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Excerpt from Care and Treatment of Persons Afflicted With Leprosy: Report of the Committee on Public Health and National Quarantine United States Senate on S. 4086, March 25, 1916 The evidence clearly shows that leprosy is a chronic mutilating disease, whose Victims inspire such a horror in the public mind that they are. Ostracized, harried from place to place, at' times being locked up like common criminals, and at others undergoing treat ment which for refinement of cruelty is worse than death itself. It is brought forth clearly that the disease is widespread in the United States to an extent that is little realized. Some of the witnesses testi fied that the disease is on the increase, and all agreed in the statement that segregation is the only effective means for the eradication and prevention of leprosy. The witnesses also unite in agreeing that on humanitarian and economic grounds the only way in which to attack the leprosy problem in the United States is through the erection and maintenance of a national home for lepers. Not only is this the most humane way in which the unfortunate sufferers from a loathsome communicable disease may be treated, but it is also the most economi cal, because the overhead costs of caring for 100 lepers is not very much greater than the overhead cost for caring for 20 lepers. All of the State health officers are in favor of the bill, and it has the official indorsement of the American Dermatological Association, the Ameri can Medic'al Association, the American Academy of Medicine, and the conference of State and Territorial health authorities. The incubation period of leprosy is very long, sometimes as many as 30 years elapsing between exposure to the disease and the develop ment of symptoms. It is, therefore, practically impossible for the United States to exclude cases at quarantine unless they are in the active stage of the disease. As a result our people are going abroad, particularly to the Orient, becoming infected, returning home, and developing the disease many years afterwards. This is particularly shown with regard to soldiers who have served in the Philippines. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Paper Edition. A compelling account of leprosy in colonial and post-colonial Mali.