A leper colony, also known by
many other names, is an isolated community for the
quarantining and treatment of
leper
Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria '' Mycobacterium leprae'' or '' Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve d ...
s, people suffering from
leprosy
Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria '' Mycobacterium leprae'' or '' Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve d ...
. ''
M. leprae
''Mycobacterium leprae'' (also known as the leprosy bacillus or Hansen's bacillus), is one
of the two species of bacteria that cause Hansen’s disease (leprosy), a chronic but curable infectious disease that damages the peripheral nerves a ...
'', the
bacterium
Bacteria (; singular: bacterium) are ubiquitous, mostly free-living organisms often consisting of one biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria were am ...
responsible for leprosy, is believed to have spread from
East Africa
East Africa, Eastern Africa, or East of Africa, is the eastern subregion of the African continent. In the United Nations Statistics Division scheme of geographic regions, 10-11-(16*) territories make up Eastern Africa:
Due to the historica ...
through the
Middle East
The Middle East ( ar, الشرق الأوسط, ISO 233: ) is a geopolitical region commonly encompassing Arabian Peninsula, Arabia (including the Arabian Peninsula and Bahrain), Anatolia, Asia Minor (Asian part of Turkey except Hatay Pro ...
,
Europe
Europe is a large peninsula conventionally considered a continent in its own right because of its great physical size and the weight of its history and traditions. Europe is also considered a Continent#Subcontinents, subcontinent of Eurasia ...
, and
Asia
Asia (, ) is one of the world's most notable geographical regions, which is either considered a continent in its own right or a subcontinent of Eurasia, which shares the continental landmass of Afro-Eurasia with Africa. Asia covers an are ...
by the
5th century before reaching the rest of the world
more recently. Historically, leprosy was believed to be extremely
contagious
Contagious may refer to:
* Contagious disease
Literature
* Contagious (magazine), a marketing publication
* ''Contagious'' (novel), a science fiction thriller novel by Scott Sigler
Music
Albums
*''Contagious'' (Peggy Scott-Adams album), 1997
...
and
divinely ordained, leading to
enormous stigma against its sufferers. Other severe
skin diseases were frequently conflated with leprosy and all such sufferers were kept away from the general public, although some religious orders provided medical care and treatment. Recent research has shown ''M. leprae'' has maintained a similarly virulent genome over at least the last thousand years, leaving it unclear which precise factors led to leprosy's near elimination in Europe by 1700. A growing number of cases following the
first wave of European colonization, however, led to increased attention towards leprosy during the
New Imperialism
In historical contexts, New Imperialism characterizes a period of colonial expansion by European powers, the United States, and Japan during the late 19th and early 20th centuries.
Com
The period featured an unprecedented pursuit of over ...
of the late
19th century. Following
G.A. Hansen's discovery of the role of ''M. leprae'' in the disease, the
First International Leprosy Conference held in
Berlin
Berlin ( , ) is the capital and largest city of Germany by both area and population. Its 3.7 million inhabitants make it the European Union's most populous city, according to population within city limits. One of Germany's sixteen constitu ...
in 1897 renewed interest and investment in the isolation of lepers throughout the European
colonial empires. Although
Western countries now generally treat cases of leprosy individually on an
outpatient
A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health care ...
basis, traditional isolated colonies continue to exist in
India
India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area, the List of countries and dependencies by population, second-most populous ...
,
China
China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's List of countries and dependencies by population, most populous country, with a Population of China, population exceeding 1.4 billion, slig ...
, and some other countries.
Names
In
medieval Latin
Medieval Latin was the form of Literary Latin used in Roman Catholic Western Europe during the Middle Ages. In this region it served as the primary written language, though local languages were also written to varying degrees. Latin functioned ...
, a place for the isolation and care of lepers was known as a leprosaria, leprosarium, or leprosorium, names which are sometimes used in English as well. The Latin was
calque
In linguistics, a calque () or loan translation is a word or phrase borrowed from another language by literal word-for-word or root-for-root translation. When used as a verb, "to calque" means to borrow a word or phrase from another language ...
d in English as ,
[ with becoming by far the most common English term in the 1880s as the growing number of leprosy cases were discussed within the context of European colonialism. Less common synonyms include leper asylum, leper lodge, and leper hospital.][.] Other names derive from the figure of Lazarus in one of Jesus's parables, treated by the Catholic Church
The Catholic Church, also known as the Roman Catholic Church, is the List of Christian denominations by number of members, largest Christian church, with 1.3 billion baptized Catholics Catholic Church by country, worldwide . It is am ...
during the Middle Ages
In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire ...
as a historical figure and as the patron saint
A patron saint, patroness saint, patron hallow or heavenly protector is a saint who in Catholicism, Anglicanism, or Eastern Orthodoxy is regarded as the heavenly advocate of a nation, place, craft, activity, class, clan, family, or perso ...
of both leper
Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria '' Mycobacterium leprae'' or '' Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve d ...
s and the Crusader Order of Saint Lazarus, who administered the leper colony in Jerusalem
Jerusalem (; he, יְרוּשָׁלַיִם ; ar, القُدس ) (combining the Biblical and common usage Arabic names); grc, Ἱερουσαλήμ/Ἰεροσόλυμα, Hierousalḗm/Hierosóluma; hy, Երուսաղեմ, Erusałēm. i ...
before spreading to other locations. This caused leper colonies to also be known as and, after the leper colony and quarantine center on Venice
Venice ( ; it, Venezia ; vec, Venesia or ) is a city in northeastern Italy and the capital of the Veneto Regions of Italy, region. It is built on a group of 118 small islands that are separated by canals and linked by over 400 ...
