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Then & Now | Memories of Hong Kong's last leper colony

Closed in 1974, the Hei Ling Chau leper colony offered a sanctuary to lepers banished from Hong Kong society; even when a cure became available, some chose to stay on the small island rather than trying to reintegrate, writes Jason Wordie

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Hei Ling Chau Leprosarium. Photos: SCMP
Hei Ling Chau Leprosarium. Photos: SCMP

Leprosy has been a scourge since ancient times. Lepers were historically shunned and isolated from their communities owing to fear of infection. Also known as Hansen’s Disease, leprosy remained a major global public health problem well into the 20th century.

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Sufferers lived in leprosariums, which became known – in various languages – as Lazarus houses, from the Biblical myth of the leper Lazarus, who was miraculously cured by Jesus. The last major leprosarium in the United States, in Louisiana, closed in 1998.

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A patient weaves rugs at the hospital.
A patient weaves rugs at the hospital.

As the disease was largely incurable until the 1970s, removal of sufferers to dedicated, isolated leprosariums meant – in effect – lifelong banishment from the rest of society. In its terminal stages, the illness was fearsome; faces collapsed and noses, fingers and toes – and sometimes, entire hands and feet – dropped off as nerve endings were gradually destroyed.

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The first effective curative treatments were developed in the 1940s, and research advances over the following three decades rendered leprosy completely treatable, with a combination of drugs. Nevertheless, numerous cases are still reported worldwide.

Hei Ling Chau.
Hei Ling Chau.
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