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  1. Jackie A Cassell, Editor in Chief
  1. Department of Primary Care Epidemiology, Brighton and Sussex Medical School, Brighton, UK
  1. Correspondence to Professor Jackie A Cassell; jackiecassell{at}googlemail.com

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Over the past month, I have been reading an enthralling book about the diagnosis and care of leprosy, long before germ theory and the formalisation of modern approaches to diagnosis.1 Carole Rawcliffe explores both familiar 19th century segregation approaches to infectious diseases, and the radically unfamiliar approaches of the mediaeval period and their evolution. The strangeness of leprosy, and its complex challenges to theories of disease from the humoral, through miasmatic to modern germ theory, should give us pause for thought as we consider candidates for status of emerging STIs which potentially need control and containment. This month …

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