RESUMO
This article reflects on COVID-19 restrictions imposed on elders in Ireland through the lens of the right to private and family life (Article 8 ECHR), focusing on stay at home orders and recommendations advising elders to avoid social contact. Furthermore, we examine restrictions on visiting nursing homes given the high death toll in that setting. In our analysis, we zero in on the principles of foreseeability and proportionality, highlighting areas of concern and aspects that we submit should be considered in a proportionality assessment. Ultimately, we argue that it is a mistake to view the COVID-19 pandemic solely as an emergency. In this manner, the solutions suggested through the law - restrictions on movement and visitation bans - are too narrow and fail to address the underlying structures, such as, issues in the healthcare system, the limited home help for elderly and poor conditions in nursing homes.
Assuntos
COVID-19/prevenção & controle , Surtos de Doenças/legislação & jurisprudência , Família , Isolamento de Pacientes/legislação & jurisprudência , Privacidade , Visitas a Pacientes/legislação & jurisprudência , Idoso , Liberdade de Circulação/legislação & jurisprudência , Instituição de Longa Permanência para Idosos/normas , Humanos , Irlanda/epidemiologia , Casas de Saúde/normasRESUMO
BACKGROUND: The French legal framework in psychiatry for involuntary detention (ID) and seclusion measures was modified in 2011 and 2016, respectively. This study aimed to describe the evolution of ID and seclusion measures in the Centre-Val de Loire region (CVL France) between 2012 and 2017, using the psychiatric hospital discharge database. METHODS: A cross-sectional study was conducted, including adult patients (≥ 18 years old) from CVL hospitalized in psychiatry or included in a care program (outpatient care) between 2012 and 2017. Hospital stays for each patient were identified by an anonymized number. RESULTS: In 2017 in CVL, 13,942 patients were hospitalised for psychiatric reasons, with 2378 in ID (17%), a proportion that has remained stable since 2012. Among them, 3% were in care due to imminent danger (+ 54% since 2013, stabilisation since 2016), and 11% were hospitalized following a third party request (-13%). However, regarding location results varied from one department to the next. Seclusion measures involved 10% of full-time patients (stable), 27% of ID patients and 3% of those under voluntary care (stable). One quarter of the secluded patients were in voluntary care. Mean seclusion duration was 12 days, consecutive or not, and somewhat less for patients in voluntary care alone (10 days). CONCLUSION: The region wide ID rate and average duration of seclusion were lower than the nationwide rate (24% in full-time ID in 2015; 15 days of seclusion/patient), whereas the number of imminent danger procedures increased, as did the persistence of seclusion measures for patients in voluntary care (recommended only as a last resort and/or for ID patients). These results should lead to renewed assessment of care center practices. The French psychiatric hospital discharge database has several limitations, including lack of financial incentive and highly complex structuration. However, since 2018 new data regarding seclusion and restraint measures have been added to the existing registry, and they should facilitate more accurate analyses, particularly as concerns restraint.
Assuntos
Hospitais Psiquiátricos/estatística & dados numéricos , Internação Involuntária , Tratamento Psiquiátrico Involuntário/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Isolamento de Pacientes/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , França/epidemiologia , História do Século XXI , Hospitalização/legislação & jurisprudência , Hospitalização/estatística & dados numéricos , Humanos , Internação Involuntária/legislação & jurisprudência , Tratamento Psiquiátrico Involuntário/legislação & jurisprudência , Tempo de Internação/estatística & dados numéricos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Isolamento de Pacientes/legislação & jurisprudência , Isolamento de Pacientes/psicologia , Restrição Física/legislação & jurisprudência , Restrição Física/psicologia , Restrição Física/estatística & dados numéricos , Adulto JovemRESUMO
BACKGROUND: Mental health professionals use various strategies to prevent involuntarily committed persons from absconding under an open door policy. OBJECTIVE: To provide an ethical framework for the evaluation of the replacement of locked ward doors by formal coercion or treatment pressures. METHODS: Empirically informed conceptual and ethical analysis. RESULTS: The replacement of locked ward doors by formal coercive measures applied to individual persons, such as mechanical restraint or seclusion, is ethically problematic. The use of treatment pressures, for example in the context of intensified observational measures, requires a differentiated ethical evaluation and does not necessarily constitute the milder means in comparison to locked ward doors. CONCLUSION: Unexplored conceptual, empirical and ethical issues surrounding open door policies and treatment pressures should be clarified by means of psychiatric and ethical research. In clinical practice, the choice of the least burdensome and least restrictive measures for involuntarily committed persons should be facilitated by appropriate ethical support services.
