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To the Editor:—
The leprosy-control methods suggested by R. S. Buker, MD (193:643, 1965) may be applicable in some areas, but in Tanganyika the village is not a natural social unit, and in consequence the segregation village has had no place in our leprosy-control campaign since 1917. In my opinion, it should be equally outmoded in many other countries with a similar social structure, although doubtless it has a place in those countries instanced by Dr. Buker. It would, however, be both unscientific and foolish to expect this method of leprosy control to be applicable the world over.In his opening remarks Buker says that leprosy control depends upon "treatment sufficiently long to arrest or cure the disease." A more correct criterion is "sufficiently long to render the patient no longer infectious." This obviously is a very different matter. It has been shown that sulfone therapy results in degeneration
H. W. Wheate. Leprosy-Control Methods. JAMA. 1966;195(7):595. doi:10.1001/jama.1966.03100070139053