Buruli ulcer endemic countries
- Under-reporting due to insufficient knowledge among both health workers and the public;
- people most affected live in remote, rural areas and having little contact with the health system;
- variability in the clinical presentation of the disease is often mistaken for other tropical skin diseases and ulcers; and
- Buruli ulcer is not a notifiable disease in many countries.
Endemic and neighbouring countries should increase awareness about Buruli ulcer and put up effective surveillance and reporting systems.