|This is the talk page for discussing improvements to the Leprosy article.|
|Archives: 1, 2|
|Leprosy has been listed as a level-4 vital article in Science. If you can improve it, please do. This article has been rated as B-Class.|
|A news item involving Leprosy was featured on Wikipedia's main page in the In the news section on 29 May 2009.|
|This article is of interest to the following WikiProjects:|
|This article has an assessment summary page.|
|Ideal sources for Wikipedia's health content are defined in the guideline Wikipedia:Identifying reliable sources (medicine) and are typically review articles. Here are links to possibly useful sources of information about Leprosy.
- 1 Does it kill you?
- 2 Leprosy in India
- 3 2013 new fast test available
- 4 treatment available in Romania
- 5 Merge transmission and Pathophysiology?
- 6 Clarification Request
- 7 (cut from) Signs and symptoms
- 8 Moses as a Leper?
- 9 95% naturally immune
- 10 United States
- 11 B-class, top-importance article
- 12 Article name and infobox entry
- 13 Not what article says
Does it kill you?
All this is good stuff, but the article says nothing about whether or not this will kill you or often it does kill people, or how long it takes to kill someone. How many survive to live a normal lifespan? Can someone get better on their own? How successful are the various treatments?
Leprosy in India
2013 new fast test available
treatment available in Romania
The statement ”Although the forced quarantine or segregation of patients is unnecessary in places where adequate treatments are available, many leper colonies still remain around the world in countries such as” is incorrect for Romania and, I suspect, for a number of the other listed countries as well. The people who still live in Tichilești (the former leper colony in Romania) only do so now because, having lived with leprosy for so long before treatment was available, don't have anything left outside that community. The problem is lack of social integration; the statement implies that leprosy treatment is unavailable in Romania and that patients are unnecessarily isolated, which is false.
Merge transmission and Pathophysiology?
The Pathophysiology section appears to me (as a lay reader) to extend the transmission information and make that section redundant.
Also the opening sentence of the Pathophysiology is contradicted by the rest of the information in the paragraph (ie there is not definitive information about how transmission happens)
Is someone with more subject knowledge able to comment please?
This part of the first paragraph is a little unclear to me:
- Contrary to folklore, leprosy does not cause body parts to fall off, although they can become numb or diseased as a result of secondary infections; these occur as a result of the body's defenses being compromised by the primary disease. Secondary infections, in turn, can result in tissue loss causing fingers and toes to become shortened and deformed, as cartilage is absorbed into the body.
The article is accompanied by photographs of people with stumps where their fingers should be. This seems to confirm the basic idea of the folklore: that leprosy causes its victims to lose parts of their fingers. So how precisely is the folklore incorrect? Is it that the fingers do not "fall off", they shrink? Or is it that the "tissue loss" is not caused by the primary disease?
Currently it reads like the result of several rounds of quibling editing. Could someone with more understanding of the topic please rewrite so as to make it more precise, more informative, and less argumentative?
(cut from) Signs and symptoms
This is all very interesting (below) but doesn't list the symptoms. It lists a single external sign; but nothing about what the patient experiences during early onset, established disease and later symptoms. This is a very poor article in this regard. (posted by User:Stonelaughter)
Moses as a Leper?
In the section regarding the Torah, it cites an Exodus passage that shows God showing a sign for Moses to use if neccessary, in which his hand would temporarily become full of leprosy. But the article, giving no details about it, almost makes it seem as if Moses himself was a leper. — Preceding unsigned comment added by 184.108.40.206 (talk) 04:46, 21 December 2013 (UTC) But in the quran it says that Mose put hand in his shirt had came out with no diease — Preceding unsigned comment added by 220.127.116.11 (talk) 23:57, 2 February 2014 (UTC)
95% naturally immune
Neither of the sources given seem to support the claim that "95% of people are naturally immune". The sources should either be updated or the claim removed. Edit: Here is a source I found that is relevant http://jid.oxfordjournals.org/content/199/6/801.full — Preceding unsigned comment added by 18.104.22.168 (talk) 23:08, 8 March 2014 (UTC) 22.214.171.124 (talk) 20:58, 12 January 2015 (UTC) http://bmb.oxfordjournals.org/content/77-78/1/103.full I also take the view that it is not 95% immunity but weakening as demonstrated 'extensive reduction of its genome,' It may well be that we all have leprosy to a underlying extent. I also believe the 'eye tearing' is indicative and a form of cytitis is noted in the article.
Lists symptoms of infection rather than United States specific information, which are not cited and differing from the original symptoms section and endemic area section. First paragraph should be integrated into more appropriate section and symptoms if true moved to proper section.
B-class, top-importance article
Who watching this page is interested in building up this Leprosy article to good article status and eventually featured article status? I see this article had a huge one-day spike in page views recently, which boosted its ranking for the entire year of 2014, but even with fewer page views, the article important rationale is strong, so how about boosting the quality of the article by referring to more reliable sources on medicine? Who would find this interesting do for 2015? -- WeijiBaikeBianji (talk, how I edit) 17:49, 25 January 2015 (UTC)
Article name and infobox entry
I see other editors are editing the infobox at the head of the article back and forth between alternate terms for the name of the disease that is the topic of this article. This issue ought to be easy to resolve. Articles about medical topics (broadly construed) on Wikipedia ought to be edited according to the Wikipedia content guideline on reliable sources about medicine. Medical doctors have systems for naming and classifying diseases, and whatever the reference books about those systems of disease classification say about this disease should make clear what the official name of the disease is (which is what to put in the infobox). Of course, the first sentence of the lede paragraph of the article should refer to all the commonly used names by which someone might be looking up this article, and there should be appropriate redirects from other terms to point to how this article is named (an issue distinct, perhaps, from what to put in the infobox). The infobox should definitely follow the medical reference sources, period. -- WeijiBaikeBianji (talk, how I edit) 14:57, 22 February 2015 (UTC)
Not what article says
"India has officially been declared a leprosy-free zone."
But article says "Recently India announced it had "eliminated" leprosy. That is a pretty bold statement. If something is eliminated you might expect it not to be there any more. But, according to a target set by the World Health Organization, elimination simply means there is now fewer than one case in every 10,000 people. Given India's vast population, this means there are more than a 150,000 new cases each year - 150,000 people each with their own story of leprosy."
- Walsh F (2007-03-31). "The hidden suffering of India's lepers". BBC News.