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Vol. 100. Núm. 9.
Páginas 756-758 (noviembre 2009)
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Vol. 100. Núm. 9.
Páginas 756-758 (noviembre 2009)
Actas 1909-2009
Acceso a texto completo
Infectious Nature Of Leprosy by Juan De Azua
Contagiosidad de la Lepra, por Juan de Azúa
Visitas
5781
J. Terencio de las Aguas
Autor para correspondencia
drjoseterencio@hotmail.com

Correspondence: Marqués de Campo, 37-3°, 03700 Denia, Alicante, Spain.
Honorary Medical Director of Fontilles Sanatorium. Council Member, International Society of Leprology. Member of the Royal Academy of Medicine of Valencia, Spain
Este artículo ha recibido
Información del artículo
Abstract

In this article by Juan de Azua, published in the second issue of Actas Dermosifiliográficas in 1909, the author reports his experience in 139 patients, most of them from Hospital San Juan de Dios, Madrid, Spain, and states he is sure that leprosy is a contagious disease. He discusses the factors related to contagion, which occurs in a closed and family environment, emphasizing socioeconomic factors such as hygiene and promiscuity. He considers direct contact to be important, though also recognizing indirect contact through drinks and food; he totally rejects a hereditary mechanism. Epidemiologically, he draws attention to the higher prevalence of the disease in Andalusia, though not forgetting “La Lepra de Ultramar [leprosy from distant lands]”—32 cases in Spaniards in Cuba and the Philippines. He believes isolation in hospitals or special sanatoriums, such as San Juan de Dios or San Lázaro in Santiago, Granada, and Seville, to be the best prophylaxis, and he considers it would be appropriate to create “Hospitals for poor lepers.”

Key words:
leprosy
communicable diseases
Resumen

En este artículo de Juan de Azúa, publicado en el número 2 de «Actas Dermosifiliográficas» de 1909, el autor se manifiesta totalmente seguro de la contagiosidad de la lepra, exponiendo su experiencia en 139 enfermos, la mayoría de San Juan de Dios. Comenta los factores de contagio que es íntimo y familiar, destacando los factores socioeconómicos como la higiene y la promiscuidad. Considera muy importante el contacto directo aunque sin olvidar el indirecto como las bebidas y alimentos, descartando totalmente la herencia. Epidemiológicamente señala la mayor endemia en Andalucía sin olvidar «La Lepra de Ultramar», 32 casos contraídos por españoles en Cuba y Filipinas. Considera que la mejor profilaxis es el aislamiento en hospitales o en «asilos especiales» como San Juan de Dios, San Lázaro de Santiago, Granada y Sevilla, considerando apropiado la construcción de «Hospitales para Lazarinos pobres».

Palabras clave:
lepra
contagiosidad
El Texto completo está disponible en PDF
References
[1.]
J. Azúa.
Contagiosidad de la lepra.
Actas Dermosifiliogr, 2 (1909), pp. 109-114
[2.]
J. Azúa, J.S. Covisa.
Serodiagnóstico de la lepra.
Actas Dermosifiliogr, 2 (1909), pp. 144-146
Copyright © 2009. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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