Assuntos
Coerção , Transtornos Mentais/terapia , Processos Psicoterapêuticos , Isolamento de Pacientes/ética , Isolamento de Pacientes/legislação & jurisprudência , Psiquiatria/ética , Psiquiatria/normasAssuntos
Betacoronavirus , Controle de Doenças Transmissíveis/legislação & jurisprudência , Infecções por Coronavirus/prevenção & controle , Regulamentação Governamental , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Quarentena/legislação & jurisprudência , COVID-19 , Centers for Disease Control and Prevention, U.S. , Controle de Doenças Transmissíveis/métodos , Governo Federal , Humanos , Isolamento de Pacientes/legislação & jurisprudência , SARS-CoV-2 , Governo Estadual , Estados UnidosRESUMO
Several measures relating to seclusion and restraint are included in the French public health code. The best practice guidelines of the French National Health Authority, published in 2017, define these two notions and advise on the behaviour to adopt with regard to their implementation and monitoring. Likewise, informing and supporting the patient when these measures are lifted are critical moments which the teams must also be able to manage correctly.
Assuntos
Fidelidade a Diretrizes , Transtornos Mentais/enfermagem , Isolamento de Pacientes/legislação & jurisprudência , Unidade Hospitalar de Psiquiatria/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Medição de Risco/legislação & jurisprudência , França , Fidelidade a Diretrizes/legislação & jurisprudência , Humanos , Transtornos Mentais/psicologia , Programas Nacionais de Saúde/legislação & jurisprudência , Equipe de Assistência ao Paciente/legislação & jurisprudência , Isolamento de Pacientes/psicologia , Enfermagem Psiquiátrica/legislação & jurisprudência , Restrição Física/psicologia , Avaliação de Sintomas/enfermagem , Avaliação de Sintomas/psicologiaRESUMO
Over recent years, the psychiatric sector has endeavoured to develop community-based care. Paradoxically, the number of compulsory hospitalisations is increasing. At the same time, the legal framework is evolving and measures relating to the deprivation of liberty in the context of psychiatric care have given rise to extensive guidelines. The work of the French National Health Authority represents, in this context, a certain continuity, with regard to the legal, ethical and social discussions around restriction of liberty practices within psychiatric units. The main focus is on the prevention and management of violent outbursts.
Assuntos
Internação Compulsória de Doente Mental/legislação & jurisprudência , Transtornos Mentais/enfermagem , Unidade Hospitalar de Psiquiatria/legislação & jurisprudência , Violência/prevenção & controle , Redes Comunitárias/ética , Redes Comunitárias/legislação & jurisprudência , Consenso , Ética Médica , França , Fidelidade a Diretrizes , Humanos , Transtornos Mentais/psicologia , Defesa do Paciente/legislação & jurisprudência , Isolamento de Pacientes/legislação & jurisprudência , Isolamento de Pacientes/psicologia , Unidade Hospitalar de Psiquiatria/ética , Enfermagem Psiquiátrica/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Restrição Física/psicologia , Medição de Risco/legislação & jurisprudência , Esquizofrenia/diagnóstico , Esquizofrenia/enfermagem , Psicologia do Esquizofrênico , Violência/éticaRESUMO
The recent Ebola epidemic has put the words "isolation and quarantine" in the spotlight. Isolation and quarantine are tools that are often utilized by public health officials around the United States to address various types of infectious disease, including tuberculosis. While voluntary compliance is preferred, it can be difficult to achieve. In cases where an individual chooses not to voluntarily comply with an isolation or quarantine request, public health officials require assistance from the judiciary and law enforcement to effectuate the order. This article compares 2 recent court cases with different outcomes where public health officials sought assistance from the courts to enforce an isolation or quarantine order.
