The number of leprosy cases in Fiji has remained consistent, with the Ministry of Health reporting between four and ten cases each year. Dr. Mike Kama, the Medical Superintendent of Tamavua, has identified the maritime islands, particularly Lau and Yasawa, as leprosy hotspots. These regions have historical ties to the disease, marking their origin in Fiji’s leprosy cases.

Dr. Kama emphasized the long incubation period of leprosy, which ranges from 10 to 20 years, with some individuals diagnosed as late as 22 years after the initial transmission. This prolonged period complicates the identification and management of leprosy, as cases can remain within communities without revealing symptoms for decades. Dr. Kama pointed out the risks associated with transmission, especially to children, who may carry the infection without displaying symptoms until many years later.

To combat these challenges, the Ministry of Health is following World Health Organization guidelines for leprosy management. They have conducted historical mapping of hotspot areas, many of which have records going back over 40 years. However, the absence of complete records poses an obstacle to tracking the full extent of disease transmission. Dr. Kama noted that even with historical cases, follow-ups occur every five to ten years to conduct screenings in these identified hotspots, stressing that predicting when symptoms will manifest remains uncertain.

This approach exemplifies the dedication of Fiji’s health officials to monitoring and managing leprosy, despite challenges. With ongoing efforts to screen at-risk populations and community awareness, there is a hopeful outlook for managing and possibly reducing leprosy incidence in the future. The commitment to regular health screenings, in particular, showcases a proactive strategy in public health addressing longstanding diseases like leprosy, contributing to improved health outcomes over time.