Abstract. The fucose-mannose ligand (FML)-ELISA assay showed a sensitivity of 100% and a specificity of 100% in diagnosis of canine visceral leishmaniasis (CVL) (kala-azar) in sera from naturally infected dogs from São Gonçalo do Amaranto, Rio Grande de Norte, Brazil. The overall prevalence of antibodies to Leishmania in the endemic area was 23% (79 of 343). Seroreactivity detected by a Leishmania chagasi immunofluorescent (IF) assay was much lower (2.9%) and similar to the percentage of dogs with kala-azar symptoms (2.6%). Twenty-one of 21 asymptomatic, FML-seropositive animals died of kala-azar in a period ranging from 0 to 6 months after diagnosis. The predictive value was 100% for the FML-ELISA, 43% for an L. mexicana ELISA, and 24% for the L. mexicana and L. chagasi IF assays, respectively. In experimentally infected dogs, all assays detected seropositivity between 90 and 120 days after infection. Since the current strategy for control of CVL is based on detection and destruction of infected dogs, the highly predictive, sensitive, and specific FML-ELISA represents a useful tool for field control of the disease.Zoonotic visceral leishmaniasis (ZVL) is one of the most important emerging diseases. 1 Its etiologic agent, (Leishmania chagasi or L. infantum) is introduced into the domestic cycle when infected foxes visit houses to scavenge poultry. Peridomestic sand flies acquire the parasite by feeding on the skin of foxes and transmitting it to dogs. The subsequent transmission to humans causes human visceral leishmaniasis (kala-azar), a severe disease that is lethal if not treated soon after the onset of symptoms. About 500,000 human cases of kala-azar are recorded annually worldwide. The current strategy for control of ZVL, as recommended by the World Health Organization, is based on detection and destruction or treatment of infected dogs and vector control. 1 The control of visceral leishmaniasis in northeastern Brazil involves the detection of infected dogs by serologic analysis using an immunofluorescent (IF) assay and elimination of seropositive dogs. 2 Seropositivity detected by the IF assay usually shows a good correlation with parasitologic evidence of infection. 2-4 However, due to its low sensitivity, this method underestimates the true prevalence of canine infection. More recently, an ELISA, 5 a dot-ELISA, 6 Western blotting, 7 rapid immunochromatographic tests, 8 and DNA molecular tools 2,9 have also been compared with conventional serology and proposed as alternative methods. No information is available concerning the predictive value of these tests. However, it is known that in human and canine kala-azar, antibodies to Leishmania appear in the circulation soon after infection, leading to an early subclinical period. 10 The early detection of infected dogs in the field could improve the control program since it would identify dogs that are still subclinical but already infective for sand flies. 3 We have recently tested the diagnostic and predictive value of the fucose-mannose ligand (FML)-ELISA f...