An overview of visceral leishmaniasis elimination program in India: a picture imperfect

Abstract

Visceral leishmaniasis (VL) has been one of the most neglected tropical diseases in India. Concurrent and correct data on the burden of VL is vital to plan, allocate trained resources and to monitor the progress of the elimination program. More emphasis on integrated vector management can help in combating the disease spread. Effective surveillance, active and accurate diagnosis using rK39 strip test and use of an affordable, safe and efficient treatment option like liposomal amphotericin B remain the key components of VL control. Sustained advocacy, information, education and communication are needed in all the endemic areas. In this paper, we review the effectiveness of the strategies adopted in VL elimination in India.

Keywords: elimination in India; indicator; integrated vector management; kala-azar; visceral leishmaniasis.