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1928 Surinam Leprosy Annual Report 1928 (taken from the Annual Report of the Public Health Service 1928)

At the end of December 1928, the number of patients was as follows: In the leprosy-settlement “Groot-Chatillon” 166; in the leprosy-asylum “St Gerardus Majella” 176; iIn the leprosy asylum “Bethesda” 66.

In the capital city Paramariibo, there were known, on December 1928, 376 not-segregated lepers, of whom, 244 were treated by the Public Health Service clinically and 87 were treated in their homes. A number were treated by private physicians. In the districts, there were, on December 1928, 113 not segregated lepers under treatment.

The number of lepers as far as known amounts in Paramaribo to 552; isolated 176; not isolated 376; in the districts 346; isolated 232; not isolated 113; in abodes not known, 41. Total 938

Besides that, there are 259 persons under supervision of the Public Health Service, because there have suspected symptoms; however, without that there exist sufficient reasons for treatment, or because they were formerly infected and are declared to be free from active symptoms now, or because they were born from leprous parents.

(The supervision of those, declared as being cured includes a further treatment of at least 2 years. The regular control of children, born from lepers lasts till the age of 7 – 8 years is reached).

A clinical-bacteriological examination at all schoolchildren extended over more than 8800 children, brought the alarming fact to the light, that not less than 167 children were found infected or in such a measure suspected, that they were forbidden to visit the school.

Of this 167 children, 123 were found to be infected and 44 to be suspected. The bacteriological examination found16 children positive. Only those children, who would have been recognised by any one as a leper, seem to be kept at home by the parents. All of these children are under treatment now.

Treatment
The treatment of leprosy – as put into practice by the Public Health Service in Surinam – consists of

a) injections with alepol in the muscles twice a week;
b) taking of chaulmoogra oil, daily as much as can be borne
c) ointment of chaulmoogra oil, for daily use as ungent
d) chaulmoogra soap for warm baths

In the infirmaries, antileprol is also used next to alepol, such in accordance with the opinion of the physician, charged with the treatment. It was given a trial to use natrium salts of chaulmoogra-oil (called by us “chaulmoogran”) instead of alepol. This preparation seems to give good results, but the tenableness [sic] is too scanty for the practice outside the Military Hospital. (Surinam Leprosy Annual Report 1928 (taken from the Annual Report of the Public Health Service 1928, p 1)



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