Lecture 22 Practice Test
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Questions and Answers

What term did Galen use to refer to leprosy?

  • Lazarette
  • Separating sickness
  • Hansen's disease
  • Elephantiasis Graecorum (correct)
  • Which year did the US Public Health Service officially adopt the name 'Hansen's disease'?

  • 1969
  • 1945
  • 1960
  • 1948 (correct)
  • What was the purpose of leper colonies during the Middle Ages?

  • To provide medical care
  • To quarantine individuals with leprosy (correct)
  • To perform research on leprosy
  • To house the homeless
  • What was the designation of the Hawaiian isolation colony for Hansen's disease established in 1866?

    <p>Kalaupapa peninsula (C)</p> Signup and view all the answers

    How many people with Hansen's disease were exiled due to Hawaiian law until 1969?

    <p>8000 (D)</p> Signup and view all the answers

    What was the original name of the National Leprosarium established in Carville, Louisiana in 1917?

    <p>Louisiana Leper Home (C)</p> Signup and view all the answers

    What was the outcome for patients remaining in Kalaupapa after the isolation law was lifted in 1969?

    <p>They could remain as long as desired (A)</p> Signup and view all the answers

    What significant recommendation did WHO make regarding leprosy in 1960?

    <p>To abolish compulsory isolation (B)</p> Signup and view all the answers

    What was the primary function of Carville during its operation?

    <p>An institution for isolation and care of Hansen's disease patients (D)</p> Signup and view all the answers

    Which treatment was deemed the 'Miracle of Carville'?

    <p>Promin, a sulfone drug (C)</p> Signup and view all the answers

    What societal barrier still exists for patients with Hansen's disease?

    <p>Stigma associated with the disease (B)</p> Signup and view all the answers

    When were patients finally allowed to get married at Carville?

    <p>1950s (C)</p> Signup and view all the answers

    What misleading change occurred with the name of leprosy?

    <p>Changed to Hansen's disease in 1948 (C)</p> Signup and view all the answers

    Which of the following was not a restriction faced by patients upon arrival at Carville?

    <p>Mandatory use of prosthetics (B)</p> Signup and view all the answers

    What was the primary treatment option available in the early 20th century for Hansen's disease?

    <p>Chaulmoogra oil injections (B)</p> Signup and view all the answers

    What was a significant effect of the widespread use of multidrug therapy (MDT)?

    <p>It reduced the burden of leprosy. (B)</p> Signup and view all the answers

    What was one of the unjust practices faced by patients at Carville?

    <p>Patients had to adopt new identities (C)</p> Signup and view all the answers

    What significant change occurred in the treatment of Hansen's disease in the 1940s?

    <p>Promin, a sulfone drug, was introduced (B)</p> Signup and view all the answers

    What was one of the positive outcomes associated with the history of leprosy at Carville?

    <p>Development of community among patients (C)</p> Signup and view all the answers

    What medical advancement did the World Health Organization recommend in 1981?

    <p>Multidrug therapy (MDT) (B)</p> Signup and view all the answers

    Which of the following was a restriction placed on married patients at Carville?

    <p>They could not live with their spouses (B)</p> Signup and view all the answers

    What was the primary reason patients received humiliating certificates upon discharge?

    <p>To label them as no longer posing a public health risk (D)</p> Signup and view all the answers

    What common misconception about Hansen's disease is still a barrier today?

    <p>Stigma surrounding the disease continues (C)</p> Signup and view all the answers

    What does the term 'mai ho’okawale' refer to in the context of Hansen's disease?

    <p>Separating sickness (B)</p> Signup and view all the answers

    What type of medication was Dapsone classified as in the 1950s?

    <p>An oral medication with bacterial resistance issues (A)</p> Signup and view all the answers

    Which treatment was primarily used during the early 20th century for patients with Hansen's disease?

    <p>Chaulmoogra oil injections (A)</p> Signup and view all the answers

    What was the purpose of leprosy houses, also known as lazarettes, during the Middle Ages?

    <p>To quarantine people with leprosy (A)</p> Signup and view all the answers

    What aspect of Hansen's disease saw a significant change in terminology in 1948?

    <p>The disease was renamed from leprosy to Hansen's disease (B)</p> Signup and view all the answers

    How were individuals with Hansen's disease affected by Hawaiian law until 1969?

