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    Second chance at life

    TANGERANG, INDONESIA (AFP) – When Ali Saga visited a clinic in Jakarta four decades ago, he watched as patients and health workers scrambled to get away from him.

    “The doctor suddenly shouted at the patients, ‘stand back! this person is a leper!” the 57-year-old said, recalling one of the most devastating moments after his diagnosis in the 1970s.

    “They also roughly used a syringe to test my skin and I cried. My skin might not feel anything but my soul was hurt,” the former leprosy patient added, choking back tears.

    Now he is using his pain to help other residents of a village on the outskirts of the Indonesian capital live a normal life after leprosy with hand-crafted prosthetic limbs.

    After Brazil and India, Indonesia has the world’s third-highest cases of leprosy – a contagious bacterial disease transmitted by prolonged close contact with untreated cases.

    Ahead of World Leprosy Day yesterday, the health ministry said the country still has over 15,000 active cases, with more than 11,000 new cases recorded last year.

    Former leprosy patient Harto sitting in a wheelchair in front of his house at ‘kampung kusta’ as his legs are not strong enough to wear prostheses
    A former leprosy patient Cun San, who is also a taylor, working inside a shop as he wear a prothetic leg made by former leper Ali Saga. PHOTOS: AFP

    Photo shows Former leprosy patient Ali Saga speaks during an interview in Tangerang, Indonesia; and Saga making prosthetic legs and hands inside his workshop

    The ancient disease, which causes disabilities and loss of feeling in reddish skin patches, is now diagnosed with a skin biopsy and easily treated with multidrug therapy.

    But Saga and other residents of Sitanala village – where hundreds of former leprosy patients have relocated to find solace – have been treated as outcasts for years and dubbed a “leper colony” by local media. They are heavily stigmatised by pervasive perceptions around leprosy, also known as Hansen’s disease, with some Indonesians believing the affliction is a curse sent by God that can be passed on by brief contact.

    But in a small, dusty workshop surrounded by fake body parts hung on white walls, Saga is chipping away at that social cold shoulder, sculpting artificial limbs that have been improving residents’ lives since 2005.

    One of the neighbours to receive Saga’s creations is 70-year-old tailor Cun San, who had a leg amputated in his teens and lost another in 2007.

    “I once thought I would never be able to walk again… but now I am so grateful I can walk normally,” said San.

    Nearly 500 people who had leprosy now live in Sitanala because it was located behind a hospital that for decades served as the rehabilitation centre for patients across Indonesia.

    The hospital made headlines in 1989 when Britain’s late Princess Diana visited and was photographed shaking hands with a leprosy patient, challenging the stigma against the marginalised group.

    Today, many in the village cannot find formal jobs because of their disabilities, and instead have taken on roles as street sweepers or rickshaw drivers.

    A 60-year-old driver Jamingun, lost his leg when he was a teenager.

    For years he wore a fake bamboo stump because he could not afford a prosthetic limb.

    “It was painful and I still had to use a walking stick to steady myself when I walked,” said Jamingun, who like many Indonesians goes by one name.

    But his life changed after receiving a prosthetic leg for free that Saga had made through a charity.

    “It feels so different because now I have a sole, it feels like a real foot,” he told AFP. “And I’m no longer in pain when I walk.”

    Saga finds it difficult to talk about his past, preferring to focus on his part in helping others build their future.

    A limb can cost as much as IDR10 million but he gives away prosthetic legs for free, or accepts lower sums, for those who can’t afford the price.

    He said he has now made more than 5,000 prosthetic legs for people across Indonesia.

    Experts said efforts to eliminate leprosy are hampered by a focus on finding and treating cases instead of erasing prejudices that prevent patients from seeking help.

    “If we don’t deal with the stigma, the transmission won’t stop and the disability will keep happening,” said the executive director of NLR Indonesia, a nonprofit focussing on leprosy Asken Sinaga.

    “This is a vicious cycle.”

    Indonesia wants to eliminate leprosy by next year, a daunting task after the COVID-19 pandemic directed health resources elsewhere.

    Those who have recovered from the disease said they just want to be treated the same as everyone else.

    “I hope people will stop judging us,” San said.

    “I hope things will get better and people will help us instead.”

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