PLOS Global Public Health
Anil Fastenau, Rhea Brüggemann, Abdul Salam, Charlotte Nehring, Maresa Neuerer, Hamideh Ebrahimi, Alexandra Asboeck, Matthew Willis, Sophie C. W. Unterkircher, Fabian Schlumberger, Heleen Neeltje Willemijn Duighuisen
Despite progress in leprosy control, delayed diagnosis remains a barrier to achieving Zero Leprosy, particularly in low-endemic settings. Diagnostic delay not only sustains hidden transmission but also leads to preventable disability and lifelong consequences for affected individuals. Pakistan, although classified as low endemic, continues to report a high proportion of new leprosy cases presenting with grade 2 disability (G2D), indicating delays in case detection. This study explored the reasons for delayed lepros …