“…10,11,13,20 The overall scope of the fi ght against leprosy and the complexity of the issues it raises is impressive, showing intricate convergences of national history, and of medical, governmental, and international policies. 24 The history of the fi ght against leprosy in São Paulo was unique, b as is the whole sanitary movement it was part of, uncommon in global health history, both in the way it developed and the pace in which it was implemented. The campaign was similar, in some aspects, to the health policy developed by Bismarck in Germany.…”