Costs and outcomes of active and passive case detection for visceral leishmaniasis (Kala-Azar) to inform elimination strategies in Bihar, India.

Although blanket and camp ACD unit costs were eight times higher than index case-based ACD, it remains a valid strategy for two reasons: 1) it targeted high-incidence areas and may actually be more beneficial for low-incidence areas, and 2) the value of detecting additional cases early may be significant enough to support the high initial investment necessary for reaching EPHP.

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