Despite the many declarations of elimination, leprosy persists as a significant public health problem whose contribution to suffering and disability is seriously underestimated . In this conversation, three public health practitioners with decades of engagement with leprosy control at both field and policy levels and who are still engaged with its management on a day to day basis, reflect on why active transmission of the disease persists; why disabilities continue to emerge even after cure and on the options for the way forward —beyond the rhetoric of elimination.
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