**Executive Summary**
This document is a notification issued by the Public Health Department of the Government of Maharashtra, dated October 30, 2025, declaring Leprosy a notifiable disease in the state. This action aligns with the National Strategic Plan 2023-2027 and aims to reduce the Leprosy burden. All diagnosed cases must be reported within two weeks of diagnosis.
**Key Points / Main Content**
* **Declaration of Leprosy as a Notifiable Disease:**
* Leprosy is officially declared a notifiable disease in the State of Maharashtra.
* **Applicability:**
* The notification applies to all sectors, including government, private, non-government organizations, corporate healthcare providers, and medical institutions (including private medical colleges).
* **Reporting Requirements:**
* All diagnosed cases of Leprosy must be mandatorily reported.
* Reports must be submitted within two weeks of diagnosis.
* Reports must be submitted to: Assistant Director, Health Services (Leprosy), District Health Officer and Medical Officer, Supervisory Urban Leprosy Team, and Municipal/Metropolitan Health Officers of the respective district.
* Reporting individuals/institutions must maintain a prescribed register and retain a copy of the submitted reporting format for all new or ongoing cases.
* **Objectives of Mandatory Reporting:**
* Ensure all patients avail services under the National Leprosy Eradication Programme (NLEP).
* Provide follow-up care to individuals who develop complications or disabilities post-treatment.
* Facilitate the administration of chemoprophylaxis to healthy contacts to prevent further transmission.
* Support the diagnosis and management of Drug Resistant Leprosy (DRL) cases.
**Impact Analysis**
**Healthcare Professionals (Doctors, Pathologists, Microbiologists, Health Care Workers, etc.)**
* **Impact:** They are now legally obligated to report all diagnosed cases of Leprosy.
* **Action Required:** Report all diagnosed cases to the specified authorities within two weeks of diagnosis and maintain a register of reported cases.
**Government and Private Healthcare Institutions**
* **Impact:** They are now legally obligated to report all diagnosed cases of Leprosy.
* **Action Required:** Report all diagnosed cases to the specified authorities within two weeks of diagnosis and maintain a register of reported cases.
**Public Health Authorities**
* **Impact:** They are responsible for ensuring the effective implementation of the notification and monitoring compliance.
* **Action Required:** Receive and manage reports of Leprosy cases, facilitate follow-up care and chemoprophylaxis, and support the diagnosis and management of DRL cases.
**Leprosy Patients**
* **Impact:** Mandatory reporting ensures access to appropriate treatment and care under the NLEP.
* **Action Required:** Comply with the prescribed treatment and follow-up care.
**Healthy Contacts of Leprosy Patients**
* **Impact:** Mandatory reporting facilitates the administration of chemoprophylaxis to prevent further transmission.
* **Action Required:** Adhere to chemoprophylaxis treatments as recommended by healthcare professionals.
Key Entities Referenced
Epidemic Diseases Act, 1897: The central law under which the Maharashtra government is issuing the notification to declare Leprosy as a notifiable disease.
National Leprosy Eradication Programme (NLEP): A national program in India under which services are to be provided to all leprosy patients.
Maharashtra: The state to which this policy applies, declaring Leprosy a notifiable disease.
Ministry of Health and Family Welfare: Central Ministry, Government of India whose guidelines are being followed to declare leprosy as a notifiable disease.
RNI No. MAHBIL /2009/31733
महाारााष्ट्र� शाासन रााजपत्र
असाधााराण भााग चाारा-अ
वर्षष ११, अंक १३६] गुरुवारा, ऑक्टोोबरा ३०, २०२५/कार्ति�षक ८, शाके १९४७ [पष्ृठे े४, र्तिकमं � : रुपये े१५.००
असाधााराण क्रमांक ४७३
प्राार्तिधाकृ� प्राकाशान
महाारााष्ट्र शाासनाने कंद्रीीये अर्तिधार्तिनयेमांन्वयेे �येारा केलेेलेे
(भााग एक, एक-अ आर्तिण एक-ले येांमध्येे प्रार्तिसद्ध केलेेलेे र्तिनयेम व आदेेशा येांव्येर्ति�रिराक्�) र्तिनयेम व आदेेशा.
सावषजर्तिनक आराोग्ये र्तिवभााग
गोकुुळदाास तेेजपााल रुग्णाालय, संकुुल इमाारते, १० वाा माजला, नवाीन मांत्राालय,
मांंबई ४०० ००१, दिदानांकु ३० ऑक्टोोबर २०२५.
