Towards a modern colonial state: reorganizing leprosy care, 1890–1900
Fears of leprosy as an ‘imperial danger’ spread globally after 1890. These coincided with a reorganization of leprosy care in Suriname. However, this reorganization had a dynamic of its own tied to the heritage of Surinamese confinement policies and the necessity for an accommodation between the dominant Christian religious groups in the colony (Protestants and Catholics) and with the colonial state. The reorganization of leprosy care in the colony was intended to establish better-organized leprosy asylums that should be more accommodating to the citizens of a ‘modern’ colonial state. Moreover, the colonial government acquiesced to pleas from medical doctors for more humane treatment, and managed the interests of religious groups and missionaries who wanted to maintain or gain a foot in leprosy care. However, the new care continued the traditions of contagionism, compulsory segregation, and racist prejudices that had characterized Surinamese leprosy politics since the eighteenth century, long before the international concerns of the 1890s.