White Cassandra
Department of Anthropology and Sociology, Sweet Briar College, Virginia, USA.
Hist Cienc Saude Manguinhos. 2003;10(Suppl 1):123-41. doi: 10.1590/s0104-59702003000400006.
Although Hansen's disease (leprosy) is still a significant problem in many parts of the world, the effectiveness of multidrug therapy has allowed people affected by this disease to be treated on an outpatient basis. However, throughout much of the twentieth century, people diagnosed with Hansen's disease were isolated from their families in facilities known as "leprosaria". This article presents a brief history of isolation policies and the development of community structures at two such facilities, Carville and Curupaiti, in the United States and Brazil, respectively. The modern dilemmas faced by the administration, staff, and residents of these institutions will also be discussed.
尽管汉森病（麻风病）在世界许多地区仍是一个重大问题，但多药疗法的有效性使感染这种疾病的人能够在门诊接受治疗。然而，在整个20世纪的大部分时间里，被诊断患有汉森病的人在被称为“麻风病院”的设施中与家人隔离。本文分别介绍了美国的卡维尔和巴西的库鲁帕伊蒂这两个此类设施的隔离政策简史以及社区结构的发展。还将讨论这些机构的管理人员、工作人员和居民所面临的现代困境。
