The History of Leprosy in Thailand the History of Leprosy in Thailand
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The History of Leprosy in Thailand The History of Leprosy in Thailand RajprachaRajpracha Samasai Samasai Foundation Foundation UnderUnder Royal Royal patronage patronage RajprachaRajpracha Samasai Samasai : Mutual : Mutualsupport support between between the King the and King People and People TheThe History History of of Logo Logo : Lotus: inLotus water in water Lotus Lotus : H.M.: the H.M. King the King Yellow Yellow : Monday,: Monday, the day the of daybirth of of birth H.M. of the H.M. King the King LeprosyLeprosy in in Thailand Thailand Water Water : : The People The People Professor Teera Ramasoota, M.D. Teera Professor Ramasoota, M.D. Teera Professor RajprachaRajpracha Samasai Samasai Institute, Institute, Ministry Ministry of Public of Public Health Health TiwanondTiwanond Road, AmpheurRoad, Ampheur Muang, Muang,Nonthaburi Nonthaburi 11000 11000 Tel. 0 2591Tel. 03720 2591 Fax3720 0 2591Fax 07210 2591 7210 ProfessorProfessor Teera Teera Ramasoota, Ramasoota, M.D. M.D. Email: [email protected]: [email protected] The History of Leprosy in Thailand Rajpracha Samasai Foundation Under Royal patronage Rajpracha Samasai : Mutual support between the King and People The History of Logo : Lotus in water Lotus : H.M. the King Yellow : Monday, the day of birth of H.M. the King Leprosy in Thailand Water : The People Professor Teera Ramasoota, M.D. Teera Professor Rajpracha Samasai Institute, Ministry of Public Health Tiwanond Road, Ampheur Muang, Nonthaburi 11000 Tel. 0 2591 3720 Fax 0 2591 7210 Professor Teera Ramasoota, M.D. Email: [email protected] English Edition Title : The History of Leprosy in Thailand Author : Professor Teera Ramasoota, M.D. Publisher : Rajpracha Samasai Foundation under Royal patronage to commemorate the 88th anniversary of the birth of His Majesty King Bumiphol Adulyadej, the Royal Patron of Rajpracha Samasai Foundation and as a testament to the success of the sustainable elimination of Leprosy in Thailand in 2013 before the target date, 2020, set by the World Health Organization by adhering to His Majesty’s vision and desires as well as a part of contribution to support the Preservation of the History of Thai Public Health Project as it commemorates its 100th Anniversary also with the establishment of a museum and the Archives Hall and the organizing of other activities between 2014-2018. ISBN : 978-616-11-2830-2 Professor Teera Ramasoota, M.D. First Printing : January 2016 The Author of The Book History of Leprosy in Thailand 1st Edition : 500 Designer & Printer : Masterkey Co., Ltd. Tel. 02-254-3366 Fax 0-2253-8897 Email : [email protected] Copywrite : Professor Teera Ramasoota, M.D. and Rajsamasai Foundation under Royal patronage Financial support for English Translation: Sasakawa Memorial Health Foundation, Japan The History of Leprosy in Thailand Proffessor Teera Ramasoota, M.D. Executive Summary The History of Leprosy in Thailand, being published in both Thai and English versions, has as its objective the collection and preservation of history on the prevention, treatment, control, welfare, rehabilitation and research of leprosy in Thailand, focusing on the critical events, persons and organizations related to the disease, with particular emphasis on the vital contributions made in this cause by H.M. the King’s and the Royal family together with subsequently and continuously overwhelming supports from both national and international organizations. The book discusses the Chakri dynasty’s roles during the six historical phases that led to the sustainable elimination of leprosy in Thailand that include the introduction of different approaches. The Author has divided the book, The History of Leprosy in Thailand into 6 Phases: Phase 1. Self-Help approach of leprosy affected persons from 1782-1823. Phase 2. Missionary support approach from 1824-1910. Phase 3. Segregation or institutional approach from 1911-1954. Phase 4. Modern Domiciliary approach and Integration approach as recommended by the World Health Organization (WHO) from 1955-1994. Phase 5. Approach towards success in the sustainable elimination of leprosy from 1995-2013. Phase 6. Post sustainable elimination approach for Modification and Diversification to help further support and strengthen the moral, ethical, health, social, environmental and security issues of the country from 2014 onward. The completion of Phase 1 to Phase 4 was completed by 1994, when Thailand had eliminated leprosy as a public health 11 years before the target date of 2005 set by the World Health Organization. Then, in 2013, seven years before the 2020 target date of the World Health Organization, Thailand was recognized for meeting their criteria for the sustainable elimination of