Assuntos
Surtos de Doenças/prevenção & controle , Isolamento de Pacientes/legislação & jurisprudência , Quarentena/legislação & jurisprudência , Surtos de Doenças/legislação & jurisprudência , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/prevenção & controle , Humanos , Isolamento de Pacientes/normas , Saúde Pública/legislação & jurisprudência , Quarentena/normas , Tuberculose/epidemiologia , Tuberculose/prevenção & controle , Estados Unidos/epidemiologiaRESUMO
STUDY OBJECTIVE: A simple instrument to record case-related coercive measures was tested as part of a pilot project of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN). METHODS: To assess coercive measures data were collected for 3 months in 8 German hospitals for psychiatry and psychotherapy. The type of measures used, the main diagnosis and the legal basis for the coercive measures were documented. RESULTS: In the sample studied, coercive measures were applied in 8% of cases. Coercive measures were most commonly used in patients with a schizophrenic disorder. The principle of justifiable necessity according to § 34 of the German Penal Code was used particularly often as the legal basis for justifying the coercive measures. CONCLUSION: Suitable measurement instruments and reliable data that enable the learning of best practices represent the basis for a reduction of coercive measures.
Assuntos
Coerção , Hospitais Psiquiátricos , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Psicometria/estatística & dados numéricos , Psicoterapia , Garantia da Qualidade dos Cuidados de Saúde/estatística & dados numéricos , Estudos Transversais , Alemanha , Hospitais Psiquiátricos/legislação & jurisprudência , Humanos , Transtornos Mentais/epidemiologia , Isolamento de Pacientes/legislação & jurisprudência , Projetos Piloto , Psicoterapia/legislação & jurisprudência , Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Esquizofrenia/epidemiologia , Esquizofrenia/terapia , Psicologia do Esquizofrênico , Sociedades Médicas , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapiaRESUMO
The Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), is issuing this final rule (FR) to amend its regulations governing its domestic (interstate) and foreign quarantine regulations to best protect the public health of the United States. These amendments have been made to aid public health responses to outbreaks of new or re-emerging communicable diseases and to accord due process to individuals subject to Federal public health orders. In response to public comment received, the updated provisions in this final rule clarify various safeguards to prevent the importation and spread of communicable diseases affecting human health into the United States and interstate.
Assuntos
Controle de Doenças Transmissíveis/legislação & jurisprudência , Surtos de Doenças/legislação & jurisprudência , Isolamento de Pacientes/legislação & jurisprudência , Quarentena/legislação & jurisprudência , Viagem/legislação & jurisprudência , Aeronaves/legislação & jurisprudência , Controle de Doenças Transmissíveis/métodos , Surtos de Doenças/prevenção & controle , Humanos , Notificação de Abuso , Exame Físico , Saúde Pública/legislação & jurisprudência , Estados UnidosRESUMO
From confinement to the philosophy of care in the community, the history of psychiatry testifies to the evolution of practices in the matter of the restriction of freedom. The French National Health Authority still too often recommends practices based on restraint. Caregivers, in relation to the clinical aspect of the patients, need clearly identified therapeutic projects. While training can be vital for them, risk management policies can prove to be a hindrance to patients' freedom.
Assuntos
Transtornos Mentais/enfermagem , Transtornos Mentais/psicologia , Isolamento de Pacientes/psicologia , Isolamento de Pacientes/tendências , Restrição Física/psicologia , Gestão de Riscos/tendências , Previsões , França , Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Relações Enfermeiro-Paciente , Isolamento de Pacientes/legislação & jurisprudência , Autonomia Pessoal , Filosofia em Enfermagem , Restrição Física/legislação & jurisprudência , Restrição Física/estatística & dados numéricos , Gestão de Riscos/legislação & jurisprudênciaRESUMO
Freedom of movement is recognised by national and supranational law. It falls within the scope of the definition of freedom set out in the Declaration of the Rights of Man and of the Citizen, in 1789. It is also legally formulated and recognised as a basic right in two European texts: the Universal Declaration of Human Rights of 10th December 1948 and the European Convention for the Protection of Human Rights and Fundamental Freedoms of 4th November 1950. How can it be respected in psychiatry, in view of the obligation to provide care and safety?
