Arresting Leprosy: Therapeutic Outcomes Besides Cure
This essay focuses on the use of the concept of "arrest" in Hansen's disease (leprosy) in the United States in the early to middle part of the 20th century, as well as the transformations the concept underwent with the arrival of sulfone drugs and the implications of these changes for...
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| Veröffentlicht in: | American journal of public health (1971) 2018-02, Vol.108 (2), p.196-202 |
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| container_title | American journal of public health (1971) |
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| creator | López, Raúl Necochea |
| description | This essay focuses on the use of the concept of "arrest" in Hansen's disease (leprosy) in the United States in the early to middle part of the 20th century, as well as the transformations the concept underwent with the arrival of sulfone drugs and the implications of these changes for patients and public health officers. An "arrest" was a therapeutic outcome characterized by a long course of treatment, noncontagiousness, a very small chance of reactivation, and a need for postdischarge maintenance that depended on sociomedical infrastructures beyond the clinic as well as self-imposed lifestyle limitations. The concept of disease arrest shows that experts and laypeople alike have valued therapeutic outcomes other than "cure" that signal certain optimal therapeutic milestones, despite the practical difficulties they imply and despite the fact that they do not promise a return to a pre-illness stage. |
| doi_str_mv | 10.2105/AJPH.2017.304177 |
| format | Article |
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An "arrest" was a therapeutic outcome characterized by a long course of treatment, noncontagiousness, a very small chance of reactivation, and a need for postdischarge maintenance that depended on sociomedical infrastructures beyond the clinic as well as self-imposed lifestyle limitations. The concept of disease arrest shows that experts and laypeople alike have valued therapeutic outcomes other than "cure" that signal certain optimal therapeutic milestones, despite the practical difficulties they imply and despite the fact that they do not promise a return to a pre-illness stage.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2017.304177</identifier><identifier>PMID: 29320294</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>20th century ; Activation ; AJPH History ; Arrests ; Disease ; Disease control ; Drugs ; Experts ; History, 20th Century ; Humans ; Hydnocarpus kurzii ; Illnesses ; Leprostatic Agents - therapeutic use ; Leprosy ; Leprosy - drug therapy ; Leprosy - history ; Lifestyles ; Louisiana ; Patients ; Physicians ; Public Health ; Social networks ; Tuberculosis ; United States ; United States Public Health Service</subject><ispartof>American journal of public health (1971), 2018-02, Vol.108 (2), p.196-202</ispartof><rights>Copyright American Public Health Association Feb 2018</rights><rights>American Public Health Association 2018 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c377t-1e6ab5f9765bb1fd82f40d9acfa62582486cea8a21958619990a7070a49d08e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846587/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846587/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27865,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29320294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>López, Raúl Necochea</creatorcontrib><title>Arresting Leprosy: Therapeutic Outcomes Besides Cure</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>This essay focuses on the use of the concept of "arrest" in Hansen's disease (leprosy) in the United States in the early to middle part of the 20th century, as well as the transformations the concept underwent with the arrival of sulfone drugs and the implications of these changes for patients and public health officers. An "arrest" was a therapeutic outcome characterized by a long course of treatment, noncontagiousness, a very small chance of reactivation, and a need for postdischarge maintenance that depended on sociomedical infrastructures beyond the clinic as well as self-imposed lifestyle limitations. The concept of disease arrest shows that experts and laypeople alike have valued therapeutic outcomes other than "cure" that signal certain optimal therapeutic milestones, despite the practical difficulties they imply and despite the fact that they do not promise a return to a pre-illness stage.</description><subject>20th century</subject><subject>Activation</subject><subject>AJPH History</subject><subject>Arrests</subject><subject>Disease</subject><subject>Disease control</subject><subject>Drugs</subject><subject>Experts</subject><subject>History, 20th Century</subject><subject>Humans</subject><subject>Hydnocarpus kurzii</subject><subject>Illnesses</subject><subject>Leprostatic Agents - therapeutic use</subject><subject>Leprosy</subject><subject>Leprosy - drug therapy</subject><subject>Leprosy - history</subject><subject>Lifestyles</subject><subject>Louisiana</subject><subject>Patients</subject><subject>Physicians</subject><subject>Public Health</subject><subject>Social 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An "arrest" was a therapeutic outcome characterized by a long course of treatment, noncontagiousness, a very small chance of reactivation, and a need for postdischarge maintenance that depended on sociomedical infrastructures beyond the clinic as well as self-imposed lifestyle limitations. The concept of disease arrest shows that experts and laypeople alike have valued therapeutic outcomes other than "cure" that signal certain optimal therapeutic milestones, despite the practical difficulties they imply and despite the fact that they do not promise a return to a pre-illness stage.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>29320294</pmid><doi>10.2105/AJPH.2017.304177</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | American journal of public health (1971), 2018-02, Vol.108 (2), p.196-202 |
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| language | eng |
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| source | MEDLINE; PAIS Index; Business Source Complete; EBSCOhost Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | 20th century Activation AJPH History Arrests Disease Disease control Drugs Experts History, 20th Century Humans Hydnocarpus kurzii Illnesses Leprostatic Agents - therapeutic use Leprosy Leprosy - drug therapy Leprosy - history Lifestyles Louisiana Patients Physicians Public Health Social networks Tuberculosis United States United States Public Health Service |
| title | Arresting Leprosy: Therapeutic Outcomes Besides Cure |
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