Transformations and discussion: Suriname and the Netherlands, 1863–1890
This chapter examines Dutch debates about leprosy between 1863 and 1890. The debates took place when the threat of a ‘return’ of leprosy to the Netherlands appeared to materialise. While Dutch policy makers and doctors had to call upon medical expertise from Suriname, at the same time European medicine questioned the validity of a contagionist theory for leprosy. In the Dutch East Indies, with much less direct Dutch control over the population, the hereditarian view of leprosy was embraced. However, in the Dutch West Indies, the international shift in medical thought towards a hereditarian rather than a contagionist view of leprosy did not affect the principle of segregation, that remained in place after the abolition of slavery in 1863, and during the transformation of society because of the immigration of indentured labourers from British India and Java. The chapter argues that developments around leprosy in Suriname remained autonomous and were not directed from the Netherlands.