01185nas a2200205   4500000000100000008004100001260000900042653001100051653002600062653002200088653001200110653002200122653001800144100001200162245007000174300001100244490000700255520070300262022001400965       2003                            d  c200310aBrazil10aHistory, 20th Century10aHospitals, Public10aleprosy10aPatient Isolation10aUnited States1 aWhite C00aCarville and Curupaiti: experiences of confinement and community.  a123-410 v103 a<p>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.</p>  a0104-5970