02421nas a2200325   4500000000100000008004100001653002700042653002000069653004000089653001000129653001200139653001000151653001800161653002400179653001500203653002600218100001400244700001400258700001200272700001200284700001400296700001000310700001200320700001000332700001300342245025100355856008500606520139000691022001402081       2015                            d10aVisceral Leishmaniasis10aSandfly control10aPost kala-azar dermal leishmaniasis10aNepal10aleprosy10aIndia10aFebrile cases10aBednet impregnation10aBangladesh10aActive case detection1 aBanjara M1 aKroeger A1 aHuda MM1 aKumar V1 aGurung CK1 aDas M1 aRijal S1 aDas P1 aMondal D00aFeasibility of a combined camp approach for vector control together with active case detection of visceral leishmaniasis, post kala-azar dermal leishmaniasis, tuberculosis, leprosy and malaria in Bangladesh, India and Nepal: an exploratory study.  uhttp://trstmh.oxfordjournals.org/content/early/2015/04/25/trstmh.trv031.full.pdf3 a<p><strong>BACKGROUND: </strong>We assessed the feasibility and results of active case detection (ACD) of visceral leishmaniasis (VL), post kala-azar dermal leishmaniasis (PKDL) and other febrile diseases as well as of bednet impregnation for vector control.</p>

<p><strong>METHODS: </strong>Fever camps were organized and analyzed in twelve VL endemic villages in Bangladesh, India, and Nepal. VL, PKDL, tuberculosis, malaria and leprosy were screened among the febrile patients attending the camps, and existing bednets were impregnated with a slow release insecticide.</p>

<p><strong>RESULTS: </strong>Among the camp attendees one new VL case and two PKDL cases were detected in Bangladesh and one VL case in Nepal. Among suspected tuberculosis cases two were positive in India but none in the other countries. In India, two leprosy cases were found. No malaria cases were detected. Bednet impregnation coverage during fever camps was more than 80% in the three countries. Bednet impregnation led to a reduction of sandfly densities after 2 weeks by 86% and 32%, and after 4 weeks by 95% and 12% in India and Nepal respectively. The additional costs for the control programmes seem to be reasonable.</p>

<p><strong>CONCLUSION: </strong>It is feasible to combine ACD camps for VL and PKDL along with other febrile diseases, and vector control with bednet impregnation.</p>
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