Leprosy is caused by infection with Mycobacterium leprae and is characterized by peripheral nerve damage and skin lesions. Globally, new case detection rates for leprosy have remained fairly stable in the past decade, with India responsible for more than half of cases reported annually. We took a statistical look at recent annual new case detection trends reported by the government of India’s National Leprosy Eradication Programme. We found evidence of a very slow declining trend, but with substantial differences between districts. Enhancements in current public health policy must be undertaken to hasten the decline of leprosy.