title: [History of Hansen's disease control policy in the United States].
abstract: Federal government set up the institutions for the study and treatment of Hansen's disease patients in Hawaii in 1905. Then in 1917, a legislation was made to build a national leprosarium (leper home), authorize the Surgeon General (SG) to receive into that institution any person afflicted with leprosy who presents himself or herself for care, detention, and treatment, or any person afflicted with leprosy duly consigned to said home by the proper health authorities. The National Leprosarium (later renamed as National Hansen's Disease Center) opened in Carville in 1922. Although promin treatment had started in the early 1940s, the Public Health Service Act of 1944 retained the SG's authority for detention and apprehension. Discharge codes were gradually loosened since then, but the efforts to revise the Act were never successful for a long time. It was in 1985 when the Act was abolished. Provision of long-term care for new patients at the Center was terminated finally in 1997.
authors.affiliation: Department of Public Health, Graduate School of Medicine, The University of Tokyo, Hongo 7-3-1, Bunkyo-ku, Tokyo 113-0033, Japan. hsato@m.u-tokyo.ac.jp
authors.forename: Hajime
authors.initials: H
authors.lastname: Sato
authors.forename: Janet E
authors.initials: JE
authors.lastname: Frantz
mesh_terms: D003140:Communicable Disease Control / Q000266:history* / Q000331:legislation & jurisprudence; D049673:History, 20th Century; D006801:Humans; D007326:Institutionalization / Q000266:history* / Q000331:legislation & jurisprudence; D007918:Leprosy / Q000266:history* / Q000517:prevention & control / Q000628:therapy; D010351:Patient Discharge / Q000331:legislation & jurisprudence; D010356:Patient Isolation / Q000266:history / Q000331:legislation & jurisprudence; D014481:United States; D014492:United States Public Health Service / Q000266:history* / Q000331:legislation & jurisprudence