ixsti'ruto feijerico llehas dc [:-;yi';s'i'i':a('i(i~ ~mdica · [axis...

9
IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA APUNTES PARA LA HISTORIA DE LA PROFILAXIS DE LA LEPRA POl' ('/ (/out,or ·7. ('1l/acio (/1/(/.((/, I-I. ('1'0f('801' :lyn'.f!I/(/o. BogOt{I. octuhn- 111' l!J-W I /::jJ(){"(f. I/lItiyul/.-lh"!-:dl' las 'm(u-; remora» ep(l\';lf.; 111' 1<1 !Ii~J()ri(!; f.'11 toda~ hlS cidlizil.tiollf'S. sc menr-iunu 1,1 [PllI';t .v ~t· hnn ;t(·oll~('.i;tdn medidu s eucn ml nndn s ,I r-vi tar- «u pI'Opilg;](·j{lll. Ln «uIr-rnn-dutl sc cunf'rmdo cou !n~ OI'jgeJH:'s Ill> 1,1 l'~lH'('it' huenunu: I'll rlOlH.lt' qnir-ru qm- 11;1t'xis-t"il1o r-l hourhn-, all i !I;I lu-r-ho SII <Ip,ll'it'iI'HI {,I flag!!ln. Ell :0':-'; rt-x to« liihlir-os s(' eur-u cntt-nn \";II"j<l:-; ]t"H'llrl<lS sldn'l' In l'nt't'I'III('- 11,](1. st' habla dt'];l Sl'gn'g;H,j{lll qUI' s(' pl'<t·(·jit<l!lil \'11 ('SII.'" tir-mpns y dl' ~I):-i IIlt'itodo:-: ]I,ll'il limpin t- ,11 ]PP1·(l:-;O.I'('gl,l~ p,l],;! lli'~tl'llil' hb i'ilS,I~ Y ohj('j-(J:-; pl'l·tt'l1t,ci(·lltp .... ill euftu-mo. Ell otlgnnos p:p.;n.k~ el(1 )1):-; ILLI·".... •lIltigll0~. ~(' r-onsirleru. ]iI. It'pl°a, cnmo mnldlcirin hiblit-u. "L;I l(,pl',1 (I" .\'afl,IU:'1I1 !H'llpIT,ll';'1 ('11 ti ~. cu I'll .... imk-nto pill'" .... iemprt- ". 1)(' aquf na ,ih la idt'a 11(-1 line (,I IPjll·(J .... O. l'ft ,lIgo h;'lgil'O, d('!ll' t,\·it";lt· .... e rip );1 \·i:-;- UI Y pl·o~c)'ihin:(' dp 1,1 Ull'Ilt"1' ell' 1m.; ]11Hllbn.;' ..... L;I ....pl"iIlH'I';l:-; 1t'g,i~I<1(·iu!lr .... ('Olliwida:-; ~ul.JI"I' 101tIl,!lt,'riOl I!;ll"illl dl' im: ti('IllIH)S ril' 1[lIi~e .... "LI'Y dt'l It'lJt'()~o'', de 1'('piIJO 1,1 1:1'('\'(' (7:17), lh' (';11'10 Jlagnn (isn) Y dp. J{Olll,lll. .... H,('y de IfJ~ LOIIJl),ll'do:-: (l/i-!:: l' Con ('I prop(l .... il0 dp nh'1l11(";-:- ,1 10:-; Iq)J·mw~. SI' fnnrl{) ('II .TI'I"lIS'llell 1;1 (f"l'<!f'll fl(' SnJ1 1..:'1/:,11"0pll), II)~ "iios I'll' lO-l-S. Sf'g'll1l )os hiS1"ol·iilrlOI'('S. illS 'pI'inwl'o:-: ,lsilo .... pnr,,, ni~1;lI' 10:-: 1'llh'r-JIlOS, 10:-';(':-;·t;-tlllf'cih (',ollshll1' j-ino ell i'] siglo TY. Ell: 1.:!~-l-. t'l 1·:,tIlpf')'atlOI' Fl'!Ii'I'i('1) Tf. 'fll"(lI'Il{1 qlli' los ILJprli.('o .... dr'hi;lll rii'l!.!.'IlU"r·j("lI· In li'pl';1 y St'gT('g',Il' n 10:-: p'H·it'nt'l'~. p,ll',l hl'lll'l'i('io ripl J.j~t;lrl() Y ("o!l\'pllit'IWi,1 (le 1,1 Socil'r1ntl. /")(/flf!. J/r'rlifl.-Ell In pfbHI IIlI'flifl. ];l~ 1;111'1"1';1:--, [,IS it1\·il .... i(lt1('~ rk :/!:-: !l(Il'iJ,l1"Os. la .... ('XIHc'rlicioll(,!,; !Ii' ('.;11'10 -.H;q~no. la ....(~I·llZ;ltI;I", ('onl.l·j- bIlY'i'I·4I\1. ,I la IH'npngi1('ibn tit' ]01 t'1lf.PI'lI\t-'(lad Y pot' pstilf.: til'{;1II1:;;t':1ll- \·iil:;; y ,liltl ;HlI'es dp ('8,1 t~po("n, ~l' i'stnblpcicl'O!l 111lnlel'OS;l~ J('PI'081> l'in !';.

Upload: tranthien

Post on 29-Mar-2019

217 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~~mDICA

APUNTES PARA LA HISTORIA DE LA PROFILAXIS DE

LA LEPRA

POl' ('/ (/out,or ·7. ('1l/acio (/1/(/.((/, I-I. ('1'0f('801' :lyn'.f!I/(/o.

BogOt{I. octuhn- 111' l!J-W

I

/::jJ(){"(f. I/lItiyul/.-lh"!-:dl' las 'm(u-; remora» ep(l\';lf.; 111'1<1 !Ii~J()ri(!;f.'11 toda~ hlS cidlizil.tiollf'S. sc menr-iunu 1,1 [PllI';t .v ~t· hnn ;t(·oll~('.i;tdn

medidu s eucn ml nndn s ,I r-vi tar- «u pI'Opilg;](·j{lll. Ln «uIr-rnn-dutl sccunf'rmdo cou !n~ OI'jgeJH:'s Ill> 1,1 l'~lH'('it' huenunu: I'll rlOlH.lt' qnir-ruqm- 11;1t'xis-t"il1o r-l hourhn-, all i !I;I lu-r-ho SII <Ip,ll'it'iI'HI {,I flag!!ln. Ell

:0':-'; rt-x to« liihlir-os s(' eur-u cntt-nn \";II"j<l:-; ]t"H'llrl<lS sldn'l' In l'nt't'I'III('-11,](1. st' habla dt'];l Sl'gn'g;H,j{lll qUI' s(' pl'<t·(·jit<l!lil \'11 ('SII.'" tir-mpns y dl'~I):-i IIlt'itodo:-: ]I,ll'il limpin t- ,11 ]PP1·(l:-;O.I'('gl,l~ p,l],;! lli'~tl'llil' hb i'ilS,I~

Y ohj('j-(J:-; pl'l·tt'l1t,ci(·lltp .... ill euftu-mo. Ell otlgnnos p:p.;n.k~ el(1 )1):-; ILLI·"....

