01647nas a2200253   4500000000100000008004100001260001300042653003300055653002600088653001100114653002500125653001200150653002200162653002200184653001800206653004000224100001100264700001400275245007100289300001000360490000700370520100200377022001401379       2005                            d  c2005 Feb10aCommunicable Disease Control10aHistory, 20th Century10aHumans10aInstitutionalization10aleprosy10aPatient Discharge10aPatient Isolation10aUnited States10aUnited States Public Health Service1 aSato H1 aFrantz JE00a[History of Hansen's disease control policy in the United States].  a23-410 v743 a<p>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.</p>  a1342-3681