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Kala-azar outbreak in Libo Kemkem, Ethiopia: epidemiologic and parasitologic assessment.

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dc.contributor Department for the Control of Neglected Tropical Diseases (CDS/NTD/IDM), Leishmaniasis Control Program, World Health Organization, 20 Avenue Appia, CH-1211 Geneva, Switzerland. alvarj@who.int
dc.creator Alvar, J
dc.creator Bashaye, S
dc.creator Argaw, D
dc.creator Cruz, I
dc.creator Aparicio, P
dc.creator Kassa, A
dc.creator Orfanos, G
dc.creator Parreño, F
dc.creator Babaniyi, O
dc.creator Gudeta, N
dc.creator Cañavate, C
dc.creator Bern, C
dc.date 2007-08
dc.date.accessioned 2017-01-31T07:11:40Z
dc.date.available 2017-01-31T07:11:40Z
dc.identifier Kala-azar outbreak in Libo Kemkem, Ethiopia: epidemiologic and parasitologic assessment. 2007, 77 (2):275-82 Am. J. Trop. Med. Hyg.
dc.identifier 0002-9637
dc.identifier 17690399
dc.identifier http://hdl.handle.net/10144/31334
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/31334
dc.identifier The American Journal of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/31334
dc.description This study as conducted in collaboration with MSF Greece and Spain.
dc.description In May 2005, visceral leishmaniasis (VL) was recognized for the first time in Libo Kemkem, Ethiopia. In October 2005, a rapid assessment was conducted using data from 492 patients with VL treated in the district health center and a household survey of 584 residents of four villages. One subdistrict accounted for 71% of early cases, but the incidence and number of affected subdistricts increased progressively throughout 2004-2005. In household-based data, we identified 9 treated VL cases, 12 current untreated cases, and 19 deaths attributable to VL (cumulative incidence, 7%). Thirty percent of participants were leishmanin skin test positive (men, 34%; women, 26%; P = 0.06). VL was more common in men than women (9.7% versus 4.5%, P < 0.05), possibly reflecting male outdoor sleeping habits. Molecular typing in splenic aspirates showed L. infantum (six) and L. donovani (one). Local transmission resulted from multiple introductions, is now well established, and will be difficult to eradicate.
dc.language en
dc.rights Published by: American Society of Tropical Medicine and Hygiene. Archived on this site with the kind permission of the American Society of Tropical Medicine and Hygiene, http://www.astmh.org
dc.title Kala-azar outbreak in Libo Kemkem, Ethiopia: epidemiologic and parasitologic assessment.


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