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Bulletin of the World Health Organization - Knowledge, Attitudes, and Practices About Kala- azar and its Sandfly Vector in Rural Communities of Nepal
Abstract:
Reference: Koirala, S.; Parija, S.C.; Karki, P.; Das, M.L. (1998). Bulletin of the World Health Organization - Knowledge, Attitudes, and Practices About Kala- azar and its Sandfly Vector in Rural Communities of Nepal, WHO. URL-http://apps.who.int/iris/ Kala-azar (visceral leishmaniasis), caused by Leishmania donovani, was endemic in southern terai (plain areas) of Nepal during the early 1950s. However, the number of cases gradually declined over the period 1965-70, which was attributed to the spraying of insecticides by the malaria vector control programme. The DDT that was extensively used to control mosquito vectors was also effective against sandflies, the vector of kala-azar. Discontinuation of the malaria control programme led, however, to an increase in the sandfly population, and a resurgence in kala-azar. Resurgence of kala-azar among the rural populations of the southern terai of Nepal in the eleven districts bordering the kala-azar-endemic areas of Bihar in India now poses a major health problem. Nearly 5.3 million people are estimated to be at risk. In Nepal, a total of 4511 cases and 166 deaths from kala-azar were documented and reported over the period 1980-92 (1). This, however, may well be an underestimate since the majority of cases are unreported, unrecognized, or undocumented.
Publisher: WHO Type / Script:
Bulletin or Poster  in  English
Keywords:
 KALA-AZAR, RURAL HEALTH, INSECTICIDES, DISEASE CONTROL, HEALTH PLANNING, HEALTH PROBLEM, INFECTIOUS DISEASES, TRADITIONAL MEDICINE, HEALTH INFORMATION, PREVENTIVE MEASURES, DDT SPRAYING PROGRAMME, PUBLIC HEALTH, HEALTH EDUCATION, HEALTH SERVICES, HEALTH PERSONNEL
Thematic Group:
WHO, (1998)
Thesaurus:
10.03.02 - Diseases And Carriers Of Diseases
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