Epidemiological, clinical and therapeutic features of Bihar kala-azar (including post kala-azar dermal leishmaniasis)

• Published in: Transactions of the Royal Society of Tropical Medicine and Hygiene Vol. 78; no. 3; pp. 391 - 398
• Main Author: Thakur, C.P.
• Format: Journal Article
• Language: English
• Published: Oxford Elsevier Ltd 1984; Royal Society of Tropical Medicine and Hygiene; Elsevier
• Subjects: Adolescent; Adult; Age of host; Antimony Sodium Gluconate - therapeutic use; Biological and medical sciences; Child; Child, Preschool; Disease Outbreaks - prevention & control; drug toxicity; epidemiology; Female; Human protozoal diseases; Humans; India; Infant; Infant, Newborn; Infectious diseases; Leishmania; leishmaniasis; Leishmaniasis - drug therapy; Leishmaniasis - epidemiology; Leishmaniasis - mortality; Leishmaniasis, Visceral - drug therapy; Leishmaniasis, Visceral - epidemiology; Leishmaniasis, Visceral - mortality; Leshmaniasis; Male; Medical sciences; Middle Aged; Parasitic diseases; Pentamidine - therapeutic use; Protozoal diseases; protozoal infections; Seasonal distribution; Sex of host; Treatment and control; Tropical medicine; India; Human; Infection; Protozoal disease; Treatment; Asia; Pathogenesis; Kala azar; Epidemiology; India

This epidemic of kala-azar in Bihar, India, started from a small block and gradually spread to almost all of North Bihar. Vaishali was the district most affected, with the highest incidence rate of 5·9 per thousand in 1978. The epidemic spread more to the east than to the west. In 1977 there were 10...