本期主题：Therapeutic Outcomes beyond a Cure: Leprosy in 1940s-1960s US
主 讲人：Raul Necochea（北卡罗来纳大学医学院社会医学系副教授）
This project focuses on the concept of “arrest” in the case of leprosy, or Hansen's disease, as well as the transformations the concept underwent with the arrival of the sulfone drugs in the 1940s, and the implications of these changes for patients and public health officers. An “arrest” was a therapeutic outcome characterized by a long course of treatment, non-contagiousness, a very small chance of disease reactivation, and a need for post-discharge maintenance that depended on sociomedical infrastructures beyond the clinic, as well as self-imposed lifestyle limitations. The concept of “arrest” shows that experts and lay people alike have valued therapeutic outcomes besides “cure” that signal certain optimal therapeutic milestones, despite the practical difficulties they imply and despite the fact that they don’t promise a return to a pre-illness stage. With the novel use of terms such as “functional cures” in the case of HIV/AIDS, it is clear that therapeutic concepts beyond cure remain an important and evolving aspect of medical caregiving.
Raul Necochea obtained his Ph.D.in History from McGill University. He is broadly interested in the history of medicine and science, sexual and reproductive health, and Latin America. He is the author of A History of Family Planning in Twentieth Century Peru (UNC Press, 2014); and of La Planificación Familiar en el Perú del Siglo XX (IEP and United Nations Fund for Population Activities, 2016).