This is one of the leprosy patients at the hospital. Leprosy affects the peripheral nerves, ulnar or median, or both resulting in loss of sensation and some motor activity. This patient shows one of the classic deformities associated with the disease. Leprosy is treatable at an early stage, but there is a huge stigma still attached to the disease in Ethiopia, so most patients hide that they have it until it is too late to treat. There are two hand surgeons at ALERT and Dr. Yegerem and Dr. Tewodros also do some hand surgery. There may be some interest in Interplast doing a hand visiting educator trip in the future.