nlr leprosy
Rasna is happy today, fulfilling up her dreams of being a teach and thanking NLR Foundation for right support at the right time In its early years, NLR focused on Tanzania primarily. 1. NLR started its operation in Nepal in 1977. Even after being cured from leprosy, persons affected may have to deal with the possibility to develop new disabilities, or worsening of The approach to successfully implement SDR-PEP considers four crucial elements: active case finding, geological mapping, capacity building of health workers and distribution. Since the last decades of 20th century, NLR has If you have a complaint, comment or question related to integrity, you can contact us in four ways: Call us: +31 (0)20-5950500. NLR has offices in some of the most leprosy-endemic countries: India The project is coordinated by NLR, until no Leprosy Remains (NLR) and LTR Nigeria in close collaboration with national health authorities. The model predicts that, to achieve a 50% reduction in the global number of new cases of leprosy NLR’s flagship approach to achieve this goal is called PEP++. 1. SkinApp aims to support community health workers to recognize the early signs and symptoms of leprosy, so that treatment can start immediately. Normally, the health worker would provide treatment for the patient and that’s it. We aim to interrupt the spread and devastating effects of leprosy through well thought-out interventions targeting a range of stakeholders. Facilitating rehabilitation services, reduction of stigma, and the promotion of self-care and empowerment. These include Ethiopia, Mozambique, Tanzania and Nigeria and it is in development for Brazil and Indonesia. Before then, the organization was a country office of the International Non-Governmental Organization called the Netherlands Leprosy Relief (NLR). We focus on the early identification, treatment, and rehabilitation of leprosy patients, and fund scientific research that produces breakthroughs in the fight against leprosy. Theme: Accelerating towards results. 1. NLR, in the Netherlands better known as Leprastichting, is an ANBI with CBF recognition and is supported by 45,000 donors and leading institutional Here are NLR’s top 10 highlights of 2022 (random order). Technical Capacity Building in Action! The project started in 2021. However, it remains a significant challenge, requiring comprehensive strategies that address both the medical and social aspects of leprosy. Zero Disability. An enhanced regimen as post- exposure chemoprophylaxis for leprosy: PEP++ is the title of a recently published article on an expert meeting convened by NLR to advise on a combination of available drugs as post- exposure prophylaxis (PEP) for leprosy. To empower understanding and change on a root level, in collaboration with other organisations NLR makes critical scientific contributions available through the information portals Infolep and InfoNTD. NLR | until No Leprosy Remains Non-profit Organizations Amsterdam, North Holland 1,404 followers NLR is a global forerunner in the realisation of a leprosy-free world. In Mozambique, NLR helps health professionals at provincial and district levels detect early symptoms of leprosy and other disabling diseases. Meanwhile, peer counselling pilots help reduce social exclusion. NLR is mainly involved in Leprosy Rifampicin is a registered medicine that is already widely used in the management of mycobacterial infections, including in the treatment of leprosy and tuberculosis. Our Community-Based Rehabilitation coordinators provide technical assistance to district government staff as they promote self- care at India’s leprosy colonies and in villages. Data were In 2018 the Global Partnership for Zero Leprosy (GPZL) was formed. An enhanced regimen as post- exposure chemoprophylaxis for leprosy: PEP++ is the title of a recently published article on an expert meeting convened by NLR to advise on a combination of available drugs as post- exposure prophylaxis (PEP) for leprosy. The biggest achievement for the Stop the Transmission of Leprosy! (PEP++) project in 2022 was the start of the randomised controlled trial of the enhanced post-exposure prophylaxis regimen in all Three Zeros. Theme: Accelerating towards results. These need to be aligned with needs felt by persons affected themselves. The current regimen a single-dose rifampicin for post-exposure prophylaxis ( SDR-PEP) of leprosy, reduces the risk of leprosy among contacts of new patients by 57%.O. It seeks to reduce the number of new cases of leprosy and prevent disability through early-stage The SkinApp supports in timely diagnosis and treatment of skin diseases, especially NTDs that manifest with skin lesions such as leprosy. The first was a non-randomised controlled trial NLR Indonesia also developed the leprosy-friendly villages model. AMSTERDAM, March 1, 2021 /PRNewswire/ -- New research by NLR, until No Leprosy Remains (NLR) and Erasmus University MC, published in PLOS Neglected Tropical Diseases, shows that the In 2021 NLR has achieved some great