With the Monsoons, Kalazar Haunts the Terai

Although Visceral Leishmaniasis (Kalazar) has been on the  decline in Nepal, this year, along with the coming of the monsoon, there has been a spike in the number of cases of Kalazar, according to a post on the Ekantipur website. Masses of sandfly, which is the vector of this disease, have been noticed in the aftermath of the onset of the monsoons at the foothills of the Himalayas. Cases of Post Kalazar Dermal Leishmaniasis (PKDL) are the known reservoirs of this pathogen.

Annually, an estimated 3000 people suffer from one form of this disease or another, while a reported 708 people suffered from visceral leishmaniasis in Nepal in 2010.

In addition to anti-vector measures, there is a massive lack of awareness that needs to be ameliorated, especially in vulnerable populations, like those living in squatter settlements or in the poor neighborhoods, where the likelihood of getting exposed to sandfly bites is greater. In order to win in this struggle with the disease, it is of extreme importance to note that there has to be community participation to ensure protection from the vector in addition to public health policies that look to combat the issue in a transdisciplinary and holistic fashion.



Image Credits: WHO SEARO

Skeptic Oslerphile. PhD Student in the Department of International Health at the Johns Hopkins Bloomberg School of Public Health. Past: 1) Public Health Scientist and Program Manager, Translational Global Health Policy Research Cell, Department of Health Research, Ministry of Health and Family Welfare, Government of India. 2) Scientist, Indian Council of Medical Research, National Institute of Cholera and Enteric Diseases; 3) Senior Research Associate, Public Health Foundation of India. Interests include: Emerging Infections, Public Health, Antimicrobial Resistance, One Health and Zoonoses, Diarrheal Diseases, Medical Education, Medical History, Open Access, Healthcare Social Media and Health2.0. Opinions are my own!

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