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February 23, 2000

Leprosy in the Eastern United States

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(8):1004-1005. doi:10.1001/jama.283.8.999

To the Editor: While leprosy is known to have been transmitted in Louisiana, Texas, Hawaii, and possibly California, it is not yet endemic in the eastern United States.1 Exogenous cases of leprosy have been found in the New York City area for some time,2 but before 1996 no secondary transmission of leprosy had been documented in this area. Since then, however, we have diagnosed 2 new cases of lepromatous leprosy in people living on the East coast, neither of whom had any obvious history of exposure to this disease.