McDougall和Georgiev二位提出了一个十分重要而又现实的问题。治麻风联合化疗虽好,可病人找不出来,找出来了又安排不上吃药,再好的药也只能自叹无用。他们建议设法动员和教会全社会的医务人员都能看麻风,至少能在遇到病人时怀疑到他有麻风。这真有些不谋而合。马海德博士在1986年全国卫生厅局长会议上就提出了这个问题,并指出在我们社会主义国家做这件事的有利条件,今年他又在中国麻风防治简报上为此向全国的卫生厅局长发了一封公开信。问题是提出来了,但提得是否中肯,解决办法是否合适,能否为大家所接受,能不能推行,其效果如何等等,这都可以讨论。讨论的结果势将对我国麻风防治有推动作用。 McDougall等从整个麻风防治的角度出发,还就病人家属和流行区的社会参与麻风防治、联合化疗药物的包装怎样才能更吸引人等问题,提出了一些看法和解决的措施,还就更广泛的问题建议对现行的一些防治措施进行一番检讨、研究,看看有什么不适应形势的旧的观念和措施应予抛弃,能用什么新的观念和措施来填补替代。他们的结论是,尽管联合化疗甚好,可是现行的防治措施和指导防治的一些观念已过时了,不能与有效的联合化疗相适应,因此要想消灭麻风光有联合化疗不行,还必须更新观念和防治策略才行。本刊愿为读者和作者提供一块园地,希望大家参考McDougall等的建议,讨论一下我们的麻风防治工作应在全国的改革浪潮中,再做出哪些更新和改革,才能更快地运转,才能在1997年实现基本消灭麻风的既定国策。麻风的实用性防治研究和实验室基础研究的关系,在英国专家的眼里尚且如此,在我们这样一个缺乏资金的国家里,这个关系到底该怎么摆,在不少同志的心里似乎并没完全解决,讨论一番也将是很有益的。欢迎读者、防治工作者和领导防治的同志们,热烈参加这场讨论。 McDougall and Georgiev put forward a very important and realistic question. The treatment of leprosy combined with chemotherapy is good, but the patient can not find out, find out and arrange not to take medicine, even the best medicine can only uselessly sigh. They suggested that trying to mobilize and teach the medical staff of the whole society can be seen leprosy, at least in the case of patients when he suspects he has leprosy. This is a bit of a coincidence. Dr. Ma Haide proposed this issue at the meeting of the National Directorate of Health in 1986 and pointed out the favorable conditions for doing this in our socialist country. This year, he also briefed the Director of the National Health Department on the leprosy control bulletin in China. An open letter was sent. The question is raised, but whether it is fair, whether the solution is appropriate, whether it can be accepted by everyone, whether it can be implemented, and how effective it is, etc. This can be discussed. The results of the discussion will have a positive effect on the prevention and control of leprosy in our country. McDougall and others started from the perspective of prevention and treatment of leprosy, and also put forward some opinions and solutions on issues such as how to prevent leprosy prevention in the society of patients’ families and epidemic areas, and how the combination of chemotherapy drugs can be more attractive. The problem proposes to conduct a review and study of some current prevention and treatment measures to see if there are any old ideas and measures that are not suited to the situation should be abandoned, and what new ideas and measures can be used to fill in replacements. Their conclusion is that although combination chemotherapy is very good, some of the current prevention and treatment measures and the concepts of guidance and prevention are outdated and cannot be adapted to effective combination chemotherapy. Therefore, if you want to eliminate leprosy, you must update the concept when combined chemotherapy is not feasible. And prevention strategies. This publication is willing to provide a field for readers and authors. I hope everyone can refer to McDougall’s suggestions to discuss what leprosy prevention work should be done in the country’s wave of reforms. What updates and reforms can we make in order to operate faster? In 1997, it achieved the established state policy of basically eliminating leprosy. The relationship between leprosy’s practical prevention research and basic research in laboratories is still in the eyes of British experts. In such a country that lacks funds, how this relationship should be put in the end does not appear to be quite complete in many comrades’ hearts. It will also be helpful to discuss and discuss. Welcome readers, prevention workers, and comrades who are responsible for prevention and control. Warmly participate in this discussion.