Nederlands

LEPROSY ARCHIVE
Below is a list of leprosy projects up to July 2007. An overview of recent projects can be found on our leprosy project page.

M. Leprae bacteria
January 2023
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2022-2023
The Turing Foundation has been co-financing projects related to the fight against leprosy... more
M. Leprae bacteria
January 2022
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2021-2022
The Turing Foundation has been co-financing projects related to the fight against leprosy... more
M. Leprae bacteria
January 2021
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2020-2021
The Turing Foundation has been co-financing projects related to the fight against leprosy... more
Dapsone Hypersensitivity Syndrome Biomolecular Predictive Test, Papua and Nepal
January 2021
Dapsone Hypersensitivity Syndrome Biomolecular Predictive Test, Papua and Nepal, 2019-2021
Leprosy is treated with a combination of three drugs: dapsone, rifampicin and clofazimine.... more
M. Leprae bacteria
January 2020
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2019-2020
The Turing Foundation has been co-financing projects related to the fight against leprosy... more
IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy
April 2019
IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2018-2019
The Infectious Disease Research Institute (IDRI) is... more
M. Leprae bacteria
January 2019
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2018-2019
For many years the Turing Foundation has cofinanced projects to combat leprosy with the... more
Identification of leprosy associated immune signatures that aid as early signals for determination of type I and type II reactions in leprosy, Karigiri, India, 2016-2019
January 2019
Identification of leprosy associated immune signatures that aid as early signals for determination of type I and type II reactions in leprosy, Karigiri, India, 2016-2019
Early recognition and treatment of leprosy... more
Dr. L. Adams / National Hansen's Disease Programs: Translation of Mycobacterium Leprae molecular viability assays (MVA) to the clinical setting and application of MVA to a chemoprophylaxis-of-contacts-model, 2015-2018
May 2018
Translation of Mycobacterium Leprae molecular viability assays (MVA) to the clinical setting and application of MVA to a chemoprophylaxis-of-contacts-model, 2015-2018
The recently developed molecular viability test... more
Taking blood samples for the IDEAL biobank
January 2018
INDIGO, field evaluation of novel immunodiagnostic tools for early detection of leprosy in a BCG vaccination field trial amongst contacts of leprosy patients, 2015-2018
The IDEAL consortium (Initiative for Diagnostic... more
M. Leprae bacteria
January 2018
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2017-2018
For many years the Turing Foundation has cofinanced projects to combat leprosy with the... more
Leprosy in the spleen
January 2017
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2016-2017
For many years the Turing Foundation has cofinanced projects to combat leprosy with the... more
Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states
January 2017
Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states, 2016-2017
Developing leprosy is highly dependent on the host's genetic... more
Biomarkers for early detection of leprosy using comparative transcriptomics
January 2017
Biomarkers for early detection of leprosy using comparative transcriptomics, 2016-2017
Leprosy is usually only diagnosed at a late stage. Diagnosis is based mainly on the presence... more
IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2015-2017
January 2017
IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2015-2017
The Infectious Disease Research Institute (IDRI)... more
Scanning Electron Microscopy of M. leprae
July 2016
Research on treatment of early neuropathy in leprosy 2014-2017
The TENLEP Research Consortium (Treatment of Early Neuropathy in Leprosy) is a large international association in... more
Skin infected with leprosy
April 2016
Research into macro- and micro-epidemiology of leprosy 2014-2016
The Leonard Wood Memorial Research Centre in Cebu, Philippines, is conducting research into the transmission... more
Leprosy in the spleen
January 2016
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2015-2016
For many years the Turing Foundation has co-financed projects to combat leprosy with the... more
Researching the immunopathology of leprosy
March 2015
Research on immunopathology of leprosy, 2ndphase, 2011-2015
The leprosy bacterium (M.leprae) knows a high affinity for Schwann cells, which are cells that create a... more
Mycobacterium Tuberculosis
January 2015
Research into how mycobacteria lyse the phagosomal membrane 2010-2015
The Tumor Biology Department of the Netherlands Cancer Institute (NCI) conducts fundamental research into the... more
Leprosy in the spleen
January 2015
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2014-2015
For many years the Turing Foundation has co-financed projects to combat leprosy with the... more
Taking bloodsamples for the IDEAL biobank
January 2014
IDEAL, early detection of leprosy: sample collection for biobanking and analysis of immune- and genetic host markers, 2014
The IDEAL Consortium (Initiative for Diagnostic and... more
Workers in Cambodia are being trained in recognizing and preventing leprosy (Turing Foundation en Leprastichting, 2009)
October 2013
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2012-2014
The Turing Foundation has been co-funding leprosy research projects with the Netherlands... more
Skin infected with leprosy
March 2013
Research into macro- and micro-epidemiology of leprosy 2010-2013
The Leonard Wood Memorial Research Centre in Cebu, Philippines, is conducting research into the transmission... more
Taking bloodsamples for the IDEAL biobank
January 2013
IDEAL, continuation of sample collection for biobanking and pilot testing, 2013
The IDEAL Consortium (Initiative for Diagnostics and Epidemiological Assays for Leprosy) develops... more
immune biomarkers
January 2013
Research on identification of innate and adaptive immune biomarkers 2010-2013
This LUMC (Leiden University Medical Centre) research gives more insight into certain immune... more
Workers in Cambodia are being trained in recognizing and preventing leprosy (Turing Foundation en Leprastichting, 2009)
November 2012
Contribution to the leprosy research department of Netherlands Leprosy Relief, 2012-2021
The Turing Foundation has been co-funding leprosy research projects with the Netherlands... more
IDEAL - Initiative for Diagnostic and Epidemiological Assays for Leprosy
March 2012
IDEAL sample collection for biobanking, IDEAL (Initiative for Diagnostic and Epidemiological Assays for Leprosy), 2012
The IDEAL consortium (Initiative for Diagnostic and... more
IDEAL - Initiative for Diagnostic and Epidemiological Assays for Leprosy
October 2010
Main patron IDEAL consortium (Initiative for Diagnostic and Epidemiological Assays for Leprosy) 2008-2010
This consortium of thirty Leprosy research groups will develop immunological tests in the coming years... more
Leprosy in the spleen
July 2010
Research on immunopathology of leprosy 2007-2011
The leprosy bacterium has a high affinity for Schwann cells - cells that form a protective layer around nerves... more
mycobacterium leprae
January 2010
Research on impact of preventive interventions on the transmission of M. Leprae, 2009-2010
The Erasmus University of Rotterdam and the KIT (Royal Tropical Institute) are together... more
Workers are being trained in recognizing and preventing leprosy (Cambodia 2009)
July 2009
Field Projects Leprosy Control, Cambodia 2009
The Leprosy Foundation works together with the CIOMAL organisation on Leprosy control in Cambodia. The quality of diagnostics is a... more
Leprosy Field Visit in Luang Namtha, Laos
July 2009
Field Projects Leprosy Control, Laos 2009
In Laos leprosy occurs mostly among minorities that are hard to reach. Mutilations are often severe and irreparable if the... more
Leprosy patients in the Kien Klean revalidation centre in Phnom Penh, Cambodia (Photo: Nicole Slootweg)
May 2008
Field Projects Leprosy Control, Cambodia 2008
The Leprosy Foundation works together with the CIOMAL organisation on Leprosy control in Cambodia. The quality of diagnostics is a... more
Leprosy control in Laos, 2008 (Photo Dr. Richard de Soldenhoff)
May 2008
Field Projects Leprosy Control, Laos 2008
In Laos leprosy occurs mostly among minorities that are hard to reach. Mutilations are often severe and irreparable if the... more
Leprosy Foundation, Nigeria, 2007
March 2007
Projects to cure leprosy 2007
The Dutch Leprosy Foundation invests all over the world in projects that help diagnose and cure people who suffer from leprosy... more
Milou Halbesma presents €1,000,000 to Kommer Braber, manager of the Leprosy Foundation
2006
€1.000.000 for the Dutch Leprosy Foundation, 2006-2007
The Dutch Leprosy Foundation has devoted itself for forty years to creating a world in which the permanent suffering, caused by leprosy, is no longer existent... more
Scientific Research
Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2022-2023
The Turing Foundation has been co-financing projects related to the fight against leprosy with Netherlands Leprosy Relief for years. On top of this, every year we donate 5% of the total sum of these donations directly to Netherlands Leprosy Relief as a contribution towards the overhead costs it incurs as a member of the Leprosy Research Initiative: the international partnership for financing leprosy research.

