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Leprosy is still an important global health concern in many developing
countries and it causes disability in 2 million people worldwide. In Malaysia as a
country, the elimination status which was defined by World Health Organisation
as attaining a level of prevalence below one case per 10,000 populations was
achieved in 1994 and in the state of Sarawak it was achieved in 1996. However,
leprosy is still highly prevalent among the minority indigenous Penans in
Sarawak with an ethnic specific annual prevalence rate of 5.5 per 10,000
population compared to 0.07 per 10,000 population for the rest of the
population in Sarawak from the year 2000 to 2013. This study aims to provide an overview of the
prevalence of leprosy among the different ethnic groups in Sarawak, sharing
findings from the active case detection activity in a Penan settlement in
Sarawak and challenges in leprosy management among the minority indigenous
Penans in Sarawak.
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