<table cellspacing="0" cellpadding="0" border="0" ><tr><td valign="top" style="font: inherit;"><P style="TEXT-ALIGN: justify; MARGIN: 0in 0in 10pt" class=MsoNormal><SPAN style="LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman','serif'; FONT-SIZE: 12pt">Hi,<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></DIV>
<P style="TEXT-ALIGN: justify; MARGIN: 0in 0in 10pt" class=MsoNormal><SPAN style="LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman','serif'; FONT-SIZE: 12pt">It is essential to identify the vector <SPAN style="mso-spacerun: yes"> </SPAN>and parasite of <SPAN style="mso-spacerun: yes"> </SPAN>that Cutaneous Leishmaniasis <SPAN style="mso-spacerun: yes"> </SPAN>along with the rate of natural infection of parasite in vectors, actual transmission site (outdoor/indoor), susceptibility status against different WHO recommended insecticides to the vector and to spray the locality with that effective insecticide to <SPAN style="mso-spacerun: yes"> </SPAN>stop further transmission of the disease. Entomologist and Parasitologist should come forward to tackle the situation.<o:p></o:p></SPAN></DIV><BR><BR>
<DIV><FONT class=Apple-style-span color=#0000ff face="'comic sans ms'"><SPAN style="FONT-FAMILY: arial, sans-serif; COLOR: rgb(0,0,0)" class=Apple-style-span>
<DIV><FONT face="garamond, new york, times, serif">Dr. Diwakar Singh Dinesh</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Scientist C (SRO), Entomologist</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Division of Vector Biology and Control</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Rajendra Memorial Research Institute of Medical Sciences</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">(Indian Council of Medical Research)</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Department of Health Reseach</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Ministry of Health and Family Welfare</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Govt. of India</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Agamkuan</FONT></DIV>
<DIV><FONT face="garamond, new york, times, serif">Patna-800007</FONT></DIV></SPAN></FONT></DIV><BR><BR>--- On <B>Sun, 4/29/12, jeffrey shaw <I><jayusp@hotmail.com></I></B> wrote:<BR>
<BLOCKQUOTE style="BORDER-LEFT: rgb(16,16,255) 2px solid; PADDING-LEFT: 5px; MARGIN-LEFT: 5px"><BR>From: jeffrey shaw <jayusp@hotmail.com><BR>Subject: [Leish-l] FW: PRO/AH/EDR> Leishmaniasis - Pakistan: (KP) cutaneous<BR>To: "Leish-L" <leish-l@lineu.icb.usp.br><BR>Date: Sunday, April 29, 2012, 10:56 AM<BR><BR>
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<DIV class=yiv171730013ecxgmail_quote>---------- Forwarded message ----------<BR>From: <B class=yiv171730013ecxgmail_sendername>ProMED-mail</B> <SPAN dir=ltr><<A href="http://us.mc1628.mail.yahoo.com/mc/compose?to=promed@promed.isid.harvard.edu" rel=nofollow target=_blank ymailto="mailto:promed@promed.isid.harvard.edu">promed@promed.isid.harvard.edu</A>></SPAN><BR>Date: 2012/4/29<BR>Subject: PRO/AH/EDR> Leishmaniasis - Pakistan: (KP) cutaneous<BR>To: <A href="http://us.mc1628.mail.yahoo.com/mc/compose?to=promed-ahead-edr@promedmail.org" rel=nofollow target=_blank ymailto="mailto:promed-ahead-edr@promedmail.org">promed-ahead-edr@promedmail.org</A><BR><BR><BR>LEISHMANIASIS – PAKISTAN: (KHYBER PAKHTUNKHWA) CUTANEOUS<BR>**********************************************************<BR>A ProMED-mail post<BR><<A href="http://www.promedmail.org/" rel=nofollow target=_blank>http://www.promedmail.org</A>><BR>ProMED-mail is a program of
the<BR>International Society for Infectious Diseases<BR><<A href="http://www.isid.org/" rel=nofollow target=_blank>http://www.isid.org</A>><BR><BR>Date: Sat, 28 Apr 2012<BR>Source: Central Asia Online [edited]<BR><<A href="http://centralasiaonline.com/en_GB/articles/caii/newsbriefs/2012/04/26/newsbrief-07" rel=nofollow target=_blank>http://centralasiaonline.com/en_GB/articles/caii/newsbriefs/2012/04/26/newsbrief-07</A>><BR><BR><BR><BR>Cutaneous leishmaniasis outbreak<BR>--------------------------------<BR>Peshawar: The Khyber Pakhtunkhwa (KP) Health Department has sought<BR>help from the World Health Organization (WHO) to contain an outbreak<BR>of cutaneous leishmaniasis (CL), an official said.<BR><BR>WHO is to spend USD 9.6m to help residents of KP, FATA KP to set up<BR>700 community health centres. "During the last three months, about 889<BR>cases of CL have been recorded from 14 districts," Dr Muhammad Iqbal<BR>of the Health Department