अर्तिधासूचाना
साथराोग अर्तिधार्तिनयेम.
क्रमाांकु कुुदिनकुा-१२२५/प्र.क्र.१७/संसआ-२.— ज्याअर्थीी, आरोग्य वा कुुटों�ब कुल्याणा मांत्राालय, आरोग्य वा कुुटों�ब कुल्याणा दिवाभााग,
भाारते सरकुार यांनी त्यांच्या अ.शाा. पात्रा क्रमाांकु झेेड-१४०२०/०५/२०२५-एलईपाी., दिदानांकु १४ माे २०२५ द्वाारे, कुळदिवाले आहेे कुी,
जागदितेकु कुुष्ठरोग धोोरणा २०२१-२०३० शाी संसंगते, आरोग्य वा कुुटों�ब कुल्याणा मांत्राालयाने, राज्यातेील दिनदाान झेालेल्या सवाव प्रकुरणाांचाे
अहेवााल अदिनवाायपाव णा ेदाऊे न कुष्ु ठरोगाचाा प्रसार रोखण्याच्या दिदाशाेन ेहेोते असलल्े या प्रगतेीला चाालना दाण्े यासाठी राष्ट्रीीय धोोरणाात्माकु योजना
२०२३-२०२७ चाा प्रारंभा कुेला आहे ेआदिणा राज्याते कुष्ुठरोगाला "अदिधोसूदिचाते आजार" म्हेणानू घोोदि�ते कुरण्याचा ेदिवाचााराते घोेणा ेआवाश्यकु आहे;े
आदिणा ज्याअर्थीी, कुुष्ठरोग हेा एकु संसगवजन्य आजार असून दाेशाातेील एकु प्रमांख सावावजदिनकु आरोग्य समास्या आहेे. जर त्याचाे
लवाकुर दिनदाान झेाले नाहेी आदिणा लवाकुर उपाचाार कुेले नाहेीते तेर, त्यामांळे, शाारीरिरकु व्यंग, दिवाकुलांगतेा वा लक्षणाीय आजार हेोऊ शाकुतेाते.
हेा आजार सामाादिजकु कुलंकु आदिणा भाेदाभाावााशाी दाेखील संबंदिधोते आहेे;
आदिणा ज्याअर्थीी, कुुष्ठरोग हेा बहेंदिवाधो औ�धोोपाचााराच्या (एमाडीटोी) पाूणाव उपाचाारांमांळे बरा हेोणाारा आजार असून लवाकुर दिनदाान
आदिणा त्यानंतेर पाूणाव उपाचाार हेा कुुष्ठरोग प्रदितेबंधो आदिणा दिनयंत्राणा धोोरणााचाा आधोारस्तेंभा आहेे;
आदिणा ज्याअर्थीी, राज्य शाासन, कुुष्ठरोगाचाे प्रमााणा कुमाी कुरण्यास वाचानबद्ध आहेे आदिणा शाासनाने, सलग पााचा वा�ा�माध्ये दाेशााते एकुहेी
कुुष्ठरोगी बालकु नसल्यास आदिणा त्यानंतेर पांढीील तेीन वा�ा�माध्ये एकुहेी कुुष्ठरोगी नसल्यास दिदाला जाणाारा “कुुष्ठरोगमांक्ते दाजाव” प्राप्ते
कुरण्याचाे उदि�ष्टो ठेवालेले आहेे;
आदिणा ज्याअर्थीी, हेे उदि�ष्टो प्राप्ते कुरण्यासाठी, सावावजदिनकु आदिणा खाजगी क्षेत्राातेील डॉक्टोर, दिवाकुृदितेशाास्त्राज्ञ, सूक्ष्माजीवाशाास्त्राज्ञ वा
आरोग्यसेवाा कुमावचााऱ्यांसहे सवाव आरोग्य कुमावचाारी वा क्षेत्राीय कुायावदिधोकुारी यांनी कुुष्ठरोग झेाल्याचाे दिनश्चिश्चाते झेालेल्या सवाव रुग्णाांना योग्य
(१)
भााग चाार-अ-४७३–१2 महाारााष्ट्र शाासन रााजपत्र असाधााराण भााग चाारा-अ, ऑक्टोोबरा ३०, २०२५/कार्ति�षक ८, शाके १९४७
उपाचाार, पााठपांरावाा कुेल्याचाा आदिणा कुुष्ठरोगाचाा संसगव झेालेल्या व्यक्तेंना पाोस्टो-एक्सपाोजर प्रोदि�लॅश्चिक्सस (पाीईपाी) चाा उपाचाार दाेण्याते
आला असेल त्याबाबतेचाा अहेवााल दाेणाे आवाश्यकु आहेे;
आदिणा ज्याअर्थीी, माहेाराष्ट्री शाासनाला असे वााटोतेे कुी, वाेळीचा प्रदितेबंधो आदिणा प्रभाावाी रोग व्यवास्र्थीापान याचाी संदिनश्चिश्चातेी कुरण्यासाठी,
कुुष्ठरोगाचाे दिनदाान झेालेले सवाव रुग्णा, योग्य प्रादिधोकुाऱ्यांना कुळदिवाणाे अदिनवाायव आहेे. सवाा�गीणा आदिणा वाेळेते अहेवााल दिदाल्यास, राज्य
शाासनास, पांढीील बाबी शाक्य हेोतेील :-
१. राष्ट्रीीय कुुष्ठरोग दिनमाूवलन कुायवक्रमा (एनएलईपाी) अंतेगवते सवाव रुग्णाांना सेवाा दिमाळतेील याचाी संदिनश्चिश्चातेी कुरणाे.
