Kala Azar in India

Kala azar is the second largest parasitic killer in the world - only Malaria is more deadly. Along with Chagas disease and sleeping sickness, kala azar is one of the most dangerous neglected tropical diseases.

Kala azar is endemic in 47 countries with approximately 200 million people at risk of infection. The parasite is spread to humans by bites from infected female sand flies. It attacks the immune system, and is almost always fatal if not treated. There are around half a million new cases a year, about 90 percent of which are in India, Bangladesh, Nepal, Sudan and Brazil. Beign India is most affected country by in the world, with Bihar state the epicenter of the disease.
Patients line up to be attended by doctor in Vaishali Village. The Primary Health Centre are the first link to detect Kala Azar. A blood sample, which is positive in Kala Azar, is seen on a microscope at Vaishali District Sadar Hospital, Hajipur, India. Salim Ali dispense medicines in Vaishali Village. The Primary Health Centre are the first link to detect Kala Azar. Chanderhver Ram, affected by Kala Azar, have a rest behind a mosquito net.  Kala Azar is transmitted by sand flies. Vaishali District Sadar Hospital, Hajipur, India. KalaAzar 05 Sheela Devi developes skin lesions due to Kala Azar. That can have an impact on their quality of life
Md. Firol, 60, was about to die because of Kala Azar. He is now recovered A portrait of Mahatma Gandhi is seen inside Vaishali District Sadar Hospital, Hajipur, India. Nurses prepare the AmbiSome dosage. Chanderhver Ram, affected by Kala Azar, goes out of the bathroom. Juli Kumari lies on bed while she receives the treatment for Kala Azar at Vaishali District Sadar Hospital, Hajipur, India. Used AmbiSome jars at Vaishali District Sadar Hospital, Hajipur, India.
Pinto Kumar receives a dose of Liposomal amphotericin B (LAmB), a very effective drug against Kala Azar.  Without treatment, this disease leads to death in almost 100 percent of cases. Dilip Kumar, eats pomegranate at Vaishali District Sadar Hospital, Hajipur, India. Dilip is hospitalized because is affected by Kala Azar India is most affected country by Kala Azar in the world, with Bihar state being the epicenter of the disease.  This state is mainly rural and cattle is the reservoir of Kala Azar. People coexist with cattle in the same house with no separation betwen them. Hajipur, India Dr. Deepaack feels the spleen of a patient to see how evolve the disease at Vaishali District Sadar Hospital, Hajipur, India. A dropper provides Liposomal amphotericin B (LAmB), a very effective drug against Kala Azar at Vaishali District Sadar Hospital, Hajipur, India. A Kala Azar patient is being transferred to a Tuberculosis wing.  A lot of Kala Azar patients have more diseases like TB, HIV, etc.