Chae Gue Tae
Department of Dermatology, Sorokdo National Hospital, Jeonnam, Korea.
Infect Chemother. 2020 Dec;52(4):647-653. doi: 10.3947/ic.2020.52.4.647.
Modern history of Hansen's Disease (HD) in Korea begins with nationwide use of the chemotherapeutic agent Diamino Diphenyl Sulphone for the patients in 1955. Definition of the case was different from time to time. Based on World Health Organization (WHO) criteria, Ministry of Health and Welfare (MOHW) reported 4,393 registered patients and same number 4,393 as new cases in 1977. This is the turning point they accepted patient reporting system of WHO, but total number of registered and managed as leprosy patients was 28,029 in 1977, which means the people who needs HD service from government at that time. The number of new cases decreased from 4,393 in 1977, 39 in 1996 to 4 in 2017. Regarding to new cases, it takes 40 years to accomplish from thousands level to below 10. Now we have 166 active cases (registered patients) and reported them as patients to the WHO. Korea Civil Assistance Command invited Dr. RG Cochrane who visited Korea for six weeks to make blue print for eradication of HD in Korea. With his advice and MOHW set HD project and plan for manpower to solve HD problems in 1955. Dr. Joon Lew and his colleagues founded Korean Leprosy Prevention Association in 1947 to combat leprosy, enlighten the public, and solve social problems caused by HD. The Korean Leprosy Prevention Association led by him changed its name to the Korean Leprosy Association in 1956, and grew into the current Korean Hansen Welfare Association. This organization is now playing a leading role in the eradication and management of HD in Korea.
韩国麻风病的现代史始于1955年全国范围内为患者使用化疗药物二氨基二苯砜。病例的定义随时间而不同。根据世界卫生组织(WHO)的标准,1977年,韩国卫生和福利部报告了4393名登记患者以及同样数量的4393名新病例。这是韩国接受世卫组织患者报告系统的转折点,但1977年登记并作为麻风病患者管理的总数为28029人,这意味着当时需要政府提供麻风病服务的人群数量。新病例数从1977年的4393例、1996年的39例降至2017年的4例。关于新病例,从数千例降至10例以下用了40年时间。现在我们有166名现症病例(登记患者),并已向世卫组织报告。韩国陆军民事援助司令部邀请来访韩国六周的RG· Cochrane博士制定韩国消除麻风病的蓝图。在他的建议下,韩国卫生和福利部于1955年设立了麻风病项目并制定了人力计划以解决麻风病问题。Joon Lew博士及其同事于1947年成立了韩国麻风病预防协会,以抗击麻风病、启迪公众并解决由麻风病引起的社会问题。由他领导的韩国麻风病预防协会于1956年更名为韩国麻风病协会,并发展成为如今的韩国汉森病福利协会。该组织目前在韩国麻风病的消除和管理方面发挥着主导作用。