results. The project’s multi-centre research programme uses a new, more robust preventive chemotherapy regimen. NLR is mainly involved in Leprosy Rifampicin is a registered medicine that is already widely used in the management of mycobacterial infections, including in the treatment of leprosy and tuberculosis. Netherlands Leprosy Relief (NLR) is proud to have been at the forefront of the development of this approach. Since its foundation in 1967, NLR has grown to become a global forerunner in the fight Oct 15, 2019 · Dr Ashok has joined NLR as India Country Director & Chief Executive Officer since October 2019. E-mail us: info@nlrinternational. NLR is a global forerunner in the fight against leprosy. In the clinical trial we were able to NLR is a global forerunner in conducting and promoting leprosy research and driving evidence-based innovation. If someone is infected with leprosy, he or she may spread the bacilli for years without being aware. Contacts receiving enhanced preventive treatment in Brazil, India, Nepal and Bangladesh. It promotes health, specifically in making the country free of leprosy and inclusion of persons affected by Leprosy by enhancing their ability. Organizations like NLR help educate local communities by promoting and supporting the prevention and treatment of leprosy, prevention of disabilities, social inclusion and stigma reduction of people NLR is an international NGO that has been one of the major change-makers in the fight against leprosy in the past 50 years. Research is a decisive factor in the fight against leprosy. Mohammed’s family feared his leprosy and hid him indoors.It is often difficult to reach the patients. Manage leprosy and its complications and prevent new disability; and. NLR Indonesia adalah sebuah yayasan nirlaba dan non-pemerintah yang memusatkan kerjanya pada penanggulangan kusta dan konsekuensinya di Indonesia. NLR has offices in some of the most leprosy-endemic countries: India, Brazil, Indonesia, Mozambique and Nepal and an international office in the Netherlands. He wants to make use of the successful learning from the HIV program in the elimination of Leprosy. Here are NLR’s top 10 highlights of 2021 (random order). The NLR Alliance developed three strategic programmes to work towards a leprosy-free world: Zero Transmission, Zero Disability, and Zero Exclusion. A worldwide total of 200 staff work The story of Jumiati. The SkinApp supports in timely diagnosis and treatment of skin diseases, especially NTDs that manifest with skin lesions such as leprosy. NLR Foundation started its program related to education support in her colony. The project’s multi-centre research programme uses a new, more robust preventive chemotherapy regimen. NLR, in the Netherlands better known as Leprastichting, is an ANBI with CBF recognition and is supported by 45,000 donors and leading institutional Here are NLR’s top 10 highlights of 2022 (random order). NLR strives for a situation in which zero new leprosy patients are detected which is captured in this indicator. With the project 'Stop the transmission of leprosy!', NLR seeks to interrupt the transmission of leprosy in two districts in each of the five countries with the highest global leprosy burden: Brazil, India, and Indonesia, Nepal and Bangladesh. NLR | until No Leprosy Remains Non-profit Organizations Amsterdam, North Holland 1,404 followers NLR is a global forerunner in the realisation of a leprosy-free world.org. Just like the families of people affected by leprosy. 2022 is best described as a year in which NLR Nepal is a non-profit, non-religious & non-political development organization working in Nepal for over 40 years. Even today, leprosy causes disability and social exclusion. American Leprosy Missions (ALM) initiated the LepVax project to develop a leprosy-specific vaccine. Governments are clearly demonstrating their commitment through involvement in several multi-country NLR coordinated projects, such as the Stop the Transmission of Jun 3, 2020 · He became aware of leprosy in Indonesia just recently from NLR and was not happy to know that Indonesia is the third country with the highest number of new leprosy cases every year. We also support the Ministry of Health in the creation of systems that capture and manage NTDs. Rap Rap village is one of 44 villages in North Sulawesi province where the Indonesian Ministry of Health and NLR began piloting the Leprosy-Friendly Village programme to reduce stigma and increase public awareness around leprosy in 2012. Data were In 2018 the Global Partnership for Zero Leprosy (GPZL) was formed. Lobbying to keep leprosy and disability inclusion on policy agendas at all levels. Today the villagers have a better knowledge of leprosy and local health NLR is a Non-Governmental Organisation that works towards a world free of leprosy.org (+31) 20 595 0500 Stay up to date with the latest publications and news related to leprosy. NLR launched innovative research project ‘Stop the transmission of leprosy’ in India and Brazil The Stop the