Leprosy on Anjouan (Comoros): persistent hyper-endemicity despite decades of solid control efforts

Abstract

Despite decades of solid leprosy control efforts, the disease remains highly endemic on the island of Anjouan, Comoros. Among a population of less than 400,000 over 300 new leprosy patients are diagnosed on average annually. Methods: We analysed routine data for the period of 2000–2015 for trends in epidemiological parameters and clustering in time and space.