India achieved the elimination of leprosy as a public health problem (defined by the WHO as a prevalence rate of less than 1 case per 10,000 people) in 2005. But the country still accounts for 60% of annual new cases in the world, or around 127,000 out of a global total of some 210,000 cases in 2015. There is a tendency for patients to be concentrated in remote regions, near national and state borders, urban slums and other areas where health services are difficult to access. India has around 800 self-settled leprosy colonies.