Kala Azar Trends

Bihar

East Champaran

Sitamarhi Madhubani

SupaulAraria

Kishanganj

Purnia

Katihar

Darbhanga

Muzaffarpur

Sheohar

Saran

Siwan

Vaishali SamastipurSaharsa

Madhepura

Gopalganj

Bhojpur

RohtasKaimur

BuxarPatna

Jehanabad

GayaAurangabad

Nalanda

Nawada

Jamui

Banka

MungerLakhisarai

Sheikhpura

Begusarai

Bhagalpur

Khagaria

West Champaran

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

Kala-azar Bihar 2001

Low Endemic Areas

Mesoendemic Areas

Hyperendemic Areas

1

1

5 6

20073

22

1+2

KA in Bihar• 1999 11151• 2000 13076• 2001 10327• 2002 9684• 2003 13960• 2004 17324• 2005 23383• 2006 29711 (Source SHS Bihar)

• 2007 37819 (NVBDCP)

• 2008 29094• 2009 21318 • 2010 23084 • 2011 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-azar-patients-fake-drugs-drug-samples

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

East Champaran

Sitamarhi Madhubani

SupaulAraria

Kishanganj

Purnia

Katihar

Darbhanga

Muzaffarpur

Sheohar

Saran

Siwan

Vaishali SamastipurSaharsa

Madhepura

Gopalganj

Bhojpur

RohtasKaimur

BuxarPatna

Jehanabad

GayaAurangabad

Nalanda

Nawada

Jamui

Banka

MungerLakhisarai

Sheikhpura

Begusarai

Bhagalpur

Khagaria

West Champaran

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

2001

2007