Visceral leishmaniasis: elimination with existing interventions

Greg Matlashewski, Byron Arana, Axel Kroeger, Sujit Battacharaya, Shyam Sundar, Pradeep Das, Prabhat Kumar Sinha, Suman Rijal, Dinesh Mondal, Dan Zilberstein, Jorge Alvar

Research output: Contribution to journalArticlepeer-review

103 Citations (Scopus)

Abstract

The world’s burden of infectious diseases can be substantially reduced by more-eff ective use of existing interventions.

Advances in case detection, diagnosis, and treatment strategies have made it possible to consider the elimination of

visceral leishmaniasis in the Indian subcontinent. The priority must now be to eff ectively implement existing

interventions at the community level by actively fi nding cases in endemic villages and treating them with single-dose

liposomal amphotericin B at primary-health-care centres. Once the elimination target of one case per 10 000 population

has been reached, combination therapies involving miltefosine and paromomycin can be introduced to ensure longterm

availability of several drugs for visceral leishmaniasis and to protect against resistance.

Original languageEnglish
Pages (from-to)322-325
Number of pages4
JournalThe Lancet Infectious Diseases
Volume11
Issue number4
DOIs
Publication statusPublished - 1 Apr 2011
Externally publishedYes

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