William Jopling
Encyclopedia
William Jopling was a leprologist who together with Ridley D.S. proposed the Ridley-Jopling classification of leprosy (1962), and wrote the widely read textbook of "Handbook of Leprosy" which had a fifth edition. He had a wide understanding of leprosy problems based on his experiences as the director of Jordan hospital, a leprosy hospital (1950-1967) in England and wrote various articles including "leprosy stigma
Leprosy stigma
Leprosy stigma is a kind of social stigma, a strong feeling that a leprosy patient is shameful and is not accepted normally in society. Also called leprosy related stigma, leprostigma and stigma of leprosy.-Stigma:...

".

Early Life

He was born in Italy and graduated from London University (St. Barthlomew's Hospital) in 1936 and he studied medicine and obstetrics, as an intern, ending as a ship doctor traveling to Far East. Later in 1938, he went to Hartley, South Rhodesia, (now Zimbabwe) Africa with his wife, and chiefly engaged in medicine and obstetrics. He transferred a patient with leprosy in his government car to a leprosarium and he was interested in the disease. During World War Ⅱ, he went into the volunteer Medical Corps. In August 1947 he returned to London with his family at age 36 and he took postgraduate studies specializing in tropical medicine. After the war, some Hansen's disease patients came from other countries, and he took the new post of the director of Jordan Hospital specializing in leprosy. The number of beds was only 24. After 17 years, it was closed and a few patients were transferred to other facilities.

The Jordan Hospital(1950~1967)

Together with Ridley, he established the Ridley-Jopling classification of leprosy, which is the standard of classification, although WHO added a simple classification of multibacillary leprosy and paucibacillary leprosy for practical reasons. He was interested not only in the classification, but also in leprosy reactions, and he finally found the designator of Erythema Nodosum Leprosum, asking any visitors to his hospital. He had remained Consultant in Tropical Medicine at St. John's Hospital for Diseases of the Skin until his retirement. He participated in a multidrug therapy trial in Malta.

Ridley-Jopling Classification

The axis of classification is the degree of Lepromin
Lepromin
The lepromin skin test is used to determine what type of leprosy a person has. It involves the injection of a standardized extract of the inactivated "leprosy bacillus", under the skin...

 reaction. Kensuke Mitsuda
Kensuke Mitsuda
was a Japanese leprologist and director of the Tama Zenshoen Sanatorium and the National Sanatorum Nagashima Aiseien. He had been at the frontier of leprosy policy of Japan. He was given the Order of Cultural Merits and Damien-Dutton Award...

 first reported the lepromin reaction in 1919, which is usually called the Mitsuda reaction. This reaction was completed by Fumio Hayashi.

Ridley-Jopling Classification
GroupLepromin ReactionLeprosy Bacilli in Tissue
I(Indeterminate group)
±~-
TT 2+~3+ ±~-
BT
~2+
±
BB (-)~±~+
BL
3+
LL
4+

Leprosy Stigma

Applying Goffman's definition, he explained various instances of leprosy stigma both in Europe and in other parts of the world. The general public has many misconceptions about leprosy and health authorities should launch an information campaign that the disease is curable and patients on treatment are noninfectious. Various factors are present, including religions and laws. Present-day leprosy stigma
Leprosy stigma
Leprosy stigma is a kind of social stigma, a strong feeling that a leprosy patient is shameful and is not accepted normally in society. Also called leprosy related stigma, leprostigma and stigma of leprosy.-Stigma:...

will disappear with the eradication of leprosy with multidrug therapy.

His Handbook of Leprosy

He was a great teacher. This textbook had been easily written since its first edition in 1971. It was translated into Spanish and Chinese.

Ridley's Comments

"He seldom initiated research, but the dependability of his clinical judgment made him an invaluable and much sought after research partner, and for many years he was a central figure in the Hospital for Tropical Disease's leprosy
research programme."

Award

Both Jopling and Ridley were awarded the Sir Rickard Christpher's medal of the Royal Society of Tropical Medicine and Hygiene in 1994.
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