Hendala Leprosy Hospital | |
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Geography | |
Location | Hendala, Sri Lanka |
Coordinates | 6°58′57″N79°52′37″E / 6.982523824604779°N 79.87694083384777°E |
Organisation | |
Type | Leprosy hospital |
Services | |
History | |
Opened | 1708 |
Hendala Leprosy Hospital, established in 1708, is considered one of the oldest leprosy hospitals in South Asia. It is in Hendala, Wattala, Sri Lanka. This historic institution has served patients for centuries. It is considered to be Asia's first leprosy hospital, and is also believed to be the oldest functioning hospital in the world. [1] [2] [3] [4] [5] [6]
The hospital was founded while Sri Lanka was under Dutch colonial rule. It is believed that this is the first hospital in Sri Lanka to be established by foreign rulers. At the time, leprosy was not well understood; those afflicted with it were often isolated from society to receive medical treatment. [2]
In 1964, the Ceylonese government took over the hospital. For the past 70 years the Missionary Sisters of the St Francis Leprosy Guild have funded and helped support the hospital; they also visit the patients regularly. [7]
Throughout its long and storied history, [2] Hendala Leprosy Hospital has collected some antique items. Among these are two handcrafted carts, skillfully made by the hospital's inmates. These carts held a poignant purpose, as they were used to transport the deceased to the cemetery, with one cart dedicated to Buddhists and the other to Catholics, reflecting the hospital's respect for different cultural traditions. [2]
Another noteworthy piece in their collection is a washing machine with a proud British heritage, branded as 'Thomas' and believed to have been manufactured in 1934. This machine is believed to be the first of its kind in Sri Lanka. [2]
The hospital has now been restored and transformed into a hospital museum by the Ministry of Health. [2]
The Ministry of Health designated Hendala Leprosy Hospital as the country's first quarantine centre in March 2020. [8]
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A leper colony, also known by many other names, is an isolated community for the quarantining and treatment of lepers, people suffering from leprosy.
M. leprae, the bacterium responsible for leprosy, is believed to have spread from East Africa through the Middle East, Europe, and Asia by the 5th century before reaching the rest of the world more recently. Historically, leprosy was believed to be extremely contagious 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 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 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 basis, traditional isolated colonies continue to exist in India, China, and some other countries.
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Leprosy stigma is a type of social stigma, a strong negative feeling towards a person with leprosy relating to their moral status in society. It is also referred to as leprosy-related stigma, leprostigma, and stigma of leprosy. Since ancient times, leprosy instilled the practice of fear and avoidance in many societies because of the associated physical disfigurement and lack of understanding behind its cause. Because of the historical trauma the word "leprosy" invokes, the disease is now referred to as Hansen's disease, named after Gerhard Armauer Hansen who discovered Mycobacterium leprae, the bacterial agent that causes Hansen's disease. Those who have suffered from Hansen's disease describe the impact of social stigma as far worse than the physical manifestations despite it being only mildly contagious and pharmacologically curable. This sentiment is echoed by Weis and Ramakrishna, who noted that "the impact of the meaning of the disease may be a greater source of suffering than symptoms of the disease".
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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 East Africa or the Near East and traveled with humans along their migration routes, including those of trade in goods and slaves. The four strains of M. leprae are based in specific geographic regions where each predominantly occurs:
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