's Sta. Maria di Nazareth, as lazarets, lazarettes, lazarettos, and lazarettas. The name leper[.] or is sometimes used for colonies in China, a calque of the Mandarin name ''máfēngcūn''
History
Although not all of the skin diseases (''kushtha'') discussed in the India
India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area, the List of countries and dependencies by population, second-most populous ...
n Vedas and the Laws of Manu
The ''Manusmṛiti'' ( sa, मनुस्मृति), also known as the ''Mānava-Dharmaśāstra'' or Laws of Manu, is one of the many legal texts and constitution among the many ' of Hinduism. In ancient India, the sages often wrote the ...
were leprosy, some of them seem to have been, with the disease appearing in the subcontinent by at least 2000. The Indian religious texts and laws did not organize formal leper colonies but treated those afflicted with the disease as untouchable
Untouchable or The Untouchable may refer to:
People
* Untouchability, the practice of socially ostracizing a minority group of very low social status
** A word for the Dalits or Scheduled Caste of India, a group that experiences untouchability
* ...
outcastes, forbidding and punishing any marriage with them while they suffered from the disease, which was considered both contagious
Contagious may refer to:
* Contagious disease
Literature
* Contagious (magazine), a marketing publication
* ''Contagious'' (novel), a science fiction thriller novel by Scott Sigler
Music
Albums
*''Contagious'' (Peggy Scott-Adams album), 1997
...
and a divine punishment for sins of the sufferer's current or former life. In legend, even kings were removed from power and left to wander in the forests while suffering from leprosy, although their position could be restored in the event of their recovery, whether through divine intervention or Ayurvedic herbal remedies such as chaulmoogra oil. Similarly, the ancient Persians[.] and Hebrews
The terms ''Hebrews'' (Hebrew: / , Modern: ' / ', Tiberian: ' / '; ISO 259-3: ' / ') and ''Hebrew people'' are mostly considered synonymous with the Semitic-speaking Israelites, especially in the pre-monarchic period when they were still ...
considered certain skin diseases to render people unclean and unfit for society, without organizing any special locations for their care; it seems likely, however, that the references to "leprosy" in the Old
Old or OLD may refer to:
Places
*Old, Baranya, Hungary
*Old, Northamptonshire, England
* Old Street station, a railway and tube station in London (station code OLD)
*OLD, IATA code for Old Town Municipal Airport and Seaplane Base, Old Town, M ...
and New Testment
New is an adjective referring to something recently made, discovered, or created.
New or NEW may refer to:
Music
* New, singer of K-pop group The Boyz
Albums and EPs
* ''New'' (album), by Paul McCartney, 2013
* ''New'' (EP), by Regurgitator, ...
s of the Bible
The Bible (from Koine Greek , , 'the books') is a collection of religious texts or scriptures that are held to be sacred in Christianity
Christianity is an Abrahamic monotheistic religion based on the life and teachings of Jesus ...
are the result of a misunderstanding produced by the Septuagint
The Greek Old Testament, or Septuagint (, ; from the la, septuaginta, lit=seventy; often abbreviated ''70''; in Roman numerals, LXX), is the earliest extant Greek translation of books from the Hebrew Bible. It includes several books beyond t ...
's Greek translation and subsequent Latin translations like the Vulgate
The Vulgate (; also called (Bible in common tongue), ) is a late-4th-century Latin translation of the Bible.
The Vulgate is largely the work of Jerome who, in 382, had been commissioned by Pope Damasus I to revise the Gospels u ...
and originally referred to a variety of conditions such as psoriasis
Psoriasis is a long-lasting, noncontagious autoimmune disease characterized by raised areas of abnormal skin. These areas are red, pink, or purple, dry, itchy, and scaly. Psoriasis varies in severity from small, localized patches to comple ...
before becoming associated with leprosy centuries later. This confusion of termsand the related divine opprobriumwas then translated into Islamic medicine in the 9th century. The introduction of leprosy to southern Europe was blamed on the armies of Alexander and Pompey
Gnaeus Pompeius Magnus (; 29 September 106 BC – 28 September 48 BC), known in English as Pompey or Pompey the Great, was a leading Roman general and statesman. He played a significant role in the transformation of ...