In 2022 the Turing Foundation contributed a total of € 178,320 towards various studies. This means that our contribution towards Netherlands Leprosy Relief's overhead costs in 2022 has been set at € 8,916.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

M. Leprae bacteria
M. Leprae bacteria



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2021-2022
The Turing Foundation has been co-financing projects related to the fight against leprosy with Netherlands Leprosy Relief for years. On top of this, every year we donate 5% of the total sum of these donations directly to Netherlands Leprosy Relief as a contribution towards the overhead costs it incurs as a member of the Leprosy Research Initiative: the international partnership for financing leprosy research.

In 2021 the Turing Foundation contributed a total of € 227,347 towards six studies into early diagnosis of leprosy. This means that our contribution towards Netherlands Leprosy Relief's overhead costs in 2021 has been set at € 11,367.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

M. Leprae bacteria
M. Leprae bacteria



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2020-2021
The Turing Foundation has been co-financing projects related to the fight against leprosy with Netherlands Leprosy Relief for years. On top of this, every year we donate 5% of the total sum of these donations directly to Netherlands Leprosy Relief as a contribution towards the overhead costs it incurs as a member of the Leprosy Research Initiative: the international partnership for financing leprosy research.

In 2020 the Turing Foundation contributed a total of € 209,472 towards six studies into early diagnosis of leprosy. This means that our contribution towards Netherlands Leprosy Relief's overhead costs in 2020 has been set at € 10,474.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

M. Leprae bacteria
M. Leprae bacteria



Universitas Gadjah MadaLeprosy Research Initiative Dapsone Hypersensitivity Syndrome Biomolecular Predictive Test, Papua and Nepal, 2019-2021
Leprosy is treated with a combination of three drugs: dapsone, rifampicin and clofazimine. People with dapsone allergy develop what is called dapsone hypersensitivity syndrome (DHS). DHS is associated with skin disorders and organ failure, leading to the death of about 10% of DHS patients. The highest prevalence is found in east Asia. Earlier studies found a genetic mutation associated with a greatly increased risk of DHS. This study is investigating the use of a screening test which can determine whether someone has this genetic mutation. Leprosy patients who test positive will not be given dapsone, which will reduce the number of DHS cases.

The Turing Foundation is contributing € 76,661 towards this project by the Microbiology Department, Institute of Health Research and Development, Papua (of which € 24,000 in 2021). The Leprosy Research Initiative is contributing an equal sum.

See also:
      Leprosy Research Initiative: other projects
      Other projects in Netherlands
      Other projects in Papua
      Other projects in Nepal

Dapsone Hypersensitivity Syndrome Biomolecular Predictive Test, Papua and Nepal
Dapsone Hypersensitivity Syndrome Biomolecular Predictive Test, Papua and Nepal



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2019-2020
The Turing Foundation has been co-financing projects related to the fight against leprosy with Netherlands Leprosy Relief for years. On top of this, every year we donate 5% of the total sum of these donations directly to Netherlands Leprosy Relief as a contribution towards the overhead costs it incurs as a member of the Leprosy Research Initiative: the international partnership for financing leprosy research.