Transmission of Leprosy! Project , focuses on early detection of leprosy and preventive treatment of people who have frequent and close contact with persons affected by leprosy. Indonesia. NLR is supporting all aspects of leprosy, control, rehabilitation, and social inclusion since its inception in 1967. The Technical Capacity Building in Action! project is a key initiative of the NLR Alliance to maintain and further develop its expertise in the field of leprosy. The LRI is a foundation under Dutch law and is managed by the Director of NLR, implementing the decisions of the LRI Executives Group and supervised by the Supervisory Board of NLR. In this light, NHR Brazil has supported public Hansen’s disease control programmes since 1994. Research is a decisive factor in the fight against leprosy. NLR Projects. Multidrug therapy (MDT) has been a major breakthrough in the treatment of leprosy and its free availability has reduced the global disease burden by 95% in the past three decades. Ongoing research on and implementation of preventive treatment provides hope that stopping leprosy transmission is coming within reach. It signals a new era: leprosy as a preventable disease! Post- exposure prophylaxis. To deal with COVID-19, NLR continued providing emergency aid to help persons affected by leprosy by distributing self-care and medication packages. A world free from leprosy. Doctor Batacharya. Jul 14, 2021 · NLR has offices in some of the most leprosy-endemic countries: India, Brazil, Indonesia, Mozambique and Nepal and an international office in the Netherlands. The biggest achievement for the Stop the Transmission of Leprosy! (PEP++) project in 2022 was the start of the randomised controlled trial of the enhanced post-exposure prophylaxis regimen in all Digital library. NLR focuses on research and drives evidence-based innovations to achieve zero transmission, zero disability and zero discrimination due to leprosy. What we accomplished in 2018 With the support of the European and Developing Countries Clinical Trials Partnership (EDCTP) and the Leprosy Research Initiative (LRI), NLR launched the PEP4LEP research project in Mozambique, Ethiopia, and Tanzania. The disease affects millions of lives. Leprosy doctor Sadraque Xavier. 1 March 2021. Here are some of the first signs and symptoms of leprosy: 1. Begging is the only source of income for livelihood of the family. NLR staff frequently gets scientific articles published in well-regarded scientific journals.Contacts receiving enhanced preventive treatment in Brazil, India, Nepal and Bangladesh. Leprosy is a curable disease, but it can cause severe disabilities and deformities if left untreated. NLR focuses on the four most pressing issues standing in the way of a leprosy-free world. Mission. Indonesia. NLR is an active member of this wide group of stakeholders that are highly motivated and committed to end leprosy. New NLR study predicts 90% leprosy reduction through preventive treatment of 40 million people in 22 years . The model predicts that, to achieve a 50% reduction in the global number of new cases of leprosy NLR’s flagship approach to achieve this goal is called PEP++. Objective. It results in discrimination, social exclusion and widespread mental health problems. Therefore, NLR developed the Perception Study Toolkit (PST). Digital library. Elimination of leprosy is only possible if we can stop the transmission of the leprosy bacilli.4 new cases amongst every 100,000 inhabitants, in 2019 Brazil was the second-most Hansen’s disease-endemic country in the world amongst all major nations. By doing so, the application potentially contributes to the prevention of disabilities.4 new cases amongst every 100,000 inhabitants, in 2019 Brazil was the second-most Hansen’s disease-endemic country in the world amongst all major nations. Our Community-Based Rehabilitation coordinators provide technical assistance to district government staff as they promote self- care at India’s leprosy colonies and in villages. To contribute to our vision by: promoting, facilitating and funding high-quality leprosy research; For more than 30 years, Novartis has been working with partners around the world to eliminate leprosy. He wants to make use of the successful learning from the HIV program in the elimination of Leprosy. In the last three years, 58 projects were supported and developed in 10 of the 26. The LRI secretariat is housed in the International Office of NLR (until N o L eprosy R emains) in Amsterdam, managed by the Director of NLR. Stop the transmission of leprosy! The last decade has seen a stagnation in the global decline of new NLR and ErasmusMC have carried out modelling research to predict the population at risk of leprosy, defined as the number of contacts to be treated with SDR-PEP in order to achieve a given reduction in the annual number of new cases of leprosy. 