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I ntroduction The introduc tion of mu l t ip le drug therapy ( MDT) of l imited duration is beyond doubt a breakthrough i n the campaign aga inst leprosy . However , the app l ication of MDT i s not mer e ly the d i s tr ibution of two or three drug s ins tead of one ; it a l s o imp l ie s an extens ive re-organ i z a t ion and up-grading o f virtua l ly a l l aspects o f a lepro s y contro l programme ( 1 ) . With the introduc tion o f MDT the princ iples o f lepro sy contro l , early dete c tion o f patients and e f fective treatment for a s u f f i c ient per iod of t ime do not c hange . P roper p lann ing and organ i z ation o f MDT , in order to guarantee opt ima l imp lementaton a s we l l a s the deve lopment o f a bu i lt-in sys tem for evaluation , are manager i a l tasks par exc e l lenc e . It cannot be overemphas i z ed that i t is of extreme importance that detai led gu ide l ine s for impl ementat ion of a l l aspec t s of MDT are de f ined be fore MDT is introduced .

Multiple drug therapy: implications for field work and training at ALERT