In 2019 the Turing Foundation contributed a total of € 215,235 towards six studies into early diagnosis of leprosy. This means that our contribution towards Netherlands Leprosy Relief's overhead costs in 2019 has been set at € 10,762.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

M. Leprae bacteria
M. Leprae bacteria



Infectious Disease Research InstituteLeprosy Research Initiative IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2018-2019
The Infectious Disease Research Institute (IDRI) is doing research on the island of Cebu in the Philippines into the effectiveness of two new leprosy tests. The project aims to detect leprosy at an early stage in leprosy patients' contacts and to better monitor the progression of the disease in leprosy patients being treated. In the earlier phase of the study, blood was collected from leprosy patients and their contacts using a finger prick. This group is being followed and screened for a period of 4 years. The Turing Foundation already contributed €140,000 towards the earlier phase of this research and is contributing €55,988 towards the final phase (2018-2019).

See also:
      Infectious Disease Research Institute: other projects
      Leprosy Research Initiative: other projects
      Other projects in Netherlands
      Other projects in Philippines

IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy
IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2018-2019
For many years the Turing Foundation has cofinanced projects to combat leprosy with the Netherlands Leprosy Relief . In 2018 alone the Turing Foundation contributed €356.961 towards projects like IDRI (Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy), Erasmus/LUMC (INDIGO field evaluation of novel immunodiagnostic tools for early detection of leprosy), NHDP (Translation of M Leprae molecular viability assays to the clinical setting, and application to a chemoprophylaxis-of-contacts-model), LSHTM (Randomised controlled trials of methotrexate in Erythema Nodosum Leprosum), and SIHR (Identification of leprosy associated immune signatures as early signals for leprosy reactions),

For this reason, the Turing Foundation donates €17.848 in 2018 directly to Netherlands Leprosy Relief to cover its scientific research overheads.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

M. Leprae bacteria
M. Leprae bacteria



Schieffelin Institute of HealthLeprastichting Identification of leprosy associated immune signatures that aid as early signals for determination of type I and type II reactions in leprosy, Karigiri, India, 2016-2019
Early recognition and treatment of leprosy reactions helps prevent nerve damage and disfigurement. The Schieffelin Institute of Health (SIHR) is developing a laboratory test for early diagnosis of type I and type II leprosy reactions. Genetic material from blood and skin biopsies from leprosy patients are used to determine which genes differ in function between patients with and without leprosy reactions, and also which gene expression patterns possibly play a role in eliciting leprosy reactions in the skin, and the nervous system. These genes and associated proteins they encode are being used to develop the laboratory test. In addition, the level of cytokines, chemokines, growth factors and antimicrobial peptides in the blood are estimated, and research is being conducted in order to see whether diagnostic conclusions can be drawn.

The Turing Foundation is contributing €73,838 towards this research.

See also:
      Leprastichting: other projects
      Other projects in India

Identification of leprosy associated immune signatures that aid as early signals for determination of type I and type II reactions in leprosy, Karigiri, India, 2016-2019
Identification of leprosy associated immune signatures that aid as early signals for determination of type I and type II reactions in leprosy, Karigiri, India, 2016-2019



National Hansen's Disease ProgramsLeprosy Research InitiativeLSU Translation of Mycobacterium Leprae molecular viability assays (MVA) to the clinical setting and application of MVA to a chemoprophylaxis-of-contacts-model, 2015-2018
The recently developed molecular viability test has proved to be able to quickly and accurately determine the viability of the leprosy bacterium in laboratory animal tissue. This research, led by Dr. L. Adams (LSU) as part of the National Hansen's Disease Programs, is using animal models to define the test's technical limitations. This is being used to develop a standardised protocol and reporting form, and research is being conducted into new preventive treatments, the ultimate goal of which is making the test usable for clinics.

The Turing Foundation contributes €159,000 towards this project. The Leprosy Research Initiative (LRI) is contributing the same amount.

See also:
      National Hansen's Disease Programs: other projects
      Leprosy Research Initiative: other projects
      Other projects in Netherlands

Dr. L. Adams / National Hansen's Disease Programs: Translation of Mycobacterium Leprae molecular viability assays (MVA) to the clinical setting and application of MVA to a chemoprophylaxis-of-contacts-model, 2015-2018
Dr. L. Adams / National Hansen's Disease Programs: Translation of Mycobacterium Leprae molecular viability assays (MVA) to the clinical setting and application of MVA to a chemoprophylaxis-of-contacts-model, 2015-2018



IDEALLUMCErasmus Universiteit Rotterdam INDIGO, field evaluation of novel immunodiagnostic tools for early detection of leprosy in a BCG vaccination field trial amongst contacts of leprosy patients, 2015-2018
The IDEAL consortium (Initiative for Diagnostic and Epidemiological Assays for Leprosy) is developing a new generation of tests to detect leprosy infections at an early stage. Since 2013 IDEAL has been collecting blood samples from leprosy patients and their domestic contacts in a 'biobank' for analysis of infection and transmission of the leprosy bacterium. The goal of the project is to investigate a total of over 6,000 individual blood samples, and to use this to establish a 'biomarker profile' with which an effective diagnostic test can be developed.

The Turing Foundation has contributed approximately €950,000 to the IDEAL consortium's research in recent years, and will contribute more than €747,000 in the period 2015-2018 (of which €187,000 in 2018).

See also:
      IDEAL: other projects
      LUMC: other projects
      Erasmus Universiteit Rotterdam: other projects

Taking blood samples for the IDEAL biobank
Taking blood samples for the IDEAL biobank



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2017-2018
For many years the Turing Foundation has cofinanced projects to combat leprosy with the Netherlands Leprosy Relief . In 2017 alone the Turing Foundation contributed in excess of €449.404 towards projects like TENLEP (Research on treatment of early neuropathy in leprosy), Erasmus/LUMC (INDIGO field evaluation of novel immunodiagnostic tools for early detection of leprosy), NHDP (Translation of M. Leprae molecular viability assays to the clinical setting, and application to a chemoprophylaxis-of-contacts-model), LSHTM (Randomised controlled trials of methotrexate in Erythema Nodosum Leprosum), SIHR (Identification of leprosy associated immune signatures as early signals for leprosy reactions), PUCPR (Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states), NHDP (Biomarkers for early detection of leprosy using comparative transcriptomics), IDRI (Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy), and the Leonard Wood Memorial Research Center (Research into macro- and micro-epidemiology of leprosy).

