NTD Intelligence

Leprosy (Hansen's disease)

Neglected tropical disease intelligence: burden, staged therapeutics with published-evidence filter, and documented post-infectious syndrome with literature persistence rates.

Deaths / year
0
GBD (indicative unless refreshed)
DALYs / year
30,000
GBD
Pathogen
Bacteria
Post-infectious
Lasting sequela
Persistent symptoms
~5-10% grade-2 disability
newly diagnosed

Post-infectious syndrome & persistent symptoms

Whether a post-acute infection syndrome is documented and the literature proportion with persistent symptoms.

Documented post-infectious syndrome
Chronic peripheral neuropathy / grade-2 disability
~5-10% grade-2 disability
persistent symptoms — of newly diagnosed
Summary
Visible (grade-2) disability present in roughly 5-10% of new cases at diagnosis; chronic nerve damage and immune reactions persist after cure.
Timeframe
at/after diagnosis
Evidence strength
moderate
Classification
Lasting sequela
Sources: WHO leprosy guidelines / weekly epidemiological record

Therapeutic agents by stage

Vector control, prevention, acute treatment, and post-infectious care. Only agents with published evidence are shown by default.

Prevention

AgentTypeStatusMechanism / roleSource
Contact tracing & BCG in high-risk contactsPreventionApprovedReduce transmission in endemic settingsWHO leprosy

Acute phase

AgentTypeStatusMechanism / roleSource
RifampicinAntibioticApprovedMDT backboneWHO EML / standard of care
DapsoneAntibioticApprovedMDT componentWHO EML / standard of care
ClofazimineAntibioticApprovedMDT component; anti-inflammatoryWHO EML / standard of care
Ofloxacin / minocycline / clarithromycinAntibioticApprovedSingle-dose rifapentine-based regimens (investigational simplification)WHO trials

Post-infectious phase

AgentTypeStatusMechanism / roleSource
Reaction management (prednisolone, thalidomide for ENL)ImmunomodulatorApprovedType-1 and ENL reactions; neuropathy careWHO leprosy

Associated drug targets (Open Targets): LACC1, TNFSF15, RIPK2, SNX20, ADGB, C1orf141

Burden: IHME GBD (indicative seed unless refreshed) · Therapeutics: curated WHO EML / SOC + Open Targets pipeline · Post-infectious data: curated peer-reviewed literature · Ontology: MONDO_0005124 · Updated 2026-07-10. Associations, not a diagnostic test.