•lIltigll0~. ~(' r-onsirleru. ]iI. It'pl°a, cnmo mnldlcirin hiblit-u. "L;I l(,pl',1 (I"

.\'afl,IU:'1I1 !H'llpIT,ll';'1 ('11 ti ~. cu I'll ....imk-nto pill'" ....iemprt- ". 1)(' aquf na,ih la idt'a 11(-1line (,I IPjll·(J ....O. l'ft ,lIgo h;'lgil'O, d('!ll' t,\·it";lt· ....e rip );1 \·i:-;-

UI Y pl·o~c)'ihin:(' dp 1,1 Ull'Ilt"1' ell' 1m.; ]11Hllbn.;' .....L;I ....pl"iIlH'I';l:-; 1t'g,i~I<1(·iu!lr .... ('Olliwida:-; ~ul.JI"I' 101tIl,!lt,'riOl I!;ll"illl dl'

im: ti('IllIH)S ril' 1[lIi~e ...."LI'Y dt'l It'lJt'()~o'', de 1'('piIJO 1,1 1:1'('\'(' (7:17),lh' (';11'10 Jlagnn (isn) Y dp. J{Olll,lll. .... H,('y de IfJ~ LOIIJl),ll'do:-: (l/i-!:: l 'Con ('I prop(l ....il0 dp nh'1l11(";-:- ,1 10:-; Iq)J·mw~. SI' fnnrl{) ('II .TI'I"lIS'llell 1;1(f"l'<!f'll fl(' SnJ1 1..:'1/:,11"0pll), II)~ "iios I'll' lO-l-S. Sf'g'll1l )os hiS1"ol·iilrlOI'('S.

illS 'pI'inwl'o:-: ,lsilo ....pnr,,, ni~1;lI' 10:-:1'llh'r-JIlOS, 10:-';(':-;·t;-tlllf'cih (',ollshll1'

j-ino ell i'] siglo TY. Ell: 1.:!~-l-. t'l 1·:,tIlpf')'atlOI' Fl'!Ii'I'i('1) Tf. 'fll"(lI'Il{1 qlli'

los ILJprli.('o....dr'hi;lll rii'l!.!.'IlU"r·j("lI· In li'pl';1 y St'gT('g',Il' n 10:-: p'H·it'nt'l'~.p,ll',l hl'lll'l'i('io ripl J.j~t;lrl() Y ("o!l\'pllit'IWi,1 (le 1,1 Socil'r1ntl.

/")(/flf!. J/r'rlifl.-Ell In pfbHI IIlI'flifl. ];l~ 1;111'1"1';1:--,[,IS it1\·il ....i(lt1('~ rk:/!:-: !l(Il'iJ,l1"Os. la ....('XIHc'rlicioll(,!,; !Ii' ('.;11'10 -.H;q~no. la ....(~I·llZ;ltI;I", ('onl.l·j-bIlY'i'I·4I\1. ,I la IH'npngi1('ibn tit' ]01 t'1lf.PI'lI\t-'(lad Y pot' pstilf.: til'{;1II1:;;t':1ll-

\·iil:;; y ,liltl ;HlI'es dp ('8,1 t~po("n, ~l' i'stnblpcicl'O!l 111lnlel'OS;l~ J('PI'081>

l'in !';.

Page 2: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

566 Revtsta de la Facultad de xtedtctna.

Lilt> lUPuilla,s jJrofil(ldieas nc.msejadns PUI" uq uel {'lltoIICt'."';. tOn-:'.1~1j;.11l eu hi expulstou de los tepi-osos rue-a ell' la 'socierlarl. mvdida,!ue'Se llevaba f1 cabo con cerenu.nias espcr-ialcs. Igual nu-ute 'St' p1"<1(,-dcaua 1£1sepaiucion voluut.u-iu dr- los conYllges yin uhligalul·ja delos 1IiJ"'jOs SHUOS.

Ell Ia Edud .Hedin. se tuu.lurnn IlIHllel'O~;IS Il'P'"O:-;OI'j,ls p;II',\

.ueuder ',1 los ontr-imos. CUlIlO' ];\i-; actuates, 1'1';11l de totlus los riposJeJlI·o~,a~d;l,..,-lt()!-:piLlle:-:. ]t-'P"(J:-:l'l"lrl:-:-;l:-·dlfJs. ("illclilfll':-: {I c-ulnnin s de h-ju-u-

F'OS. Las leves tit.' 1<1epocu or-dcuatmu que leiS t-nl'etutus 1]1-'\";lr;111 ill-

.Iunu-ntar-Li c~qJl'('i;11. COil ('I pr"opbsij'o dr que 10:0;sn uos , los distinjruie-~t'll de IfI~ dcmas IH"'!':-;ulln:':.: :-;\1 prPH:Jllc;ia Se .rnunciuhn pur ('I ruidn,1,' 1111m-reructo que xiemprt' 111'\"f1.I1:\ 'l'O'II:':.igo (·1 )1'1'1'0:':.0.

Ccmo medirla jJI'of'il{lct-ic'l. «xistin 1)(1)' ,lqIH~II;\ (-po t- .t 1<1S('\"II'.-I-riciu de se xos : 110 ,";1.' permirin el mu trimuuiu 1'1I1Tc :-;,1I1(J!"-; y r-ureinms.ri ;\(1Jl rJltl'l' ('l1fl'1'1I10~. En LIS [l'IJI'(J:O;(,l'i,l:::i llnka.lnelltp S(' l"!J!pl',lhain IW1"lIIflllPllCi,1 rI\.\ eS(';lso nrunerx. 11e ~;\1I0~, (lHiel'lI',..: '~l ~l'lIIt'j;\IIZ;] de.ns Kokun s (!Il IT,r''-nii, ;!l"('rllILIIl ,I In~ l::'lIfl'J"Ill(I~.

r;lifjca, del /,cl/(lci.lllir'lIfo-lIrl'.'·;frf i///('sfrf)S d/(/s.-lh·:-,pl1es rk I(J~ Sl-

;.dos X,' Y X\-J. lo~ enropI-'os I'll :-'11:-;vinje~ dc' dt'~l"uhl'illlieut(J:-; yc.:Ullqllisj;I~. J1('\",II'OIl la IL'pr;l ;1 1()~]Jill~I'SqU(\ 110 In ('OllfJtinli. e:o;pI:Jl:i;l1-

mcn1'r it 1U'xi('n .\' ,llgl1ll-:l~ j"('p(lldil"ns RllI'-"\JIlf'I'i\·i\Il;ls"Los cUllql!i:-;t"iHlnrf's y t· ....c/;\\'(JS ;lfJ'i<.:;lIlU~, impil'l'l-al'on 1·1 f);-q..!:t-'lo

,I ('tdlJlllhifl t"l1 (·1 :liio !It· LI+:~ .y Sig-llit·nl"l's.

Lo~ P\"ill1l'I"O:-; ('il~IJ.'-i lip /1'111',1 ,('oll(wido:;;:. ell llllCsh"o JI;"\I~. flll'l"nn

en espaiioll's. EI. HI1()" .I'I'dl'IJ dl' (inzJn;'111 (l:);J:!) , (lullz,:ll0 ,Ti1l.lClll'Z dc'~lllt·:-;~Id,.l. Illlll'ih It'jJl"():-'o t'll 1..,')'7£1,

Eu (,1 si)..!;lo X,'lJ .r lW<1:{m1ell ill' Felipe' 1\-" :-it· l'ulld{) en (";11'1-:1,-

g'Plifl l;l. jJrill1l'I'n Il'Jl)'O~1'1"1n rip .-\MJ(~l"ic'l. 11<11';]];\ ;"lh..'tlei(HI dl' 1"1/11(1:-; 10,;;'

le]Jl"ns()~', ,exi~t"('nt'p,..: I'tt (,J ~1\('\'IJ Hl'illll dl-' (;l'an';"ld,L En, 1777. {'xi:-;li,lll100 cnt'c!'llltlS nis],ld{)s I'll (-'I IlfJsl'ihll SOItl TJIZflt'O do O,ldng;I'Il;1.

