Kala Azar Trends

Bihar

West Champaran

Kala-azar Bihar 2001

5
East Champaran Sheohar Sitamarhi Madhubani Supaul Araria

1
Gopalganj

Kishanganj

Siwan
Saran

Muzaffarpur Darbhanga Vaishali Samastipur Madhepura

Purnia Saharsa Khagaria

Bhagalpur Katihar

Buxar

Bhojpur

Patna

Begusarai

Nalanda Kaimur Rohtas

Sheikhpura

Jehanabad

Munger
Lakhisarai

Nawada Aurangabad Gaya Jamui

Banka

Hyperendemic Areas

Source: Dr Shyam Sunder in Tropical Medicine and International Health Volume 6 No.II PP 849-854 November 2001

Mesoendemic Areas Low Endemic Areas

3
2 2

2007

1+2

KA in Bihar
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 11151 13076 10327 9684 13960 17324 23383 29711 (Source SHS Bihar) 37819 (NVBDCP) 29094 21318 23084 25215

up to 2000 data from Chief Malaria Officer, Health and Family Welfare Department, Government of Bihar, Patna)

Drugs in use
Amphotericin B (Fungizone) Liposomal Amphotericin B (AmBisome) Miltefosine Sodium Stibogluconate (SSG) Pentamidine Isethionate Paramomycin-After clinical trials of iOWH

Kala-azar drugs not available in Bihar hospitals

Mar 7, 2012 PATNA: The state government on Tuesday admitted that kala-azar drugs are not available in state hospitals for the last six months. the state government is not empowered to buy kala-azar drugs on its own. Replying to a question . in the legislative council.: "We have made repeated requests to the Centre to allow us to buy kala-azar drugs. Even the principal secretary had gone to Delhi to discuss the issue but no progress could be made in this regard till date." The Centre makes kala-azar drugs available to states as a part of the national health initiative. No state has been authorized by the Centre to buy kala-azar drugs on its own." As a result, we are not having such drugs for the last six months"

http://articles.timesofindia.indiatimes.com/2012-03-07/patna/31131608_1_kala-azarpatients-fake-drugs-drug-samples

Report of the Working Group for Communicable Diseases in the 12th Plan (WG-3.1 Communicable Diseases Report) May 2011.

West Champaran

East Champaran Gopalganj

Sheohar Sitamarhi Madhubani Supaul Araria

Kishanganj

Siwan
Saran

Muzaffarpur Darbhanga Vaishali Samastipur Madhepura

Purnia Saharsa Khagaria

Bhagalpur Katihar

Buxar

Bhojpur

Patna

Begusarai

Nalanda Kaimur Rohtas

Sheikhpura

Jehanabad

Munger
Lakhisarai

Nawada Aurangabad Gaya Jamui

Banka

2007 2001
Source: Dr Shyam Sunder in Tropical Medicine and International Health Volume 6 No.II PP 849-854 November 2001