Visceral leishmaniasis epidemiology and demographics
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Epidemiology and Demographics
The disease is endemic in West Bengal,India where it was first discovered, but is seen at its most deadly in north and east Africa. It can also be found throughout the Arab world and southern Europe, and a slightly different strain of the pathogen, L. chagasi, is responsible for leishmaniasis in the new world.
But, while the disease’s geographical range is broad, it is not continuous. The disease clusters around areas of drought, famine, and high population density. In Africa, this has meant a knot of infection centers mostly in Sudan, Kenya, and Somalia. Living conditions here have changed very little in the past century, and the people are not normally very mobile. Parts of the Sudan, in particular the Upper Nile region, are almost totally cut off from the rest of the country, and the people are as tied to the place of their birth as any peasant of Europe’s dark ages.[1]
References
- ↑ Jean, Francois (1995). "Sudan: Speak no Evil, Do no Good". Life, Death and Aid: The Medicins Sans Frontieres Report on World Crisis Intervention.