Acworth Leprosy Hospital celebrated Centenary Year. (Bhatki, Report on Anti-Leprosy Activities in Mumbai, 4)[Other][India]
1990
Third joint Government of India/WHO independent evaluation was undertaken. ( Independent Evaluation of NLEP - June, 1955 )[Other][India]
1990
"Since the 1990s, we have insisted on pursuing the goal of elimination of leprosy by the end of the century." (Professor Yin Dakui, Vice Minister of Health, the People's Republic of China, "Achievements and Prospect on Leprosy Prevention and Control in China", September 7, 1998, Bejing)[Other][China]
1990
"Since 1990, with the support of the Leprosy Mission International and the Sasakawa Memorial Health Foundation, the pilot project on the prevention of disability and rehabilitation was conducted …" (Professor Yin Dakui, Vice Minister of Health, the People's Republic of China, "Achievements and Prospect on Leprosy Prevention and Control in China", September 7, 1998, Bejing)[Other][China]
1990
Nepal - mobile leprosy clinics deployed. Source: Janet Jones, 'Issues in Leprosy and Social Isolation - a Case Study from Nepal', Ph.D. thesis, University of Derby, 2006, p. 179.[Other][Nepal]
1991
Estimated leprosy cases in India: 2.7 million. ( Independent Evaluation of NLEP - June, 1955 )[Epidemiology][India]
1991
Fourth joint Government of India/WHO independent evaluation was undertaken. ( Independent Evaluation of NLEP - June, 1955 )[Other][India]
1991
The Government of India accepted the World Health Assembly resolution of May 1991 on the attainment of the elimination goal as a public health problem by the year 2000 by bringing the prevalence down to less than one case per 10 000 population. ( Independent Evaluation of NLEP - June, 1955 )[Other][India]
1991
Santa FéDirector - Dr Ricardo Felipe Ferraz Westin. Administrator - Regina Célia de Oliveira. (From timeline supplied by Sanatório Santa Fé)[Leprosarium][Brazil]
1991
The 44th World Health Assembly passes a resolution to eliminate leprosy as a public health problem by the year 2000.[Conference/Congress, Treatment]
1991
Acworth Leprosy Hospital fully taken over by Bombay Municipal Corporation as Acworth Municipal Hospital for Leprosy. (Bhatki, Report on Anti-Leprosy Activities in Mumbai, 4)[Other][India]
1991
MDT District Society established in Mumbai to monitor all NLEP activities as per Central Government guidelines. Gradually duration of MDT was reduced to Fixed Duration which drastically reduced Case Load in Mumbai. (Bhatki, Report on Anti-Leprosy Activities in Mumbai, 4)[Treatment][India]
1991
1991-1993 - In India, fixed duration MDT was introduced both for MB and PB cases. ( Independent Evaluation of NLEP - June, 1955 )[Treatment][India]
1992
McKean Leprosy HospitalA new facility was built to replace the obsolete buildings that had evolved gradually over the previous 80 years. The rehab specialist advised us to get all the therapy workers under the same roof, and to develop the team concept, with weekly team meetings to discuss goals and progress of each patient. Team meetings commenced in 1987, and the new building (wards, PT, OT rooms, shoe and prosthetics department, etc) was commenced in 1992. The old dormitory style wards were unsuitable for modern Thailand, where new peripheral hospitals were newly built as more modern structures. Severe flooding in 1987, 1994 and 1995 made these old buildings a liability. The new wards have a maximum of 6 beds in each room, with some private rooms available for patients who need isolation, and the spacious therapy rooms are the envy of all who visit. It is a vast improvement on the former setup where all departments were scattered over a wide area in crowded and inadequate facilities. The improved hospital conditions have attracted more interest from potential staff members, and referrals are gradually increasing from other hospitals as they become aware of such a rehabilitation unit in Chiangmai. By 1999, the ratio of leprosy to nonleprosy admissions had almost reached 1:1. Our goals for rehab patients included mobility and independence, but self-propelled wheelchairs were not procurable locally. Imported ones from the West were too expensive and too big. A visiting UK engineer was asked to pioneer wheelchair production and a wheelchair factory was started making custom-made self-propelled wheelchairs. This was done in 1988 with almost immediate orders from all over the country for such chairs and other walking aids and equipment. Dr Trevor Smith (McKean Rehab Center, Chiangmai, Nth Thailand)[Leprosarium][Siam]
1992
