Dr. Isabella Kerr, Scottish Methodist Missionary's Pioneering Contribution In Leprosy eradication in Colonial India

 

Dr.  Isabella Kerrgirlguides.ca

Isabel Kerr vaccinating a child, India. wikipedia.

In the early 20th century, leprosy was one of the most misunderstood and stigmatized diseases in the world. Until 1950s, in India it was the most dreadful disease and the people inflicted with Leprosy were  looked upon and clinically  treated in separate hospitals across the land. With exceptions, many of them were run by  Christian missions. 

Because of misinformation and lack of awareness, many people were unaware of an essential fact: leprosy, or Hansen’s disease, is one of the least infectious diseases. Most individuals possess some natural immunity to it. However, the disease’s prolonged incubation period sometimes  may span up to 30 years.  Consequently, the visible disfigurement it caused on humans across the globe led to immense social ostracism and stigma. Western countries were not an exception 

Patients were often isolated and shunned, impacting their social activities, livelihoods, marital prospects, economic security, and mental health. This social isolation, coupled with a lack of proper treatment, made leprosy a leading cause of permanent disability, especially among impoverished populations.

In colonial India, leprosy often called primarily a disease of the poor, was a significant public health challenge. particularly in the colonial period and later until 1950s.  Few individuals and social workers had the compassion to address this issue head-on.   Among them was Dr. Isabel Kerr (née Gunn), a Scottish medical missionary whose dedication and humanitarian work brought solace and healing to countless leprosy patients in India.  Armed with the courage of conviction and composition sDr. Isabell faced the uphill tasks with firm commitments.

Early Life and Education

Kings College, Univ. of Aberdeen, Scotland
.undiscoveredscotland.co.uk

Isabel Kerr was born on May 30, 1875, in Enzie, Aberdeenshire, Scotland, to Mary Gardner and John Bain Gunn, a farmer. A bright and determined individual, Isabel pursued medical studies at the University of Aberdeen, earning her MB ChB degree in 1903. That same year, she married Rev. George McGlashan Kerr, a Methodist missionary working in Southern Rhodesia (now Zimbabwe).

The couple  lived together in England until 1907 before being sent by the Wesleyan Methodist Missionary Society to the Indian state of Hyderabad, then a Princely State under the Nizam (now Telangana State).   George helped establish an industrial school, while Isabel looked after the health needs of local residents. She learned to speak the local language, Telegu, and travelled around local villages, often in a bullock cart, caring for the sick.

Establishing a Mission for Leprosy Patients

Upon their arrival in India, Isabel and George Kerr quickly realized the inadequacies in the treatment and care provided to leprosy patients. Leprosy’s prevalence in the Hyderabad region and the urgent need for specialized care motivated them to take action. In 1911, Isabel established a leprosy treatment center at the mission in Nizamabad, Telangana. Her  dedicated  work and compassionate approach earned widespread recognition, leading to an overwhelming influx of patients.

The Victoria Leprosy Hospital at Dichpali (Telangana)

 ward in the Victoria Leprosy Hospital, Dichpalli.
Telangana, India archive.siasat.com

Victoria Leprosy Hospital, Dichpalli. archive.siasat.com

Above image: Victoria Leprosy Hospital, Dichpalli, Telangana. Brass Name plate on the wall of the Hospital.  Sri Narsa Goud was credited for making the Dicephalic Leprosy Hospital an earliest permanent and the most outstanding treatment and diagnosis center in India. The title of “Raja”  was bestowed on him by  Mir Osman Ali Khan, VII Nizam of Hyderabad State, in recognition of his contribution to improve the quality of life of the poor. His Imperial Majesty King George V of England, during his visit to India in 1930’s, honoured him with a medal in recognition of his services to the society...................

Recognizing the growing need for a larger facility, Isabel’s mission received generous support from the Nizam of Hyderabad, Mir Osman Ali Khan.  In 1913, he donated 60 acres of land at Dichpali, about 10 miles from Nizamabad. By 1915, a more extensive and permanent hospital, named the Victoria Leprosy Hospital, was established on this site  to treat the natives and others. Several rich and noble people made solid contribution to the hospital such as Narsa Goud, Salar Jung III, Maharaja Kishan Pershad, Raja Dhanrajgiri  to treat the natives and others. 

The hospital rapidly gained a name  and expanded under Isabel’s leadership. By the early 1920s, the complex featured more than 120 buildings spread across 360 acres, many of which were constructed with the support of the Nizam’s family. This facility became a leading center for leprosy treatment and research, attracting patients from across India.

Collaborations and Innovations in Treatment

Isabel Kerr worked closely with Dr. Ernest Muir, and Leonard Rogers pioneers in leprosy research, who  were experimenting with    injections of  Hydnocarpus oil  by Edwin Muir and Leonard Rogers.  The oil was prescribed for leprosy as a mixture suspended in gum or as an emulsion  for the disease. 

Hydnocarpus plant leaves,alchetron.com 

Above image:  Hydnocarpus, a  tropical plant and the oil from the leaves is widely used in traditional  Ayurvada medicines in India for a long time. In Telegu  Niradi-vittulu; in Tamil Maravtetti and in Hindi Chaulmoogra. In India it  grows in tropical forests along western Ghats, coastal area from Maharashtra to Kerala, Assam, Tripura, often planted on road sides in hilly areas..............

Their collaboration helped advance medical knowledge and treatment protocols, significantly improving outcomes for patients. It his recorded that of the 2,800 patients treated by Isobel Kerr at Dichpali and later at Hyderabad, up to a half of them saw the progress of the disease arrested, giving them hope.  In recognition of their extraordinary contributions to leprosy care, both Isabel and George Kerr were awarded the prestigious Kaisar-i-Hind Medal by the British Indian government in 1923.

Legacy and Impact

Isabel Kerr passed away on January 12, 1932, at the age of 56. Her husband continued their mission until 1938, after which he returned to Scotland. By the 1960s, the hospital founded by Isabel could care for up to 400 patients. The center at Dichpali remains a testament to her unwavering commitment to the marginalized and suffering.

Isabel Kerr’s work profoundly impacted the lives of leprosy patients in India, restoring their dignity and offering them hope. She addressed not only the medical aspects of the disease but also its social ramifications, helping to combat stigma and promote acceptance. Her efforts inspired many others to take up similar missions, contributing to the eventual decline in leprosy cases worldwide.

Challenges in Modern Times

Despite significant progress in controlling leprosy, the rehabilitation center near the Dichpali hospital reportedly closed due to a lack of funding. Further, the incidence of leprosy in India has come way down.   However, Isabel Kerr’s name remains etched in the annals of medical history as a symbol of compassion and dedication. Her work reflects the ethos of John Wesley, the founder of Methodism, whose words inspired her mission:

“Do all the good you can, by all the means you can, in all the ways you can, in all the places you can, at all the times you can, to all the people you can, as long as ever you can.”

Remembering Isabel Kerr

Although Isabel was described as “modest, shy, and diffident” and avoided public recognition, her impact was no less significant than that of celebrated humanitarians like Albert Schweitzer, a pioneer in the medical field.  Few photographs or records of her survive, yet her legacy lives on in the lives of those she touched.

Her pioneering work serves as a reminder of the transformative power of compassion and the importance of addressing social stigma in healthcare. Today, as leprosy continues to decline globally, the world owes a debt of gratitude to trailblazers like Isabel Kerr, whose vision and perseverance helped turn the tide against one of humanity’s oldest scourges.