Etll"l'(' los ,II~IO:-;tI(-· J7!J() y 17!),1 Y pOI' o!'fll'11 Ill'l \-il't"l:y Ezpl'lt·!n.Jos l'lIl"f'I'1tI0S del. Ho:-;pit"itl dt' S,UI I".,;'\Z;II'O, fllCl"Oll tUH-;I;.Id'-ldn:-; nl sit"io11Pllolllin;.lrlo "]",.-;1<1 de Til'lT,l HO'lnha", hoy C~lil() L1l' Lol'lJo (17Hl)" Elli,l,';'; fiplIll'0S i'olollial(!:-i J' pnl"lt Jnell;11" {'OlllT;.l. el I'lngclu, (JlI(:J :-;(' I'x(('n-dia lI(' lll,IIl('!'i! a!;1I'Jniltl1'.(:' pOI' tHan 1·1 l-enituTiu del ,\T'lIl-'\"ORC'iIIO de

UI";lrJUd<l. S(' l"lllld() 01'1"0 hospibll 1.'11(',IIi. ~'L'lsbll'lIt" d",';';IHI6:-; 11(' las,:,,:'IH·I".I';IS .11, ];1 rlldrpl'llflcndl1, los Uobiernos de la ]{epuh1ic4l, se peeD"CIIP;II'Oti IIHt-'V':lJIWIJ1-t' Jill!" esl'l' pl.'ohh'm;1 de :-3flllllll'i(/;ld p(lhli(";-1 y ;ISI

fUt~ COlllU en el ;Iiill' Ilt: IS3:=-:.d ('oJlgTe~o dpl E!-;hl.llo tlt-, Iii );il1PVil 01";.\-JI:ld<l. I'xpidib 1;1. LI'y ':-;ohJ"e l<lz;tJ,t-:h,S, pOI" metliu tit' la CHill S(' onll'II{)

,.J (':-;blldt'f'i.llJil'lII'O d~' tl'C,'-i .If'IIt'OSI'I"i;IS ell l·1 h'l.'l'itol'io til' lit l-{t'p(lIdit'a-

EI g'ohipt'lIt1 pl'('sitlido po\" (,1 ,~(·llt·t'll Fl"flllCisco dr' 1'<1111;1 R;lll-1<11111('1', Ilkl"{l (,I (It'Cl'(-'/-{) 1'{'!..:-!;I/lI('llhlt:,iO dl' If!, IJl',y, 1·1 :!] fh-. I'(·I)I'{'I'O Ilt,J ,~:1,)"

Page 3: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

vuhuuen i x. xv i;;, retu-ero, l!Hl, 567

Este documeut« e" n-asceudcuta! ['.ltil lu I1L,;to)"in (It' In Jl)'ofi"[axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl

lIoy u.utent icus posrulados. Ln. Iq.d"lncitm culombiuun solll'i' h"I"",1 dehace un siglo, estA lIe ncucrdo con In i.LlIC huy lIamu.rnns. llllldt'1'1l0Smetodos lit' profiln xis cuntt-a In lepta,

Ell 1861, la ASa'mhlefl del Esrado Subcr.uu. di' Santau.k-r. 1'1111-do el laza rcto de Contratacion y eu 1870 se e:o;j-;-Ihleti{) c-l (]p \g:u,1 til'nios, ell ter-r-enox couiprudus VOl' pi (}OlJC'I'Il;ldol' d(' Cundin.un.ur-n.:11ductor 1fflllllf'1 1fUl'illn Trn-o.

Tudes r-sfus f'~t";lhlL>ciJUi('nhls se Iuudnrou para ,li,,,1:lI' .r n teu-riP]" a los leprnsos r-olomuia ncs.

Atgunns plens.m qu.- el ""\[,11 de -[,{IZ.:U.'U"' ('S 1I11;']t'uIcr.nu-d.u! Ill'~a Ed,«l l\Iediil, y sin im purtnuctn ill!.!;llll;l, 11011.';1 la su.lulu-itlu rl juihli-

ca, pero esto 110 .es nsi. Las mudernas es tud isticns. IlUS llii'('11 lllll' ('l!llnnerll (If: lepl"OSII~ f'Xistclltes en tod(J' el 1l1111l11o.;lsci('llllt, 'l]ll'oxiJrI,I-Ilaul('llte a cinco millol1i'S,

COli i-'1 di'Si'llllJ"illliclito clp! hacilo ]10)" IT;lllSC'lI y los pstlldiu:-::. illl,l-

il)lllal)(Jt:u'lugito~ !}],ilcticaclos pOl' este sabio, 'ell In ~('glln(];llJlih'Hl del,;iglo lJas~lclo (187:1) In. lte1't:nei,.1 de h lqH',I, r]flfellllid;1 ('Oil ill'dlll'~IOl' Dil'lIi(>!:-:isen .y sl1 eselleln. potS;} ;1 segllnt'ln pinHo: drsrlt' ('S,l epl1c;1(:n '<.Idplilllte. 1:1. tf'ol'ia illf('('c,jos;l, ('S 1:1. m(n.; ilC{'PUld;l lJO)" IllS ill\"l'sU-gadol'es, El luodo como S{' i.'t'i'Cj'(W, In propag;u'i{1I1 dl' 1<1ellfl'l'nwt!.-HIt'J'l 'algnnos pals('~ .v (,1 11(>scllhl'imiellhJ de l1;lllS('lI. IliciPJ"orl ('i11ll1fi,11'

'1,-ls ifh-'<ls nIlCl'stl',!lP,", snbn' In If'pl"]. h;l~j"[1cl [Jllllhl' filiI' hoy In doli'll-(,in. hn rnlTado cjp Ilf'nn 1,'11 el dOll\iJlio de Ius ('lIt'C'l'll1l'd;ldes inl'i.'cl'r)-('(,n tngios;lIS,

);0 !SI' ]111i.'(Jp p,lsn]' inndrl'l'1"irlo oj df'Si~O IlL' IllS Iinlllhl'C's de ciell-

t"i.il. ill' fOlk,s IHs lla'l'innnlidndc's. pOI' f!p,scifl'ar Iii ill{'{~,~.!:rlib! tT(, Iii ll~"ill',l, Y ,lCluptnl' mct.lidns ]In,!'i\. f'xh']'minHl' 1.'1f!;lg('lo. es1iglllil tli' todl)]l,ds dviJiz;l(lo, ('011 este IilllcLd,le jlt'opt,sil"o :r di.':-;r!f' 1,1siglc) XIX, Be!I,tn rf'edn;lClo I'CIIll'pI'Pllrias'y (·OIl,!..:TCSOS in j"el'lJilciolln!c's (]e 1('IJI'<1,

Ell. nctllhl'P de JSn7, S(' l'f'lllli,h ('ll Bi'l'lin I.-I :I C'olll'i.'I'Cnci'l Tnt(,I'-ll;wionill .Y lo~ !lollllwi.':-; de cif'lItia nl1\ cllllgl'rg:atlo~. arlmij"jcl"illi bcOftfrrgio ..lidad, de la, eJlfcI'JlIf'(/ad, como heclln fll'lIJostrndo pOl' 1<1. ex.-pCI'iPIH'ia_

Aconsej'l.I"on (''I ni81/fJllieJllfj dc fodos In,,, IGjll'()x()x. 1:11 como sr'pnl,cj-k,ldn C'll ,\'ol'IlC':!n y nlg-nll,ls Cll!oni;ls illg"II':-:'i1Iol.}' 1'l'l:OllH'(ln"llll('01110 complcmcnto In dec/a/'flcioll nhfi.'}ft'lGl'i(f, de Itl fjJl,lcJ'lI1./'dad,

PO'stcl'joI'Jnentc~, 'I'll ',Ig'vsto de HlOfJ, se C'ff'rtll{) {'J1 "Hcl',~('Il" In Tr('tJllfl'J'e!l('i,1 Tn1:el'llil.ciOlI.-ll y los lepl'6logos (lue <lsisti(','oll. ('Olil'iJ:'m;l-7'011 'los 111lHtos eC];I,ciollilflos con el ilislwwient"o j' b rlcclill'ilcihlt oldi-gatol·in, AconsejiU:ou, adem{ls. oh'as medidas de ol'(l(~n [1J'()fil:'lct'ico-:Ji'I'o/i,ibici6n lit In.;;: IOJ1l'osos paT;! ejcl'cel' pl'Ore:;;ionc~ fllle 10" pong·;] II I'll

('::HlhlC1"o ('nil los ~;l'llns: ""elJW'aci611 do los 'lIi(iO,'( de ~11S pildl'e~ Ip]H'o"

Page 4: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

568 Revlsta de In Fucultnd de Medtclua.

scs : e,HIlI/cJ/C:s de PCI'8U/W8 0lllll"(-'lIt('/I/('l/lo 8(/1/(/.'1 q ur- hnvnn t-ell.ido;:,11]r.u.ros con cn fel·lIlU~.