1. Stop the transmission of leprosy! The last decade has seen a stagnation in the global decline of new NLR and ErasmusMC have carried out modelling research to predict the population at risk of leprosy, defined as the number of contacts to be treated with SDR-PEP in order to achieve a given reduction in the annual number of new cases of leprosy. Since 2000, Novartis has donated more than 70 million blister Integrating leprosy work with other neglected tropical diseases and disability work. These need to be aligned with needs felt by persons affected themselves. In the 1960s, some fifteen million people suffered from leprosy. Our global ambition: a world free of leprosy by 2040 We take pride in enabling research and driving evidence-based innovation. Significant progress has been made since we started. NLR promotes and supports health, ability and full inclusion in society for persons affected by leprosy or living with disabilities, in line with WHO’s Global Leprosy Strategy and the Triple Zero campaign of ILEP. While single dose rifampicin as PEP gives a risk reduction of around 60% when given to contacts Jul 29, 2023 · However, it remains a significant challenge, requiring comprehensive strategies that address both the medical and social aspects of leprosy. Use of post-exposure prophylaxis is expected to interrupt transmission of the bacteria causing leprosy, meaning that if this approach is scaled up globally near-elimination of the disease could become a reality in a single generation. NLR is proud to present our Annual Report 2022 and Annual Accounts 2022. Therefore, NLR developed the Perception Study Toolkit (PST). In the clinical trial we were able to NLR is a global forerunner in conducting and promoting leprosy research and driving evidence-based innovation. Research shows that the combination of contact screening and the provision of a single-dose of rifampicin as post-exposure prophylaxis ( SDR-PEP) is effective and feasible. After a few months with NLR, he realised that many still needs to be done to cope with challenges in the NLR aims to prevent, detect and treat leprosy. The objective is to protect contacts of leprosy patients from the disease and reduce transmission. They live very remote. In this strategic programme NLR focuses on two aspects: prevention of new disabilities, or worsening of existing disabilities and promote the mental wellbeing of persons affected by leprosy. In 2022, we were able to restart most activities and speed up flagship projects that had stalled in the previous years. Today he is actively engaged to reduce the stigma attached to leprosy. In this project we start to implement SDR-PEP, a preventive treatment to stop leprosy transmission, in Mozambique and Nigeria. Leprosy is not directly hereditary They can play a major role in the reduction of stigma. It is dedicated to support the learning and development of the technical staff of the NLR Alliance members. Final phase of clinical trial in ‘Stop the transmission of leprosy!’ (PEP++) project. The year 2022 truly marks the beginning of NLR’s post-COVID-19 phase. In this light, NHR Brazil has supported public Hansen’s disease control programmes since 1994.NLR Indonesia menggunakan pendekatan tiga zero, yaitu zero transmission (nihil penularan), zero disability (nihil disabilitas) dan zero exclusion (nihil eksklusi). With the help of NLR’s leprosy-friendly village programme there are now enough resources available in Sulawesi to conduct successful contact tracing. In its area of operation, a reduction in the number of new leprosy cases Jan 20, 2021 · In 2020, NLR and NHR Brazil have also initiated new collaborations.NLR supports the LPEP project in India, Indonesia, Nepal, and Cambodia, beyond which it is run in Brazil, Myanmar, Tanzania, and Sri Lanka. Box 95005, 1090 HA Amsterdam, The Netherlands. The ongoing transmission of leprosy is the product of a complex set of challenges, which requires a multi-faceted approach. In conclusion, leprosy is a contagious disease caused by the bacteria Mycobacterium leprae. Meanwhile, NLR has taken part in the global fight against leprosy for over 50 years. Rap Rap village is one of 44 villages in North Sulawesi province where the Indonesian Ministry of Health and NLR began piloting the Leprosy-Friendly Village programme to reduce stigma and increase public awareness around leprosy in 2012. 1. This very much motivated him to join NLR in November 2019. NLR promotes and supports health, ability and full inclusion in society for persons affected by leprosy or living with disabilities, in line with WHO’s Global Leprosy Strategy and the Triple Zero campaign of ILEP. Today the villagers have a better knowledge of leprosy and local health NLR is a Non-Governmental Organisation that works towards a world free of leprosy. In the last three years, 58 projects were supported and developed in 10 of the 26 NLR’s SkinApp is an integral part of several projects in African countries. Support for tens of thousands persons affected by leprosy. The Leprosy Research Initiative (LRI) is looking for an ambitious and all-round Coordinator. Profile. About 40 people work in our international office in Amsterdam and 200 total globally. NLR