and often have significant disability, causing them to be feared and shunned by others. Because of this social stigma, the psychologic impact of leprosy is often significant. Epidemiology of Leprosy Globally, the number of leprosy cases is declining. During 2016, about 215,000 new cases were reported ( 1 Epidemiology references Leprosy is a chronic infection usually caused by the acid-fast bacilli Mycobacterium leprae, which has a unique tropism for peripheral nerves, skin, and mucous membranes of the upper... read more ). In 2015, about 80% of cases occurred in India, Brazil, and Indonesia.In 2015, 178 new cases were reported in the US; 72% occurred in 7 states: Arkansas, California, Florida, Hawaii, Louisiana, New York, and Texas ( 2 Epidemiology references Leprosy is a chronic infection usually