01243nas a2200241   4500000000100000008004100001260000900042653001900051653002600070653002300096653001100119653002500130653001200155653002200167653001800189653004000207100001900247245011100266300001100377490000700388520059200395022001400987       1998                            d  c199810aCustodial Care10aHistory, 20th Century10aHospitals, Special10aHumans10aInstitutionalization10aleprosy10aPatient Isolation10aUnited States10aUnited States Public Health Service1 aParascandola J00aAn exile in my own country: the confinement of leprosy patients at the United States National Leprosarium.  a111-250 v103 a<p>Leprosy is a disease which has long been stigmatized and persons afflicted with it have frequently been segregated from the rest of society. This paper focuses on the evolution of policies concerning the confinement of patients at the national leprosarium operated by the United States Public Health Service (PHS) at Carville, Louisiana. After a brief review of the origins of the Lousiana Leper Home, which eventually became the national leprosarium, the paper traces changing attitudes and policies at Carville from 1921, when the PHS took control of the facility, to the 1950s.</p>  a0394-9001