News / Middle East

Health Experts: Leishmaniasis on the Rise in War-Torn Syria

A doctor treats a child showing symptoms of Leishmaniasis at a hospital in Aleppo, February 11, 2013.
A doctor treats a child showing symptoms of Leishmaniasis at a hospital in Aleppo, February 11, 2013.
Cecily Hilleary
Health workers in northern Syria have reported a dramatic rise in cases of Leishmaniasis--locally dubbed “Aleppo Button Disease” for the sores it produces--and are calling on the World Health Organization and other international agencies for help.  

Causes and treatment
 
Leishmaniasis, transmitted through the bite of the common sandfly, is a complex of diseases affecting different parts of the body. The kind most commonly found in Syria is called cutaneous Leishmaniasis, which is characterized by welts or sores on the skin. These can sometimes become infected.

Mark
Sandfly (Phlebotomus papatasi)Sandfly (Phlebotomus papatasi)
x
Sandfly (Phlebotomus papatasi)
Sandfly (Phlebotomus papatasi)
Wiser is Associate Professor at Tulane University’s School of Public Health and Tropical Medicine in the southern U.S. city of New Orleans and an expert on Leishmaniasis. He says the skin sores usually heal on their own, but often not for months or even years, leaving ugly scars.
 
“Generally your immune system will control the parasite and eliminate it,” Wiser said, “and so for the most part, the disease is not life-threatening.”
 
However, he says, cutaneous Leishmaniasis can sometimes cause more serious problems affecting the spleen and the liver.
 
“And in that case, it’s very dangerous and the disease is likely to be fatal,” Wiser said.
 
Wiser says he is not surprised to learn about the rise in cases of Leishmaniasis in Syria, as wartime conditions can often compromise immune systems. 
 
“And that might be why you are seeing it more in children, whose immune systems are less-developed, and then there’s going to be a lot of malnutrition, which also lowers immunity,” he said. “And if a person’s immune system is not fully able to handle the parasite then it could present fairly serious problems.”
Basic conditions are very poor for the Syrian people, so this Leishmaniasis is spreading quickly


Prevention and Treatment
 
Before the civil war begin in Syria, health authorities controlled outbreaks by spraying pesticides, but the breakdown of sanitation services has curtailed spraying, and not everyone can afford the price of mosquito nets, at $10 apiece.
 
Dr. Kerem Kinik, director of Doctors Worldwide in Turkey that provides medical help to doctors inside Syria, says Leishmaniasis was always known in the country, particularly Aleppo, and provinces along the border with Turkey. For several years, the health ministries of both countries worked together to prevent and control the incidence of the disease. 
 
“But unfortunately, since the beginning of the Syrian uprising two years ago, there are no public services anymore, especially health services,” Kinik said. “Basic conditions are very poor for the Syrian people, so this Leishmaniasis is spreading quickly.”
 
Men stand near garbage filling a street in Aleppo, February 11, 2013. Poor waste management and lack of hygiene have fuelled its spreadMen stand near garbage filling a street in Aleppo, February 11, 2013. Poor waste management and lack of hygiene have fuelled its spread
x
Men stand near garbage filling a street in Aleppo, February 11, 2013. Poor waste management and lack of hygiene have fuelled its spread
Men stand near garbage filling a street in Aleppo, February 11, 2013. Poor waste management and lack of hygiene have fuelled its spread
Power cuts, fuel and water shortages and poor sanitation and a lack of other public services have combined to create conditions ripe for transmission of the disease. Kinik says it is difficult to assess the exact number of cases inside Syria today. 
 
“Before the conflict, the program had reduced the number of cases in Syria to 3,000 to 4,000,” Kinik said. But Turkey’s Zaman newspaper reported recently that 100,000 cases of leishmaniasis have been diagnosed since the start of the crisis.
 
The drug Glucantime, which is injected directly into the sores, is usually the first-line treatment, but like so many medicines, it is scarce in war-torn Syria.
 
“This is not a commercially-available medicine in Turkey,” Kinik said, “because traditionally, we have few cases of Leishmaniasis. Now, we are trying to push the public health authority to import Glucantime, so that we can help more cases in Syria.”

You May Like

Video VOA Reporter Tours Devastated Peshawar School

Islamist militants wearing military uniforms and strapped with explosives attacked a military run school Tuesday in the northwestern Pakistani city of Peshawar. At least 141 people were killed in the horrific attack, most of them young students. More

Video Sudan School Becomes Target of Aerial Attacks

Dropout rate at an all-time high in South Kordofan state because many schools have been destroyed during 3-year civil war More

Tennessee Songbirds Fly Coop Long Before Tornadoes Arrive

Researchers say birds apparently alerted to danger by sounds at frequencies below range of human hearing More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
US: Response to Sony Hack Will Be Proportionali
X
Aru Pande
December 19, 2014 1:45 AM
The White House says President Barack Obama considers the cyberattack on Sony Corp. a serious national security matter and that the U.S. will counter with an "appropriate response." VOA correspondent Aru Pande reports.
Video

Video US: Response to Sony Hack Will Be Proportional

The White House says President Barack Obama considers the cyberattack on Sony Corp. a serious national security matter and that the U.S. will counter with an "appropriate response." VOA correspondent Aru Pande reports.
Video

Video Sudan School Becomes Target of Aerial Attacks

The school dropout rate is at an all-time high in Sudan's South Kordofan state because many schools have been destroyed during the three-year civil war between the government and SPLA-N rebel forces. Adam Bailes visited Sudan's Nuba Mountains' region and reports many children are simply too scared to go to school
Video

Video Nigerians Fleeing Boko Haram Languish in Camp Near Capital

In its five-year effort to impose Islamic law in northeastern Nigeria, the Boko Haram extremist group has killed thousands of people and forced hundreds of thousands to flee. Some of those who ran for their lives now live in squalor on the edges of the capital, Abuja. Chris Stein reports for VOA.
Video

Video Putin Says Russian Economy Will Emerge Stronger

Russian President Vladimir Putin has said his country's sinking economy will not only recover but also become stronger, despite falling oil prices and Western sanctions over Ukraine. VOA's Daniel Schearf reports.
Video

Video Detained Turkish Journalists Follow Teachings of US-Based Preacher

The Turkish government’s jailing of critical journalists has sparked international condemnation and is being seen as an effort to undermine the followers of an ailing Turkish preacher based in the United States. VOA religion reporter Jerome Socolovsky has more.
Video

Video ‘Anti-Islamization’ Marches Increase Tensions In Germany

Anti-immigrant rallies in Germany have been building in recent weeks, peaking Monday night in the city of Dresden where tens of thousands of people turned out to demonstrate against what they call the ‘Islamization’ of the West. Germany has offered asylum to more Syrian refugees than any other country, and this appears to have set off the protests. Henry Ridgwell reports from London.
Video

Video Aceh Rebuilt Decade After Tsunami, But Scars Remain

On December 26, 2004 there was an earthquake in the Indian Ocean so powerful it caused the Earth’s axis to wobble a few centimeters. Onshore on the island of Sumatra, the resulting tsunami was devastating. A decade later, VOA Correspondent Steve Herman reports from Banda Aceh, Indonesia, where although there is little remaining evidence of the physical devastation, the psychological scars among survivors remain.
Video

Video Refugees Living in Kenya Long for Peace in the Home Countries

Kenya is host to numerous refugees seeking safe haven from conflict. Immigrants from Somalia face challenges in their new lives in Kenya. Ahead of International Migrants Day (December 18) Lenny Ruvaga has more for VOA News from the Kenyan capital.

All About America

AppleAndroid