.l 'o r otru parre. !'('<'Ollll'Ilt!I' t-'lllpl"Plld,'!' i./lp('sti!Jlfciolln;, COll (~I;·l"op(~."dt·o (/t' .-JCI<II':1J" 1,1 I'tiolugLI y '!Ilodo de prHII,lgnci(HI: ('oll('l'pfIH',

uiu- d'l'hhlill Pl'o:-:l'g:llil'~(' lo!:' ('sf/u!io.') ulflli(;f).~· !J fC/,II-/H"ltficUIS, il;I,~L-l t-fl-

r-ontt-nr uu /"('1I1ptlio ;..:('gIlI'O •• vu qlH' (,I (·ll'llllIlIIHlgTii :-:(' !til 1I](1...;ITndn

mnv dof'icit-utt-. Iguu lnn-ntc ;\CHII."(',Fl (,I r-stntlin lIl' ];1 ie/Ii'll ('.l'j;fTi

.nrnt a l cu. (1JIill/ff!C.'i, L' iIJ'\"(':-:tig<l'Ciolll':-: t-cluti vu s ;\ Iii bi%yi!f d/'{ 11ff-I,iff) dt-sr-r-iro pOl' llnu st-n. ('0III 0 (',I11:-:;1n n- de l<l ('11f'r-r-tur-da 11,

Ell I'] 'II~III ill' l!J:2::, ~t' lll'\'{' .1 (',Ihn I'll Sll';l~h(JlII'g 1;1 III ('0111',",

!'l'IWi;I, lurt-t-uneinn.tl. tumhieu ~(J111'(' Il'llnl. Sill nH-'IHI~IH·('~'i'll' h.u-onlnrlo pOl' LL..; ('IIIlt'I'I'I'llci;l:-> nnttu-iorr-s , ,ICIH1!':1'j{1n In~ g'()hil"I'lln~

ill' llJ~ p;li ...;{'~ 1I1'-111(']I<lt10.... 1)jJ1' pI fl;lg·('ln. ;1J.opt;ll· nu-tlirlus ]I!·l'\"I'lll'i·

';,I~ IlIf'IIIJS 1';.'/"1"1;8//8 .'J uri('IIt,,1' S/I IJI'0fillf.ris ('011 ('rit('I'io I/I(~tlit·() ~.

dt'.i;1I1110vu ~I'gllll!ltl pl<lllo los r('gLIIll('l1t·os dl·;'I...;tkH~ lit, OJ'Cll'11.rrlmluisrr.uivu. 1)l'~;I('lllI ....t'j() ];I~ 11I('ditl;l~ polki\"ilS ('Jrlplt';HI;l~ JlHI';I "('1(1)'

11/1"/11' jr'jJI'()s{J,'{",' ('IIJrlplt'IIlI'I1I'c', I,l~ ITI'()IlH.'IHLH,iolll',"; elt' 1;1.";('olll't-'!'t'!I-

ci;l~ Illll'I'!1;trilJlI,llt>s nllt('!'i(JI'I'~, y ;\('()II.-;t'j(1 adl'IIl{I~ III :->i.~·llil'nt"t.':

jJl·Ollillil·i{1I1 dl' J;1 iJlJlli!JI"I!(,if)JI 1('/JI'OSII.j l('g;i~I;t("i(lII (ho ('0'11 I'()ntl id,l(.1

('oIl );l~ C;ll"ICf{'I'bh(';l~ Y ('us1"1I1ll1J1·t'Stie lo~ IHlt'ljl(l~: ,li~];lltli~'lllo

111IIlwnit;lr-io, ('It Itospi 1';1ll's, ~nll;ri(J!"itls 0 l:Ullllli;l!-; ;lgTindns ~i'g(111

J(J~ l',l~()s y In~ Cllllllil'illlll'S 1'("(lll{lIl1ic;[s Ilt.' L.tt!n p;t1~: "'f'IIIII'ff(·ifl/l dl'los lIi!i()8 slll/1)8 Ijp .";I!~ pild!'I'~ II'lH").";()!-;: ('n/,ll/f'I"'S jwr;'Jdi('(!s dl' lo~

l'l,II\·iril'tlt·('!', 1'(Il' OIT<l )1,11'1(', 1'1'('o!lwlld{, ('uufillll:ll' LI~ ill\·('~ligil('io·

i,V.';. ('1111I'] Pl'op{I~ito til' Ililll,lr 1,1 !'I'IlH'dio r~pl'I'Jrk(1 1'lllIlT,] 1;1 1.'1"',]

y ('(jllt'l'plll(' IIIH' Iii S(wil'd;ld d(' I;I~ \;ll'inlll'~, (kll('!'!;1 \'II(,;lq:~;,lJ'S(' Ill';l1lhlic.]('iu!II' .....p('l'i()(lil';-I~ solll'(' II']JI"i1 y drl t':o;f";lhll'('illli,'nl'o dl' 1]11,1

"ficin;l irll'III'II'lr'ilJ!I;II. 1':11·;tsl1ltlilJi~ll";ll' illf()I'I1]:1t'iolll'~ ~(Jhl'l' 1.1 1I1il.

1(,,,i;l.

Ell "!!J::O, :0;(' .. f('I'III{1 I'll 1';;1'lIkok, la ('01l1'1'I'('III·i;1 dl' 1:1 Sn-rit'd;lrl

!II' I;l~ \·;I('iolll'~. y (,I \'/11 ('Ollgl'('Slt til' l:l ~1J('il'c1:ld ill' .\[l'dit·ill:1

'J'r-opil':11 Ih'] 1';XITI'lllo·I.1·i"lll,'. :-;I!;'; ]Jl'ill('ill:lll'~ ,ldi\'irl;ld('~ ~l' ('111',1-

JltilJill'Orl iI 1;1 di~(,llsihll tiro ,1:->l1llf(!s I'dl'!TIlIt's <l ];1 (/dlJli/li'''dJ'//(>i6u

:1) If'!ji ..df/(·ifJ/I. fllllilcpJ'os(/, ('Oil 1'1 !",l'up{,sil'l de Illlifi(';[I' III~ 1l1Nlldll~ Y({'(,IlII"IS. I.it ('ollj"'n"!I('i,1 I'tJ!'Hllll{, I'l'illl'ipi'O~ ,!.:'I'Ilf'!"II"s sol)),., pi-on·!.Ixi.,.,j...; y !"Il';] tI,'s.II'!'oll'l/' i,1 pl;111, l't·(,() till'S l't'lJll'lI~ 11lil'nl;r('ioll:]ll''';

(ho )I'/I]'(J!o;.d'l: ('I (II' ()('cid"1l11' lilli' l'o/lll"'I'lIdl' ,I 1':IIJ·op<l. Afl'i'(";l r';t:-: du!" ,-\.IIl('I·i(·'I:->y (,I il(' ()l'il'1I1t, fnl'llLldu JlIII' .\~i", .\l1sll';II1;1 ~-

( )I'{ ';1 II i;I .