२. उपाचाारानंतेर गंंतेागंंते दिकुंवाा दिवाकुृतेी दिनमाावणा झेालेल्या व्यक्तेंचाी पांढीील कुाळजी घोेण्यासाठी पााठपांरावाा कुरणाे.
३. पांढीील संक्रमाणाास प्रदितेबंधो कुरण्यासाठी दिनरोगी संपाकुावना कुेमाोप्रोदि�लॅश्चिक्सस दाेणाे संलभा कुरणाे.
४. औ�धो प्रदितेरोधोकु कुुष्ठरोग (डीआरएल) रुग्णाांचाे दिनदाान आदिणा व्यवास्र्थीापानास सहेाय्य कुरणाे.
त्याअर्थीी, आतेा, सार्थीरोग अदिधोदिनयमा, १८९७ (१८९७ चाा ३) याच्या कुलमा २ च्या पाोटो-कुलमा (१) अनंसार आदिणा
सावावजदिनकु आरोग्याच्या दिहेतेासाठी, माहेाराष्ट्री शाासन, याद्वाारे, असे घोोदि�ते कुरते आहेे कुी -
(एकु) कुुष्ठरोग या आजाराला माहेाराष्ट्री राज्याते अदिधोसूदिचाते आजार म्हेणाून घोोदि�ते कुरण्याते येते आहेे;
(दाोन) हेी अदिधोसूचाना, शाासकुीय, खाजगी, अशाासकुीय संस्र्थीा, खाजगी आरोग्य सेवाा पांरवाठादाार वा खाजगी वाैद्यकुीय
माहेादिवाद्यालयांसहे वाैद्यकुीय संस्र्थीा इत्यादाी सवाव क्षेत्राांना लागू राहेील;
(तेीन) कुुष्ठरोगाचाे दिनदाान झेालेल्या सवाव रुग्णाांचाे अहेवााल, दिनदाान झेाल्यानंतेर अदिनवाायवपाणाे दाोन आठवाड्यांांच्या आते
अनंक्रमाे सहेायकु संचाालकु, आरोग्य सेवाा (कुुष्ठरोग), दिजल्हेा आरोग्य अदिधोकुारी वा वाैद्यकुीय अदिधोकुारी, पायववाेक्षीय नागरी
कुुष्ठरोग पार्थीकु, संबंदिधोते दिजल्ह्यााचाे नगरपाादिलकुा/माहेानगर आरोग्य अदिधोकुारी यांना सादार कुरणाे आवाश्यकु राहेील;
(चाार) रुग्णाांचाा अहेवााल दाेणााऱ्या दिकुंवाा अदिधोसूदिचाते कुरणााऱ्या सवाव व्यक्तेंनी दिकुंवाा संस्र्थीांनी, एकु दिवादिहेते नंदावाहेी
ठेवाावाी वा त्यांच्या दाेखरेखीखाली सवाव नवाीन दिकुंवाा सद्यश्चिस्र्थीतेीतेील रुग्णाांसाठी सादार कुेलेल्या अहेवाालाचाी एकु प्रते ठेवाावाी.