    <p>They were forcibly taken from their homes (A)</p> Signup and view all the answers

    Which facility was the only national leprosarium located in the continental United States?

    <p>Gillis W. Long Hansen's Disease Center (D)</p> Signup and view all the answers

    What was the common perception of Hansen's disease in 19th century Louisiana?

    <p>It was called 'the disease you do not name' (C)</p> Signup and view all the answers

    What was a significant change that occurred following the lifting of isolation laws in Hawaii in 1969?

    <p>Remaining patients could choose to stay and receive healthcare (B)</p> Signup and view all the answers

    Who was responsible for the operational control of the National Leprosarium in Carville in 1921?

    <p>U.S. Public Health Service (D)</p> Signup and view all the answers

    How many people with Hansen's disease were forcibly exiled to Kalaupapa due to Hawaiian law?

    <p>Over 8000 (A)</p> Signup and view all the answers

    What was the name given to the operational control of the leprosarium before it became the Gillis W. Long Hansen's Disease Center?

    <p>U.S. Marine Hospital No. 66 (D)</p> Signup and view all the answers

    Flashcards

    Hansen's Disease Isolation

    Historically, people with Hansen's disease (leprosy) were forcibly isolated in colonies or institutions.

    Kalaupapa

    A peninsula in Hawaii designated as a leprosy isolation colony, where thousands of individuals were forcibly exiled.

    National Leprosarium, Carville, LA

    The only national leprosarium in the continental US, first established in 1917, and eventually becoming a leading center for Hansen's disease research and treatment

    Leprosy Isolation Laws

    Laws mandating isolation for people with Hansen's disease existed in some places and persisted for extended periods.

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    Abolition of Compulsory Isolation

    In 1960, the WHO recommended ending mandatory isolation for people with Hansen's disease.

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    Leprosaria

    Institutions designed to separate and house people with leprosy. Also called leper colonies or houses or lazarettes

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    US Leprosarium

    The only leprosarium in the continental US, primarily operational from 1921.

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    Hansen's Disease Center

    A center in 1986 to provide treatment and research on Hansen's Disease.

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    Carville's purpose

    Carville was a place for isolating and treating people with Hansen's disease, along with studying the disease and developing treatments.

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    Hansen's disease treatments

    Early treatments included painful oil injections, a later sulfone drug (Promin), and then pill-form medicines (like dapsone).

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    Chaulmoogra oil

    An early treatment for Hansen's disease, delivered via painful injections.

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    Promin (sulfone drug)

    A sulfone drug, a major advancement in Hansen's disease treatment.

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    Multidrug therapy (MDT)

    A combination of drugs, including dapsone, rifampicin, and clofazimine, for 6-12 months; recommended by the WHO for treating Hansen's disease.

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    Hansen's disease stigma

    Harmful social judgments associated with Hansen's disease, making treatment and self-reporting challenging.

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    Carville's unjust practices

    Patients faced discrimination through name changes, restrictions on marriage and living arrangements, and limitations on voting and other freedoms.

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    Positive aspects of Carville treatment

    Carville contributed to community building, raising awareness, and advancing reconstructive surgeries and breakthroughs in Hansen's disease treatments.

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    Hansen's Disease (Leprosy)

    A chronic infectious disease caused by Mycobacterium leprae, affecting the skin, nerves, upper respiratory tract, and eyes.

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    Elephantiasis Graecorum

    The term used by Galen to describe leprosy, referring to the skin thickening and deformities resembling an elephant's skin.

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    Kalaupapa, Hawaii

    A peninsula designated as a leprosy isolation colony in 1866, where thousands of people were forcibly exiled, with laws mandating isolation lasting until 1969.

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    'Mai ho'okawale'

    Hawaiian phrase meaning 'separating sickness', reflecting the practice of forcefully isolating people with leprosy in Hawaii.

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    Carville, Louisiana

    The only national leprosarium in the continental US, established in 1917, later becoming a leading center for Hansen's disease research and treatment.

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    Gillis W. Long Hansen's Disease Center

    The formal name given to the Carville, Louisiana leprosarium in 1986, signifying a shift towards research and treatment.

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    WHO's 1960 Recommendation

    The World Health Organization recommended abolishing compulsory isolation of people with leprosy in 1960.