For this reason, the Turing Foundation donated €22,470 in 2017 directly to Netherlands Leprosy Relief to cover its scientific research overheads.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

M. Leprae bacteria
M. Leprae bacteria



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2016-2017
For many years the Turing Foundation has cofinanced projects to combat leprosy with the Netherlands Leprosy Relief . In 2016 alone the Turing Foundation contributed in excess of €436,989 towards projects like TENLEP (Research on treatment of early neuropathy in leprosy), Erasmus/LUMC (INDIGO field evaluation of novel immunodiagnostic tools for early detection of leprosy), NHDP (Translation of M. Leprae molecular viability assays to the clinical setting, and application to a chemoprophylaxis-of-contacts-model), LSHTM (Randomised controlled trials of methotrexate in Erythema Nodosum Leprosum), SIHR (Identification of leprosy associated immune signatures as early signals for leprosy reactions), PUCPR (Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states), NHDP (Biomarkers for early detection of leprosy using comparative transcriptomics), IDRI (Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy), and the Leonard Wood Memorial Research Center (Research into macro- and micro-epidemiology of leprosy).

For this reason, the Turing Foundation donated €21,849 in 2016 directly to Netherlands Leprosy Relief to cover its scientific research overheads.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

Leprosy in the spleen
Leprosy in the spleen



PUCPR Brazil Pontifícia Universidade Católica do ParanaLeprastichting Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states, 2016-2017
Developing leprosy is highly dependent on the host's genetic risk factors. Molecular studies have been conducted to determine the genetic characteristics of leprosy patients. A number of candidate genes which are associated with susceptibility to leprosy and the development of leprosy reactions have successfully been identified. However, none of these studies have demonstrated which genes cause susceptibility to leprosy, nor which cause leprosy reactions.

The Turing Foundation is contributing €21,334 towards this PUCPR project, which will map the six genes consistently associated with sensitivity with leprosy and leprosy reactions. They expect to describe rare and/or new varieties, providing more insight into leprosy susceptibility. In addition, the effect of these variants on the early detection of leprosy patients will be analysed.

See also:
      Leprastichting: other projects
      Other projects in Brazil

Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states
Comparative sequencing analysis of genes associated with susceptibility to leprosy and its reactive states



National Hansen's Disease ProgramsLeprastichting Biomarkers for early detection of leprosy using comparative transcriptomics, 2016-2017
Leprosy is usually only diagnosed at a late stage. Diagnosis is based mainly on the presence of clinical symptoms (loss of sensation from nerve damage) and detection of the bacterium in a skin scrape or skin biopsy.

Leprosy has virulence factors which - in combination with other molecules (called Pathogen Associated Molecular Patterns or PAMPs) - elicit a characteristic gene expression pattern - known as a transcriptional profile. This profile determines the outcome of the infection in different hosts: sickness or removal of the bacteria.

To find out why some people are resistant to M. leprae whilst others develop the disease, the NHDP (National Hansen's Disease Programs) is conducting research on armadillos, which react similarly to M. leprae as humans. Transcriptional profiles are compared at various times after infection to identify genes differing between resistant and susceptible hosts. In this way identification of characteristic genetic signatures will probably be able to predict these animals' reaction to the M. leprae. This offers great potential for early leprosy diagnosis in humans.

The Turing Foundation is contributing €55,000 to this project (of which, €30,000 in 2017).

See also:
      National Hansen's Disease Programs: other projects
      Leprastichting: other projects
      Other projects in Netherlands

Biomarkers for early detection of leprosy using comparative transcriptomics
Biomarkers for early detection of leprosy using comparative transcriptomics



Infectious Disease Research InstituteLeprosy Research Initiative IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2015-2017
The Infectious Disease Research Institute (IDRI) does research into improving the early diagnosis of leprosy patients in Cebu City in the Philippines. An easily usable test was recently developed which can detect leprosy in blood and/or serum, enabling patients to be diagnosed more quickly. Blood samples from these patients are examined and used together with the results of the clinical trials as a benchmark for the diagnosis and treatment process.

The Turing Foundation is contributing €140,000 in the period 2015 - 2017 to this project (of which, €51,000 in 2017). The Leprosy Research Initiative (LRI) is contributing the same amount.

See also:
      Infectious Disease Research Institute: other projects
      Leprosy Research Initiative: other projects
      Other projects in Netherlands
      Other projects in Philippines

IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2015-2017
IDRI: Integration of rapid diagnostic tests to facilitate earlier diagnosis and simplified case management of Leprosy, 2015-2017



TENLEP research consortium Research on treatment of early neuropathy in leprosy 2014-2017
The TENLEP Research Consortium (Treatment of Early Neuropathy in Leprosy) is a large international association in which 14 researchers from renowned research institutes all over the world work together, combining their expertise in the field of leprosy-related inflammation of the nerves.

TENLEP Trial is a large-scale research project focussing on nerve damage caused by leprosy. Its central research questions are: 1. To what extent can treatment of sub-clinical nerve damage reduce the number of patients with permanent nerve function impairments?
2. What is the most effective treatment for patients who have a clinical nerve function impairments?
A random double blind research method was designed to find the answers to these questions, including two integrated trials. In these trials, a corticosteroid treatment of sub-clinical nerve damage will be tested (during sixteen weeks and six months). Dependent on the type of nerve damage, patients will participate in one of the two trials. Subsequently, all patients will be categorized randomly into a group getting treatment and a group receiving a placebo. The effect of the leprosy treatment will be measured within 6, 12, and 18 months after it has started. Various advanced electronic devices, measuring factors such as nerve conductivity and sense of temperature, will be used to monitor the effect of treatment as meticulously as possible. Apart from that, the measuring will be done by means of an activity scale. A comparison between the results of the groups getting either treatment or a placebo must make clear which type of treatment reduces the risk of permanent nerve damage as much as possible. The research will be conducted in the Netherlands, England and the largest leprosy endemic countries (Indonesia, India, the Philippines, Bangladesh, Brasil and Ethiopia).

