World Leprosy Day 2026: reflections on leprosy surveillance in Europe

References

1. Fine PEM. Elimination of leprosy redefined as "interruption of transmission" – still many challenges. Lepr Rev. 2023;94(4):258-61.  https://doi.org/10.47276/lr.94.4.258 
2. World Health Organization (WHO). Global leprosy (Hansen disease) update, 2024: Beyond zero cases – what elimination of cases really means. Wkly Epidemiol Rec. 2025. Available from: https://iris.who.int/server/api/core/bitstreams/e49b759d-984c-497d-bd51-3cd366f6eed9/content
3. Smith WC, van Brakel W, Gillis T, Saunderson P, Richardus JH. The missing millions: a threat to the elimination of leprosy. PLoS Negl Trop Dis. 2015;9(4):e0003658.  https://doi.org/10.1371/journal.pntd.0003658  PMID: 25905706 
4. Saunderson P, Fastenau A. Leprosy in Europe – towards zero leprosy. Lepr Rev. 2022;93(4):298-310.  https://doi.org/10.47276/lr.93.4.298 
5. Marshall R, Horgan E, Duane H, Dillon A, Nurdin N, O’Connell S, et al. Challenges of the public health response to a rare case of non-autochthonous Mycobacterium leprae, Ireland, 2024. Euro Surveill. 2025;30(3):2500033.  https://doi.org/10.2807/1560-7917.ES.2025.30.3.2500033  PMID: 39850004 
6. Biothreats Emergence, Analysis and Communications Network (BEACON). Imported case of leprosy reported in Croatia, the first since 1993. Boston: BEACON; 17 Dec 2025. Available from: https://beaconbio.org/en/report/?reportid=4a4f43c1-9bb6-4438-afcf-0167009e119a&eventid=0c16adaa-2f80-4030-9d6b-1865ffca86ea&page=1
7. Biothreats Emergence, Analysis and Communications Network (BEACON). Romania confirms first leprosy case since 1981 in Cluj County. Boston: BEACON; 13 Dec 2025. Available from: https://beaconbio.org/en/report/?reportid=271bd1ae-75e9-4c0e-871b-467daa273f7d&eventid=811af5ad-7424-4d2d-af24-ef115274e8f4&locations=6795533c-df54-4a72-93b9-f416bdf29405
8. Lockwood DN, McIntosh A, Armstrong M, Checkley AM, Walker SL, McBride A. Diagnosing and treating leprosy in a non-endemic setting in a national centre, London, United Kingdom 1995-2018. PLoS Negl Trop Dis. 2022;16(10):e0010799.  https://doi.org/10.1371/journal.pntd.0010799  PMID: 36264976 
9. Gill AL, Gill GV, Beeching NJ. Familial transmission of leprosy in post-war Britain--discrimination and dissent. QJM. 2008;101(5):407-13.  https://doi.org/10.1093/qjmed/hcn030  PMID: 18375476 
10. Suárez-García I, Gómez-Barroso D, Fine PEM. Autochthonous leprosy in Spain: Has the transmission of Mycobacterium leprae stopped? PLoS Negl Trop Dis. 2020;14(9):e0008611.  https://doi.org/10.1371/journal.pntd.0008611  PMID: 32936805 
11. Goncalves G, Andrade I, Pinheiro C, Fine PEM. Documenting the decline of leprosy in Europe: the example of northern Portugal. Lepr Rev. 2020;91:1-11.
12. Lopes-Luz L, Saavedra DP, Fogaça MBT, Bührer-Sékula S, Stefani MMA. Challenges and advances in serological and molecular tests to aid leprosy diagnosis. Exp Biol Med (Maywood). 2023;248(22):2083-94.  https://doi.org/10.1177/15353702231209422  PMID: 38059475