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

Republican Majority in Congress Off to Rough Start

Standoff over Homeland Security funding exposes philosophical, tactical problems within party More

Pakistan Blocks Baloch Activist from US Trip

Human Rights Commission of Pakistan slams Islamabad officials for stopping people from leaving country to attend human rights conference More

Video Muslims Long Thrived in North Carolina Before Students Killed

Idyll shattered February 10, when three Muslim university students living in Chapel Hill were gunned down by a neighbor 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.
Sierra Leone Ebola Orphans Face Another Crisisi
X
March 06, 2015 12:28 AM
There's growing concern about the future of an orphanage run by a British charity in Sierra Leone, after a staff member and his wife died this week from Ebola. The Saint George Foundation Orphanage in Freetown is now in quarantine, with more than 20 children and seven staff in lock-down. The BBC has agreed to share Ebola-related material with Voice of America because of the difficulties faced by media organizations reporting the crisis. Clive Myrie reports from Sierra Leone.
Video

Video Sierra Leone Ebola Orphans Face Another Crisis

There's growing concern about the future of an orphanage run by a British charity in Sierra Leone, after a staff member and his wife died this week from Ebola. The Saint George Foundation Orphanage in Freetown is now in quarantine, with more than 20 children and seven staff in lock-down. The BBC has agreed to share Ebola-related material with Voice of America because of the difficulties faced by media organizations reporting the crisis. Clive Myrie reports from Sierra Leone.
Video

Video Growing Concerns Over Whether Myanmar’s Next Elections Will Be Fair

Myanmar has scheduled national elections for November that are also expected to include a landmark referendum on the country's constitution. But there are growing concerns over whether the government is taking the necessary steps to prepare for a free and fair vote. VOA Correspondent Steve Herman was recently in Myanmar and files this report from our Southeast Asia bureau in Bangkok.
Video

Video Nigeria’s Ogonis Divided Over Resuming Oil Production

More than two decades ago, Nigeria’s Ogoni people forced Shell oil company to cease drilling on their land, saying it was polluting the environment. Now, some Ogonis say it’s time for the oil to flow once again. Chris Stein reports from Kegbara Dere, Nigeria.
Video

Video Winter Weather Strikes Eastern US...Again!

A new wintry blast has hit more than 20 states in the U.S. Midwest and Mid-Atlantic region, adding more snow to the piles from previous storms. Tired of shoveling snow, breaking the ice and dealing with accidents, flight delays and property damage, most Americans hope this is the last bout of cold for the season. Zlatica Hoke reports.
Video

Video Muslims Long Thrived in N Carolina Before Slaying of 3 Students

The killings of three Muslim students in North Carolina early last month came as Muslims across the United States have felt under siege, partly as a result of terrorist attacks being committed internationally in the name of their faith. But Muslims have long thrived in university cities in this part of the American South. VOA's Jerome Socolovsky reports.
Video

Video Fuel Shortages in Nigeria Threaten Election Campaigns

Nigeria is suffering a gas shortage as the falling oil price has affected the country’s ability to import and distribute refined fuels. Coming just weeks before scheduled March 28 elections, the shortage could have a big impact on the campaign, as Henry Ridgwell reports for VOA.
Video

Video Report: Human Rights in Annexed Crimea Deteriorating

A new report by Freedom House and the Atlantic Council of the United States says the human rights situation in Crimea has deteriorated since the peninsula was annexed by Russia in March of last year. The report says the new authorities in Crimea are discriminating against minorities, suppressing freedom of expression, and forcing residents to assume Russian citizenship or leave. Zlatica Hoke has more.
Video

Video 50 Years Later African-Americans See New Voting Rights Battles Ahead

Thousands of people will gather to mark the 50th anniversary of a historic civil rights march on March 7th in Selma, Alabama. In 1965, dozens of people were seriously injured during the event known as “Bloody Sunday,” after police attacked African-American demonstrators demanding voting rights. VOA’s Chris Simkins introduces us to some civil rights pioneers who are still fighting for voting rights in Alabama more than 50 years later.
Video

Video Craft Brewers Taking Hold in US Beer Market

Since the 1950’s, the U.S. beer industry has been dominated by a handful of huge breweries. But in recent years, the rapid rise of small craft breweries has changed the American market and, arguably, the way people drink beer. VOA’s Jeff Custer reports.
Video

Video Video Claims to Show Shia Forces in Iraq Executing Sunni Boy

A graphic mobile phone video is spreading on the Internet, claiming to show Iraqi forces or Shia militia executing a handcuffed Sunni boy. Experts have yet to verify the video, but already Islamic State followers are publicizing it across social media, playing on deep-rooted sectarian fears. VOA’s Jeff Seldin reports.
Video

Video Ukrainian Authorities Struggle to Secure a Divided Mariupol

Since last month's cease-fire went into effect, shelling around the port city of Mariupol has decreased, but it is thought pro-Russian separatists remain poised to attack. For the city’s authorities, a major challenge is gaining the trust of residents, while at the same time rooting out informants who are passing sensitive information to the rebels. Patrick Wells reports for VOA.
Video

Video Myanmar's Traditional Fashion Choices Endure

The sartorial choices of Myanmar’s men and women quickly catch the eye of any visitor to the tropical Southeast Asian country. But at a time when Myanmar’s political and economic opening is bringing affordable western fashions to the masses, will the country’s unique fashion trends endure? VOA Correspondent Steve Herman in Yangon explores that question.

All About America

Circumventing Censorship

An Internet Primer for Healthy Web Habits

As surveillance and censoring technologies advance, so, too, do new tools for your computer or mobile device that help protect your privacy and break through Internet censorship.
More