Peru: Official approval of the Ministry of Health document, Doctrina, normas and procedimientos para el control y eliminacion de la lepra en el Peru , which aimed to standardize control and treatment of people living with Hansen's Disease. Source: Marcos Cueto and Julio Núñes, "Leprosy in Peru: a general description of historical developments" ( reseach funded by the ILA project) 14 August 2006.[Legislation][Peru, South America]
1992
1992 - The Carville Historic District was placed on the National Register of Historic Places by the National Parks Service (Daughters of Charity, West Central Province Archives, “Record Group 11-2, Records of the National Hansen’s Disease Programs, Carville, Louisiana, Marillac Provincialate, St. Louis, Missouri”)[Other][Carville, North America]
1992
1992 - The Center’s Laboratory Research Branch moved to the Louisiana State University (LSU) School of Veterinary Medicine in Baton Rouge (Daughters of Charity, West Central Province Archives, “Record Group 11-2, Records of the National Hansen’s Disease Programs, Carville, Louisiana, Marillac Provincialate, St. Louis, Missouri”)[Other][Carville, North America]
1992
Malaysia: national prevalence of 1.7 per 10,000. Source: P. Jayalakshmi, "Leprosy in Malaysia", Malays J Pathol., 16.1 (1994): 7-9.[Epidemiology][Malaysia]
1992
CarvilleCarville Historic District placed on the National Register of Historic Places by the National Park Service. ( http://bphc.hrsa.gov/nhdp/HISTORY_MAIN_PAGE.htm )[Leprosarium][USA]
1992
CarvilleThe Center's Laboratory Research Branch moves to the Louisiana State University School of Veterinary Medicine in Baton Rouge. ( http://bphc.hrsa.gov/nhdp/HISTORY_MAIN_PAGE.htm )[Leprosarium][USA]
1993
The Study Group on Chemotherapy of leprosy recommends standard WHO MDT regimen for twenty-four months for MB patients and six months for PB patients.[Treatment]
1993
S K Noordeen, Head of the Leprosy Section of WHO. Goal elimination less than 1/10 000.[Epidemiology][India]
1993
Fourteenth International Leprosy Congress, Orlando, USA. (President of ILA: Wayne M Meyers)[Conference/Congress][North America]
1993
1993 - The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) awarded the Gillis W. Long Hansen’s Disease Center facility a three year accreditation with commendation, the highest level of accreditation awarded by JCAHO.[Other][Carville, North America]
McKean Leprosy HospitalIn 1993, the Thai Government offered special funds for selected community health projects, and McKean’s project proposal of Community-Based Rehabilitation (CBR), was accepted by them. McKean’s long and cordial relations with district health offices in leprosy work was developed further with the CBR project for the physically disabled. Surveys have now been conducted in 4 different districts of Chiangmai province, and 640 disabled identified and assisted in various ways. Trainees from each district received instruction in CBR, and techniques to help patients become more mobile and more functional, and the patients, families and communities are actively involved in planning CBR activities, encouraging them to use local materials to modify houses, and provide aids for daily living. McKean acts as a resource center, and occasionally some of the CBR people are admitted for surgery or intensive therapy. In some of the former leprosy villages referred to earlier, the leprosy farmers have been regarded as "demonstration farmers", teaching techniques that leprosy patients have been carrying out for many years, thanks to the teaching of agricultural experts working from McKean, sharing their practices in soil and water conservation and organic farming. Dr Trevor Smith (McKean Rehab Center, Chiangmai, Nth Thailand)[Leprosarium][Siam]
1994
Heads of state of many countries, partner organisations and the WHO reaffirm their commitment to leprosy elimination at the First International Conference on the Elimination of Leprosy as a Public Health Problem (Hanoi, Vietnam, 4-7 July).[Conference/Congress, Treatment]
1994
India - Agreement with World Bank for Assistance for 6 years. All the districts in the country under MDT. Mobile control units for hypoendemic districts. 9.5 lakhs patients in India. (Dongre, ILA History Workshop, July 2000, 9)[Treatment][India]
1994
In India, national plans for leprosy elimination were implemented. MDT was sanctioned to the remaining seventy-seven moderately endemic districts and 185 low endemic districts in the country, integrating the leprosy programme activities with the general services. Mobile leprosy treatment units were sanctioned and assigned at the rate of one or two for each of the 262 moderately/low endemic districts depending on the case load, extent of the areas, terrain, etc. ( Independent Evaluation of NLEP - June, 1955 )[Treatment][India]