माहेाराष्ट्रीाचाे राज्यपााल यांचाे आदाेशाानंसार वा नावााने,
र्तिनपुण र्तिवनायेक,
शाासनाचाे सदिचावा.महाारााष्ट्र शाासन रााजपत्र असाधााराण भााग चाारा-अ, ऑक्टोोबरा ३०, २०२५/कार्ति�षक ८, शाके १९४७ 3
PUBLIC HEALTH DEPARTMENT
Gokuldas Tejpal Hospital Complex Building, 10th Floor,
New Mantralaya, Mumbai 400 001, Dated the 30th October 2025.
NOTIFICATION
EpidEmic disEasEs act.
No. KUNIKA-1225/C.R.17/CD-2.—Whereas, the Government of India, Ministry of Health
and Family Welfare, Department of Health and Family Welfare vide its letter number D. O.
No. Z -14020/05/2025-Lep., dated the 14th May 2025 has communicated that, in alignment with the
Global Leprosy Strategy 2021-2030, the Ministry of Health and Family Welfare has launched the
National Strategic Plan 2023-2027 to accelerate progress towards interrupting the transmission of
Leprosy by mandatory reporting of all diagnosed cases in the State and to consider declaring Leprosy
as a “Notifiable Disease” in the State;
And Whereas, Leprosy is an infectious disease and continuous to be a major public health concern
in the country. If not diagnosed and treated early, it may leads to physical deformity, disability and
significant morbidity. It is also associated with social stigma and discrimination;
And Whereas, Leprosy is a curable disease with full course of Multi Drug Therapy (MDT) and
early diagnosis followed by complete treatment is the cornerstone of the Leprosy Prevention and
Control Strategy;
And Whereas, the State Government is committed to reducing the Leprosy burden and aims
to achieve leprosy free status, defined as the absence of indigenous child cases for five consecutive
years and subsequently nil Leprosy cases for the next three years;
And Whereas, in order to attain this goal, it is essential that all health personnel and field
functionaries-including doctors, pathologists, microbiologists and health care workers in both the
public and private sectors - report all identified cases of Leprosy for appropriate treatment, follow-up
and administration of Leprosy Post Exposure Prophylaxis (PEP) to contacts;
And whereas, the Government of Maharashtra deems it imperative that all diagnosed cases
of Leprosy be mandatorily reported to the appropriate authority to ensure early intervention and
effective disease management. Comprehensive and timely reporting will enable the State to :-
1. Ensure that all patients shall avail services under the National Leprosy Eradication
Programme (NLEP)
2. Provide follow-up care to individuals who develop complications or disabilities post-
treatment.
3. Facilitate the administration of chemoprophylaxis to healthy contacts to prevent further
transmission.
4. Support the diagnosis and management of Drug Resistant Leprosy (DRL) cases.4 महाारााष्ट्र शाासन रााजपत्र असाधााराण भााग चाारा-अ, ऑक्टोोबरा ३०, २०२५/कार्ति�षक ८, शाके १९४७
Now, therefore, in pursuance of sub-section (1) of Section 2 of the Epidemic Diseases Act, 1897
(3 of 1897) and in the interest of public health, the Government of Maharashtra hereby declares
that.—
i. The Leprosy is declared as a notifiable disease in the State of Maharashtra;
ii. This notification shall be applicable to all the Sectors, Government, Private, Non-
Government Organizations, Corporate Healthcare providers and Medical Institutions,
including Private Medical Colleges ;
iii. All diagnosed cases of Leprosy must be mandatorily reported to the Assistant
Director, Health Services (Leprosy), District Health Officer and Medical Officer, Supervisory
Urban Leprosy Team, Municipal/Metropolitan Health Officers of the respective district
within two weeks of diagnosis;
iv. All individuals or institutions reporting or notifying cases shall maintain a
prescribed register and retain a copy of the submitted reporting format for all new or
ongoing cases under their care.
By order and in the name of the Governor of Maharashtra,
NIPUN VINAYAK,
Secretary to Government.
ON BEHALF OF GOVERNMENT PRINTING, STATIONERY AND PUBLICATION, PRINTED AND PUBLISHED BY DIRECTOR,
RUPENDRA DINESH MORE, PRINTED AT GOVERNMENT CENTRAL PRESS, 21-A, NETAJI SUBHASH ROAD, CHARNI ROAD,
MUMBAI 400 004 AND PUBLISHED AT DIRECTORATE OF GOVERNMENT PRINTING, STATIONERY AND PUBLICATIONS,
21-A, NETAJI SUBHASH ROAD, CHARNI ROAD, MUMBAI 400 004. EDITOR : DIRECTOR, RUPENDRA DINESH MORE.