Alice Cruz, who advocates for people diagnosed with the age-old disease, delivered her latest report to the UN General Assembly in New York. 

She cited the physical impairments that leprosy causes, as well as discrimination based on harmful stereotypes surrounding the disease, as grounds for their full recognition in accordance with the UN Convention on the Rights of Persons with Disabilities. 

Stigmatization and exclusion 

“Family members of persons affected by leprosy self-identify as persons with psychosocial disabilities owing to stigmatization and discrimination on the ground of leprosy.

“Yet, persons affected by leprosy and their family members have been largely excluded from the global conversation about disability,” she said.

Leprosy - a chronic infectious disease that mainly affects the skin, eyes, upper respiratory tract, and peripheral nerves - has been around for thousands of years.

It is curable and treatment in the early stages can prevent disability, according to the World Health Organization (WHO).

Throughout history, people living with leprosy have often been shunned by their communities and even their families.

Countries can do more

While Ms. Cruz acknowledged progress at the national level to recognize equality for persons with disabilities, she urged countries to do more to effectively implement the provisions of the Convention on the Rights of Persons with Disabilities.

The General Assembly adopted the landmark treaty in December 2016, and it entered into force two years later.

Ms. Cruz expressed concern that disability rights seem to be restricted to social protection, and decisions on just who is entitled to such protection remain largely in the hands of the medical professions.

“Recognition of the diversity of persons with disabilities is limited, and more marginalised groups of persons with disabilities, such as persons affected by leprosy and their family members, are overlooked in national policymaking,” she added. 

Participation in policymaking

The rights expert was also concerned about the limited participation of persons affected by leprosy, and their representative organizations, in institutional matters relating to them.   

She also urged countries to increase efforts to protect, promote and fulfil the rights of persons affected by leprosy by both recognizing their disability rights and ensuring their participation in policymaking.

“States should review the qualification requirements for social protection to ensure access for persons with invisible and psychosocial impairments, as well as for persons with disabilities living in poverty, recognising the additional costs of disability; and ensure a universal basic income for persons affected by leprosy,” she advised. 

About UN experts

Ms.  Cruz was appointed by the UN Human Rights Council as Special Rapporteur on the elimination of discrimination against persons affected by leprosy and their family members. 

Her mandate was established in 2017 and was extended for another three years in 2020.

Special Rapporteurs monitor specific human rights situations or thematic issues and serve in their individual capacity.

They are not UN staff and they are not paid for their work.