These missing cases still contribute to the ongoing transmission. It has been estimatedthat over 4 million cases are missed between 2000 and2020 worldwide [27]. It has been argued that in Indiahalf of the cases have not been reported to meet theelimination targets of 2005 [20]. Since our model heavilydepends on the available case data, including their imperfections, the problem of missing cases is also inherentto our predictions. On the whole, the actual number ofnew leprosy cases is likely to be higher than presented inour predictions [20, 27, 28]