| [Note: Leprosy has
been easily and completely curable using multi-drug therapy (MDT) for many
years now. Using MDT, the global prevalence of the disease has fallen by 90%
since 1985 with over 12 million patients cured worldwide since that date.
Moreover, the gross disabilities which were such a feature of the disease
for millennia (and are featured so often in the Bible) are now becoming a
thing of the past, with early detection and treatment. Leprosaria and the
physical separation of patients from their families are completely
unnecessary.]
History of Iberville Parish
U. S. Public Heath Service
Hospital
Carville, La.
By: Darelyn Marshall
The History of the Carville
Hospital, as it is commonly called, began in New Orleans in the early 1890's
when a series of articles appeared the The Picayune reported death's due to
leprosy. The reporter discovered' a house which the city rented to keep
about ten victims of leprosy. The house was very poorly operated, patients
received very little care from the doctor paid to operate it, and no
precautions were taken to alt the spread of the disease.
Leprosy was not new in
Louisiana; the firs hospital was established in 1785 in New Orleans between
the river and Bayou St. John, but within a few years the disease disappeared
from the city and the building went to decay. This area was not occupied
again for many years due to public fear of contamination.
The disease began to reappear
in Louisiana, Texas, California and Florida in the mid 1800's, probably
introduced from the West Indies. New public awareness again generated fear;
but there were some special individuals who became concerned for the
victims.
Father Charles Boglioli, and
Italian priest became chaplain at Charity Hospital in 1866. He made daily
rounds among the patients, many suffering from contagious diseases. He died
of leprosy contracted at the hospital.
Dr. Isadore Dyer was a
lecturer on dermatology at Tulane University and was already interested in
establishing a research and treatment center for leprosy when the articles
firs appeared the Daily Picayune. Al though he preferred a center in
New Orleans, near research facilities, he was active in negotiating the
lease on Indian Camp Plantation at Point Clair, near Carville, Louisiana.
Indian Camp Plantation was
built around 1857 by Robert Coleman Camp on a tract of land he purchased in
1825 and made into a sugar plantation. General Camp gave it the name Indian
Camp because it was reported to have once been a Houma Indian village. The
house has the characteristics of the Greek revival architecture with the
exception of the two recessed wings. The very elegant house began its
decline during the Civil War and the Camps lost their fortune and had to
sell the plantation in a Sheriff's auction in 1874. The property, bought by
Henry J. Budington of New Orleans, was finally abandoned by his heirs who
were living in France.
Captain Allen Jumel, a member
of the new Board of Control for the Leper Home, owned a plantation at Point
Clair and his wife owned Ravenswood Estate, adjoining Indian Camp
Plantation. He convinced the State Legislature to lease Indian Camp and
told his neighbors that the plantation was being reopened as an ostrich
farm. The mansion was in grave disrepair and could not be inhabited; the
seven slave cabins served as a home for the patients brought from New
Orleans by barge in November, 1894
For a year, they received
care from Dr. L. A. Wailes, a local physician, but were on their own after
he resigned. In 1896, Dr. Dyer convinced the Daughters of Charity of Saint
Vincent de Paul to manage nursing and household chores. Dr. Ralph Hopkins
began weekly visits in 1901 until his death in 1945. By 1902, the
population had crown to 62 patients and Dr. Hopkins worked to get better
facilities. The state bought the property in 1905 and the next year,
replaced the slave cabins with twelve cottages containing single rooms for
ten patients in each cottage.
The patients were separated
by sex and race with a high wall built through the middle separating men
form women, and a fence installed to keep the patients for leaving the
facility.
As early as 1917, the U. S.
Public Health Service was looking for a site to establish a treatment center
for persons with leprosy and to prevent its spread in the United States. Due
to a convincing report from the Louisiana State Board of Control, the United
States took over the hospital January 3, 1921, and brought Dr. Oswald Denny
as the first Medical Officer in Charge. Under Federal control, the fences
separating the sexes came down and families that had been apart for years
could see each other again. Dr. Denny even organized a dance at the
hospital for the ninety patients there. By 1923 the hospital was expanded
to hold 425 patients and had an infirmary with laboratory and therapeutic
equipment. Even with the new reforms, there were still isolation and
hopelessness. There was a prison atmosphere, mostly the result of
unjustified fear and ignorance.
Leprosy is caused by a
bacterium that attacks the nerves and its most devastating effect is the
lack of pain or sensation in the body's extremities. The bacillus can also
invade bone marrow, eyes, teeth, etc., and can reduce the body's resistance
to other diseases. The disease is now called Hansen's Disease after Gerhard
A. Hansen, who first identified the microbe in 1874, and because the disease
does not have the same symptoms as the leprosy of biblical times.
Although many treatments have
been used, a major breakthrough in the treatment of Hansen's Disease was
made by Dr. Guy Faget at Carville in 1941 with the introduction of sulfone
drugs. These drugs kill all accessible bacilli and stop the progress of the
disease. With proper diagnosis, there is no longer a need for long hospital
confinement.
Even before the sulfone
drugs, it was known that the disease was contagious for only a small number
of people and that no one have ever contracted the disease by working or
visiting the hospital. Still the old fears remain, partly due to the
unfortunate use of the term leprosy and its ancient connection, partly to
the mysterious origins and symptoms of the disease, and partly to the
increase in new cases (almost 300 per year) at the hospital as a result of
increased immigration from infected areas of the world.
The hospital's transition
from a prison-like institution where patients were referred to as inmates,
to a treatment, research, and care center for voluntary patients, most of
whom stay only a short time, has been very slow. Much of the reform for
patients was the result of public education from a patient-published
magazine, the Star. The publication was begun by Stanley Stein in May 1931
and was originally called "The Sixty-Six Star. The Star is still being
published under the direction of Louis Boudreaux and its main goal is to
eradicate the stigma associated with Hansen's Disease that still affects
victims and their families.
While most of the reform at
the hospital was the result of protests of the patients, they were given
help and encouragement from outside the hospital. The first and most
important group to give aid was the American Legion. Following World War
II, a number of veterans were admitted as patients. The American Legion did
many things for the hospital, but the national publicity that they gave was
the largest gift of all. It influenced many veterans' organizations to
become interested in the U. S. Public Health Service Hospital at Carville.
Sources:
Calandro, Charles. "Indian
Camp Plantation--Island of Hope", Sunday Advocate Magazine. December 20,
1981.
Case, Julia. "Leprosy,"
State Times, May 28, 1983
Stein, Stanley, with Lawrence
G. Blockman. Alone No Longer. 1963.
Catholic Encyclopedia

Copyright © 2007 by Karen Wise. All
rights reserved.
|