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THE SPECIAL AMBASSADOR'S JOURNAL, 2002
Malaysia and the Philippines
In this issue, I will talk about two of the countries I visited last year. Although leprosy elimination has been achieved in both of these places, as I say time and again, elimination of the bacilli is only the first stage of the path we are walking. The next step is the elimination of the stigma that has surrounded the disease for millennia. This has the potential to be an extremely persistent problem, but in the two countries below, the governments, the medical centers and the people themselves are working hard and are fast approaching the ideal: societies in which leprosy is seen as nothing more than an easily curable skin disease; societies in which those who have contracted it are viewed in the same light as people who have broken their legs or burned their arms; societies where people affected by leprosy have a voice and place.



 In June, I visited the Sungai Buloh Hospital in Malaysia. This hospital was erected as the National Leprosy Control Centre in 1930 and today has been converted to a general hospital. The facility forms the center for a settlement of former leprosy patients. It is home to more than 200 families. There, they grow plants and vegetables of all varieties in an attempt to become as self-sufficient as possible. In this, they have succeeded admirably. The settlement is situated about 25 km from the city of Kuala Lumpur, and people flock there from the city and surrounding towns in order to buy its plants and vegetables. I was impressed by the effect that this continual exchange is having on the elimination of stigma. Reintegration has begun happening here from both sides.


Culion Island

 Then in November, I visited the Philippines, where I went to a very special place in the world of leprosy - Culion Island. The island once hosted the world's largest leprosy colony, established in 1906 under the administration of the United States. Over the years, nearly 50,000 leprosy patients were forcibly isolated on the island. Today, it is a municipality with a population of 16,000 people - former patients, medical staff and the descendants of both. The first mayor of Culion Municipality has himself overcome the challenges of leprosy - something he says is important in establishing the traditions of the community. The island has an impressive museum as well, housing a collection of valuable historical records and artifacts dating from the early days of the colony.
 While in the Philippines, I also visited the Jose Rodriguez Memorial Hansen's Disease Hospital in Tala. Jose Rodrigues has today been converted into a general hospital but I found that the staff are still very keen to aid leprosy patients and to rehabilitate those with deformities. One encouraging program that they have is a doll factory for former patients of leprosy. The dolls produced here are of the highest quality and are a very popular item in the surrounding community.


Doll-making at a leprosy hospital in the Philippines

 The last place I went in the country was the island of Cebu, where we visited the Leonard Wood Memorial Laboratory and the Eversley Childs Sanatorium. The former is known for its high standards of scientific research, and has played a major role in the development of MDT as well as in follow-up studies of its effectiveness. I was strongly impressed by the devotion of the staff.
 In both countries, leprosy has been eliminated as a public health problem. Additionally, the general health services have taken over the work on the disease. And perhaps most importantly, they are finding ways to erase the stigma that has surrounded the disease for millennia. They showed me that leprosy is truly a curable disease, both clinically and socially. They gave me inspiration to continue my work.


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