.\dl'llI;'t~ la SllI'il'd,Hl tI., LIS \";Willll('S 'lcoll:-:'I'.i{' (':.:lillIl('I'I'1" I'll (';I.

r!:r p,ds I'll dlilldl' 1:1 II'pl';I I's ('Ilr!{·llli(';1. IIU ('('/111'0 ,f(' ('slllflif).'j (('(1-

; :('0.-': y jJl';'I('1i('(I!-;. ('Ilil 1<1hlll"ll In-i,ls p:ll";I .1111'1<111l;1I' I;I~ i 11\"('....t-ig:I{,io·

Jl('~, Ig'I1;rIIlII'II/(' ·(·t·I'r',1111('I'ltll-') Itdt'I'II,will!1al I'll HIli til' ,/.IIIl'il'lt,

Ell 1,1 ,11111til' I~J;::.!J (C'IIt'I'n) S(' J'I'lllli6 t'll ,\"lllil;1 (1"ilipill;I:-:I,

Page 5: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

SLQ

ill'l'O «fu l'lll';'l('t('I' ufiri.tl , oIT;! ('Olll"l'.I·I'llCin 411' ll'pr·"'lo~o:-:. ".\IL'IIlI)'t ut l \\1''00(1''.

1':1 fi'11 !'I'ilil'ipnl eli' l'~:hl r-r-uuion rue l'l de ('.'I(",r/;Ol" .II ""ifif'O/'et /,(JGulJl!lal"io 'lpH' (\(,11(' i~lllpll';lJ"'iI' I'll tudo 1(1' rvlutivo ;1 1;] 11'1)]';1 yact nut ic«r I().~· II/Nor/os dL' l'X{lll1l'!l('i'\ Y l,mkl'il';l:-: 1('l',lp(lll{ ir-us. l.nC<nd\'I'I'!l('i;l )'{'I'()ll(wi(1 !lIb.' c! nnr.unit-uto I'0l' 1,1 ('ballIIHIIlI!!]"i!. til"

ne ,ljll'Il;I:-: un. rlflli/" n-tot irc 1'110Ilf f('J"f1/Je/lticl/ ""Jltil"/JJ'(lSI/. 1{l'[':J-

J!ll'lldtf d(' 1I1;l1ll'I'" l':-:p{'('i;lJ (,I r/it/!/Ji()stir,,) 11J'('('o;: ell' 10-': '.';]i'\I):-: iuri-!ji('1l11':-: y "'11 pr-nuto rnu.nuir-ur«. ('}'f'I) III So(·il',(/(/(1 IlItl!'I/:/(·i'(fI/fll til':"('II/"r;loyi" ." f1111110 ('I t'11'g,lIJOlI!lI' 111'\';1 pill' lit-nil) "Lnt crnutionu l,IOII/'J/llf 1;.1 IsCIJI'f,'s.I/·. Puhliruri on lel'Hi(';l, rip infru-uuu-inn Y Iumhir-u<1l'g';[l111·th' di st-u siou.

Ell -m.u-zo ill' I!J::S .. '""t' 1·{'It'Il]'(', r-n t'l Cu iru 1111 ('IJll.~I·I':-:11 IIIII'I'II;!-

(·jell;ll !It' Lt'])I';I, ,II ('II,![ flit, t-nvi.uiu runto .T('!'I' tit' ];1 IJI'h'g";I('it'111 {'n-

Iomhinna. ('[ I;llllt'11l'iltlo .(' ill:-:ig·t1(, :\1;1('....11"0 F'Pr!I'l"i(·tJ L!('I';I:-: '-\:':1:-:1:1.

Yu pOl' los ;Iil()~ lit, l!J~I; ,Y l!J~;-':. :-:t' IJnhL111 t'I"('dll:1I10 ('I)llg'I·.'Slf':

ttl .\IO!-"('Oll. 1'111/'(' olt)'(I:-: (,j "('(!'llgT('so Pnu-r-uso tit' !l'lll·:!··.EI ('·OllgTI' ....() !il'l rulr», ;lllOlldt, ('l"lI('lIITi('l'UIl illl~lTl',.: t' ....IH'('iil·

n~LI.'"'. ('(!llfil'lIJt'f 1<1:-: ('olll'llI:-:iOlll':-: .!I(, 1;1..... ('ullrt')'('n('i;l~ Illh"'I·!li1(·ioll:llt, ....

:ltllt',l"itWt,~ .• -\..dl'lIl<'I~ hizo l'PI'Ollli'II!];I('illtl('~ ('II !'(']<'Il'it'lIl ('1)11 ];1:-: 1'11-

('ill'sf(/8 l'IJhlf'llIi(;/';yif·(/8. jJJ'ill('ijJi(J8 .'/"JIf'I"fI(e.'I :-:ohl·t, 1;1 pl'llfil:l:\i:-; ;11'1;, V!il't'I·lllt',Llil. d((si/it'lIeiU/I d(' If)S filJl)·Ii rip 1I'P)·;I. (n(/Hlllinl,Ins, pit·.

Ell )'('~11'1ll1'1I 1;1:-: ltll'didil ])1'ol"il{ldil',ls l'I'l<lti\"n:>: ;, ];, 11'llI'il ;It'On,

,...;{'.i'ltl;l:'" pOI' !():-: I'SIH'(·j,Jli:o:t;l y 1:1:-: di:-:{'llSioIJl'~ d,l' I·,ll·{ll·/"t:l· «il'lllifi('I)

('1111 !.OtT(;:>:S11~ (1t'tnlll'~, SI' \1<11);111('()lI:-:igll;lilil:-: I'll Ln-.: ;ll'1";ls ell' ('<l(];1

,lll;l 11(' l'st,ls l·t'lIlliOllt':-:.

('OIl ('I 11('('111':-:'1 d(' los sig'l()s. 11):-:;Il!t'l;lUl-(I. ... (h' 1;1 l'i"ilizill'it'lli. I;!

~'\"lIl11('i{lIl l,iol{lgil':l dl' ];t ltlllll;lllidil(] y pi JlI:1J',I\"illos() ('xilo til' hltigi('IH'. pt(., psj'l' !'J,lgI'lo !In dp~;!])nl'('('idtl" pOl" l'ilJllph'l(J dl' (';lsi fl!'dllS los p;'IISI'i'\ tll' (·j·riliz;ll·i{))1 ,1l1l'];1Iltnda,

Ell In .-\.mel·il':l tI(,1 8111' 1':\is1t'1i cinco fll('o:-: tit' It'JH'<1 1(l{'illiZildo~

,lSI; ('OIOlllhi;l 1.1,000 "l'llf('l'Jlltl:-:; \':'!I('Zll('J;l ('Ol! ;:.000: 1:11,1,\";]11;1:-;('IHI

::,:WO: HI',lsil {'oll ,leo.noo \" .\I'),~·1'111'ill'l l'OIl 1.;':.:100. Ell 1<::-:111'111;'1.... pal'',\1':-: Sill' .-\.IIII'I'i(';IIlO~, 1":ltJ:hiptl t':\i:-:.h' Iii Iql'l·il. ~I'glill I'nz SlIld;'1I1 Y)j'OIlg'{'. I'll (,j I'!']"{l !l,ly ::1 (';1:-(1:-:d('~(·llhil'l·tns :'!l LillI;!. ,\" I'll hi Allli!'

;~\lltj:lIWI'I!;IIl;L 4tH).('liilt' :-:,t'~,dlll :d~'ll'lll):-: ;lll1"O!·('i'\. (':-:1";'1illd~lJl!lt, til' I('pl"il. pt'I'1I '(':-:1':\

"pl·t'('i;ll'il'lll ;,:-; 1I1.IlY' {)l'l-iltli:-:1"il. ~OllZ:l Al·;tlljo so:-:lil'llt' q,lll' itlll I'xi:.;·

;-('11 ,111'I'dl'dol" til' :LO()O 1t'11t·()~IIS.

1'01' In lIIH' IJill'I' :J ('ol(JlIlhia Y ('Il t',"'pl'('i:ll til' 1!JO:-1 ('II :ldl,IOlIl1'l'

10d,l:-: In:-: ,1IlhH'id:lt](,i'\ :-:i!llil:II'i;li'\, :-:ill l'x('epci{lll :JIg-lIllit, !Jill! plll's1o

I'll pr';'w/"il';[ Ins .IIIvdill:l:-: qUi' '\'t'II];I'll ;H·OIlSt'.i;llItio l'll bs ('onl"l'I'['I)('hIS

~.il"ll ti fic:J:-: i111'<'l"Ilill'io)I;l]('s. Los dlldol·t'.... A li'j,lllfl!'o [11'1'1'1'1',11~1'i'\'

:1'(')10. 1',lldli (LU'I'lol .\I('dill;l, .ros{' \'i('('lllt' HIlt:)'1"il'S Y ,10,:-:~·li:-;t"illgllido:.;

Illt'di ..os lillI' ()l'llP;lI'Oll )lltt':-:hl ('II 1;1 JIIIl1"<1 ('t:IIITal Iil' Illg'll'IIl' Y ('Il If I...

