinical course-indeterminate (I) Group

4. Tuberculoid (TT) type

5. Lepromatous (LL) type

6. Borderline (BT-BB-BL) Group (Dimorphous)

7. Immunological complications: Reactions

8. General prognosis for HD

C. Public health perspective

1. Introduction

2. Means of control

3. Priorities in HD control

4. HD control in Korea (1976)

IV. Health education

A. Theory of public health education

1. Philosophy

2. Participants

3. Learning process

4. Principles in planning and implementing health education

5. Media and methods

6. Evaluation

B. HD specific health education in Korea

1. Introduction

2. Participants

3. Objectives

4. Assessment of Korean learner populations' present negative attitudes regarding HD

5. Methods and media

6. Materials

7. Language considerations for posters, slogans, and speeches

8. Evaluation

V. Case finding

A. Methods

1. A voluntary presenter

2. A notification

3. An "on the way"

4. Contact survey

5. Intensive survey

6. Mass survey

B. Language

C. Treatment or referal of non-HD medical problems


A. Scabies

B. Impetigo

C. Acne Vulgaris (Acne)

D. Tenia Pedis (Athletes Foot)

E. Tenia Versicolor (Pityriosis Versicolor)

F. A word about Eczema

VI. Diagnosis - Symptoms and testing in HD

A. Cardinal signs of HD

B. Symptoms

1. Skin

2. Nerves

3. Hands

4. Feet

5. Eyes and neighboring structures

6. Nose

7. Other

C. Examination and testing

1. General considerations

2. Examination technique

3. Testing sensation

4. Testing for Anhydrosis

5. Baciliary testing (skin smear)

6. Testing eyes

D. Examination and testing language

VII. Patient management

A. Patient directed health education

B. Management records

1. Large patient card

2. Small registration card

3. County HD patients roster

C. Management of the disease agent

1. Some facts about chemotherapy

2. History of chemotherapy in the treatment of HD

3. Present day treatment of choice (Dapsone - DDS)

4. All other sulfones

5. Disubstituted thioreas

6. Antibiotics

7. Clofazimine (B663, lamprene-Geigy, G30-320).

8. Language

D. Management of complications

1. Introduction

2. Reactions

3. Relapse

4. Resistance

5. Language

E. Management of insensitive and deformed members

1. Introduction

2. Foot

3. Hand

4. Eyes

5. Other sites requiring management

6. Bandaging, dressings and a final note on extraordinary measures

F. Follow-up and evaluation of management progress

1. Follow-up examinations

2. Duration of treatment and discharge

3. Patient non-compliance

4. Language

G. Social welfare and legal measures

1. Introduction

2. Legal measures in Korea

3. Social welfare measures

4. Resettlement villages

5. Wandering patients policy

6. Note regarding segregation of children of HD patients

VII. Co-operating institutions

A. Introduction

B. Modes of co-operation

C. Government

1. Provincial level

2. County level

D. Health center

1. General

2. TB for the HD worker

3. Family planning for the HD worker

4. Mother and child health care for the HD worker

5. Anti-epidemic disease effort for the HD worker

6. Overseer of doctors and pharmacies

E. Schools

F. Agriculture

G. Military

H. Other

I. Note on Korean villages

J. Language

IX. Getting started

A. Planning

1. Pre-programming

2. Programming

3. Evaluation

4. Research related to field procedures

B. Suggestions

1. Introduction

2. Data

3. Present HC procedure

4. Health education materials:

5. Miscellaneous

6. Language

Appendix I

Appendix II

Appendix III

Appendix IV