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Homes for Patents, Tinian Leprosanum
tinuing the sulfone. and occasionally giving tuadin I. M. For neuritic reaction parenteral thiamin, and sometimes perineural injection of procaine ts
added. Specific treatment is given for intestinal worm infestation.
Since the advent of the sulfone drugs (Carville, 1941). the prognosis has
entirely changed. Previously, the outlook was toward progressive development of deformity and crippling, with usually permanent isolation. The
outlook nowheld is for arrest of progression of the disease within several
months of starting sulfone treatment. and for discharge from the place of
isolation within three to five years.
Probably some 10°, of such patients
will relapse and have to repeat the treatment. Trust Territory Regulations
require that for discharge from the Tinian Leprosarium as an arrested case
the patient showno evidence of clinical activity of the disease on repeated
examinations, and that he have 6 consecutive monthly negative multiple
area bacterioscopic examinations of material obtained from tiny skin incisions. The patient and his record are then examined by a board of 3
doctors, who certity as to his noninfectiousness. The first such group, 16
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