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Visceral Leishmaniasis in Southern Sudan: Status of Healthy Villagers in Epidemic Conditions.

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dc.contributor MSF Holland (Artsen Zonder Grenzen), Nairobi, Kenya.
dc.creator Seaman, J
dc.creator Ashford, R W
dc.creator Schorscher, J
dc.creator Dereure, J
dc.date 1992-10
dc.date.accessioned 2017-01-31T07:09:49Z
dc.date.available 2017-01-31T07:09:49Z
dc.identifier Visceral Leishmaniasis in Southern Sudan: Status of Healthy Villagers in Epidemic Conditions. 1992, 86 (5):481-6 Ann. Trop. Med. Parasitol.
dc.identifier 0003-4983
dc.identifier 1288429
dc.identifier http://hdl.handle.net/10144/18279
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/18279
dc.identifier Annals of Tropical Medicine and Parasitology
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/18279
dc.description A combination of interview, serology and skin testing was used to investigate the status of apparently healthy villagers during a visceral leishmaniasis epidemic in southern Sudan. The number of people who had died equalled the number who were alive at the time of the survey. The direct agglutination test (DAT) identified 10% of the people as being serologically positive. Most young children (36/39) and 34% (22/64) of adults had neither positive serology nor skin test. About 64% (42/66) of adults had positive skin tests. In two villages, 54% and 76% of those over four years of age showed evidence of having been infected. The mortality associated with infection was estimated as at least 69%; 25% of those infected appeared to have cured spontaneously. The outcome for the remaining 6% was still doubtful. Even in this devastating epidemic there is, therefore, evidence of a considerable amount of infection without severe disease. Serological tests, while useful clinically, are apparently not useful for detecting early cases. Combined skin testing and serology produces a comprehensive though partially hypothetical picture.
dc.language en
dc.publisher Published by: Maney Publishing
dc.relation http://www.maney.co.uk/journals/atmp
dc.rights Archived on this site with the kind permission of Maney Publishing
dc.title Visceral Leishmaniasis in Southern Sudan: Status of Healthy Villagers in Epidemic Conditions.


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