for PHRN Bihar at AN Sinha Institute on 24th March 2012

1. Kala Azar Trends
Bihar

3. Kala-azar Bihar 2001
West Champaran
5 6
1
East Champaran Sheohar
Gopalganj
Sitamarhi Madhubani
Supaul Kishanganj
Araria
Muzaffarpur
Siwan
Darbhanga Madhepura
Saran Vaishali Samastipur
Saharsa
Purnia 1
Bhojpur Patna Begusarai Khagaria Katihar
Buxar
Nalanda Sheikhpura Bhagalpur
Munger
Rohtas Jehanabad
Kaimur Lakhisarai
Nawada Banka
Aurangabad Gaya Jamui
Hyperendemic Areas
Mesoendemic Areas
Source: Dr Shyam Sunder in Tropical Medicine and International Health Low Endemic Areas
Volume 6 No.II PP 849-854 November 2001

4. 3 2007
2 2
1+2

5. 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)

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

7. 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

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

9. West Champaran
East Champaran Sheohar
Gopalganj
Sitamarhi Madhubani
Supaul Kishanganj
Araria
Muzaffarpur
Siwan
Darbhanga Madhepura
Saran Vaishali Samastipur Purnia
Saharsa
Bhojpur Patna Begusarai Khagaria Katihar
Buxar
Nalanda Sheikhpura Bhagalpur
Munger
Rohtas Jehanabad
Kaimur Lakhisarai
Nawada Banka
Aurangabad Gaya Jamui
2007
2001
Source: Dr Shyam Sunder in Tropical Medicine and International Health
Volume 6 No.II PP 849-854 November 2001