D2I2.
infection⚑ High burden in India

Leprosy

Leprosy, also known as Hansen's disease (HD), is a long-term by the leprae or Mycobacterium . Infection can lead to damage of the nerves, tract, skin, and eyes. This nerve damage may result in the loss of nociception, which can lead to the loss of parts of a person's from repeated injuries or infection through unnoticed wounds. An infected person may also experience muscle weakness and loss of eyesight. Leprosy symptoms may begin within one year or take 20 years or more.

Underlined words are explained — tap any of them.

Symptoms — what it feels like

  • ·Skin , , muscle weakness, partial , blindness, decreased ability to feel pain

Causes — why it happens

  • · leprae or Mycobacterium

Treatment

  • ·Multidrug therapy
Did you know?
You probably think leprosy is highly contagious. About 95% of people can never catch it.
It spreads only after long, close contact with an untreated person, and a patient becomes non-infectious within days of starting treatment.
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Source: WHO / CDC

The sections below are general education drawn from public guidelines (NHS, Mayo, CPIC, WHO, ICMR). They are not individually reviewed by a clinician and are not medical advice — always talk to a doctor about your own health.

For clinicians · pharmacogenomics

Genes that change how certain drugs work — and that differ in South Asians. This is education, not a dosing tool; genotype-guided prescribing is a clinician decision.

G6PDOxidative drugs: primaquine, tafenoquine, dapsone, rasburicase, nitrofurantoin, sulfonamides
CPIC A

Some people are born with red blood cells that can't handle certain 'stressful' medicines. Give those drugs and the red cells burst, causing sudden . A simple blood test tells the doctor whether a drug like an anti-malaria pill is safe for that person.

South Asian signal: G6PD deficiency is common across India: an all-India systematic review found an overall ~1.9% prevalence (range 0.8-6.3%), but tribal/vulnerable groups run far higher - ~7.7% overall in tribal communities and up to ~27% in some groups. The G6PD Mediterranean (563C>T) variant, a severe (Class II) variant, is the commonest deficient allele in India (~60% of deficient cases), so many Indian deficients are the high-risk severe type.

Prescriber note: Screen for G6PD status before prescribing primaquine/tafenoquine (radical cure of vivax malaria), dapsone, or rasburicase; rasburicase is contraindicated in G6PD deficiency. Because the severe Mediterranean variant predominates in India, do not assume mild African-type deficiency. CPIC advises that in G6PD-deficient individuals, drugs with haemolytic potential (e.g. rasburicase - formally contraindicated; primaquine, dapsone, and other listed oxidants) should be avoided or used only with explicit risk-benefit justification and monitoring, and that higher-risk ancestries be screened before such drugs.

Not a dosing tool. Genotype-guided prescribing is a clinician decision; genotyping access in India is limited.

Myths vs facts

Leprosy is extremely contagious — even one touch or handshake will give it to you.
Leprosy (Hansen's disease) is only mildly contagious. About 95% of people are naturally and can never get it. It spreads only after long, close contact with an untreated person, through droplets from the nose and mouth — not from a single touch, handshake or shared meal. A person becomes within days of starting treatment.The false belief that leprosy is highly catching drives people into isolated 'leprosy colonies' and social rejection, even though it is one of the least infectious diseases.
Leprosy is a curse or punishment for sins from this or a past life (paap).
Leprosy has nothing to do with sin, karma or morality. It is caused by a slow-growing ( leprae). It is a treatable like any other.Framing leprosy as divine punishment adds deep shame and keeps people from seeking the early treatment that prevents disability.
Leprosy makes your fingers and toes rot and fall off, and it can't be cured.
Leprosy is completely curable with free multidrug therapy (MDT). Body parts do not simply 'fall off' — damage happens only when untreated nerve injury stops a person feeling pain, so wounds and burns go unnoticed. Early treatment prevents this entirely.The very disability people fear is caused by delay; catching leprosy early and treating it stops deformity from ever developing.
People affected by leprosy must be shut away and can never marry or hold a job.
Once on treatment a person is not and can live, study, work and marry normally. Isolation is unnecessary and unjust.India still has old laws and social practices that exclude people affected by leprosy; this stigma, not the disease, is now the bigger harm.
Plain-language summary adapted from Wikipedia. Not medical advice.