01149nas a2200193 4500000000100000008004100001260001600042653001400058653001100072653001200083653002100095100001600116700001700132245004200149300001100191490000800202520073100210022001400941 1993 d c1993 Sep 0610aAustralia10aHumans10aleprosy10aTropical Climate1 aBritton W J1 aHargrave J C00aLeprosy in the tropics and Australia. a326-300 v1593 a
Leprosy is no longer the feared disease of the past, but it still causes significant morbidity in countries where it is endemic, and it is estimated that up to 2500 million people are at risk of contracting the disease. Control with dapsone monotherapy over the past 20-30 years has been effective in some countries but secondary and, more recently, primary drug resistance is now widespread. This situation prompted the development of multidrug therapy regimens which are proving highly effective. Here the natural history and clinical features are described, as well as the history and impact of leprosy in Australia. Early diagnosis and the current multidrug regimens offer hope for long-term control of the disease.
a0025-729X