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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