01760nas a2200325 4500000000100000008004100001260001700042653001500059653001000074653001000084653002100094653002300115653001100138653001100149653002000160653001200180653002500192653002600217653001400243100001100257700001800268700001400286700001300300245007300313856004100386300001000427490000700437520097600444022001401420 1975 d c1975 Apr-Jun10aAdolescent10aAdult10aChild10aChild, Preschool10aHome Care Services10aHumans10aInfant10aInfant, Newborn10aleprosy10aMycobacterium leprae10aRetrospective Studies10aVenezuela1 aRasi E1 aCastellazzi L1 aQuevedo L1 aConvit J00aEvaluation of "chemical isolation" in 1,168 leprosy patients' homes. uhttp://ila.ilsl.br/pdfs/v43n2a03.pdf a101-50 v433 a

"Chemical isolation" (treatment of open cases as a measure of control for transmission between contacts) is evaluated by a retrospective study of 7,232 household contacts of 1,168 leprosy patient homes. Contacts comparable in age and type of exposure were arranged in subgroups according to whether they were born before (Group A) or born after (Group B) beginning treatment of the index cases had begun. Additionally, the whole group of contacts, both of open (LL & BB) and closed (TT & I) cases were evaluated. Among comparable contacts of LL and BB cases, the infection rate in the contacts before initiation of treatment is higher than in that of contacts after initiation of treatment. The protection afforded by the treatment to the exposed group (Group B) is on the order of 66%. The morbidity occurring in the group born after the initiation of index case treatment apparently results from partial persistence of infectiousness of the case under treatment.

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