In addition to the physical effects of the late treatment of leprosy which can leave people unable to work or carry out everyday tasks, the disease also affects peoples mental health and general wellbeing. Many people affected by leprosy struggle with anxiety and depression. In countries where leprosy is prevalent, there are many myths and superstitions and a lack of understanding about the disease. This means that people affected by leprosy are often subjected to stigma and discrimination. They can be rejected by their families, friends and communities. Many people lose their jobs and struggle to find new employment. Others lose their homes or find themselves excluded from school.