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MSF medical staff are examining Mekuanent, a kala azar patient during the morning rounds at MSF’s Abdurafi health center specializing in treatment of Kala-azar and snakebite.
Among the young male population the prevalence of HIV infection is relatively high. That creates a unique situation with between 20 and 40% of kala azar patients HIV co-infected. This combination of two diseases, both severely immune suppressive, is almost impossible to cure.
MSF medical staff examine Mekuanent, a kala azar patient, during the morning rounds at MSF’s Abdurafi health centre specialising in the treatment of kala azar and snakebite. Ethiopia, June 2023.
© Amanuel Sileshi/MSF
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Kala azar, or visceral leishmaniasis, is the second deadliest parasitic disease in the world – only malaria kills more people.

A neglected tropical disease, kala azar is caused by a parasite, spread to humans through the bite of infected female sand flies. It attacks the immune system and is almost always fatal if not treated.

Also known as visceral leishmaniasis, kala azar is the most serious form of leishmaniasis and is endemic in 76 countries, with hundreds of millions at risk of infection. There are between 50,000 and 90,000 new cases a year, about 90 per cent of which occur in Brazil, Ethiopia, India, Kenya, Somalia, South Sudan and Sudan. Between 1989 and 2020, MSF teams treated nearly 150,000 people for kala azar; over a third in South Sudan.

Diagnosis and treatment of the disease, especially of the variety found in eastern Africa, can be complex and painful.

GEORGE ONDIJO IS A LAB TECHNICIAN AT NDIWAH HOSPITAL IN HOMA BAY COUNTY. HE IS IN CHARGE OF SPUTUM COLLECTION FOR TUBERCULOSIS DIAGNOSIS. THE USE OF MASK IS MANDATORY TO AVOID CONTAGION.
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Kala azar

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