strives for a situation in which zero new leprosy patients are detected which is captured in this indicator. Leprosy and TB Relief Initiative Nigeria (LTR) officially registered with Corporate Affairs Commission as an indigenous non-profit NGO in March 2018. Here are NLR’s top 8 highlights of 2023 (random order). These data are used to improve policies and take up actions to improve the required services. He dreams Leprosy is eliminated and all Leprosy survivors Information was collected on where persons with leprosy, LF and konzo live, how their disability influences their life and what services and policies are in place. A worldwide total of 200 staff work The story of Jumiati. It results in discrimination, social exclusion and widespread mental health problems. Robust evidence for the effectiveness of SDR as PEP (SDR-PEP) for leprosy has been generated through two large field-level studies. This very much motivated him to join NLR in November 2019. WHO recognises the evidence produced by PEP programme of NLR and partners. It promotes health, specifically in making the country free of leprosy and inclusion of persons affected by Leprosy by enhancing their ability. One vacancy A negative perception of leprosy and other neglected tropical diseases (NTDs) is a problem that is seen globally. In 2022, we were able to restart most activities and speed up flagship projects that had stalled in the previous years. In these villages, healthcare workers and community members are sensitised to leprosy’s early symptoms to stimulate timely patient referral. The governments of both countries have shown NLR Nepal is a frontrunner in the implementation of the Leprosy Post-Exposure Prophylaxis (LPEP) pilot. In its area of operation, a reduction in the number of new leprosy cases It is a combination of genetic factors and environmental factors that can lead to the development of leprosy. To interrupt leprosy transmission and reduce annual new cases significantly, contact tracing and preventive treatment needs to be implemented in all leprosy-endemic countries. LRI manages a joint research fund and selects research projects for support through annual calls for proposals. These data are used to improve policies and take up actions to improve the required services. He also wants to follow an integrated approach of service delivery to the leprosy affected. The project aims to assess the feasibility, acceptability, cost efficiency, and efficacy of chemoprophylaxis as a leprosy control strategy. To interrupt leprosy transmission and reduce annual new cases significantly, contact tracing and preventive treatment needs to be implemented in all leprosy-endemic countries. While single dose rifampicin as PEP gives a risk reduction of around 60% when given to contacts Elimination of leprosy is only possible if we can stop the transmission of the leprosy bacilli. Combat stigma and ensure human rights are respected. Meanwhile, peer counselling pilots help reduce social exclusion. Write a letter: P. NLR joined hands for this radical innovation. Organizations like NLR help educate local communities by promoting and supporting the prevention and treatment of leprosy, prevention of disabilities, social inclusion and stigma reduction of people Doctor Batacharya. This is, as far as we are aware, the first investigation to assess the involvement of NLRC4 in the pathogenesis of leprosy. Since its foundation in 1967, NLR has grown to become a global forerunner in the fight Dr Ashok has joined NLR as India Country Director & Chief Executive Officer since October 2019. In India, our innovative leprosy treatment approach encourages the government to accept our interventions under routine public programmes. NLR contributed intensively during the study. NLR is an active member of this wide group of stakeholders that are highly motivated and committed to end leprosy. In our project ‘ Stop the transmission of leprosy! ‘ we seek evidence for the effectiveness of a new preventive regimen ( PEP++) to combat leprosy. The headquarters of NLR is in Amsterdam and with 5 country partners we are active in countries across South America, Africa and Asia.Final phase of clinical trial in ‘Stop the transmission of leprosy!’ (PEP++) project. Information was collected on where persons with leprosy, LF and konzo live, how their disability influences their life and what services and policies are in place. Read his story. To empower understanding and change on a root level, in collaboration with other organisations NLR makes critical scientific contributions available through the information portals Infolep and InfoNTD. More recently, the mandate was broadened to cross-cutting work on NTDs, especially on early detection of skin-related NTDs, management of disabilities, stigma reduction and social inclusion. Materials and methods. NHR Brazil is collaborating with UNESCO to implement strategies to combat stigma among people affected by leprosy and other neglected tropical diseases. Project to End Child Leprosy among Top 100 Proposals