“A week before my mother died, her house was broken into and burned down,” said Mathieu Okoma Agoa, from a village in Ivory Coast. “After her funeral, women danced in the village because, according to them, the evil was gone,” he said. Okoma Agoa’s mother suffered from leprosy, a disease that made her a social outcast long before she died. And the experience left its mark on him, too. “I am scarred for life,” he said. He is not the only one. Camille Kouassi Assi, the village chief, told how his parents were also ostracised because of their leprosy, right up until the end of their lives. Recalling their ordeal, his voice trembled, his eyes welling up with tears. Both men spoke to AFP in the run-up to World Leprosy Day on Sunday. They live in the southern Ivorian village of Duquesne-Cremone, which since the 1960s has been a refuge for leprosy patients and their relatives fleeing social exclusion. Around 100 kilometres (60 miles) from the economic hub Abidjan, Duquesne-Cremone is named after a French priest and the Italian city whose inhabitants financed its creation. At first glance it is like any other Ivorian village. But this community of 2,800 inhabitants, isolated at the end of a long track that cuts through an immense forest, is sheltered from the gaze of outsiders. And it still has 54 patients. “We feel at home here,” Kouassi Assi, a father of four and mathematics teacher, told AFP in the small courtyard of his home. Further along the same road, Gisele Abena, 29, was being treated at the Raoul Follereau Institute, a hospital belonging to a French group of the same name. The medical centre has been fighting leprosy and Buruli ulcer, a skin infection, for almost a century. Abena emerges from one of the pastel-coloured buildings grouped together on 42 hectares, whose open windows let in the tropical heat. She is in a wheelchair, as leprosy has eaten away at her feet. “I feel good here,” said the mother of two. “There are a lot of us and I have made friends.” Originally from Bondoukou in the northeast, she has no desire to return there and experience again the stigma local people imposed upon her. “The leprosy microbe socially excludes patients,” said Professor Bamba Vagamon, director general of the Raoul Follereau Institute. “It distorts the face, distinctive features. The patient no longer recognises himself, nor do those who know him,” he explained. “It is as if he no longer really exists. I find this all the more horrible since the patient retains all his mental faculties,” he said. “Between 70 and 80 percent of patients have a depressive symptom,” he added. Ivory Coast has 12 of the 20 neglected tropical diseases (NTDs) listed by the World Health Organization (WHO), including leprosy. In 2022, 514 new cases were recorded in the country, but because antibiotic-based treatments are long and recovery difficult to establish, it is it is hard to say exactly how many patients there are. If life in Duquesne-Cremone is a welcome haven from what the patients have experienced elsewhere, the staff nevertheless want them, eventually, to return to their families — even if they are often reluctant to have them back because they are so poorly informed about the disease.