Page 6: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

570

!t'lll'U:o:iOl'io~ n.tcluunles. trnhujn r-on ,·jelllp!;ll"J1WlIt"e en 101OI'g:Olniz.;lei(lIldt' Ius hlZ;H('tu~, p,JI',] ;li~I;II' ;1 lns It'JlI'II~o::;,: cu el nu-jorn.mieuto lit·I:SOS estn hleci mieu tos y en la pruteccinu de 10:-; niflos sunos hiju« lI\'r-ufurmos dc' lepra. Ln !lit,C'C,(·j(lJl (i-PItt-raJ de Lu zu r-erus que f'unciouo

11;lsh!. 1'1 niiu tit· 1!1:-W. (' ....ru vo t-ur-unu-ud.u!o ;,1 1;1 j)l'nci;, .v huncu-ahi-li-!id;ld clc-l dor-tut- Alt'j;]II(!I'O "lh'ITt'j',1 Rcstrepu. l nu-ante ('sf;] 6pnl';1, «c"h-v.nou ~l. (';-lUO hupott.m n-s oln-n s i'!l 10:;': I,\zateto!" . .y asilos P;\!";I ui.lias sa nos. Se in tcusificnrou Ins na t.unicn tos uu tileprosos ; !';e oi-gu-uizarou las Crunisiones alltilf'pr'nS,I~ .Y tinulnu-nte, se dicrarou di~pt)-

sicioucs h,!~tendt'll1;lle~ ('II I'('I,-u'ibll COil los {,lIfl'l'1I10~ curud« .... i'(Jci;.l-

11:~. (p<Holed).])l'sd(' 1'1,1110 (11' 1!':::.!'y Ill':'llill'S fll' 1;1 (Tnll!'CI·,pIlCi" (11' ~[;llli]<.l. If!

prnf'iIn xi s rlt' 1;111'111';'PI"l 1,1 rt-r-r-lrorin dp 1:1 Rl"'p(lhli'I·n. St' Ita 1II"r;ldo ,I

c-aho t-un critt-r-Io rtdlS huumniturio y tip confot-mirlnd {'Oil 10 {Jnll'Il;t-

do po!' In Ley 32 rip lO::t!, ('xlwdiILI pOI' (,I ('IHI;.!,TI'S() (h' I'S(' .-lllIJ. 1':11

);1 eOllfl",{'ci/11l 11(' l'stt, Esrntllto 11',~<l1.tOlll,l!"UII p;ll·h' )Jrillci]J,!I. I(J-:

dodnl·p ... .T(!!',!!.'(' HrjflJ';lIlO Y 1·:IlI·iqllf' LIlVisll, Sin t-' II I h" rg". lod,ld;1 ~('

roflll.-':l'I·\·flJI ('n 1<1Iq.dsl,l(·j{HI ,111l"iII'pl'ns;l Ih' ('IJlnBlhin Y l'1l SIIS I'{'g[~,-

filt'!lj-ns. ;11g-1I11;ISdi.,,;pfJsiC'inlll'S y pl'oCl'(lillli('nhJs qllt-' \'s illdisll('lI~nhlL'

~Ic- t ll,l-I iZl! I'.

UnITt' llilsoIT(JS. 1;1 P)'('\"('IIl:il'lIl c-llld'I',l 101.!I'JlI';] St' 11;1\'t'llidIJ 11I'S-

;:I·I·ldl:IIHllJ (11' LII 1IInllt'LI. IIIH' 1:1 g'ell(')',l!itJ;"HI dl' Ins disposi('iolll'S

dic-tfld;IS pOl" );1.1..; <lllt{Jl"irl;lr1{'~ ~;llIjj;ll·ia.s (h' rnlllmhi;1. Sf' !tnll 1'!lI"OU-

, 1';1(10dl' ;Ielll'r-lio (·011 In.I..;1'(\('il~lti'rs "l\('fJlllt'IHlil('iollt'S fJIIl' ~ohn' 1,1 )I,H-

lienl;]I' fOI'llIul{, (,1 (11l"im(J ('OlJgTt'~o rle I('PI'<!l 1'('\lBidll I'll 1,1 (';Iirn,

E.-.:t"o I Jill' ~i:-Jlio C;O!l!':litllyl' lIll j'irnhrr lip ll'gHi]'JI\l ol'IP1110 p;"\l':1

('(domhi;l. qllr (lllh'p /"Uflns "III:': P;11SC'sSill' A"lIll'!·ic'lno:--:. lll<lrCII,1 ;1 1;1

';lIJ,~ll;ll'(li;l ("II l'sl'rlS mrtl('l'i:l:-:.

('Ullitl dijl' ;lllh'~, r!I':-:.dl,]U:1:.! S(' (';llIll!i{J I;! Ol'i('III,lcir'nl d(' 1<1 pn'-

',i'll('i/!l1 \·nllh·;1 ];l Ifl/ll',! y S(' Illudific'.lI'lJll las 1l0)'IWls qll(' '\"I'III;HI illl-

/!1'1';"lllr!IJ dl':-:rIv II;"H·i" \'i])'ios IllsITn:-:. Sr' cOIII'Ll'Ill/J 1;1 libcI';lcitlll de Ins

(Jlfl'J'lllUS ('II los !;lZ;Ht'tO:-:'. JlIII' l'1Ir:l.("i{nl :-:,ot:iJI (p;ll"nlcd), pr;lclj(';-l t'~"

I;dd('{'idn yil rlf'1'ir!(' l!J:.!!'. Rl\ onll'n{, 1'1 /fislr(_lJIieul:(J 1111i(·fI 11/('11Ie df' losf'(18(),~ ufJi(,l'lo,,·)· pI (':.:;!rtlJlr'oilllieulo rl(~ di8pr}/.~·({l'in.'i p;II·'1 el I 1';1hllll if'll-

j'OY \·igi[;IIII·jn dr' 10:': l'1I1'<ldo!-i so\'i;lIt'~ Y SC ppl:Illit-ir'1 (11' rlll(',"/) \,j fli-s-i;lllii('nlt, ;1 (loll'lil'ilio. En I!J:~:~\,1 dodo]' EllriqllC 1':lIci:-:o ('II :-;11ta-

J';wiH' {II' J)il'('citJr S;H;illlJ:ll dt, Ilig'jt'III'.v drspll(':-:' rl(' b PI'im('I',1 l'i'lI-

IIi/ill rll' los Jrll'.f1il·", .... I('pl·r'd().~'o."i ('olomhi;IJlos, 'l'ft'chlild;1 I'll lU;~:.!. lli('-,-f, 1;/ jlll]iIJThllli"1' J·('.'-:O]IH,i{f1J1;0 dr' I!':--tt) ~tlIJI'(' "j,.·:!']lIliellhl <l dOlllici-

lin.

