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4%). Expenditures by programmatic activity varied substantially across sites. Testing costs varied between venues, reflecting differences in the models used and intensity of services provided. While staff costs are the major driver, buildings and supplies costs are also significant. Our findings suggest that outreach screenings using rapid syphilis tests may be a feasible and cost-effective tool for health departments when targeting known high-prevalence areas and hard to reach populations. Testing costs varied between venu
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