Climate change, migration, and refugee as triggers risk of leprosy spread

Authors

  • Badrul Nurul Hisyam Program of Master of Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
  • Tantut Susanto Department of Community, Family & Geriatric, Faculty of Nursing, Universitas Jember, Jember, Indonesia https://orcid.org/0000-0002-9685-9869

DOI:

https://doi.org/10.20956/icon.v10i2.48535

Keywords:

climate change, leprosy, migration, refugee

Abstract

One of the challenges in controlling leprosy is the displacement of people and refugees, which has the potential to accelerate the spread of the disease to areas that were previously free of it (Hooij & Geluk, 2021). Migration, especially that triggered by conflict, climate instability causing natural disasters, or economic pressures, often triggers mass displacement of people (World Health Organization, 2016). Refugees and migrants often must live in densely populated areas with poor sanitation conditions and very limited access to health services (Feizi et al., 2023). This situation creates an ideal environment for the spread of infectious diseases such as leprosy, where close and repeated interactions between sufferers and healthy individuals can increase the risk of transmission (Mahardita et al., 2019; Susanto, 2020). Overcrowding in refugee camps and limited health facilities make early detection and treatment of leprosy difficult, allowing the disease to spread undetected (Bulstra et al., 2021).

References

Bahtiar, S., Susanto, T., & Rokhmah, D. (2020). People Affected by Leprosy Needs During Rehabilitation in Community Study of Health Care Provider Perceptions. Nurseline Journal, 5(2), 254–260. https://doi.org/10.19184/nlj.v5i2.19653

Bulstra, C. A., Blok, D. J., Alam, K., Butlin, C. R., Roy, J. C., Bowers, B., Nicholls, P., de Vlas, S. J., & Richardus, J. H. (2021). Geospatial epidemiology of leprosy in northwest Bangladesh: a 20-year retrospective observational study. Infectious Diseases of Poverty, 10(1), 1–12. https://doi.org/10.1186/s40249-021-00817-4

Donoghue, H. D., Michael Taylor, G., Marcsik, A., Molnár, E., Pálfi, G., Pap, I., Teschler-Nicola, M., Pinhasi, R., Erdal, Y. S., Velemínsky, P., Likovsky, J., Belcastro, M. G., Mariotti, V., Riga, A., Rubini, M., Zaio, P., Besra, G. S., Lee, O. Y. C., Wu, H. H. T., … Spigelman, M. (2020). A migration-driven model for the historical spread of leprosy in medieval Eastern and Central Europe. Infection, Genetics and Evolution, 31, 250–256. https://doi.org/10.1016/j.meegid.2015.02.001

Feizi, S., Awad, M., Nepal, R., Cooksley, C. M., Psaltis, A. J., Wormald, P. J., & Vreugde, S. (2023). Deferiprone-gallium-protoporphyrin (IX): A promising treatment modality against Mycobacterium abscessus. Tuberculosis, 142(July), 102390. https://doi.org/10.1016/j.tube.2023.102390

Hooij, A., & Geluk, A. (2021). In search of biomarkers for leprosy by unraveling the host immune response to Mycobacterium leprae. Immunological Reviews, 301(1), 175–192. https://doi.org/10.1111/imr.12966

Li, Y. Y., Shakya, S., Long, H., Shen, L. F., & Kuang, Y. Q. (2021). Factors Influencing Leprosy Incidence: A Comprehensive Analysis of Observations in Wenshan of China, Nepal, and Other Global Epidemic Areas. Frontiers in Public Health, 9(May), 1–11. https://doi.org/10.3389/fpubh.2021.666307

Mahardita, N. G. P., Susanto, T., Siswoyo, Wuryaningsih, E. W., & Devianthony, F. (2019). Prevalence of disability and dropout from treatment: a cross-sectional study of social stigma and motivation for healing among people affected by leprosy in the District of Jember, East Java Province, Indonesia. Indian Journal of Leprosy, 91(4), 243–256.

Murto, C., Chammartin, F., Schwarz, K., da Costa, L. M. M., Kaplan, C., & Heukelbach, J. (2020). Patterns of Migration and Risks Associated with Leprosy among Migrants in Maranhão, Brazil. PLoS Neglected Tropical Diseases, 7(9). https://doi.org/10.1371/journal.pntd.0002422

Ploemacher, T., Faber, W. R., Menke, H., Rutten, V., & Pieters, T. (2020). Reservoirs and transmission routes of leprosy: A systematic review. PLoS Neglected Tropical Diseases, 14(4), 1–27. https://doi.org/10.1371/journal.pntd.0008276

Rahmawati, H., Susanto, T., Kurdi, F., Deviantony, F., & Fauziah, W. (2023). The Correlation of Family Access to Clear Water with Diarrheal Disease Incidence in the Working Area of the Sumbersari Health Center, Jember Regency. Avicenna Journal of Environmental Health Engineering, 10(2), 103–109. https://doi.org/10.34172/ajehe.5395

Spekker, O., Tihanyi, B., Kis, L., Madai, Á., Pálfi, G., Csuvár-Andrási, R., Wicker, E., Szalontai, C., Samu, L., Koncz, I., Marcsik, A., & Molnár, E. (2023). Leprosy: The age-old companion of humans – Re-evaluation and comparative analysis of Avar-period cases with Hansen’s disease from the Danube-Tisza Interfluve, Hungary. Tuberculosis, 142(February). https://doi.org/10.1016/j.tube.2023.102393

Susanto, T. (2018). Public health nurse services for maternal-child immigrant healthcare: A literature review. Central European Journal of Nursing and Midwifery, 9(3), 873–879. https://doi.org/10.15452/CEJNM.2018.09.0018

Susanto, T. (2020). Protecting the Rights of Leprosy Affected People in Rural Community of Jember, Indonesia. Indian Journal of Leprosy, 92(2), 115–118.

Susanto, T., Dewi, E. I., & Iis, R. (2017). The Experiences of Person Affected by Leprosy Participated Self-Care Group in Community: A Qualitative Study. Leprosy Review, 88(4), 543–553. https://doi.org/0305-7518/17/064053+11

World Health Organization. (2016). Global leprosy strategy 2016–2020: Accelerating towards a leprosy-free world. World Health Organization, Regional Office for South-East Asia.

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Published

2026-02-17

How to Cite

Hisyam, B. N., & Susanto, T. (2026). Climate change, migration, and refugee as triggers risk of leprosy spread. Indonesian Contemporary Nursing Journal (ICON Journal), 10(2), 267–271. https://doi.org/10.20956/icon.v10i2.48535

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