Kala-Azar Elimination Program

Kala-azar or visceral leishmaniasis is endemic in Nepal along with Bangladesh and India in the south east region. Government of Nepal is a signatory to the memorandum of understanding on strengthening collaboration in the regional effort to eliminate kala-azar as a public health problem which was formalized during the World Health Assembly held in May 2005.

In 2005, Nepal formulated a national plan to eliminate kala-azar defined as < 1 case per 10,000 population at district level with a target of achieving elimination by 2015. However, the elimination target could not be achieved by the program. Although the program has seen a steady decline in number of kala-azar cases, sporadic cases are being consistently reported from other districts which are considered as non- endemic. Recently in 2017, a mountainous district, Dolpa, reported kala-azar cases above the elimination threshold. In 2018, 53% of the total kala azar cases reported were from districts considered as non- endemic for kala-azar.

The national kala-azar program was mainly focusing its elimination activities in endemic districts. Initially twelve districts out of 75 were considered endemic for kala-azar. However, later, six districts which were consistently reporting kala-azar cases were added to the list of endemic district after local transmission of the disease was verified. This geographical expansion of the disease to the hilly and mountainous district is alarming. Moreover, increasing number of other forms of the disease like cutaneous leishmaniasis and mucocutaneous leishmaniasis is posing a threat in country’s elimination effort.

News & Update

Jan 1

Update on Diarrhoea Outbreak in Dadeldhura District

Diarrhoea Sign and Symptoms: Loose rice watery stool 15-20 episodes associated with nausea, vomiting & abdominal pain. Affected area: Parshuram Municipality- 8 (Gairi gaun, Sano khola & Gupte gada, 3 villages) Approximately 70 houses in those 3 villages Onset: 29 Shrawan 2076 (14 August 2019) - Total 81 cases of diarrhea were treated till date (1 referred to Seti Zonal Hospital and currently the case is stable condition) - Cases were treated at Jamurani birthing center and Jogbuda Hospital since the onset - Health team from Health Office, Provincial Health Directorate along with the required logistics were mobilized to the affected area on 30 Shrawan 2076 - Local RRT also mobilized - Cases are in decreasing trend (Today only 4 new cases out of which currently, one admitted and is under IV) - Out of 2 stool samples collected one is vibrio cholera positive from Dadeldhura Hospital, Dadeldhura - The positive sample is planned to be brought to NPHL, Teku for re confirmation

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Update on Diarrhoea Outbreak in Dadeldhura District

Jan 1

डेंगु रोग सम्वन्धी विभिन्न स्थानीय तहबाट प्राप्त जानकारी

मिति: २०७६/०४/२२ जिल्लाः सुनसरी विरामीको संख्या धरान उप–महानगरपालिकामा अधिकतम रहेको । मिति २०७६/०१/३० गते देखि हाल सम्म डेंगुका विरामी संख्या: २,८०३ जना रहेको । मृत्यु कसैको नभएको । विरामीहरुको विभिन्न अस्पतालहरुमा उपचार भएको । नियमित रुपमा डेंगु रोग नियन्त्रण तथा बच्ने उपायहरुबारे सूचना प्रवाह भईरहेको । लामखुट्टेको बासस्थान , खोजी गरी लार्भा नष्ट गर्ने कार्यहरु नियमित रुपमा संचालन भईरहेको । जिल्ला: कास्की मिति २०७६/०४/१४ गते पोखरा महानगरपालिका वडा नं. ८ शिबालय पहिलो डेंगु विरामी देखा परेको । हालसम्म डेंगुका विरामी संख्या: १८ जना रहेको । मृत्यु कसैको नभएको । विरामीहरुको विभिन्न अस्पतालहरुमा उपचार भएको । नियमित रुपमा डेंगु रोग नियन्त्रण तथा बच्ने उपायहरुबारे सूचना प्रवाह भईरहेको । लामखुट्टेको बासस्थान, खोजी गरी लार्भा नष्ट गर्ने कार्य आजदेखि सुरु गरेको । जिल्ला: मकवानपुर मिति २०७६/०४/११ गते हेटौडा उप-महानगरपालिका वडा नं.४ मा डेंगु विरामी देखा परेको । हालसम्म डेंगुका विरामी संख्या: ३८ जना रहेको । मृत्यु कसैको नभएको । विरामीहरुको विभिन्न अस्पतालहरुमा उपचार भएको । नियमित रुपमा डेंगु रोग नियन्त्रण तथा बच्ने उपायहरुबारे सूचना प्रवाह भईरहेको । लामखुट्टेको बासस्थान, खोजी गरी लार्भा नष्ट गर्ने कार्य नियमित रुपमा संचालन भईरहेको । श्रोत: स्वास्थ्य संयोजक धरान उप–महानगरपालिका, रामबाबु यादव; RRT फोकल पर्सन यम बराल, स्वास्थ्य कार्यालय  कास्की; स्वास्थ्य संयोजक हेटौडा उप–महानगरपालिका सुपेन्द्र कार्की । Yearly Dengue Status

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डेंगु रोग सम्वन्धी विभिन्न स्थानीय तहबाट प्राप्त जानकारी

Jan 1

Dengue, Kala-azar and Malaria Trend

Click here or download to get 3 years trend of Dengue, Kala-azar and Malaria.

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Dengue, Kala-azar and Malaria Trend