Saunderson P
All Africa and Rehabilitation Training Centre, Addis Abeba.
Ethiop Med J. 1994 Oct;32(4):269-80.
One of the purposes of this memorial lecture is to relate progress and difficulties in the field of leprosy to work in other fields. Tuberculosis is a disease closely related to leprosy and in 1982 the Kellersberger lecture was given by Dr. Styblo, someone whose name is synonymous with the development of effective Tuberculosis Control Programme in Africa. His title was "Tuberculosis and its control: lessons to be learned from past experience, and implications for leprosy control programme" (1). Many countries in Africa, including Ethiopia, have adopted the strategy of a combined leprosy and TB control programme. In this lecture then, I will examine more closely the strategy of combining the two programmes. I want to look at some of the problems that may arise and then draw out the ways in which each side of the partnership can contribute to the other, so that the combination can be more effective than either programme could hope to be on its own. This lecture will focus mainly on management issues, which are currently the most important barriers to effective control of both diseases, but the socio-economic aspects of disease, so much a part of Dr. Kellersberger's working life, will also be prominent.
本次纪念讲座的目的之一是将麻风病领域的进展与困难同其他领域的工作联系起来。结核病是一种与麻风病密切相关的疾病，1982年，斯蒂布洛博士发表了凯勒贝格讲座，他的名字与非洲有效结核病控制规划的发展同义。他的演讲题目是“结核病及其控制：从过去经验中吸取的教训以及对麻风病控制规划的启示”（1）。包括埃塞俄比亚在内的许多非洲国家都采用了麻风病与结核病联合控制规划的策略。那么，在本次讲座中，我将更深入地研究这两个规划相结合的策略。我想探讨可能出现的一些问题，然后找出伙伴关系双方可以相互促进的方式，以便这种结合比任何一个规划单独实施更有效。本次讲座将主要关注管理问题，目前这些问题是有效控制这两种疾病的最重要障碍，但疾病的社会经济方面，也是凯勒贝格博士工作生涯的重要组成部分，也将是突出内容。
