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Trans R Soc Trop Med Hyg. 2015 Jun;109(6):408-15. doi: 10.1093/trstmh/trv031. Epub 2015 Apr 26.

Feasibility of a combined camp approach for vector control together with active case detection of visceral leishmaniasis, post kala-azar dermal leishmaniasis, tuberculosis, leprosy and malaria in Bangladesh, India and Nepal: an exploratory study.

Author information

1
Central Department of Microbiology, Tribhuvan University, Kathmandu, Nepal banjaramr@gmail.com.
2
University Medical Centre Freiburg, Centre for Medicine and Society, Freiburg, Germany Special Programme for Research and Training in Tropical Diseases (WHO/TDR), Geneva, Switzerland.
3
International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka.
4
Rajendra Memorial Research Institute of Medical Sciences, Patna, India.
5
Public Health and Infectious Disease Research Center, Kathmandu, Nepal.
6
Department of Microbiology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
7
Department of Internal Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal.

Abstract

BACKGROUND:

We assessed the feasibility and results of active case detection (ACD) of visceral leishmaniasis (VL), post kala-azar dermal leishmaniasis (PKDL) and other febrile diseases as well as of bednet impregnation for vector control.

METHODS:

Fever camps were organized and analyzed in twelve VL endemic villages in Bangladesh, India, and Nepal. VL, PKDL, tuberculosis, malaria and leprosy were screened among the febrile patients attending the camps, and existing bednets were impregnated with a slow release insecticide.

RESULTS:

Among the camp attendees one new VL case and two PKDL cases were detected in Bangladesh and one VL case in Nepal. Among suspected tuberculosis cases two were positive in India but none in the other countries. In India, two leprosy cases were found. No malaria cases were detected. Bednet impregnation coverage during fever camps was more than 80% in the three countries. Bednet impregnation led to a reduction of sandfly densities after 2 weeks by 86% and 32%, and after 4 weeks by 95% and 12% in India and Nepal respectively. The additional costs for the control programmes seem to be reasonable.

CONCLUSION:

It is feasible to combine ACD camps for VL and PKDL along with other febrile diseases, and vector control with bednet impregnation.

KEYWORDS:

Active case detection; Bednet impregnation; Febrile cases; Post kala-azar dermal leishmaniasis; Sandfly control; Visceral leishmaniasis

PMID:
25918216
PMCID:
PMC4499944
DOI:
10.1093/trstmh/trv031
[Indexed for MEDLINE]
Free PMC Article

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