Many years ago, I rescued from destruction a unique 120-year-old leprosy register of the colony of New South Wales (Box 1). This register commenced in 1891 and continued after federation under NSW legislation.1,2 With 101 double pages, patient details were entered into 12 columns, in clearly legible copperplate handwriting (Box 2). As leprosy notification was compulsory, entries were a provisional diagnosis. Patients were subsequently examined by specialists, sometimes chaperoned by police. The diagnosis was entered into the register. If the patient had leprosy, warrants were issued for their detention at the Coast Hospital lazaret at Little Bay in Sydney.
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