01475nas a2200181   4500000000100000008004100001260001700042653001100059653001100070653001200081100001300093700001400106245012300120300001000243490000600253520102000259022001401279       1985                            d  c1985 Jul-Sep10aAfrica10aHumans10aleprosy1 aNebout M1 aGrosset J00a[Present-day difficulties in the campaign against leprosy and proposals for its resumption in French-speaking Africa].  a233-70 v33 a<p>Until recent years the control of leprosy lied over a semi-specific organisation called "lutte contre les Grandes Endémies". Their strategy was based on the facilities of specialists teams practicing systematic medical visits ware the track-down, the treatment by monotherapy and the annual control of the patients. With appearance of social and economic difficulties the activity of these services has greatly decreased and the control of leprosy has known a stop in many countries. Also this organisation is no long a fit to the use of new regimens based on multitherapy. Solutions are proposed having in mind the objectives to follow scientific and logistic demands all the facilities. Summary all the facilities should be used without exception and without hesitation: lights move-over teams, fixed centers, educationals facilities, etc... This combination of this facilities and the wish to fight by the population and the health personals could only assure the success of new programs against leprosy.</p>  a0001-5938