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    Daughters of Charity of St.

    A religious order known for their work in healthcare, which ran the Louisiana Leper Home (before it became a U.S. Marine Hospital).

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    La maladie que tu nommes pas

    French phrase meaning 'the disease you do not name', reflecting the stigma and fear surrounding leprosy in 19th century Louisiana.

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    Carville's Role

    Carville was a facility dedicated to isolating and treating people with Hansen's disease, conducting research on the disease, and developing treatments.

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    Unjust Aspects of Carville

    Carville practiced discriminatory practices against patients, such as forcing name changes, restricting marriage and living arrangements, and limiting voting rights.

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    Positive Outcomes of Carville

    Carville contributed to community building among patients, raising awareness of Hansen's disease, and making advancements in reconstructive surgery and treatment.

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    Early Treatment of Hansen's Disease

    Early treatments for Hansen's disease were often painful, using chaulmoogra oil injected into patients.

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    The "Miracle of Carville"

    The introduction of Promin, a sulfone drug, in 1941 revolutionized treatment for Hansen's disease, leading to significant improvement in patients' health. This was considered a breakthrough at Carville.

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    Stigma of Hansen's Disease

    Despite advancements in treatment, Hansen's disease still carries a stigma that prevents patients from seeking diagnosis and treatment.

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    Hansen's Disease Today

    While MDT has significantly reduced the burden of Hansen's disease, there is still no highly effective vaccine, and new cases continue to emerge worldwide.

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    Name Change from Leprosy

    The name of Hansen's disease was officially changed from leprosy to Hansen's disease in 1948.

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    Patients' Rights at Carville

    Patients in Carville historically faced significant restrictions, including limitations on marriage, voting, and living arrangements.

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    Study Notes

    Hansen's Disease (Leprosy)

    • Galen called it "elephantiasis Graecorum"
    • Known as "mai ho'okawale" (separating sickness) in Hawaii
    • 19th-century Louisiana referred to it as "la maladie que tu nommes pas" (the disease you do not name)
    • US Public Health Service renamed it "Hansen's disease" in 1948
    • Hansen worked in Norway's National Leprosarium #1
    • Leper colonies/houses were common in the Middle Ages, used for quarantine
    • Christian-run leprosy houses were often called "lazarettes" or "Lazar houses"
    • 1960: WHO recommended ending compulsory isolation for those with leprosy

    Leprosaria

    • 1866: Hawaiian Kingdom established Kalaupapa peninsula as an isolation colony for leprosy
    • Hawaiian law mandated isolation until 1969
    • Over 8,000 people with Hansen's disease were exiled to Kalaupapa
    • After 1969, remaining patients were allowed to stay "for as long as they choose," receiving healthcare
    • As of 2024, 8 former patients are living at Kalaupapa

    Carville, Louisiana

    • Only national leprosarium in continental US
    • Established in 1917 (Senate Bill 4086)
    • US Public Health Service took over in 1921
    • Originally run by State of Louisiana (1894-1921) as "Louisiana Leper Home"
    • Daughters of Charity provided nursing care (1896-2005)
    • Served as isolation facility, hospital, and research center for Hansen's disease
    • Unjust aspects included: name changes, restrictions on marriage, and inability to vote until 1949
    • Positive aspects included: development of treatments, community awareness building and reconstruction surgeries
    • Breakthroughs in treatment for Hansen's disease were among the positive aspects of Careville.

    Medical Treatments

    • Early 20th century: Chaulmoogra oil (painful injections)
    • 1941: Promin (sulfone drug), also a painful injection
    • 1950s: Dapsone pills
    • Bacteria resistance
    • 1981: WHO recommended multidrug therapy (MDT: dapsone, rifampicin, and clofazimine, for 6-12 months)

    Hansen's Disease Today (Modern Era)

    • No effective vaccine available
    • BCG vaccine currently used
    • Widespread use of MDT reduced burden of disease
    • Stigma remains a barrier to reporting and early treatment
    • Approximately 200,000 new cases globally annually.

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    Description

    Explore the historical context and societal implications of Hansen's disease, also known as leprosy. This quiz covers various aspects including its naming, isolation practices, and significant locations like Kalaupapa in Hawaii and Carville in Louisiana.

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