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***<br />

THE DISEASES − CHAPTER 4<br />

119<br />

Investment targets for active case-finding, vector control, and treatment<br />

and care of visceral leishmaniasis (including medicines), 2015–2030<br />

160<br />

120<br />

Constant US$ millions<br />

80<br />

40<br />

0<br />

2015<br />

2020<br />

Year<br />

2025<br />

2030<br />

Notes: Grey lines represent uncertainty bands (5th and 95th centiles). The light blue section represents the<br />

transition period from actual coverage reported in 2012; coverage data are not currently available for active case<br />

finding or vector control.<br />

Investment targets for treatment and care of cutaneous leishmaniasis<br />

(including medicines), 2015–2030<br />

●<br />

20<br />

Constant US$ millions<br />

15<br />

10<br />

5<br />

0<br />

2015<br />

2020<br />

Year<br />

2025<br />

2030<br />

Notes: Shaded areas reflect the range determined by low and high values of the unit cost benchmarks; they do<br />

not reflect uncertainty about future rates of scale-up and scale-down of interventions. The dots in 2012 are actual<br />

numbers reported (when available) multiplied by the unit cost benchmarks; these are not actual expenditures, but<br />

can be thought of as a benchmark for actual expenditures. All numbers expressed in US$ are constant (real) US$,<br />

adjusted to reflect purchasing power in the United States of America in 2015.<br />

be. 10,11 The financial impact of cutaneous leishmaniasis to the health system is considerable.<br />

Medical and non-medical costs associated with an outbreak exceeded US$ 385 000 for the<br />

treatment of 1524 patients in a single hospital, excluding indirect costs incurred by those<br />

patients (e.g. travel costs or loss of salaried work-time). 12 These costs would dramatically<br />

decrease if a topical treatment based on paromomycin cream is proven as a convenient tool<br />

for large-scale treatment of the most prevalent disease forms. 13,14

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