01249nas a2200205 4500000000100000008004100001653001400042653002000056653000800076653001200084653001400096653001900110653001100129100001100140245006600151856005100217300001200268490000700280520075600287 2014 d 10 aScreening 10 aMigrant workers 10 aMDT 10 aleprosy 10 aIndonesia 10 aCase detection 10 aBorneo 1 aNinh L 00 aLeprosy in Sarawak, Borneo: A 5 Year Review from 2008 to 2012 uhttps://leprosyreview.org/article/85/4/33-2335 a332-335 0 v85 3 aThe reduction of endemic leprosy among the Penan people is crucial to the elimination of leprosy. The Penans were a nomadic tribe of around 10,000 people in the Baram area. Leprosy is estimated to
affect 1 in 114 Penans.The Penans live in difficult terrain and active case detection via leprosy surveys are challenging due to their nomadic lifestyle, deep inside the primary rainforest. Ongoing deforestation has made the Penan wary of outsiders and driven them into areas where few healthcare workers are willing to go. Most Penans are now semi-nomadic. The 100% treatment completion rates among Penans who actually seek treatment is likely due to direct observed therapy (DOT) within Penan settlements.