William Jopling
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William Jopling (2 March 1911 – 21 August 1997) was an Italian-born British leprologist who together with D. S. Ridley proposed the Ridley-Jopling classification of leprosy (1962), and wrote the widely read textbook ''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 (1950–1967), a leprosy hospital in London, and wrote various articles, including on
leprosy stigma Leprosy stigma is a type of social stigma, a strong negative feeling towards a person with leprosy relating to their moral status in society. It is also referred to as leprosy-related stigma, leprostigma, and stigma of leprosy. Since ancient times ...
.


Life


Early life

He was born in
Pozzuoli Pozzuoli (; ; ) is a city and (municipality) of the Metropolitan City of Naples, in the Italian region of Campania. It is the main city of the Phlegrean Peninsula. History Antiquity Pozzuoli began as the Greek colony of ''Dicaearchia ...
, near Naples, Italy, and educated at Norman Court School, New Barnet and
Queen Elizabeth's Grammar School for Boys Queen Elizabeth's School, Barnet is a boys' grammar school in Barnet, northern Greater London, which was founded in 1573 by Robert Dudley, 1st Earl of Leicester, and others, in the name of Queen Elizabeth I. It is consistently ranked as one o ...
, Barnet. He graduated from London University (St. Barthlomew's Hospital) in 1936 and studied medicine and obstetrics, as an intern, ending as a ship doctor traveling to the Far East. Later in 1938, he went to Hartley, Southern Rhodesia (now
Chegutu Chegutu, originally known as Hartley, is a town in Mashonaland West Province, Zimbabwe. Location The town is located in Chegutu District, Mashonaland West, in central northern Zimbabwe. It lies in the Hartley Hills southwest of the capital ...
, 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 A leper colony, also known by #Names, many other names, is an isolated community for the quarantining and treatment of lepers, people suffering from leprosy. ''Mycobacterium leprae, M. leprae'', the bacterium responsible for leprosy, is believ ...
and became interested in the disease. During
World War II World War II or the Second World War (1 September 1939 – 2 September 1945) was a World war, global conflict between two coalitions: the Allies of World War II, Allies and the Axis powers. World War II by country, Nearly all of the wo ...
, he went into the volunteer Medical Corps. In August 1947, he returned to London with his family at age 36 and took postgraduate studies, specializing in tropical medicine. After the war, some of 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 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 the
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
(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 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 The lepromin skin test is used to determine what type of leprosy a person is infected with. It involves the injection of a standardized extract of the inactivated "''leprosy bacillus''" (''Mycobacterium leprae'' or "Hansen's bacillus") under the sk ...
reaction.
Kensuke Mitsuda was a Japanese leprologist and director of the Tama Zenshoen Sanatorium (1914–1931) and the National Sanatorium Nagashima Aiseien (1931–1957). He had been at the frontier of leprosy policy of Japan. He was given the Order of Cultural Merits ( ...
first reported the lepromin reaction in 1919, which is usually called the Mitsuda reaction. This reaction was completed by Fumio Hayashi. *


Leprosy stigma

Applying
Goffman Erving Goffman (11 June 1922 – 19 November 1982) was a Canadian-born American sociologist, social psychologist, and writer, considered by some "the most influential American sociologist of the twentieth century". In 2007, ''The Times ...
's definition, he explained various instances of
leprosy stigma Leprosy stigma is a type of social stigma, a strong negative feeling towards a person with leprosy relating to their moral status in society. It is also referred to as leprosy-related stigma, leprostigma, and stigma of leprosy. Since ancient times ...
both in Europe and in other parts of the world.Leprosy Stigma Jopling W Lepr Rev 1991, 62,1-12. The general public has many misconceptions about leprosy; health authorities have launched information campaigns stating that the disease is curable and patients on treatment are noninfectious. Various factors for stigma are present, including religions and laws. Present-day leprosy stigma will disappear with the eradication of leprosy with multidrug therapy.


''Handbook of Leprosy''

The textbook had been widely available since its first edition in 1971. It has been translated into Spanish and Chinese.


Comments by others

"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."


Awards

Jopling and Ridley were jointly awarded the
Sir Rickard Christophers Medal The Sir Rickard Christophers Medal, named in honour of Sir Rickard Christophers, is awarded every three years to individuals for their work in the field of tropical medicine and hygiene. The awarding body is the Royal Society of Tropical Medicine a ...
by the
Royal Society of Tropical Medicine and Hygiene The Royal Society of Tropical Medicine and Hygiene, more commonly known by its acronym RSTMH, was founded in 1907 by Sir James Cantlie and George Carmichael Low. Sir Patrick Manson, the Society's first President (1907–1909), was recognised as ...
in 1994.


References

* *Obituary William Jopling 1911-1997 D.S.Ridley, Lepr Rev 1998,69.75-76. *Handbook of Leprosy Fifth Edition Jopling WH, McDougall AC. S.K.Jain for CBS Publishers and Distributors 1996. {{DEFAULTSORT:Jopling, William 1911 births 1997 deaths British leprologists English dermatologists British parasitologists People from Pozzuoli People educated at Queen Elizabeth's Grammar School for Boys British hospital administrators British expatriates in Italy