Leprosy
Mailing List, December 8th, 2008
Ref.: Steroid therapy in
the management of reactions in leprosy
From: Kawuma
J., Kampala, Uganda
Dear Salvatore,
Basing on the
various responses on this subject it is clear that something must be
done about the current guidelines.
Those needing to prompt change
should not only be the WHO Experts but also other opinion leaders in
the leprosy world. The
circulating issues of the ILEP Learning Guides One and Two also
describe standard 12 week regimens for Type 1 reactions in PB
patients.
Whatever the new guidelines are,
they should take serious consideration of the current status of
leprosy control programmes in
Africa
; there is a threat that field staff with good clnical knowledge of
leprosy are tending to extinction; there is in addition an on-going
debate regarding the threat of not having dedicated training
facilities!
Joseph Kawuma
GLRA,
Uganda
