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UID:20260801T173951EDT-177088h3cv@132.216.98.100
DTSTAMP:20260801T213951Z
DESCRIPTION:Dr. Greg Matlashewski\n \nWorld Health Organization\, Geneva\na
 nd Professor\, Department of Microbiology and Immunology\,\n91Ë¿¹ÏÊÓƵ Univers
 ity\, Montreal\n'Visceral leishmaniasis: Elimination with existing\ninterv
 entions'\n \n \nAbstract\nThere are over 500\,000 visceral leishmaniasis c
 ases each year\nworldwide with 70% of these cases occurring in border regi
 ons of\nNorthern India\, Southern Nepal and Bangladesh. In these countries
 \,\nleishmaniasis remains embedded in the endemic villages where people\ne
 ither die or suffer for many months before seeking treatment. For\n2 years
 \, I have worked with the World Health Organization and\nleading experts a
 nd policy makers from India\, Nepal and Bangladesh\nto establish a unified
  strategy to eliminate leishmaniasis from\nthese countries. The eliminatio
 n target is a 95% reduction from the\ncurrent level of about 20 cases in 1
 0\,000 in the highly endemic\nareas. Unique epidemiological features of th
 is disease in the\nIndian sub-continent make elimination possible\, includ
 ing\; (1)\nhumans are the only reservoir\, (2) only one Sandfly vector spe
 cies\,\n(3) the Sandfly is susceptible to insecticides and (4) the\ngeogra
 phic distribution is limited and highly clustered. The\nelimination strate
 gy must be simple\, using inexpensive and\neffective interventions that wo
 rk on a larger scale. The strategy\nwill combine the training of village A
 SHAs (village health\npersonnel) in active case finding in the endemic vil
 lages and\nholding fever camps. Suspect cases will be transported by ricks
 haw\nto primary health centers located within several kilometers of the\ne
 ndemic villages and treated with a 'single dose' of intravenous\nAmBisome 
 that has been shown to be safe and provide a 95% cure\nrate. Therefore\, p
 atients will be diagnosed and treated on the same\nday near their village.
  This approach directly attacks the disease\nthrough actively reducing the
  human reservoir and reducing\ntransmission. Rapid diagnosis and treatment
  will be further\nsupported by vector control programs including insectici
 de treated\nbednets and other novel approaches focused on the endemic vill
 ages.\nIf a deadly disease like visceral leishmaniasis can be eliminated\n
 using these simple strategies\, shouldn’t this approach be one of\nthe hig
 hest priorities for global public health.\n
DTSTART:20110225T200000Z
DTEND:20110225T200000Z
LOCATION:Duff Medical Building\, CA\, QC\, Montreal\, H3A 2B4\, 3775 rue Un
 iversity
SUMMARY:Guest Speaker Seminar Series - Dr. Greg Matlashewski
URL:/channels/event/guest-speaker-seminar-series-dr-gr
 eg-matlashewski-171437
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