The Turing Foundation contributes € 742,847 to this research project (approx. 50% of the total research budget).

See also:
      Other projects in Indonesia
      Other projects in India
      Other projects in Bangladesh
      Other projects in Philippines
      Other projects in Brazil
      Other projects in Ethiopia

Scanning Electron Microscopy of M. leprae
Scanning Electron Microscopy of M. leprae



Leonard Wood Memorial Research CenterLeprastichting Research into macro- and micro-epidemiology of leprosy 2014-2016
The Leonard Wood Memorial Research Centre in Cebu, Philippines, is conducting research into the transmission patterns of leprosy. In many areas, the transfer of leprosy seems to continue despite years of successful MDT (Multi-Drug Treatment) for lepers. The study's hypothesis is that effective leprosy control can be developed only with a better understanding of the transmission patterns within communities, and the identification of people with an increased risk of developing leprosy. Only then, interventions like chemoprofylaxe and/or immunoprofylaxe can be distributed properly and be cost-effective.

Main goal of the research is to map all known cases of leprosy in Cebu in both space and time, and add all new cases of leprosy to the database (macro-epidemiology). Then, the database should be expanded with the M.leprae strain typing within the clusters of the new cases (micro-epidemiology) to reach a better understanding of the disease's transmission patterns, its risk factors and the virulence patterns of the M.leprae strains. The detailed mapping of cases of leprosy combined with the strain typing that should enable the identification of transmission patterns within a properly demarcated area has never before been attempted.

De Turing Foundation contributed € 118.500 to the previous phase of this long-range study and will contribute another € 132,000 in the coming years (€ 45,000 of which will be donated in 2016).

See also:
      Leonard Wood Memorial Research Center: other projects
      Leprastichting: other projects
      Other projects in Philippines

Skin infected with leprosy
Skin infected with leprosy



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2015-2016
For many years the Turing Foundation has co-financed projects to combat leprosy with the Netherlands Leprosy Relief. In 2015 alone, the Turing Foundation contributed over €463.751 to projects like TENLEP, LUMC immunopathology, the Dutch Cancer Institute, and the Leonard Wood Memorial Research Center.

For this reason the Turing Foundation donated €23.118 directly to the Netherlands Leprosy Relief to cover its scientific research overheads over the past year.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

Leprosy in the spleen
Leprosy in the spleen



LUMCLeprastichting Research on immunopathology of leprosy, 2ndphase, 2011-2015
The leprosy bacterium (M.leprae) knows a high affinity for Schwann cells, which are cells that create a protective layer around peripheral nerves. A team of the Leiden University Medical Centre is researching the processes that may lead to the damaging of Schwann cells and nerves, and the lifelong handicaps that result from that damage.

For some time now, an effective treatment of the leprosy bacterium has been available, consisting of an antibiotics cocktail. Unfortunately, for some people the treatment is accompanied with severe immune responses that cause irreparable nerve damage anyway. It is thought that sometimes, a leprosy bacterium in a Schwann cell is destroyed, after which the Schwann cell could be damaged or even killed by immune cells (T cells) because they respond to the leprosy bacterium's tiny residue (peptides). It could be one of the mechanisms that are involved in causing of nerve damage due to leprosy. Based on models from previous research involving mice, LUMC researchers think that certain T-cell types are an important link in the process, yet are uncertain about its exact nature and functioning.

Now, new research will be conducted to determine which immune cells (and which products they produce, such as signal molecules and cytokines) play a part in the damaging of Schwann cells and nerves with lepers. Researchers think a dysregulation of immune responses to the M.leprae bacterium is responsible for the uncontrolled inflammatory and defensive responses that are characteristic for leprosy. They also predict the unravelling of the mechanisms involved will lead to the identification and development of new methods to treat or even prevent responses in leprosy. Another thing that is very important for the identification of biomarkers for an early diagnosis or prediction of responses in leprosy, as well as for the development of new treatments and improvement of the prevention of responses in leprosy, is a better understanding of the mechanisms of the nerve damage that is so common with responses in leprosy, and the immune cells and substances responsible for it.

The study is aimed at understanding these immunopathological mechanisms, in the hope its results can be used in the development of new strategies for the prediction, detection, and prevention of nerve damage in leprosy.

Until 2015, the Turing Foundation will contribute € 150,000 to this study; € 37,500 is donated in 2015. Previously, the Turing Foundation contributed € 337,500 to phase I of this research.

See also:
      LUMC: other projects
      Leprastichting: other projects
      Other projects in Netherlands

Researching the immunopathology of leprosy
Researching the immunopathology of leprosy



Nederlands Kanker InstituutLeprastichting Research into how mycobacteria lyse the phagosomal membrane 2010-2015
The Tumor Biology Department of the Netherlands Cancer Institute (NCI) conducts fundamental research into the BCG vaccine. The vaccine is used to prevent tuberculosis, but also contributes to prevention of leprosy.

Previous research of NCI showed an important difference between pathogenic and non-pathogenic bacteria. The difference lies in their location within the host cell. Pathogenic strains such as M.leprae, as well as other mycobacteria, live freely within the cell and can meet proteins that are able to hold antigens (small parts of the bacterium) and present these to the immune system. The strain currently used to prevent mycobacterial infections (vaccine strain BCG) is non-pathogenic. This strain resides in a compartment of the cell that wraps the bacterium in a film (membrane). Researchers want to improve the vaccine by using these characteristics, but to do this it is vital to understand what factors of both the bacterium and the host are involved in the process.

The Turing Foundation contributes € 260,000 to this long-range study (€ 56,000 of which in 2015).

