Assessment of a Leishmaniasis Reporting System in Tropical Bolivia Using the Capture-Recapture Method

Daniel Eid Department of Biomedical Sciences Research, Faculty of Medicine, San Simon University, Cochabamba, Bolivia;
Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umea University, Umea, Sweden

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Miguel Guzman-Rivero Department of Biomedical Sciences Research, Faculty of Medicine, San Simon University, Cochabamba, Bolivia;

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Ernesto Rojas Department of Biomedical Sciences Research, Faculty of Medicine, San Simon University, Cochabamba, Bolivia;

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Isabel Goicolea Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umea University, Umea, Sweden

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Anna-Karin Hurtig Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umea University, Umea, Sweden

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Daniel Illanes Department of Biomedical Sciences Research, Faculty of Medicine, San Simon University, Cochabamba, Bolivia;

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Miguel San Sebastian Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umea University, Umea, Sweden

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This study evaluates the level of underreporting of the National Program of Leishmaniasis Control (NPLC) in two communities of Cochabamba, Bolivia during the period 2013–2014. Montenegro skin test-confirmed cases of cutaneous leishmaniasis (CL) were identified through active surveillance during medical campaigns. These cases were compared with those registered in the NPLC by passive surveillance. After matching and cleaning data from the two sources, the total number of cases and the level of underreporting of the National Program were calculated using the capture-recapture analysis. This estimated that 86 cases of CL (95% confidence interval [CI]: 62.1–110.8) occurred in the study period in both communities. The level of underreporting of the NPLC in these communities was very high: 73.4% (95% CI: 63.1–81.5%). These results can be explained by the inaccessibility of health services and centralization of the NPLC activities. This information is important to establish priorities among policy-makers and funding organizations as well as implementing adequate intervention plans.

Author Notes

Address correspondence to Daniel Eid, Department of Biomedical Sciences Research, Faculty of Medicine, San Simon University, Aniceto Arce Avenue 371, Cochabamba, Bolivia. E-mail: libremd@gmail.com

Financial support: This research and publication was funded by the Swedish International Development Cooperation Agency (SIDA). The funder had no role in study design, data collection, data analysis, data interpretation, or writing of the article.

Authors’ addresses: Daniel Eid, Department of Biomedical Sciences Research, Universidad Mayor de San Simon, Bolivia, and Epidemiology and Global Health, Umea Universitet, Umea, Sweden, E-mail: libremd@gmail.com. Miguel Guzman-Rivero, Ernesto Rojas, and Daniel Illanes, Department of Biomedical Sciences Research, Universidad Mayor de San Simon, Cochabamba, Bolivia, E-mail: miguelguzmanrivero@yahoo.es, ernesto.rojas.cabrera@gmail.com, and dillanes50@gmail.com. Isabel Goicolea, Anna-Karin Hurtig, and Miguel San Sebastian, Epidemiology and Global Health, Umea Universitet, Umea, Sweden, E-mails: isabel.goicolea@epiph.umu.se, anna-karin.hurtig@epiph.umu.se, and miguel.sansebastian@epiph.umu.se.

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