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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.

Report of Cases

The first patient was a 74-year-old woman who had lived her entire life in New Jersey, where she had worked for 17 years as a nurse in an infectious disease unit. Her only overseas travel was a 1-week tour of China, where she stayed in tourist hotels and was not directly exposed to anyone with leprosy. The second patient was a . . . [Full Text of this Article]

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