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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
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Published on: January 19, 2024

Kala-azar elimination programme in India.

G P S Dhillon1, S N Sharma, Bindu Nair

  • 1National Vector Borne Disease Control Programme, Ministry of Health and Family Welfare, Government of India, Delhi.

Journal of the Indian Medical Association
|June 26, 2009
PubMed
Summary
This summary is machine-generated.

Kala-azar, a visceral leishmaniasis, remains endemic in India, particularly in Bihar and West Bengal. An integrated elimination strategy involves case management, vector control, and inter-sectoral collaboration for disease eradication.

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Area of Science:

  • Tropical medicine
  • Epidemiology
  • Vector-borne diseases

Background:

  • Kala-azar (visceral leishmaniasis) has a long history of endemicity in India.
  • The sandfly vector, Phlebotomus argentipes, resurged in the 1970s, spreading across Bihar and West Bengal.
  • Currently, kala-azar is endemic in 31 districts of Bihar, 4 of Jharkhand, and 11 of West Bengal, with sporadic cases in Uttar Pradesh.

Purpose of the Study:

  • To outline the current status and endemicity of kala-azar in India.
  • To detail the comprehensive elimination strategy required for kala-azar control.
  • To emphasize the importance of integrated approaches for disease eradication.

Main Methods:

  • Enhanced central support for states since December 2003 has improved case registration.
  • The elimination strategy encompasses case detection and treatment.
  • Interruption of transmission via vector control is a key component.

Main Results:

  • Improved case registration following enhanced central support.
  • Kala-azar remains a significant public health challenge in specific Indian states.
  • The multi-faceted elimination strategy is crucial for progress.

Conclusions:

  • Effective kala-azar elimination requires a sustained, integrated approach.
  • Vector control, robust case management, and public awareness are vital.
  • Inter-country coordination and governmental support are essential for eradicating kala-azar.