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The answer is that the infection apparently is quite difficult to contract.
This is most commonly seen in the forearm or lower leg, and it leads to claw hand and gross deformity of the foot.
In one type of reaction, immune cells crowd into the area in an attempt to seal off the bacterium, and in these areas very few bacilli can be found.
This gives rise to a form of leprosy known as tuberculoid leprosy because of the hard nodules, or tubercles, that form in the skin.
In addition, thanks to modern therapy with a number of effective drugs, the disease is now entirely curable, and the term , denoting somebody who has had and always will have the disease, thus no longer has meaning and in fact is considered to be offensive because of the social stigma long associated with the disease.
Health care officials today do not consider a cured former leprosy patient to be any more “leprous” than a cured former cancer patient is “cancerous.”Since the early 1990s the prevalence of leprosy has decreased by 90 percent.