Actually, Talidomina, medicine used against leprosy, is forbidden for women in fertile age. Fabrizia, 16, is Denis’s mother.


Actually, Talidomina, medicine used against leprosy, is forbidden for women in fertile age. Fabrizia, 16, is Denis’s mother and suffered from the mutilated effects of the use of talidomina by her mother. Treatment for leprosy is in the process of being decentralized in Brazil, which means that, ideally, people affected by leprosy will be able to receive treatment at any public health post in Brazil. This will increase access to treatment for those who live further away from centers that exclusively treat leprosy; there are potential drawbacks to this approach, since patients with complications associated with nerve damage require specialized care to prevent severe disability, but decentralization has the potential to reach more affected individuals throughout the country. Leprosy remains a major public health problem in Brazil, though its presence is often overshadowed by the presence of other serious infectious diseases that receive more media attention, such as HIV and TB. However, leprosy complicates the lives of tens of thousands of Brazilians every year. Several thousand patients are rendered temporarily or permanently disabled each year, forcing them to rely on government pensions, or in the case of some of the undocumented domestic workers I interviewed who had leprosy, on the kindness of charitable groups, friends, and family members. Leprosy elimination is not an easy task in Brazil, but it is possible. Elimination will require a sustained focus on the part of the Brazilian populace and the international community.


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