Leprosy (or Hansen's disease) was a problem in the colonial Pacific. To control the disease, administrations there and elsewhere tried to isolate so-called 'lepers'. After a cure became available from the 1940s, this policy of segregation gave way; and by 2000 the World Health Organization's goal of 'eliminating' leprosy as a global health burden was declared met. Yet leprosy remains a challenge in many parts of the Pacific and the world. In the Pacific, the historiography of leprosy also raises questions. This article compares the extent of the published research and public awareness of the histories of leprosy relating to the Hawaiian island of Molokai and the Fijian island of Makogai. We further note contrasts between colonial and postcolonial perceptions of the disease. We scope the recent historiography of leprosy, which provides a context for the new research on leprosy in the southwest Pacific collected here. This new research addresses the themes of community formation in places of isolation and the subjective experiences of those affected by the disease. Finally, we offer readers two messages: the first of connection, the second, of humanity.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying or otherwise, without the prior permission of the publisher. Beaten and shunned because she had AIDSA 27-year-old mother of three was beaten up, burned and left to die by her village people near Goroka town because she had AIDS.Joan (not her real name), from Ketarobo village, was picked up by staff from the Papua New Guinea Institute of Medical Research two weeks ago after they were alerted by a friend of the women.The woman was taken to Goroka hospital where she died a week later.Phili Manove, a research officer with the IMR, was among four people who picked up Joan, including the IMR's HIV/AIDS sero-surveillance project coordinator Dr Lawrence Hammar and his wife. She said when Joan was found, she had fungus already growing in her mouth because she had not eaten for some time. Parts of her body were burnt and she had ulcers, obviously from beatings she had received from village men.She was left under a shelter the people had put up near a stream away from the village.'It was obvious that she had not eaten for days. She was extremely skinny and she was deteriorating because she had fungal growth in her mouth. Her house was burnt but she escaped being burnt,' she said.She said the people refused to give a bucket to Dr Hammar and his team when they asked for one to wash Joan before taking her to the hospital. After Joan was brought to the hospital, her father came and told them that Joan must not be brought back to her village.'When we took her to the hospital, the health workers were not helpful. Maybe because they thought that IMR was responsible. I don't know why but her sores were not treated although they gave her an injection. Maybe because she was deteriorating,' she said.The villagers, through Joan's sister, asked later to compensate the IMR staff for caring for Joan, but Dr Hammar's team refused and asked only that Joan be buried in her village. The request was granted and her body will be buried in the village today. Post-Courier Introduction VICkI LukERThis book explores the interaction between PNG's HIV and 'law and order' problems. We hope readers will take from it a richer appreciation of the potentially vicious spirals and virtuous circles that this interaction can create. Ultimately, we advance the cause of 'deep prevention' for these interlinked challenges, and the concept and goal of 'civic security' to embrace them both.Joan's story, reprinted here from Papua New Guinea's largest daily newspaper, begins this collection. She represents one face of PNG's now endemic HIV that is so often described as undergoing 'feminisation'. She died with AIDS and she died in violence and abuse. She thus conjoins aspects of HIV and 'law and order' that this collection treats together. Joan had been a member of her community, a citizen of PNG and metaphorically a citizen of the world. But, if the term 'citizenship' can be used in bo...
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