See also:
      Leprastichting: other projects
      Other projects in Netherlands

Mycobacterium Tuberculosis
Mycobacterium Tuberculosis



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2014-2015
For many years the Turing Foundation has co-financed projects to combat leprosy with the Netherlands Leprosy Relief. In 2014 alone, the Turing Foundation contributed over €350,000 to projects like TENLEP, LUMC immunopathology, the Dutch Cancer Institute, and the Leonard Wood Memorial Research Center.

For this reason the Turing Foundation donated €17,614 directly to the Netherlands Leprosy Relief to cover its scientific research overheads over the past year.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

Leprosy in the spleen
Leprosy in the spleen



IDEALLUMCErasmus Universiteit Rotterdam IDEAL, early detection of leprosy: sample collection for biobanking and analysis of immune- and genetic host markers, 2014
The IDEAL Consortium (Initiative for Diagnostic and Epidemiological Assays for Leprosy) is developing a new generation of tests to diagnose leprosy in an early stage. Since 2013, IDEAL has been collecting blood samples of leprosy patients and their household contacts in a biobank meant for future analysis of contamination, and transmission of the leprosy bacterium. In 2013, immunodiagnostics that were developed in an earlier phase of the IDEAL study have been developed further in the field. In 2014, apart from expanding the biobank, they will start on the analysis of the blood samples.

Over the past years, the Turing Foundation has already donated € 800,000 to the IDEAL study. In 2014, the foundation will contribute another € 155,000.

See also:
      IDEAL: other projects
      LUMC: other projects
      Erasmus Universiteit Rotterdam: other projects

Taking bloodsamples for the IDEAL biobank
Taking bloodsamples for the IDEAL biobank



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2012-2014
The Turing Foundation has been co-funding leprosy research projects with the Netherlands Leprosy Relief for many years. Just this year, the Turing Foundation contributed about € 450.000 to such projects, matched euro-for-euro by the NLR. To judge the applications, we gratefully use the expertise of the CWO (the scientific advisory committee of the Netherlands Leprosy Relief).

The Turing Foundation has decided to donate € 40.000 to Netherlands Leprosy Relief itself, to help fund their overhead related to scientific research. Furthermore, the Turing will mark-up any future research projects shared with Netherlands Leprosy Relief by 5%.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

Workers in Cambodia are being trained in recognizing and preventing leprosy (Turing Foundation en Leprastichting, 2009)
Workers in Cambodia are being trained in recognizing and preventing leprosy (Turing Foundation en Leprastichting, 2009)



Leonard Wood Memorial Research CenterLeprastichting Research into macro- and micro-epidemiology of leprosy 2010-2013
The Leonard Wood Memorial Research Centre in Cebu, Philippines, is conducting research into the transmission patterns of leprosy. In many areas, the transfer of leprosy seems to continue despite years of successful MDT (Multi-Drug Treatment) for lepers. The study's hypothesis is that effective leprosy control can be developed only with a better understanding of the transmission patterns within communities, and the identification of people with an increased risk of developing leprosy. Only then, interventions like chemoprofylaxe and/or immunoprofylaxe can be distributed properly and be cost-effective.

Main goal of the research is to map all known cases of leprosy in Cebu in both space and time, and add all new cases of leprosy to the database (macro-epidemiology). Then, the database should be expanded with the M.leprae strain typing within the clusters of the new cases (micro-epidemiology) to reach a better understanding of the disease's transmission patterns, its risk factors and the virulence patterns of the M.leprae strains. The detailed mapping of cases of leprosy combined with the strain typing that should enable the identification of transmission patterns within a properly demarcated area has never before been attempted.

The Turing Foundation will contribute € 118,500 to this long-range study (€ 43,000 of which will be donated in 2012).

See also:
      Leonard Wood Memorial Research Center: other projects
      Leprastichting: other projects
      Other projects in Philippines

Skin infected with leprosy
Skin infected with leprosy



IDEALLUMCErasmus Universiteit Rotterdam IDEAL, continuation of sample collection for biobanking and pilot testing, 2013
The IDEAL Consortium (Initiative for Diagnostics and Epidemiological Assays for Leprosy) develops immunological tests to detect leprosy infections at an early stage. In 2012, IDEAL has set up a biobank by collecting and storing samples, meant for future analysis of infection and transmission of the leprosy bacterium, and it has developed Diagnostic tests as well as tests for molecular epidemiology. In 2013, these tests will be developed further in the field, paving the way for an important next step in the research program that should lead to an effective preventive treatment of leprosy patients.

In 2012, the Turing Foundation will be contributing € 69,128 to the project. In the past, the Turing Foundation already contributed € 644,000 + € 90,000 to the IDEAL research project.

See also:
      IDEAL: other projects
      LUMC: other projects
      Erasmus Universiteit Rotterdam: other projects

Taking bloodsamples for the IDEAL biobank
Taking bloodsamples for the IDEAL biobank



LUMC Research on identification of innate and adaptive immune biomarkers 2010-2013
This LUMC (Leiden University Medical Centre) research gives more insight into certain immune pathological mechanisms. These new insights will shed light on the immunopathogenesis of leprosy and the leprosy reactions that lead to nerve damage. In such way strategies can be developed for the prevention and detection of nerve damage caused by leprosy.

Techniques for detecting and diagnosing leprosy in an early stage are of great importance for the prevention of nerve damage. To enable the early diagnoses and prediction of certain reactions, the LUMC research aims to gain more insight into the role different cell types - such as macrophages and T-cells (which have many different sub sets) and the signal substance they produce (such as cytokines)- play in the development of nerve damage in case of leprosy and leprosy reactions.

The LUMC research team is able to isolate and generate various types of these (new) human cellular sub sets, making it possible to study the processes that can lead to nerve damage elaborately. LUMC's theory is that the activation of certain cell types, such as the T-cells that play a role in inflammation diseases (so-called th17 cells) is a main element in this process. Too little is now known about the exact nature and working of these mechanisms, cell types and factors in the human body.