Assuntos
Transtornos Mentais/enfermagem , Transtornos Mentais/psicologia , Relações Enfermeiro-Paciente , Isolamento de Pacientes/legislação & jurisprudência , Direitos do Paciente/legislação & jurisprudência , Autonomia Pessoal , Restrição Física/legislação & jurisprudência , Recusa do Paciente ao Tratamento/psicologia , Comportamento Perigoso , França , Humanos , Cooperação do Paciente/psicologia , Pacientes Desistentes do Tratamento/psicologia , Recusa do Paciente ao Tratamento/legislação & jurisprudênciaRESUMO
The first organisation to bring together the users of care in the history of the speciality, the French National Federation of Patient Associations in Psychiatry has always campaigned for the respect of users' freedom of movement. Despite the progress made in terms of legislation, the federation presents a mixed picture. For Claude Filkenstein, its president, there remains a long way to go, notably in the field of the culture of psychiatric care. In her opinion, training should be a major advantage.
Assuntos
Transtornos Mentais/enfermagem , Transtornos Mentais/psicologia , Relações Enfermeiro-Paciente , Isolamento de Pacientes/legislação & jurisprudência , Isolamento de Pacientes/psicologia , Direitos do Paciente/legislação & jurisprudência , Autonomia Pessoal , Restrição Física/legislação & jurisprudência , Restrição Física/psicologia , Associações de Consumidores/legislação & jurisprudência , Currículo/tendências , Previsões , França , Humanos , Enfermagem Psiquiátrica/educação , Enfermagem Psiquiátrica/legislação & jurisprudênciaRESUMO
Some institutions do not have an isolation room. Agitation is managed otherwise, with the idea that restraint or isolation can only be a terrible experience. The care pathway is therefore designed to favour autonomy and to limit restrictions of freedom. In this context, professionals are in constant contact with the user. Example of a unit which advocates this concept of rehabilitation.
Assuntos
Convalescença/psicologia , Transtornos Mentais/enfermagem , Transtornos Mentais/reabilitação , Defesa do Paciente/legislação & jurisprudência , Defesa do Paciente/psicologia , Isolamento de Pacientes/legislação & jurisprudência , Isolamento de Pacientes/psicologia , Autonomia Pessoal , Restrição Física/legislação & jurisprudência , Restrição Física/psicologia , França , Acessibilidade aos Serviços de Saúde , Hospitais Psiquiátricos , Humanos , Transtornos Mentais/psicologia , Cura Mental , Relações Enfermeiro-PacienteRESUMO
With the reforms of 2011 and 2013 relating to psychiatric hospitalisation, raises the question of the suitability of modern psychiatric practice with regard to a person's recognised principles and basic rights. Achieving a balance is difficult and the Constitutional Council has joined the debate, bringing to an end any idea of compromise between safety and freedom. A decision which was made as a result of a clarification of certain regulations which have proved controversial from the point of view of individual liberties.
Assuntos
Procedimentos Clínicos/legislação & jurisprudência , Transtornos Mentais/enfermagem , Relações Enfermeiro-Paciente , Defesa do Paciente/legislação & jurisprudência , Isolamento de Pacientes/legislação & jurisprudência , Autonomia Pessoal , Enfermagem Psiquiátrica/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Comportamento Perigoso , França , Humanos , Transtornos Mentais/psicologia , Terapia Ambiental/legislação & jurisprudência , Terapia Ambiental/organização & administração , Equipe de Enfermagem/legislação & jurisprudência , Equipe de Enfermagem/organização & administração , Isolamento de Pacientes/psicologia , Segurança do Paciente/legislação & jurisprudência , Restrição Física/psicologiaRESUMO
Freedom of movement is at the centre of contradictory challenges for the different people working in psychiatry, faced with a society demanding social regulation and safety, and the desire of institutions to provide high quality care. This freedom, and more globally the respect of patients' civil rights, are an indicator of the expected quality of care. Taking these rights into consideration does not mean neglecting safety, but attempts to put it into perspective. This article presents the clinical case of a patient.
