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Summary Objective  To test if cutaneous leishmaniasis (CL) is under‐reported in the Jordanian Mid Jordan Valley, with resultant serious consequences for drug supply. Methods  For 2001–2003, prescribed amounts of drug and laboratory log‐books were investigated to estimate CL cases reported in Jordanian Mid Jordan Valley. From April 2004 to May 2005, passive detection and focused active ‘index case cluster’‐directed detection were used. Results  An average of 75/100 000 cases per year was estimated to have occurred 2001–2003, resulting in under‐reporting by a factor of 47. In 2004/2005, 313/100 000 cases per year were passively detected. Active case‐finding detected additional cases. Conclusion  Cutaneous leishmaniasis is severely under‐reported in Jordanian Mid Jordan Valley, which impacts its eradication.

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