leprosy. These achievements would not have been possible without the vision and initiative of H.M. King Bumiphol Adulyadej to initiate the project to eliminate leprosy in Thailand under the Ministry of Public Health in 1956. The History of Leprosy in Thailand by Prof. Teera Ramasoota, M.D. 3 The ultimate success of this project was possible through the transfer and integration of eight leprosy colonies out of a total of 13, which were developed in such a way that they were transformed into normal communities where the inhabitants have the same rights and dignities as any other person and are accepted by those living in surrounding communities. At the same time, the local administrations are also required to provide the same assistance and promote social integration in addition to leprosy control under the supervision of provincial health services with sustainable community participation and support. This book has been published to commemorate the Golden Jubilee of His Majesty the King’s enthronement as well as the 88th anniversary of the birthday of His Majesty the King who has reigned for 70 years with benevolence and inspiration that has resulted in the success in the sustainable elimination of leprosy. In addition, this book commemorates the 60th anniversary of the birthday of H.R.H. Mahachakri Sirindhorn, who has kindly served as the representative of H.M. the King to continue this royal initiative to further apply the Rajpracha Samasai Royal Theory (The King and people assist mutually) in the launch of the new project, the Rajpracha Samasai Spirit Volunteers Society, that aims to help and support the present government to undertake reforms in moral, ethical, health, social, environmental and security and issues. Sincerely, Professor Teera Ramasoota M.D. President of the Rajpracha Samasai Foundation under the Royal patronage 4 The History of Leprosy in Thailand by Prof. Teera Ramasoota, M.D. INTRODUCTION The History of Leprosy in Thailand, published in both Thai and English, has as its objective the collection and preservation of history on the prevention, treatment, control, welfare, rehabilitation and research of leprosy in Thailand, focusing on the critical events, persons and organizations related to the disease described in six chronological phases as mentioned in the executive summary. Apart from that, history of Leprosy in Thailand also is a complete history and wonderful, valuable story to preserve in the world because there is no other country in the world that has such a great monarch and royal family who are so sincerely interested in helping to initiate and support the control and elimination of leprosy as well as help leprosy sufferers and their families who would be stigmatized by society and could encourage all sectors inside and outside the country to come to their aid. There is no other country that has such and evolutionary history in control and elimination of leprosy by development of in related (Academic) expertise and technology following the continuous advice and recommendations of the world health organization. Thailand was able to Eliminate leprosy by 1994, 11 years before the goal set by the World Health Organization, 2005, when the country had eliminated leprosy as a public health problem. Then, in 2013, seven years before the 2020 target date of the World Health Organization, Thailand was recognized for meeting the criteria for the sustainable elimination of leprosy. These achievements would not have been possible without the vision and initiative of H.M. King Bumiphol Adulyadej, who initiated the project to control leprosy in Thailand under the Ministry of Public Health in 1956. The initial success of this project was possible through the effective launching of the pilot project of specialized or vertical leprosy control project based on domiciliary approach and using of mobile teams at Khonkaen province of north-eastern region in 1955-1956, following by successful expansion into remaining 39 hyperendemic provinces in north-eastern, and northern region and some province of central region in 1957-1970. This was followed by total integration of leprosy control into 67 low endemic provinces in 1971-1976, until reaching successful elimination of leprosy in 1994. During post elimination, periodical leprosy elimination campaign was launched to commemorate The History of Leprosy in Thailand by Prof. Teera Ramasoota, M.D. 5 several auspicious royal occasions, together with modifying approaches for leprosy control under low endemic condition in order to reach final goal of sustainable elimination of leprosy in 2013, 11 years before WHO target in 2015. The success of the leprosy control project in reaching its ultimate goal was from the transfer and integration of eight leprosy colonies out of a total of 13, which were developed in such