Kala-azar (Visceral Leishmaniasis) Elimination in Bangladesh: Successes and Challenges

被引：0

作者：

Ahmed B.-N. ^{[1
]}

Nabi S.G. ^{[1
]}

Rahman M. ^{[4
]}

Selim S. ^{[5
]}

Bashar A. ^{[2
]}

Rashid M.M. ^{[1
]}

Lira F.Y. ^{[1
]}

Choudhury T.A. ^{[1
]}

Mondal D. ^{[3
]}

机构：

[1] Disease Control, Directorate General of Health Services, Government of Bangladesh, Mohakhali

[2] Suriya Kanta Kala-azar Research Center, Mymensingh

[3] Centre For Nutrition and Food Security, Parasitology Laboratory, International Centre for Diarrhoeal Disease Research, Mohakhali, 1212, Dhaka

[4] Vector Borne Disease, WHO, Bangladesh, Gulshan 2

[5] Department of Medicine, Shaheed Suhrawardy Medical College, Sher-e-Bangla Nagor

来源：

Current Tropical Medicine Reports | 2014年 / 1卷 / 3期

关键词：

Bangladesh; Leishmnaniasis; National program; Protozoa; Visceral leishmaniasis; VL;

D O I：

10.1007/s40475-014-0027-6

中图分类号：

学科分类号：

摘要：

Visceral leishmaniasis (VL) also known as kala-azar is a major public health problem in Bangladesh. A national VL elimination program was initiated in 2008 in Bangladesh after the signing of a memorandum of understanding between the Government of Bangladesh, India, and Nepal in 2005 for the elimination of VL from these three countries by 2015. Following the strategic plan of the VL elimination program of the three countries, the national program in Bangladesh was established in 2008. Based on information in the directorate general of health services, expert opinions in a recently held advocacy meeting in Dhaka and on available scientific literature, we report here the successes and challenges of the national VL elimination program in Bangladesh. The program prepared the national kala-azar elimination guidelines and strategic plan for VL elimination in consultation with the technical working group for VL elimination and VL experts in Bangladesh and abroad, including the World Health Organization-The Special Programme for Research and Training in Tropical Diseases (TDR). The program trained health staff from all VL endemic hospitals in proper diagnosis and treatment, stratified the country according to VL burden, and introduced the rapid diagnostic test and oral treatment with miltefosine at no cost for patients. Integrated vector control management with indoor residual spraying and the distribution of commercial, long-lasting, insecticide-treated bed-nets were also studied and then implemented. VL burden has declined, but is still far from the target of VL elimination. Thus, the program must continue to maintain these activities and also introduce new activities to involve community participation in the program. The program is facing challenges regarding the shortage of human resources and logistics because of a scarcity of resources. To maintain the success of the program, support from national and international donor agencies and policy makers will be necessary. Other options for the treatment of VL patients as well as for vector control must also be considered. © 2014, Springer International Publishing AG.

引用

页码：163 / 169

页数：6

共 13 条

[1] Alvar J., Velez I.D., Bern C., Herrero M., Desjeux P., Cano J., Et al., Leishmaniasis worldwide and global estimates of its incidence, PLoS One, 7, 5, (2012)
[2] Regional Technical Advisory Group on Kala Azar Elimination. Report of the third meeting, Dhaka, Bangladesh. Dhaka, (2009)
[3] Regional Technical Advisory Group on Kala-azar Elimination. Report of the first meeting, Manesar, Haryana, 20–23 December, 2004, (2005)
[4] Rahman R., Bangali M., Kabir H., Naher F.B., Mahboob S., Kala-azar situation in Bangladesh, Natinal Guideline and Training Module for Kala-azar Elimination in Bangladesh, (2008)
[5] Ramesh V., Katara G.K., Verma S., Salotra P., Miltefosine as an effective choice in the treatment of post-kala-azar dermal leishmaniasis, Br J Dermatol, (2011)
[6] Mondal D., Alam M.S., Karim Z., Haque R., Boelaert M., Kroeger A., Present situation of vector-control management in Bangladesh: a wake up call, Health Policy, 87, 3, pp. 369-376, (2008)
[7] Picado A., Dash A.P., Bhattacharya S., Boelaert M., Vector control interventions for visceral leishmaniasis elimination initiative in South Asia, 2005-2010, Indian J Med Res, 136, 1, pp. 22-31, (2012)
[8] Picado A., Singh S.P., Rijal S., Sundar S., Ostyn B., Chappuis F., Et al., Longlasting insecticidal nets for prevention of Leishmania donovani infection in India and Nepal: paired cluster randomised trial, BMJ, 341, (2010)
[9] Picado A., Das M.L., Kumar V., Kesari S., Dinesh D.S., Roy L., Et al., Effect of village-wide use of long-lasting insecticidal nets on visceral Leishmaniasis vectors in India and Nepal: a cluster randomized trial, PLoS Negl Trop Dis, 4, 1, (2010)
[10] Mondal D., Chowdhury R., Huda M.M., Maheswary N.P., Akther S., Petzold M., Et al., Insecticide-treated bed nets in rural Bangladesh: their potential role in the visceral leishmaniasis elimination programme, Trop Med Int Health, 15, 11, pp. 1382-1389, (2010)

← 1 2 →