care of the sick. they opened the first french-language hospital in new brunswick and many more followed. many hospitals opened by the rhsj nuns are still in use today. the last hospital to house lepers in tracadie was demolished in 1991. its lazaretto section had been closed since 1965. in a century of existence, it had housed not only acadian victims of the disease, but people from all over canada as well as sick immigrants from iceland, russia and china, among other nations. cape breton island also suffered an outbreak, in the lake ainslie region. nine people were affected, but it died out soon after 1882. another outbreak of twenty cases occurred in the lake o'law region around 1852. united states in the united states, the first definite reference to the disease was in florida in 1758. in 2004, there were 131 total cases of the disease in the united states. of the 131 cases, two-thirds were male. also out of the 131 cases, 25 (19%) were of individuals who were born in the country. mexico (18.3%), micronesia (11.5%), brazil (9.2%), and the philippines (7.6%) were the next leading countries where those with the disease were originally born. a total of 20 cases were found to be white, not of hispanic origin. as of october, 2005, 3,604 patients on the united states registry were currently receiving care. in 2018 there are about 5,000 people who no longer have leprosy but have long-term complications of disease and continue to receive care. the disease is tracked by the centers for disease control and prevention (cdc), with a total of 166 new cases reported in the us in 2005. most (100 or 60%) of these new cases were reported in california, louisiana, massachusetts, new york, and texas.