The Turing Foundation contributes a sum of € 260,000, which covers 50% of the research costs. The project runs until 2013. In 2013, the contribution is € 66.545;

See also:
      LUMC: other projects
      Other projects in Netherlands

immune biomarkers
immune biomarkers



Leprastichting Contribution to the leprosy research department of Netherlands Leprosy Relief, 2012-2021
The Turing Foundation has been co-funding leprosy research projects with the Netherlands Leprosy Relief for many years. Just this year, the Turing Foundation contributed about € 450.000 to such projects, matched euro-for-euro by the NLR. To judge the applications, we gratefully use the expertise of the CWO (the scientific advisory committee of the Netherlands Leprosy Relief).

The Turing Foundation has decided to donate € 40.000 to Netherlands Leprosy Relief itself, to help fund their overhead related to scientific research. Furthermore, the Turing will mark-up any future research projects shared with Netherlands Leprosy Relief by 5%.

See also:
      Leprastichting: other projects
      Other projects in Netherlands

Workers in Cambodia are being trained in recognizing and preventing leprosy (Turing Foundation en Leprastichting, 2009)
Workers in Cambodia are being trained in recognizing and preventing leprosy (Turing Foundation en Leprastichting, 2009)



IDEAL IDEAL sample collection for biobanking, IDEAL (Initiative for Diagnostic and Epidemiological Assays for Leprosy), 2012
The IDEAL consortium (Initiative for Diagnostic and Epidemiological Assays for Leprosy) consists of all authoritative leprosy research groups in the world and is developing immunological tests in order to be able to diagnose leprosy infections at an early stage. The consortium is also working on molecular tests to gain a better insight into the transmission of leprosy bacteria. Eventually, the initiative wants to create tests that enable the detection and treatment of leprosy even before it has manifested itself. In 2012, IDEAL wants to collect and store samples to set up a biobank for the future analysis of biomarker profiles for the pathogen and protective immune response on M. leprae. In 2012, the Turing Foundation will contribute € 90,000 to the project. Previously, the Turing Foundation already donated € 644,000 to IDEAL's research.

See also: IDEAL: other projects

IDEAL - Initiative for Diagnostic and Epidemiological Assays for Leprosy
IDEAL - Initiative for Diagnostic and Epidemiological Assays for Leprosy



IDEALKoninklijk Instutuut voor de Tropen Main patron IDEAL consortium (Initiative for Diagnostic and Epidemiological Assays for Leprosy) 2008-2010
The IDEAL consortium (Initiative for Diagnostic and Epidemiological Assays for Leprosy) consists of thirty Leprosy research groups, half of which is established in countries where leprosy still occurs. All research groups have a background in laboratory research and/or research involving patients in the field. All major research groups in the world engaged in this branch of leprosy research are members of IDEAL.

The IDEAL consortium is oriented towards the development of immunological tests that can detect leprosy infections in an early stage. Apart from that, molecular tests are developed for gaining a better insight into the transmission of the leprosy bacterium. The ultimate goal is to find tests that can help prevent leprosy infections by the very early (before the illness has even manifested itself) diagnosis and treatment of leprosy.

The partners discuss the results of experiments, exchange experiences and information, provide materials and protocols from individual research projects and perform experiments after mutual consultation and in accordance with a testing format agreed upon. This streamlines and accelerates the research process, and yields quicker results for leprosy elimination.

Since the end of 2005, IDEAL has selected several candidates for both early diagnostics and transmission studies. A test will be developed between 2008 and 2010 that can critically identify leprosy infections in blood, and efforts will be made to enable the further identification of genetic markers on the leprosy bacterium. The markers can be used in transmission studies.

After 2010, IDEAL aims to start a large-scale research project on leprosy prevention through (tailor-made) prophylactic treatment of leper contacts.

The Turing Foundation contributes € 131,000 to this project in 2010. In total, the Turing Foundation contributes € 644,000 in the coming years (approx. 60% of the total project cost) towards the development of the above-mentioned tests.

See also:
      Miljoen euro aan lepraonderzoek (Filanthropium)
      IDEAL: other projects
      Koninklijk Instutuut voor de Tropen: other projects

IDEAL - Initiative for Diagnostic and Epidemiological Assays for Leprosy
IDEAL - Initiative for Diagnostic and Epidemiological Assays for Leprosy



LUMCLeprastichting Research on immunopathology of leprosy 2007-2011
Leprosy is a contagious disease, caused by infection with a bacterium. This bacterium has a great affinity for, amongst others, Schwann cells - cells that form a protective layer around peripheral nerves. A team of the Leiden University Medical Centre conducts scientific research in order to gain a deeper insight into the processes that can lead to damages to Schwann cells and nerves - and to the related lifetime handicaps.

For some time now, an effective antibiotics cocktail treatment of the infection is possible. Some patients however show strong immune reactions to this treatment, which then still lead to irreparable nerve damages.

It is assumed that a leprosy bacterium within a Schwann cell is sometimes destroyed, and that small fragments (peptides) of this bacterium are presented by the Schwann cell to T-cells (defence cells). In certain circumstances, these T-lymphocytes can damage or even kill the Schwann cell. It is possible that this is one of the mechanisms involved in causing nerve damages as a result of leprosy. The LUMC-researchers think - on the basis of models originating from research on mice - that certain types of T-cells are important links in the process, but their exact nature and operations are as yet insufficiently known. The research focuses on thrashing out these immuno-pathological mechanisms, in hopes that the results can be used to develop new strategies for forecasting, tracing and preventing nerve damages as a result of leprosy.

The Turing Foundation contributes € 337,500 to this research, of which 75.000 in 2010.

