It is customary to date provision of health services in rural India to the Report of the Bhore Committee (1946) and its descendants. It is presumed that in pre-Bhore India (the last half-century of the British era) the rural public health scenario was devoid of discerning commentators and practical effort. The presumption is misleading.
View Article and Find Full Text PDFObjectives: The study involves a follow-up visit in 2010, to hyper-endemic Gadchiroli district of Maharashtra, India, to evaluate the current status of those suspected in 2009 of having skin/nerve lesions suggestive of leprosy, and to study the interactions between such people and the State leprosy programme.
Design: The study cohort comprised of those confirmed with leprosy (n = 151 and 157/233 absentee 'suspects' who were not examined by the study team in 2009 in 14 of 45 Primary Health Centres (PHCs). At follow-up, the treatment status of the confirmed cases was checked from PHC registers and cross-checked by direct questioning of patients and their views were sought on PHC leprosy services.
Int J Lepr Other Mycobact Dis
September 2004
This study describes the circumstances under which enumerations of "lepers" were conducted in India in the late 19th century, and the ideological biases of the respective investigators and the meanings that they read into the statistics. This report focuses on the Bombay Presidency leprosy returns of 1867, examined in 1871 by Henry Vandyke Carter, and the decennial nation-wide population census of 1871-1872, 1881, and 1891, in which the leprosy-affected, among other infirm persons, were also enumerated. The evidence examined includes the investigators' reports and other published and unpublished contemporaneous documents.
View Article and Find Full Text PDFHist Cienc Saude Manguinhos
February 2004
The present paper examines the first attempts to internationalize the problem of leprosy, a subject hitherto overlooked by historians of imperialism and disease. The last decade of the nineteenth century saw many in the 'civilized countries' of the imperialist West gripped by a paranoia about an invasion of leprosy via germ-laden immigrants and returning expatriates who had acquired the infection in leprosy-endemic colonial possessions. Such alarmists clamoured for the adoption of vigorous leper segregation policies in such colonies.
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