01782nas a2200217   4500000000100000008004100001653001200042653001000054653001700064653001900081100002200100700001200122700001300134700001300147700002300160245013000183856005100313300001400364490000700378520117900385       2017                            d10aleprosy10aIndia10aCase-finding10aCase detection1 aMangeard-Lourme J1 aSingh A1 aSingh RK1 aParasa J1 aRobert de Arquer G00aEnhanced active case-finding, identifying leprosy cases missed by recent detection campaigns in Munger District, Bihar, India  uhttps://leprosyreview.org/article/88/4/45-2462  a452–4620 v883 a<p>In India, some indicators of leprosy transmission are on the rise and suggest that many cases of leprosy currently go undetected. The lack of active casefinding outreach activities, aiming to find hidden cases in communities, are possible reasons for this. Lepra, an international non-governmental organisation, ran an active case-finding project in Munger District, Bihar, from 15th June to 15th December 2016, screening 85,560 people. A combined approach using Contact Surveys, Focal Surveys and Special Searches was implemented. A total of 321 new leprosy cases were found (28% Multibacillary, 47% women, 37% child cases, 59% belonging to scheduled castes, 10% to scheduled tribes, and 3% with disability and complications). The research supports evidence generated by other non-governmental organisations of a high transmission of the disease in India. Finding 303% more cases than traditional government-led detection campaigns, it shows that many cases in affected communities remain undetected in Bihar. This method was also found to be more efficient at finding vulnerable groups, child and female cases, as well as cases within scheduled castes and tribes.</p>