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[汉森病:圣保罗州的历史与政策]

[Hansen's disease: history and policy in the state of São Paulo].

作者信息

Monteiro Y N

机构信息

Divisão de Hansenologia e Dermatologia Sanitária, Instituto de Saúde, São Paulo, Brasil.

出版信息

Hansenol Int. 1987 Jun;12(1):1-7.

PMID:3077384
Abstract

Hanseniasis is an illness whose specific characteristics made it different from all the other illnesses. The stigma surrounding it contributed, throughout the times, to make the "leper" identified as someone who brought with him danger and death, justifying discriminatory procedures. The hanseniasis history study in the state of São Paulo, Brazil, makes the repetition of this posture evident, being observed since the colonial times until the present century the continuity in the adoption of segregation procedures, variable at times, but not in it's intensity. The growth of the hanseniasis prevalence rate in São Paulo, even after the sulphones advent, compells us to reconsider the phenomenon, whose explication extrapolates the atrictly biologic scope, pointing out to the need of a better historic and social analysis of the disease.

摘要

麻风病是一种具有独特特征的疾病,使其有别于所有其他疾病。长期以来,围绕它的污名化使得“麻风病人”被视为带来危险和死亡的人,这为歧视性做法提供了正当理由。对巴西圣保罗州麻风病历史的研究表明,这种态度一直在重复出现,自殖民时期直至本世纪,都能观察到隔离措施的持续采用,虽然有时有所变化,但强度并未减弱。即使在磺胺类药物出现后,圣保罗州麻风病患病率仍在上升,这迫使我们重新审视这一现象,其解释超出了严格的生物学范畴,表明需要对该疾病进行更好的历史和社会分析。

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