See also:
      Meer geld voor lepra onderzoek (Leprastichting)
      Turing Foundation financiert lepra-onderzoek in Leiden
      LUMC: other projects
      Leprastichting: other projects
      Other projects in Netherlands

Leprosy in the spleen
Leprosy in the spleen



Erasmus Universiteit RotterdamKoninklijk Instutuut voor de Tropen Research on impact of preventive interventions on the transmission of M. Leprae, 2009-2010
The Erasmus University of Rotterdam and the KIT (Royal Tropical Institute) are together doing research into the transmission of the leprosy bacteria and the effects of prophylactic treatments.

Prophylactic treatment means that antibiotics are administered to people who do not (yet) suffer from leprosy. This can be compared to the prevention of malaria in travellers by prescribing medicine. In 2001, a research project started into the effects of prophylactic treatment of leprosy contacts on leprosy prevention. It is conducted in North Western Bangladesh. In the past six years all new leprosy cases, whether in- our outside the patient contact group, have been traced. It has been examined whether rifampicin leprosy occurred among the contact group. This appeared to be the case and even more so if the prophylactic treatment was combined with a BCG vaccine - which is today a standard vaccination for most children in the first year of their lives. During the current one year project, the research team aims, on the basis of information already available, to answer several questions related to the transmission of the leprosy bacteria and the success of prophylactic treatment.

The Turing Foundation pays 50% (€ 40,000) of the research costs of this project, which will take one year.

See also:
      Turing Foundation schenkt € 1,1 miljoen aan nieuw lepraonderzoek
      Erasmus Universiteit Rotterdam: other projects
      Koninklijk Instutuut voor de Tropen: other projects
      Other projects in Bangladesh

mycobacterium leprae
mycobacterium leprae



Recovery Programs for Leprosy Patients
CIOMALLeprastichting Field Projects Leprosy Control, Cambodia 2009
The Leprosy Foundation works together with the CIOMAL organisation on Leprosy control in Cambodia. There the Leprosy Foundation focuses primarily on improving the quality of diagnostics, treatment, technical supervision and program management.

In 2009 the Turing Foundation again contributes € 50,000 to the field programs of the Leprosy Foundation in Cambodia.

See also:
      CIOMAL: other projects
      Leprastichting: other projects
      Other projects in Cambodia

Workers are being trained in recognizing and preventing leprosy (Cambodia 2009)
Workers are being trained in recognizing and preventing leprosy (Cambodia 2009)



Leprastichting Field Projects Leprosy Control, Laos 2009
In the Lao People's Democratic Republic leprosy mainly occurs among minorities that are often hard to reach. Contamination is usually discovered only in a late stage, when mutilations are already severe and irreparable. One of the things the Leprosy Foundation devotes itself to in Laos is better registration and medical guidance of leprosy patients, examination of people whom leprosy patients have been in contact with, and trainings and courses for local health workers.

Update 2010: In 2009 the Turing Foundation again contributed € 50,000 to the field programs of the Leprosy Foundation in Laos. Because of local irregularities, the Leprosy Foundation has had to put the project on hold and has returned the donation.

See also: Leprastichting: other projects

Leprosy Field Visit in Luang Namtha, Laos
Leprosy Field Visit in Luang Namtha, Laos



CIOMALLeprastichting Field Projects Leprosy Control, Cambodia 2008
The Leprosy Foundation works together with the CIOMAL organisation on Leprosy control in Cambodia. There the Leprosy Foundation focuses primarily on improving the quality of diagnostics, treatment, technical supervision and program management.

In 2008 the Turing Foundation contributes € 50,000 to the field programs of the Leprosy Foundation in Cambodia.

See also:
      CIOMAL: other projects
      Leprastichting: other projects
      Other projects in Cambodia

Leprosy patients in the Kien Klean revalidation centre in Phnom Penh, Cambodia (Photo: Nicole Slootweg)
Leprosy patients in the Kien Klean revalidation centre in Phnom Penh, Cambodia (Photo: Nicole Slootweg)



Leprastichting Field Projects Leprosy Control, Laos 2008
In the Lao People's Democratic Republic leprosy mainly occurs among minorities that are often hard to reach. Contamination is usually discovered only in a late stage, when mutilations are already severe and irreparable. One of the things the Leprosy Foundation devotes itself to in Laos is better registration and medical guidance of leprosy patients, examination of people whom leprosy patients have been in contact with, and trainings and courses for local health workers.

In 2008 the Turing Foundation contributes € 50,000 to the activities of the Leprosy Foundation in Laos.

See also: Leprastichting: other projects

Leprosy control in Laos, 2008 (Photo Dr. Richard de Soldenhoff)
Leprosy control in Laos, 2008 (Photo Dr. Richard de Soldenhoff)



Leprastichting Projects to cure leprosy 2007
The Dutch Leprosy Foundation invests all over the world in projects that help diagnose and cure people who suffer from leprosy: Angola, Bolivia, Brazil, Cambodia, the Carribian, China, Ethiopia, Gambia, India, Indonesia, Laos, Madagascar, Myanmar, Nepal, Nigeria, Surinam, Thailand, Vietnam and Zambia.

In 2007 the Turing Foundation contributes € 100.000,- in supports of these projects.

See also: Leprastichting: other projects

Leprosy Foundation, Nigeria, 2007
Leprosy Foundation, Nigeria, 2007



Leprastichting €1.000.000 for the Dutch Leprosy Foundation, 2006-2007
The Dutch Leprosy Foundation has devoted itself for forty years to creating a world in which the permanent suffering, caused by leprosy, is no longer existent and is finally eradicated.

The Turing Foundation recognizes the dedication and the expertise of the Leprosy Foundation and saw such like-mindedness in their objectives that it decided to donate € 1.000.000,-.

See also:
      Geelen schenkt 1 miljoen aan Leprastichting (Filanthropium)
      Donatie van € 1.000.000,- voor de Leprastichting (Fondenwerving)/2007-03-01
      Leprastichting: other projects

Milou Halbesma presents €1,000,000 to Kommer Braber, manager of the Leprosy Foundation
Milou Halbesma presents €1,000,000 to Kommer Braber, manager of the Leprosy Foundation




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