Assuntos
Transtornos Mentais/enfermagem , Transtornos Mentais/reabilitação , Defesa do Paciente/legislação & jurisprudência , Isolamento de Pacientes/legislação & jurisprudência , Isolamento de Pacientes/psicologia , Indicadores de Qualidade em Assistência à Saúde/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Restrição Física/psicologia , Idoso de 80 Anos ou mais , Internação Compulsória de Doente Mental/legislação & jurisprudência , Delusões/enfermagem , Delusões/psicologia , Ética em Enfermagem , Evolução Fatal , Feminino , França , Hospitais Psiquiátricos/ética , Hospitais Psiquiátricos/legislação & jurisprudência , Humanos , Competência Mental/legislação & jurisprudência , Competência Mental/psicologia , Defesa do Paciente/ética , Isolamento de Pacientes/ética , Transtornos Psicóticos/enfermagem , Transtornos Psicóticos/psicologia , Indicadores de Qualidade em Assistência à Saúde/ética , Restrição Física/ética , Comunidade Terapêutica , Recusa do Paciente ao Tratamento/ética , Recusa do Paciente ao Tratamento/legislação & jurisprudência , Recusa do Paciente ao Tratamento/psicologiaRESUMO
According to German law (Para. 1631b German Civil Code), the placement of children and adolescents following seclusion and restraint actions must be approved by a family court. We analyzed the family court data of a court district in Berlin (Tempelhof-Kreuzberg) concerning cases of "placement of minors" between 2008 and 2011. A total of 474 such procedures were discovered. After data clearing and correction of cases (e. g., because of emergency interventions of the youth welfare system taking children into custody according to Para. 42, German Civil Code VIII), 376 cases remained. Of these 376 procedures in the years 2008 to 2011, 127 cases concerned children and adolescents according to Para. 1631b German Civil Code, and 249 procedures were settled either by dismissal, withdrawal or by repealing the initial decision to place the child with restrain or seclusion by means of an interim order or by filing an appeal against the final decision. Of the 127 procedures, 68 concerned girls, who were on average slightly younger than boys (14.5 years vs. 15.1 years). In two thirds of the procedures, the children and adolescents were German citizens. The majority of youths involved were living at home at the time of the procedure, but in 15 % of the case the youths were homeless. Most of the adolescents were treated with restraint in child and adolescent psychiatry. The most frequently quoted reasons for seclusion were substance abuse, suicide risk and running away from home/being homeless.
Assuntos
Proteção da Criança/legislação & jurisprudência , Direitos Civis/legislação & jurisprudência , Função Jurisdicional , Transtornos Mentais/terapia , Isolamento de Pacientes/legislação & jurisprudência , Prisioneiros/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Transtornos Relacionados ao Uso de Substâncias/terapia , Adolescente , Assistência Ambulatorial/legislação & jurisprudência , Criança , Internação Compulsória de Doente Mental/legislação & jurisprudência , Feminino , Alemanha , Jovens em Situação de Rua/legislação & jurisprudência , Humanos , Masculino , Estudos RetrospectivosRESUMO
BACKGROUND: The International Health Regulations (IHR) 2005 were conformed to German law on July 20, 2007 and described in detail by the Implementing Act (IHR DG). According to these legal bases, "designated airports" must maintain special capacities for protection against health threats, and are also responsible for performing regular IHR exercises. OBJECTIVES: Representation of the optimization of established operational concepts of various professions to manage infectious biological threats without obstruction of international travel, and mediation of experience to IHR professionals. MATERIALS AND METHODS: An exercise based on the case scenario of a travel-related febrile illness was performed at Munich International Airport on November 11, 2013. Preparations took 6 months and the exercise itself lasted nearly 12 h. The follow-up lasted an additional 9 months. A qualitative and quantitative evaluation of the exercise was completed. RESULTS: From an Individual Medicine and Public Health perspective, modular work structures and risk communication functioned adequately. The medical examination of passengers was also well managed. Areas requiring further optimization included arrival/departure times of external actors, transport of the index patient to hospital and protective measures for individual participants. Overall, a defined biological threat scenario representing a double infection with two highly pathogenic germs was handled satisfactorily without affecting international air travel. CONCLUSIONS: Modular supply components are an effective and forward-looking means in protection against threats occurring at airports. Key success factors include sufficient staff mobility, immediate self-protection of actors involved, effective risk communication and a strong overall coordination and monitoring of the situation.