; ancient Greek
Ancient Greek includes the forms of the Greek language used in ancient Greece and the ancient world from around 1500 BC to 300 BC. It is often roughly divided into the following periods: Mycenaean Greek (), Dark Ages (), the Archaic pe ...
and Roman doctors did not blame divine punishment and advocated various treatments but still usually advised that lepers be kept out of cities.[ Some ]early Christians
Early Christianity (up to the First Council of Nicaea in 325) spread from the Levant, across the Roman Empire, and beyond. Originally, this progression was closely connected to already established Jewish centers in the Holy Land and the Jewis ...
sought to emulate Jesus
Jesus, likely from he, יֵשׁוּעַ, translit=Yēšūaʿ, label= Hebrew/ Aramaic ( AD 30 or 33), also referred to as Jesus Christ or Jesus of Nazareth (among other names and titles), was a first-century Jewish preacher and relig ...
's example by personally ministering to lepers or communities of lepers, activity recorded in hagiographies like StGregory's life of StBasil.[
Leprosy seems to have reached the rest of Europe during ]late Antiquity
Late antiquity is the time of transition from classical antiquity to the Middle Ages, generally spanning the 3rd–7th century in Europe and adjacent areas bordering the Mediterranean Basin. The popularization of this periodization in English h ...
and the early Middle Ages
The Early Middle Ages (or early medieval period), sometimes controversially referred to as the Dark Ages, is typically regarded by historians as lasting from the late 5th or early 6th century to the 10th century. They marked the start of the Mi ...
, with the imperial Church reducing formal restrictions on lepers while setting aside funds for leprosaria where clerics would treat the afflicted.[ Such leper houses are documented at St-Oyen in 460, ]Chalon-sur-Saône
Chalon-sur-Saône (, literally ''Chalon on Saône'') is a city in the Saône-et-Loire department in the region of Bourgogne-Franche-Comté in eastern France.
It is a sub-prefecture of the department. It is the largest city in the department; h ...
in 570, and Verdun in 634;[ their management was often provided by ]monastic orders
Monasticism (from Ancient Greek , , from , , 'alone'), also referred to as monachism, or monkhood, is a religious way of life in which one renounces worldly pursuits to devote oneself fully to spiritual work. Monastic life plays an important ro ...
. The area of modern Belgium
Belgium, ; french: Belgique ; german: Belgien officially the Kingdom of Belgium, is a country in Northwestern Europe. The country is bordered by the Netherlands to the north, Germany to the east, Luxembourg to the southeast, France to ...
alone may have had as many as 700 or 800 prior to the Crusades
The Crusades were a series of religious wars initiated, supported, and sometimes directed by the Latin Church in the medieval period. The best known of these Crusades are those to the Holy Land in the period between 1095 and 1291 that were ...
.[ Christian folklore misunderstood the parable of Lazarus and Dives as a historical account and took the sore-covered beggar in the story as StLazarus, patron of lepers; the military order StLazarus was established to care for lepers in Crusader Jerusalem and subsequently operated other leprosaria around Europe. Some colonies were located on mountains or in remote locations in order to ensure isolation, some on main roads, where donations would be made for their upkeep. Others were essentially hospitals within major cities. In 1623 the Congregation of the Mission, a ]Catholic
The Catholic Church, also known as the Roman Catholic Church, is the largest Christian church, with 1.3 billion baptized Catholics worldwide . It is among the world's oldest and largest international institutions, and has played a ...
society of apostolic life founded by Vincent de Paul, was given possession of the Priory of St. Lazarus, a former leper house in Paris, due to which the entire Congregation gained the name of "Lazarites" or "Lazarists" although most of its members had nothing to do with caring for lepers.
Debate exists over the conditions found within historical colonies; while they are currently thought to have been grim and neglected places, there are some indications that life within a leper colony or house was no worse than the life of other, non-isolated individuals. There is even doubt that the current definition of leprosy can be retrospectively applied to the medieval condition. What was classified as leprosy then covers a wide range of skin conditions that would be classified as distinct afflictions today. Some leper colonies issued their own money or tokens, in the belief that allowing people affected by leprosy to handle regular money could spread the disease.[.] Today leper hospitals exist throughout the world to treat those afflicted with leprosy, especially in Africa, Brazil, China and India.
Political aspects
In 2001, government-run leper colonies in Japan came under judicial scrutiny, leading to the determination that the Japanese government had mistreated the patients, and the district court ordered Japan to pay compensation to former patients. In 2002, a formal inquiry into these colonies was set up, and in March 2005, the policy was strongly denounced. "Japan's policy of absolute quarantine... did not have any scientific grounds." The inquiry denounced not only the government and the doctors who were involved with the policy, but also the court that repeatedly ruled in favor of the government when the policy was challenged, as well as the media, which failed to report the plight of the victims.
See also
* History of leprosy
The history of leprosy was traced to its origins by an international team of 22 geneticists using comparative genomics of the worldwide distribution of ''Mycobacterium leprae''. Monot ''et al.'' (2005) determined that leprosy originated in ...
* Kalawao, Hawaii
* Leper colony stigma
* Leper colony money Leper colony money was special money (scrip or vouchers) which circulated only in leper colonies (sanatoriums for people with leprosy) due to the fear that money could carry leprosy and infect other people. However, leprosy is not easily transmitte ...
* Losheng Sanatorium
* Social distancing
References
{{DEFAULTSORT:Leper Colony
History of medieval medicine
Leprosy
Leper hospitals