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World Health Organization : Year 1994 ; The Special Programme for Research and Training in Tropical Diseases, Series Prs 16: Social and Economic Research Project Reports No. 16 Khi Thut, The Disease of Social Loathing ; An Anthropological Study of the Stigma of Leprosy in Rural North-East Thailand

By David B. Evans

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Book Id: WPLBN0000116333
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Reproduction Date: 2005

Title: World Health Organization : Year 1994 ; The Special Programme for Research and Training in Tropical Diseases, Series Prs 16: Social and Economic Research Project Reports No. 16 Khi Thut, The Disease of Social Loathing ; An Anthropological Study of the Stigma of Leprosy in Rural North-East Thailand  
Author: David B. Evans
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Evans, D. B. (n.d.). World Health Organization : Year 1994 ; The Special Programme for Research and Training in Tropical Diseases, Series Prs 16. Retrieved from http://gutenberg.cc/


Description
Medical Reference Publication

Excerpt
ThcUhTDP/WORLD BANKIWHO Special Programme forRcscarch andTraining in Tropical Discases (TJJR) isaglobally coordinatedefforttobringlhcrcsourcesofrnodernscicnceto bearon ihccontrolof tnajor tropical diseases: malaria, schislosomiasis, filnriasis (includingonchocerciasis), the uypanosomiascs (both African sleeping sickness and the American form, Chagas' disease), the leishrnaniases and leprosy. The Programme has two interdependenlobjcctives: - Tod~velo~newmethoodf sp revcnting,diagnosing and trcatingselected tropical diseases, methods thatwould~applicable,accep~bleandaf~ordablebydevelopingcoun~ies,requircminimalskills or supervisionandbe readily integratedintothe hcalth servicesof thcsc countries; - Tostrengthcn -- through training in biomedicalandsocialscicncesandthrough supportto institutions --the capability ofdcveloping countries to undertlke theresearch rcquired todevelop lhcse new diseasecontrol technologies. TheSocialnndEconomicResearchProjec~Repor~sseriesreprcscnts:~con~rnunicationvcntureundenakcn by TDR'sSocidandEconomicRc~~iuch(SER)componcnTlh.i sserieswnslnunchcd in 1987 tofaciliutcand increasccommunic~~tioamn ong social scicnlislsa nd researchers in rclalcd disciplincscairyingo~~trcsemohn socialandeconomicaspccts of uopicd diseascsand lodisscminatesocinlanilcconornicr escarchrcsr~ltsto discasccontrol personnel and govcrn~nentofficialcso ncerncd with improving ll~eeffcctivcncsso f tropical diseasecontrol.

Table of Contents
Table of Contents Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i.v . Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v.i. CHAPTER 1 . TKE PROBLEM OF THE STIGMA OF LEPROSY . . . . . . . . . . . . . . . . . . 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 . Research Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. . DataCollection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. . Ethnography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. . Participant observation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Oral and life histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. In-depth interviews . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. Folklore and document review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. Methods of measuring the extent and forms of leprosy stigma . . . . . . . . . . . . . . . . . . . . . .4 Medical Aspects of Leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. Historical Review of Leprosy Control Programmes in South-East Asian Countries . . . . . . . . . . 5 Leprosy Control Programmes in Thailand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Definition of Leprosy: Mythology and Metaphor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Stigma of Leprosy as a Social and Cultural Construct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Individual Adaptation to the Stigma of Leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8. Health-Seeking Behaviour and Social Experiences of Leprosy Patients in Thailand . . . . . . . . . . 8 CHAPTER 2 . COMMUNITY SETTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.0 Community Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.0 Socioeconomic Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.0 Social Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3. Religion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.4 . Local Medical System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.5. Local health problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.5 Disease etiology and health practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.5 Humoraltheory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.5 . Medicalsystcm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.6 Leprosy Control Programme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.7. CHAPTER 3 . LEPROSY AND ITS MEDICAL SYSTEM . . . . . . . . . . . . . . . . . . . . . . . 19 Local History of Leprosy and Social Responses to the Disease . . . . . . . . . . . . . . . . . . . . . . 19 Leprosy Patients in Noan Pa Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.9 Popular Beliefs Concerning the Etiology of Leprosy . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.2 Popular Classification of Leprosy . .

 
 



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