I':n 1~)::-1·(,I 1')";lfl'sol" 1';li'itlll (';IIII;ll'g'o ('11 (,I dl':':t'IIIf1I'II!! dl,l (·;Il·gll

rll' 'j)jI'('{·l(!1· Ih,1 l'I'/J;'I'/;lllll'1JltJ \,,(·inll;,1 rlr Jlig'i<'lH'. ptJl' nwdill tic'

1(1 Hl'!'ulll('i{HI ,~.:J. lI(' 1!':1-L ;1111"01),](1,1pOl' 11t'('ITill I'~.i(,(,llji\·o -Ill!'!' d('1

mi:::lllfJ "i"io. ('I'(,{) y ()l"gfl11 iZt'1 Itls j!rirrlt',I"IIS di:-;pl'Jls;ll'io:-; :1111ill'III'(I~I'~

(jllt~ ('()llH'IIZ;!)'{11i ;1 1'1lIlCjoll;II' ('I! ('llllrlin;[!ll;ll'(';! y 1::iY;l(·(1. ())"g-:III iz(,

Page 7: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

votumen rx, :\Q R, febrero, 19-1L 571

'os (·C)f].sltltol·i().s que pant sen.iein rl'e cnfermos de le]1I';1 existinu ellSanUHh'./' (1\) .y Va'lle del (.-'<111C<.l.• COil cl proposf to de que 1,,'(':-:1',11'0111('fidclltOllWllt·I'. los 'Sl'l'Viciu!-i como 1)isIWnSfll'ill':-:, incOl"IHII'(lllllcll()s Ill'i-riahucntc ;l In '(·f!'IlI.p'lila. anrileju-osn. ('I'l'() 1;1~ ('omi:-:ill]J(':-: de Ill('di-lO,S nuxili.u-es, dt-pcndlcun-sde 10:-: l)i8P(11l~;1l"i(J~.COil t-l IJI·lillb:.:illl ill'Jiev.u '-1 ('nbu. r-xtn.dins cpidl'll1iol()~i<.:{)~: 'cCIISUde 1l'PI'O~\l:-:: I'X(1Il11't1l':';de couvivk-n tes y pl'n;on;ls ;IP'II·f'Ilh'lIH'Ilt"t· s.mas qu(' h.tbitun ell JI)~tocos Jepmgeuos ; tmtamicnr« .v C01l1T01 de lo~ ('<180S c('rrallu .....('1-('.r Iundo {'I T..a bora ror-io de Inre~t:ig;l('i(lll de Lt'111';1 coloc.urdo!n hiJj:li;1 dirC'('('ic')!1 dr-l PI'of('sor Ff'dedco LIL'Til~ ACUS1";l.

l'ilUlhicu 1('1docrnt Pa1'ii10 C<lIUal'g'o ('11 su 'UlI';'LCt"l'l' ill' J Lir-r-t-t eu-dt~1U('jiil eb11JICUt« ~ a'tiona I dl' II ig-il'IH'. fIJI'mil IjZ{1 COliITn t-o....Pill';1 1,1('~'tablc{'imiplJto I'll la cercnnias, rle .Yguu de ni()~ .'" COllt!·;ILll·j{111.I"!(' a:-:ilHs para. niilos s,IIl(J~ hijns Ill' lcpro ....os. nil ];1 nc-f unlidn r! {':-:1"' ....

!'I'('r(>nt"ol'ios, vn {~:-:l';'lll ]JI·(-':-:1'anrlot'fir';IN':-; .~el·rkio:;.;.

('Oll ('I t'st.lhleti1l1il'lIt() y tl!'gtllliz;witm rll' los I)i:-:pell~'ll·ill~. :-:l'

jl"(JSigllib IiI (·;-lInptll-l;l. (11, Hlflll{'I';1 ('it'lll"ifir'a y S\' ;It.:hwlizfll·(lli In:-: J1{Ji'-

illij." 11(' ]J1'(Jl'ililxi~ de 1<1I'l'lll·il.l)('splle~ ell' (':-;1',\ ep(lC;1, Ill:'; t'lllltioll;ll'ill ....que 11<11]dil·i.l..ddll 1:1hi-

giPlll' 11(,1pals. '1.111('101'(':--' Ypl;lsl'o (';IIII·l'I·;1. AI.'1"H]"OH,()hlt'(lo y actll;I]-

:IH'llt" 1'1 )lilli':-:Pl'I'in dl' 'l'I·'lhn.i(l. Iligil"II(' .'- 1'1't'l'isi{HI SOt;iHI. Ilnn tH'Il-

~()gui(ln In <.:;III1]1"i1'1,de ;\c\lt'I'do ('1111 LIs 1l()1'!Il<l~ estnbl'l'ridn:-: ('II :1'.'-;lflllS J!J:~:1y In:~±, {'Oil ;-dgllllil's IIlUdifi{·'Il'i.Cl'lH'.1.,(ilti·,('I·o('....alltf's.

('llHiO l'esll'1t;\llo f1(' l'-,,1';\S];]IIIN·f's.. '-il';!la !()gl'.-lclo 'IHH' Ilwrlio ~1( JI' ....!)i ....pl'llS.-ll'i(l ....y ('()j~li:,drHl("" \·isit"adol'n-". l'xn III i 11,.1I' 1I11)111('1111(111.11..:1'1'

ill' Iwn:olln,s.r rh'Sl·ubl'i.r· los (.;t ....() .... tIl' Iplll·;-1.'lIe IIJ~ cllale:-: Illln .....H' 11:11

;lhd,Hlu ('11 Iv-s laZf\'l'e1:os II ;\ (I(IIJlicilio y ntl·o-" !It'I'maIJ(l(,f''1l hnjll LI\';giln ll.cin de lo~ lJispr!l~n'l'ios: ~e !In 11 I.ll-'I·fl'ceinllfl(lulu-" ltll:l-odos P;II';IIn (Jljh~nci(lIl elf' los dl'I'i'r;Hl(J~ ,cllill1JmuogL'ictJ.'S, qUI' PI'L'II;I!";] 1-'1111....ljlll·1"0 ~\il{'iUIl;ll dl' Higil'lll'. El (;ollicnlo ~-;]tiull.-tl !t;1 lll"l':-:Lldil f'r';ljl~' I

,1pUyo p;-\ea los p,sj-1I11iosdL' illn,:.;j·ignti(lll I1lw :-:(-'fllkl;lIl1";11l l'1J (.] Ill ....·litll1'o Llpl·,IS. Fi'lLl IJllf'll 1"1' :-::(' di{1 1111 jlf\Sn I"!"HsceHlknrn1. l'lI !"(-');ll·ic'l!l1'011 1;1pl'otp{'('ibll inf<llllil lk Ills lljtl(J~ S;lllns ltij(J:-: f1l-'l'lIl'l'I'lIll):': rlt' 11'-111';1.IHW llll'tlin 11('1;1I'llllcLlc·j(nl Ih' 1,1:--;<11.1('nlla PII .Ag'tl;1 dl' ! lin .....II"lo:s A:'dlos S;III H('!·Il;lnlo. :\;lZal'l't" .r :-;<1111';1Ell~ll;l, I1Up COlllrl ,10 ;ltllll'(';llll·('s. 10:-: fins tlltillln:.: 1'111'I'OUillil'i,ldos rll Hl::.t: I'nl' (,1 rlo-t"I~J1' !';Ilil-Ill(";IIIl;II'~'() y 1<1 S;lIil'(']]I!l;1 pili' tIl....dll('lOl'es Enci ....fJ y '-ill,\ _'Jl"ill"l'Z. 1·:....-

1"0:-: L'sl:·l1d'l'l·illli('IIl"O:-:. llll'.," jJl·l', ...hlll ....v["rj('ios e!'i(·ielltt'-".

El lI{lllll'I'O rI'\' lliiio:-: S;lllO:-: ;Iklldidll ....I'll ('~tn ....;l~ih:-: ;1:.:('i(·llllr ;l1.0,~li.dislTitlllldos ;lsI: S;lll Ikl'll,II'I!O ::7,1: (;tt;:Hl.-l1upl'. :!Ti: \';lZ;II'C'L

l!)::: :-.!;111LtEll,ltil. ~J;~.()fT;l 11lstihll"i(HI \jUl' IH'l':-:I-;ll','1im·,tlluIIJIv ....:-:l'l'\'j,('i()s ]Jill';1 1;1 )11'0-

'1'(Tit)1I inf<llIt"il f·tlllll·;1 LI If'lI]·'1. l',," 1·1 1'1·\'\·{·lll'lll·io qlll' l' ....t";'1{'IJ1I-"l!'ll-Yf'llllfl 1,1 C'·Olllil·{'. fO!"IlI;lilL' plJl' l,....l.',lal·l'l·illns d;llll;lS cI(' 'lIUl':-:1T;1....ll('it;·

Page 8: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

572 Revlsra de In Facultnd de xtedtctua.

.lud , l'II/Tt' las ('1I;11('~ml'I'l'I'('1I uu-ur-inn t>s]H·rinl. doi!;1 El viru Lh"';JSHt',-:lTepo .r !loil,-l Liley II;l!'gn.