Assuntos
Medicina Aeroespacial/legislação & jurisprudência , Aviação/legislação & jurisprudência , Hospitais de Isolamento/legislação & jurisprudência , Direito Internacional , Isolamento de Pacientes/legislação & jurisprudência , Transporte de Pacientes/legislação & jurisprudência , Procedimentos Clínicos/legislação & jurisprudência , Alemanha , Saúde Global/legislação & jurisprudência , Humanos , Internacionalidade , Modelos Organizacionais , Isoladores de Pacientes/normas , Simulação de PacienteRESUMO
The practices of seclusion and restraint may be used in a variety of health settings to control behaviour. Laws and policies that seek to regulate these practices define seclusion and restraint in various ways and there are gaps as to which practices are regulated and in what circumstances. This column provides an overview of consumer and carer perspectives as to what is meant by these practices.
Assuntos
Cuidadores/psicologia , Isolamento de Pacientes/legislação & jurisprudência , Restrição Física/legislação & jurisprudência , Austrália , Comportamento Perigoso , Feminino , Grupos Focais , Humanos , Masculino , Isolamento de Pacientes/psicologia , Formulação de Políticas , Restrição Física/psicologia , Gestão de RiscosRESUMO
BACKGROUND: In Norway, seclusion (also called «shielding¼ or «open-area seclusion¼) is often used as an intervention in inpatient psychiatric wards as a continuation of milieu therapy, but the method remains controversial in health policy. A psychiatrist or occasionally a psychologist is responsible for making a decision on seclusion pursuant to Section 4-3 of the Mental Health Care Act. Because of the uncertainty regarding the content and academic legitimacy of this model, we have undertaken a review of available literature on the justification, practical application and effect of the Norwegian tradition of seclusion. MATERIAL AND METHOD: The article is based on systematic searches in national and international databases for the years 1930-2013. RESULTS: The seclusion method is closely associated with the development of psychiatric institutions, especially the establishment of emergency units and milieu therapy. The concept of seclusion covers a variety of approaches, and its knowledge base is generally poor. Clinical treatment studies are largely of older origin and most likely not descriptive of current practices. The absence of efficacy studies means that as of today, we have little knowledge on the benefits of using seclusion as treatment. INTERPRETATION: We detected a major discrepancy between the clinical ubiquity of the seclusion method and its knowledge basis. There is a clear need for more research on various types of seclusion to be able to assess the effects of seclusion in current practice.
Assuntos
Isolamento de Pacientes/métodos , Coerção , Serviços de Emergência Psiquiátrica/legislação & jurisprudência , Serviços de Emergência Psiquiátrica/métodos , Humanos , Transtornos Mentais/terapia , Terapia Ambiental , Noruega , Isolamento de Pacientes/legislação & jurisprudênciaRESUMO
Leprosy, or Hansen's disease, has long been regarded as an incurable and dreadful contagious disease. The patients have been forcefully hospitalized and deprived of many basic human rights. Their family members have often been discriminated against due to stigma associated with this disease. Soon after the Second World War, a specific remedy called "multi-drug therapy" (MDT) was discovered and leprosy became a relatively easily curable disease. Despite this medical development, it took time to change the policy and legislation of forceful hospitalization of leprosy patients. The stigma surrounding leprosy and consequent discrimination have continued. In Japan, it was only in 1996 that the legislation requiring forceful hospitalization of leprosy patients was repealed. The Government decided to provide remedies to the former patients who had suffered from this policy. At the United Nations, the General Assembly adopted a resolution to eradicate discrimination against persons affected by leprosy and their family members. It is hoped that discrimination associated with Hansen's disease will soon be overcome by the efforts of all concerned, particularly doctors and nurses who are specialists of this disease.