This is a report of sociological study on 240 inpatients hospitalized in JALMA Leprosy Centre, Agra, India.
Results of the survey on the socio-environmental aspects of these Patients are as follows:
1. The ratio of Hindu patients to Muslim patients was 4 to 1.
2. 32.5 % of total inpatients were vegetarians. 13.3% of non-vegetarian patients stopped taking meats after the onset of the disease. Although there were many religiousvegetarians who were taking milk and eggs, those who became vegetarians after the onset of the disease took some milk but no eggs.
3. Most of the male patients had married at the age of 15 according to the local custom. Two women had been divorced when leprosy manisfeted itself after their marriage. They had been thrown out of the family with only small amount of money. In cases of male patients with disease which started after their marriage, they did not divorce their wives, but some wives went home and never came back.
4. In north India, most of the houses in the countryside are made of mud and they are very cool in the hot season and are very suitable for the tropical climate. However, the family members are crowded in only one or two rooms available in their houses and this living condition is not so hygenic.
5. The ratio of lepromatous type among the patients in this survey was 57.5%. As these L cases are the source of infection in their active stage, it is a big problem how to prevent the infection of contact children in the patients' families.
6. As water supply is not much in north India and water-works are not common in the rural areas, villagers are using the common well of the village and carrying water for houses-works is the responsibility of female members of the family. Although south India villages have much more water supply, they have more cases of this disease. So the water-works seem to have no direct relationship to the prevalence of leprosy.
7. About half of the patients of this survey did not have any formal education, but most of them could at least read and write Hindi and they could read even Indian classical literatures.
8. The cause of leprosy is not correctly understood dy many of Indian patients and their families. They are thinking that their ailment is due to "spoilt blood" or "God's punishment".
9. Regarding the patients'occupation, half were laborers. Half of laborers were getting monthly payment and another half were with daily payment. Payment for daylaborers without special technique is usually very cheap and they were getting small money only enough for daily food for their family.
10. Regarding the rehabilitation of patients, the important factor of the rehabilitation was the grade of the residual symptomes of the disease.
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