for MacArthur Grant.until No Leprosy Remains. It is transmitted through prolonged and close contact with an infected person and is not highly infectious. In this project, we aim to interrupt the spread info@infolep. With the project 'Stop the transmission of leprosy!', NLR seeks to interrupt the transmission of leprosy in two districts in each of the five countries with the highest global leprosy burden: Brazil, India, and Indonesia, Nepal and Bangladesh. The app also assists in diagnosing more common skin diseases like eczema, or even potentially lethal diseases like NLR is an international organization dedicated to leprosy. Ready4PEP: implementing SDR-PEP. We focus on the early identification, treatment, and rehabilitation of leprosy patients, and fund scientific research that produces breakthroughs in the fight against leprosy. In India, our innovative leprosy treatment approach encourages the government to accept our interventions under routine public programmes. Neutrophil-to-lymphocyte ratio (NLR) is an accurate biomarker for diagnosis and prognosis of various inflammatory and neoplastic diseases. New NLR study predicts 90% leprosy reduction through preventive treatment of 40 million people in 22 years . The app also assists in diagnosing more common skin diseases like eczema, or even potentially lethal diseases like NLR is an international organization dedicated to leprosy. What we accomplished in 2018 With the support of the European and Developing Countries Clinical Trials Partnership (EDCTP) and the Leprosy Research Initiative (LRI), NLR launched the PEP4LEP research project in Mozambique, Ethiopia, and Tanzania. One vacancy A negative perception of leprosy and other neglected tropical diseases (NTDs) is a problem that is seen globally. Bacillus cells often engage with the immune system at this phase, hence deciding the future course of the infection. Governments are clearly demonstrating their commitment through involvement in several multi-country NLR coordinated projects, such as the Stop the Transmission of He became aware of leprosy in Indonesia just recently from NLR and was not happy to know that Indonesia is the third country with the highest number of new leprosy cases every year. Therefore, it is essential to recognize the signs and symptoms of leprosy as early as possible to seek appropriate medical treatment. Subscribe to newsletter Mar 1, 2021 · 1 March 2021. Impact of basic psychological support on stigma and the mental well-being of people with disabilities due to leprosy and lymphatic filariasis: a postintervention evaluation study. The first was a non-randomised controlled trial NLR Indonesia also developed the leprosy-friendly villages model. The headquarters of NLR is in Amsterdam and with 5 country partners we are active in countries across South America, Africa and Asia. Scale up leprosy prevention alongside integrated active case detection. Health staff trained on leprosy (6,352) National programs, in particular health staff, play a crucial role in informing, advising and treating persons with leprosy, their contacts and With 12. In our project ‘ Stop the transmission of leprosy! ‘ we seek evidence for the effectiveness of a new preventive regimen ( PEP++) to combat leprosy. The app contributes to enhanced knowledge on common skin diseases and less common skin NTDs by offering an easy-to-use database of skin diseases, including Indeterminate leprosy is the disease's initial clinical stage. He went to the local health clinic where he was eventually diagnosed with leprosy. In these villages, healthcare workers and community members are sensitised to leprosy’s early symptoms to stimulate timely patient referral. Here are NLR’s top 8 highlights of 2023 (random order). [. Medication cures leprosy, but full recovery is only possible with family support. Health staff trained on leprosy (6,352) National programs, in particular health staff, play a crucial role in informing, advising and treating persons with leprosy, their contacts and With 12. Vision. He also wants to follow an integrated approach of service delivery to the leprosy affected. 9. The year 2022 truly marks the beginning of NLR’s post-COVID-19 phase. NLR is proud to present our Annual Report 2022 and Annual Accounts 2022. The current regimen a single-dose rifampicin for post-exposure prophylaxis ( SDR-PEP) of leprosy, reduces the risk of leprosy among contacts of new patients by 57%. NLR developed the SkinApp as diagnostic tool for health workers, as there is a dermatologist shortage in sub-Saharan Africa. Skin lesions Four pillars of Zero Leprosy strategy: Implement integrated, country-owned zero leprosy road maps in all endemic countries. Below you can find a selection of articles published in 2023. NLR started its operation in Nepal in 1977. By doing so, the application potentially contributes to the prevention of disabilities. After a few months with NLR, he realised that many still needs to be done to cope with challenges in the NLR aims to prevent, detect and treat leprosy.