The WHO’s latest Global Leprosy Update was published in September 2025. The report gathered leprosy data from 188 countries around the world.1 Epidemiologist and acting team leader of the WHO’s Global Leprosy Programme, Dr. Venkata Ranganadha Rao Pemmaraju, provided his views on several critical issues that require action according to the report.2
The issue: 133 countries reported one or more new cases of leprosy.
The solution: Sustained and intensified case detection campaigns are needed to break the cycle of transmission.
The issue: New case detection continued at relatively the same level, with 172,717 cases reported in 2024.
The solution: Improved case-finding campaigns and preventive initiatives are needed to accelerate the decline of leprosy and prevent stagnant case detection.
The issue: The 23 global priority countries accounted for 96% of new leprosy cases.
The solution: National and international resources must be strategically concentrated in these high-burden settings.
The issue: Nearly 300 children are diagnosed with visible impairments annually, showing that detection of leprosy in children is often delayed.
The solution: Early detection systems must be strengthened.
The issue: Over 20,000 cases of lepra reactions were reported in 2024.
The solution: Better treatment protocols to must be prioritised to improve quality of care and manage severe reactions.
The issue: At least 81 discriminatory laws reported to the WHO remain in force globally.
The solution: Repealing all laws that allow discrimination against people affected by leprosy should be brought back as a target in national strategic plans.
The issue: Instances of discrimination are being underreported.
The solution: Systematic tools and mechanisms must be developed to diagnose and monitor discrimination in both health systems and communities.
Read Dr. Pemmaraju’s full summary here.
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References:
1. Global leprosy (Hansen disease) update, 2022: new paradigm – control to elimination. Accessed January 26, 2026. https://www.who.int/publications/i/item/who-wer10037-365-384.
2. Viewpoint: commentary on global leprosy update 2024. Sasakawa Leprosy (Hansen’s Disease) Initiative. Accessed January 26, 2026. https://sasakawaleprosyinitiative.org/latest-updates/initiative-news/6318/.