<p>We conducted retrospective review of records in health facilities that reported suspect cases, with contact tracing and active case search at the community level. A case was defined by acute illness with a painless skin lesion developing over 1 to 7 days, fever and/or malaise and lymphadenopathy in a person of any age residing in Murang’a County. A structured questionnaire was used to collect information. Data were extracted into an MS Excel for analysis.</p>