told Central Asia Online on 25 April. "We<BR>have requested the WHO to intervene." Nowshera District had the most<BR>cases, 214, he said.<BR><BR>KP is requesting injectable medicines and help with insecticide<BR>spraying, he said, adding that patients cannot afford the 3500 Pak<BR>rupees (USD 39) cost of CL treatment. CL is a skin infection,<BR>transmitted by sand flies.<BR><BR>[byline: Ashfaq Yusufzai]<BR><BR>--<BR>communicated by:<BR>ProMED-mail from HealthMap alerts<BR><<A href="http://us.mc1628.mail.yahoo.com/mc/compose?to=promed@promedmail.org" rel=nofollow target=_blank ymailto="mailto:promed@promedmail.org">promed@promedmail.org</A>><BR><BR>[Leishmaniasis is endemic in Pakistan, where cutaneous leishmaniasis,<BR>CL, is either caused by _Leishmania major_ (zoonotic reservoir) or _L.<BR>tropica_ (human reservoir). A review of clinical presentation of<BR>leishmaniasis in Pakistan can be found here: Bari AU. Clinical<BR>spectrum of cutaneous
leishmaniasis: an overview from Pakistan.<BR>Dermatol Online J. 2012;18:4<BR>(<<A href="http://dermatology.cdlib.org/1802/02_rev/04_11-00146/article.html" rel=nofollow target=_blank>http://dermatology.cdlib.org/1802/02_rev/04_11-00146/article.html</A>>).<BR>Another recent paper discusses the distribution of leishmaniasis in<BR>Pakistan: Afghan AK, et al. Clinical manifestations and distribution<BR>of cutaneous leishmaniasis in Pakistan. J Trop Med. 2011;2011:359145.<BR>(<<A href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3235881/?tool=pubmed" rel=nofollow target=_blank>http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3235881/?tool=pubmed</A>>).<BR><BR>It should be noted that leishmaniasis is also highly prevalent in<BR>Afghanistan and cross border traffic of infected humans could<BR>contribute to the outbreak in the Khyber province, bordering<BR>Afghanistan.<BR><BR>HealthMap location: <<A href="http://healthmap.org/r/1oq8" rel=nofollow
target=_blank>http://healthmap.org/r/1oq8</A>>. - Mod.EP]<BR><BR>[see also:<BR>Leishmaniasis - UK ex Afghanistan: military 20120108.1003634<BR>2010<BR>---<BR>Leishmaniasis - Afghanistan (03): (HR) 20101106.4015<BR>Leishmaniasis - Afghanistan (02) 20101016.3753<BR>Leishmaniasis - Afghanistan 20101016.3750<BR>2007<BR>---<BR>Leishmaniasis - Afghanistan 20070508.1487<BR>2005<BR>---<BR>Leishmaniasis - Pakistan (Balochistan, Sindh)(02) 20050206.0403<BR>Leishmaniasis - Pakistan (Balochistan, Sindh) 20050113.0115<BR>2004<BR>---<BR>Leishmaniasis - Pakistan & India: background 20040201.0392<BR>Leishmaniasis - Pakistan (Sind) (02) 20040127.0324<BR>Leishmaniasis - Pakistan (Sind) 20040126.0309<BR>Leishmaniasis - Pakistan (Sind): correction 20040125.0304<BR>Leishmaniasis - Pakistan (Sind): correction 20040125.0305<BR>2003<BR>---<BR>Leishmaniasis - Iraq, Kuwait, Afghanistan: military 20031024.2669<BR>Leishmaniasis - Afghanistan
20030909.2267<BR>2002<BR>---<BR>Leishmaniasis - Afghanistan (07) 20020703.4662<BR>Leishmaniasis - Afghanistan (06) 20020629.4633<BR>Leishmaniasis - Afghanistan (04) 20020523.4304<BR>Leishmaniasis - Afghanistan (03) 20020515.4212<BR>Leishmaniasis - Afghanistan (03) 20020512.4178<BR>Leishmaniasis - Afghanistan (02) 20020511.4161<BR>Leishmaniasis - Afghanistan (Kabul): alert 20020508.4134]<BR>.................................................sb/ep/sh<BR>*##########################################################*<BR>************************************************************<BR>ProMED-mail makes every effort to verify the reports that<BR>are posted, but the accuracy and completeness of the<BR>information, and of any statements or opinions based<BR>thereon, are not guaranteed. The reader assumes all risks in<BR>using information posted or archived by
ProMED-mail. ISID<BR>and its associated service providers shall not be held<BR>responsible for errors or omissions or held liable for any<BR>damages incurred as a result of use or reliance upon posted<BR>or archived material.<BR>************************************************************<BR>Donate to ProMED-mail. Details available at:<BR><<A href="http://www.isid.org/ProMEDMail_Donations.shtml" rel=nofollow target=_blank>http://www.isid.org/ProMEDMail_Donations.shtml</A>><BR>************************************************************<BR>Visit ProMED-mail's web site at <<A href="http://www.promedmail.org/" rel=nofollow target=_blank>http://www.promedmail.org</A>>.<BR>Send all items for posting to: <A href="http://us.mc1628.mail.yahoo.com/mc/compose?to=promed@promedmail.org" rel=nofollow target=_blank ymailto="mailto:promed@promedmail.org">promed@promedmail.org</A> (NOT
to<BR>an individual moderator). If you do not give your full name<BR>name and affiliation, it may not be posted. You may unsub-<BR>scribe at <<A href="http://www.isid.org/promedmail/subscribe.lasso" rel=nofollow target=_blank>http://www.isid.org/promedmail/subscribe.lasso</A>>.<BR>For assistance from a human being, send mail to:<BR><<A href="http://us.mc1628.mail.yahoo.com/mc/compose?to=postmaster@promedmail.org" rel=nofollow target=_blank ymailto="mailto:postmaster@promedmail.org">postmaster@promedmail.org</A>>.<BR>############################################################<BR>############################################################<BR></DIV><BR></DIV></DIV></DIV></DIV><BR>-----Inline Attachment Follows-----<BR><BR>
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