At the request of the MedicaI Committee of the British Empire Leprosy Relief Association a subcommittee consisting of the three of us have carried out an inquiry into the number of leprosy cases seen during the last thirty years by de rni atologists in all parts of the country. The following is an analysis of replies received to a circular letter which enclosed forms ' to cover the required information. These were received from fifty specialists, only fourteen of whom had seen any cases of the disease. The great majority were reported by Dr. ]. M. H. MacLeod (to whom we are particularly indebted for his reports of 'càS�S) from the St. Giles Homes in Essex and private cases, and byi two of us (L.R. and E.M.). All but six cases had been seen i n Londón, dOlibtless due to so many patients from overseas visiting Lond o n for medicaI advice. The provinces therefore show very few cases, althbugh no doubt there are some regarding which n o info rnl ation has been received. i Càncealment is likely to be less ' common than it was two ' decades ago now that it is generaily kno w n •that treatment of value is available to those seeking it in good time. TABLE L-CO' u1titries in wh�ch t!te DiseuS le was Apparently Acquired (87 Cases) Europe: British isles 4. Malta I, Norway I, Russia I ...
and Barbados in April and May, 1948. The object of the visits was to investigate leprosy in these colonies and advise regarding its. treatment and control. Short reports were prepared after investigations in each colony and sub mitted to the local governments and the Controller. These are here abstracted and condensed. Reference may be made to reports of previous visits. * Leprosy in the British West Indies (including British Guiana) must be studied from the back: ground of the whole Caribbean Area, in some other parts of which the disease is much more prevalent than in the British Colonies themselves. Leprosy is not a problem of major importance in the Britsh West Indies. There is however a growing feeling that just on that account it should be eliminated, if that can be accomplished without unduly depleting resources required for other more serious and urgent health problems. The highest prevalence is in Trinidad and British Guiana, in each of which there are calculated to be rooo or more cases (0.3 to 0-4 per mille) , but in Jamaica and in the smaller islands (Leeward, Windvvard, Barbados) it ,is considerably less. .
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