Leprosy in sub-human primates: potential risk for transfer of M. leprae to humans

International Journal of Zoonoses
|December 1, 1983
PubMed

Insights

Human leprosy transmission from monkeys is a concern in India. Monkeys used for begging, especially those in contact with leprosy patients, pose a potential public health risk, particularly to children.

Area of Science:

  • Zoonotic diseases
  • Epidemiology
  • Primatology

Background:

  • Leprosy (caused by Mycobacterium leprae) is a chronic infectious disease.
  • Monkeys are known to be susceptible to M. leprae.
  • Human-monkey contact is common in some regions of India, particularly in urban settings where monkeys are used for begging.

Purpose of the Study:

  • To investigate the potential role of owned monkeys in the transmission of leprosy in Andhra Pradesh, India.
  • To assess the prevalence of M. leprae infection in monkeys and their contact humans.
  • To evaluate the risk posed by monkeys used for begging to public health.

Main Methods:

  • A study was conducted on 26 owned monkeys in Andhra Pradesh, India, between May and July 1982.
  • Examination of monkeys for evidence of current M. leprae infection.
  • Assessment of human prevalence rates among individuals in daily contact with these monkeys.
  • Identification of monkeys in contact with known leprosy patients.

Main Results:

  • The human prevalence rate of leprosy among those in daily contact with the studied monkeys was 98.6 per 1000.
  • None of the examined monkeys showed signs of active M. leprae infection.
  • Six monkeys were identified as having daily contact with individuals diagnosed with leprosy.
  • These six monkeys were used for begging and had frequent physical contact with numerous people, including children.

Conclusions:

  • While no direct M. leprae infection was found in the examined monkeys, their close contact with leprosy patients and the general public, especially children, highlights a potential zoonotic transmission risk.
  • Monkeys utilized for begging in areas with endemic leprosy warrant further investigation regarding their role in disease transmission.
  • Public health strategies should consider the human-monkey interface in leprosy control efforts in affected regions.

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