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    Jan 16, 2021
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    Visceral Leishmaniasis in Somalia: A Review of Epidemiology and Access to Care

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    Sunyoto T et al - 2017 - Visceral ...
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    Authors
    Sunyoto, T
    Potet, J
    Boelaert, M
    Issue Date
    2017-03-09
    Submitted date
    2017-03-15
    
    Metadata
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    Journal
    PLoS Neglected Tropical Diseases
    Abstract
    Somalia, ravaged by conflict since 1991, has areas endemic for visceral leishmaniasis (VL), a deadly parasitic disease affecting the rural poor, internally displaced, and pastoralists. Very little is known about VL burden in Somalia, where the protracted crisis hampers access to health care. We reviewed evidence about VL epidemiology in Somalia and appraised control options within the context of this fragile state's health system. VL has been reported in Somalia since 1934 and has persisted ever since in foci in the southern parts of the country. The only feasible VL control option is early diagnosis and treatment, currently mostly provided by nonstate actors. The availability of VL care in Somalia is limited and insufficient at best, both in coverage and quality. Precarious security remains a major obstacle to reach VL patients in the endemic areas, and the true VL burden and its impact remain unknown. Locally adjusted, innovative approaches in VL care provision should be explored, without undermining ongoing health system development in Somalia. Ensuring VL care is accessible is a moral imperative, and the limitations of the current VL diagnostic and treatment tools in Somalia and other endemic settings affected by conflict should be overcome.
    Publisher
    Public Library of Science
    URI
    http://hdl.handle.net/10144/618840
    DOI
    10.1371/journal.pntd.0005231
    PubMed ID
    28278151
    Language
    en
    ISSN
    1935-2735
    ae974a485f413a2113503eed53cd6c53
    10.1371/journal.pntd.0005231
    Scopus Count
    Collections
    Leishmaniasis/Kala Azar

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