Document Detail


Immigration and leprosy in Hawaii, 1960-1981.
MedLine Citation:
PMID:  6890539     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The 140-year-old epidemic of leprosy among the people of Hawaii reached its peak at about the beginning of this century and has been subsiding ever since. A preliminary review of new cases in Hawaii in the past 15 years showed 49 among those born in Hawaii, plus 360 new immigrant cases (largely from the Philippines and Samoa), 130 of whom were of the borderline lepromatous or lepromatous (BL/L) form. Since 1970 all new cases have been treated as ambulatory patients in their home communities. A detailed review of all 95 new Hawaii-born cases in the past 21 years showed a continuing rapid decline in incidence among ethnic Hawaiian people, with a fall in the proportion of BL/L cases from its former plateau around 40% to only 20% in the last seven years. The new immigrant BL/L cases have apparently not caused a significant secondary outbreak among the Hawaiians but have caused a modest increase among groups. Among these recent non-Hawaiian secondary cases, the proportion of BL/L cases has also recently dropped so sharply that the risk of significant tertiary spread is minor. The possible role of improved nutrition in Hawaii as an influence on these recent leprosy patterns is suggested.
Authors:
R M Worth; M R Bomgaars
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association     Volume:  50     ISSN:  0148-916X     ISO Abbreviation:  Int. J. Lepr. Other Mycobact. Dis.     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1983-01-27     Completed Date:  1983-01-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8505819     Medline TA:  Int J Lepr Other Mycobact Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  335-41     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Emigration and Immigration
Hawaii
Humans
Leprosy / economics,  epidemiology*
Middle Aged

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