";s lll'np()~it-o dl' 10, ln-tltuciuu "h"Il!lt'l' y t-ilur'nt' llil~IO.<..:s;lllOS lti-jns rlt' l'llff"'1I10:;: dl' Il'p!'''.

Las disJlllsitiolll'S rlltld<ltll'l'llbllI'S til' In 11'~.::i:.d<1(·i(·l]1 rlllt-ill']lt'(),..;;r-!'!" 1'1'~:111n 1,1 ]ll'ofil<lxis tho .1;, It'p'';' I'll Cnlomui.t ,\" '''''g];II11I>llt';) losl.tznrr-tos. SP eurnvn nn n (·(JIl:':.i.~·IJ;ld;ls I'll 1;1:':. Ipyt's: 1-~ ill' lH07: :\:! 111'iBIS: :.!t1 til' 1!':!7: :~:.!lIl' lU:t!:!J-t dl' l!JJO'y ell los I'I'Sjl\'(·ti\"I'S !l('CTl'-

los n·.~'L11IH'nt;]!·i(ls.

1:1BLH,e:n.\FL-\

.H(jJlto.'J1f /J l'11;rr;: .l , H.~L(·IJl·;1 I'll Columlrln. 1!)10 .

.l/iJli,"d(~l'io !II' (,'fJfderl/f).-J{t'glillll(·llh, de lo~ ).;IZ;H{,jll~ ill' ];1 ){p

~,(J1I]ic;l. 1';cliei{lI] Ofirint. 1!)1..LCo,w'jo 1/" r:"'lIl/o,-('ompiL"·ii,,, ,1<- di'I"";'";""'-' L\-~"Ie, Vi-

~t-'JJ1"c'~sohJ'1' L;IZ;II'(·10x. Un!). (rmpl'('llhl -:'\;11.,.

(,'arc/a .1I('dilllf, Po/JIo.-C"l)J]]pil;"lti{H1. Leyes. ll(·("n·tll~. ;1("1ll'1·(1(1~.

i'{':-:o]Il(,jnrH·~. de .. :-;ohl'(' IJig'h,!l{' y Silllid,lll dl' Cuh uuhi.t , l-lrlh-iunOfit'i;ll. JD:!O.

'-I (w/,eN', I.J".'dITjJO .-'1lejllnd/'fJ.-1. 11for-mcs Ill, 1" lJ;il'l'cd{1I1 nl'lll'ra!ch~ Li.lZ;II·phl~...-\nt'.'\os ;1 las 1flt-'Il]ol'ia~ dp los :'UillislTO!-i cll' .\~I·i("J1lt-l1-

i-a Y ronu-t-c-iu y lit' III:-;tTIl('('j{)1l ,\' 8"llIhl'id,ld 1){lhli«',l. ...\_ii()!-i 111'In:.!O;1 ] !):!!).

GII/lII/ II . .t. I. !J !1o/'I"('/'(f .b'.-l'rof'ila.\is dt' la Lt,p!·;l. H'I'\'i:--I';l !II'i;1 1~",lcllH;-lll d{' "\It'r1if'ill;1 J1t· l:ogot"il. \·01. \·TT. -I)kieltlhl'I' ck un~.\"Q II.

(,'Ol'c/o· .HI~dil/,l/ I'I/di//). - ('O'IlIpil:ll·jbll. Lf''yos. ,dC'(·I'i'to:-;. ;1('11('1'-

do ...... 1·('~ollH.·iollf'S. ('/"('. I fJ1-::!./)pp0l"fOJII('lilo Sol. rtl' l-figicJ/c.-Legi!":,];"1('it'11l (~OIOlllhi;lIln :-:0111'('

lIj.~i('IIt' y Silllirl'lli. Edic·j(,!1 Ofitial. ]!)X"7.

f)('IHU' / If 111(' /I f fJ Y /I { d,' Hi Vi ('III' .-qt'g'i sLI('i(lIl ('0 IOlil1 ~i;111;1 :-:0 IJI'('

!.(·IJI'it. I !J::7.

jj('JJorlrllllf'ufo Sf/I. !I" Hiqi(!l/f'.-fllfol'llll':-\ dt, I;I~ 1.;111(11'1':-:1"'1l~cp;ld;lml'nl'o "\";I('iollnl til' Ifig·'iellp .. \fins l!):..n. -J!):::.! y I!J:n .

.Hi/li.'jrer;o ,fl' TJ'f/1Jfljo H(r;ir.J/I' !J IJ,.r/"i.-;inll 8o(·illl.-.\I('1.I10I'i;I"ir/t·) .\Iilli!":.t'l'l1 11(· TI·;tl);!jo. Ilig'il'lj(' y I'J'('yisitlll Soc-i'll. ;1 10:-\ ('PIIg'n··

:-0.1.: ill' J!I~~!J.v IH+ll.Oliula If. ./. 1..-··I'I·ny(·dIJ III' (f;tl'lill;1 (ll' I.I'!I]"I··. I!J:~..L('!llIlo 11. ./. 1...-('/qlrt'r'(·Jl('i(l~ di('t:,ltI;I~;l 10.....,J!IIIIIIIlIS tI(· 1;1 ('I,I~{'

d(' ] )t'J·nt;df,II~~ia. I~I.J·O.

.lIo/'rllll//.(' r:. 111.-('fllIt'f'I·('lll'i" I t111'1'II,ll'illJl;r!I' Ill' 1;1 I'('IH'I" 1~':! ..l·

Page 9: IXSTI'rUTO FEIJERICO LLEHAS DC [:-;YI';S'I'I':A('I(I~ ~mDICA · [axis de la lepra ell Colombia. Lc-, tcorias d(' uqut-llus cpot,ls, SHIl lIoy u.utenticus posrulados. Ln. Iq.d"lncitm

vnhuuen rx, ~n R, rebrero. l!)-11. 573

7;/111I1)1/('0 [Jacllff,-L.a Lqll'l' u TI';]\'i'I':o; I{':-; Sit'cli':O; et h':o; C!1I11nvs.Jn1±.

,/f~(III.'i('!IIIC !~'.-"Ll LA']lI'e" 1!)3-!,('o/l!el'('I/C;fI rI{~ .1If/llifll.--){,IPl.'ill"t ill' 1;'1("ollfl'!'(']lI'i;] il(' -.\I:lllilk.

1 !)B 1.("/'11(' .Iol/rl/o! of tile 8!J!Jldif/1I .lIf'rI.i(;ul A.'(.'(oeillli(J!I·'.-({(':-;O!II-

1io11:-; n nd Hl'pol'1- of 1"iJ(' iuIt-r-nu tiuun l ('iJll)l,"I"I':O; or LI'III·(I=-'.'" iH'ld ill

{';Ii ro. ] !)88.(!{I'II1·jn1"t'll from "T'ln- .11l\U'I1,1l of 1"1l(' Eg-ypli<lll .\[I'dil·;11 .b:O;!l-

«in rion"} .HOII;If/{. Il'IIgr;rrj. 8.-.-\[g1111o:-;t'l~mt'llhll'ill:-; II 1<1. lt-v lil';'") lIt' .\~·o.~·

ro 18:::L Rc-vr. ('ldnIllhi;IIl<l !It' f..il'pl'O'I()gi;1. Yol. :.!, ~9:.! . .1!J-I-O.