[Leish-l] FW: PRO/AH/EDR> Leishmaniasis - Pakistan (02): (FATA), cutaneous

Sun May 19 11:17:27 BRT 2013

> From: ProMED-mail <promed at promed.isid.harvard.edu>
> Date: 2013/5/18
> Subject: PRO/AH/EDR> Leishmaniasis - Pakistan (02): (FATA), cutaneous
> To: promed-ahead-edr at promedmail.org
> 
> 
> LEISHMANIASIS - PAKISTAN (02): (FEDERALLY ADMINISTERED TRIBAL AREAS),
> CUTANEOUS
> *******************************************************************************
> A ProMED-mail post
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> International Society for Infectious Diseases
> <http://www.isid.org>
> 
> Date: Thu, 16 May 2013 18:33:46 +0200
> Source: Pak Observer
> <http://pakobserver.net/detailnews.asp?id=206947>
> 
> 
> Surge of cutaneous Leishmaniasis in Federally Administered Tribal
> Areas, Pakistan
> ------------------------------------
> Cutaneous leishmaniasis is on the increase in Pakistan's Federally
> Administered Tribal Areas (FATA), according to reports by FATA's
> Directorate of Health.
> 
> In response, the international medical organisation Medecins Sans
> Frontieres/Doctors Without Borders (MSF) has donated supplies of
> medicines to treat the disease.
> 
> Cutaneous leishmaniasis is the common form of leishmaniasis, a
> parasitic disease transmitted by sand flies. It causes ulcer-like
> lesions and can lead to severe disfigurement. If left untreated, it
> can complicate by affecting
> internal organs.
> 
> FATA is endemic to leishmaniasis. The recent surge in cases saw 1335
> patients with cutaneous leishmaniasis treated from January to March
> 2013, according to the FATA Directorate of Health, an increase of over
> 270 cases compared to the same period last year [2012]. MSF donated
> 1200 vials of the drug Meglumine Antimoniate (Glucantime) in the last
> week of April [2013]. This was almost 30 percent of the quantity that
> had been requested across FATA for an entire year, based on last
> year's patient numbers.
> 
> Since the 1st reported outbreak in FATA in 2002, the Health
> Directorate launched a national response programme in 2003 to tackle
> the disease. The World Health Organization's Disease Early Warning
> System (DEWS) programme has been supporting the treatment of the
> disease in FATA since 2010. The sudden increase in cases of cutaneous
> leishmaniasis reverses a trend, which had seen cases fall over recent
> years.
> 
> During 2012, MSF treated 298 patients for the disease at the Sadda
> Tehsil Headquarter hospital in Kurram Agency - a 50 percent drop on
> the previous year. "Timely treatment of the disease was a big factor
> in the significant drop in cases in the area," said MSF medical
> coordinator Dr Isaac Chikwanha. Using bed nets reduces the risk of
> being bitten by sand flies and infected with the disease
> 
> --
> Communicated by:
> ProMED-mail from HealthMap alerts
> <promed at promedmail.org>
> 
> [Cutaneous leishmaniasis, CL, is endemic in Pakistan and in
> Afghanistan. The fall of the Taliban regime showed that the country
> had experienced a huge increase in cases, with no proper control
> measures being implemented and treatment facilities grossly
> inadequate. CL increased in Pakistan with the increase in refugees
> from Afghanistan. The present increase needs to be analysed further.
> Were the cases refugees or residents in FATA? When were they exposed?
> With an incubation period of up to 4 months or even longer a history
> of movements over the past months is needed to understand the dynamics
> of the infection.
> 
> Prevalence rates are provided in the ProMED posting the 3rd March 2013
> (see below). - Mod. EP
> 
> A HealthMap/ProMED-mail map can be accessed at:
> <http://healthmap.org/r/1iGJ>.]
> 
> [see also:
> Leishmaniasis - Pakistan: (KP) 20130303.1568339
> 2012
> ----
> Leishmaniasis - Pakistan (03):(KP) 20121228.1473148
> Leishmaniasis - Pakistan (02):(KP) 20121122.1420716
> Leishmaniasis - Pakistan: (KP) cutaneous: 20120429.1117486
> Leishmaniasis - UK ex Afghanistan: military 20120108.1003634
> 2010
> ----
> Leishmaniasis - Afghanistan (03):(HR) 20101106.4015
> Leishmaniasis - Afghanistan (02) 20101016.3753
> Leishmaniasis - Afghanistan 20101016.3750
> 2007
> ----
> Leishmaniasis - Afghanistan 20070508.1487
> 2005
> ----
> Leishmaniasis - Pakistan (Balochistan, Sindh)(02) 20050206.0403
> Leishmaniasis - Pakistan (Balochistan, Sindh) 20050113.0115
> 2004
> ----
> Leishmaniasis - Pakistan & India: background 20040201.0392
> Leishmaniasis - Pakistan (02): (Sind) 20040127.0324
> Leishmaniasis - Pakistan: (Sind) 20040126.0309
> 2003
> ----
> Leishmaniasis - Iraq, Kuwait, Afghanistan: military 20031024.2669
> Leishmaniasis - Afghanistan 20030909.2267
> 2002
> ----
> Leishmaniasis - Afghanistan (07) 20020703.4662
> Leishmaniasis - Afghanistan (06) 20020629.4633
> Leishmaniasis - Afghanistan (05) 20020515.4212
> Leishmaniasis - Afghanistan (04) 20020523.4304
> Leishmaniasis - Afghanistan (Kabul): alert 20020508.4134
> 1996
> ----
> Infectious diseases - Afghanistan 19960802.1377]
> .................................................sb/ep/mpp
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