Kala-azar Infection On Increase: MSF
Medicins Sans Frontieres (MSF) on Wednesday reported an increase of
kala-azar infection in Jonglei State. MSF says cases of the infection are
more than in previous years.
 22 November 2013

By Waakhe Simon Wudu

*JUBA – 22 November 2013 [Gurtong] -* A press statement released said that,
the cases are high in northern Jonglei and Upper Nile States where MSF is
currently treating hundreds of them.

In the Lankien health facility alone, MSF teams have treated nearly 360
kala azar patients in October 2013, higher than the last major peak of
2010.

“A greater percentage of the new patients we have admitted for kala azar in
the past three months are children, most of whom are malnourished. We are
also treating adults, but our main concern now is that most patients are
arriving late to the clinic, especially those coming from far away
locations,” says Alison Buchanan, MSF’s kala azar specialist in Lankien.

As its part of intervention, MSF said it has set up treatment centres in
eight locations in northern Jonglei, and support Malakal Teaching Hospital
in Upper Nile State.

“Together with the Ministry of Health and other health agencies, the
current strategy is to bring diagnostic and treatment services closer to
the communities to improve access, facilitate early diagnosis and treatment
and thereby save lives”, say Raphael Gorgeu, MSF Head of Mission.

However, with a limited number of health facilities, no other means of
transport, and inaccessible roads, many patients suffering from the disease
are forced to walk long distances to access treatment, with some arriving
late, and often in terrible condition.

Chool Jock, a 24 year-old woman, too weak to walk, was carried on a
stretcher by her family members to the MSF hospital in Lankien.. They
walked for 12 hours.

“The journey is long, and not safe, so I waited for my brothers to take me
to the hospital. As two of us were sick in the family, my younger sister in
a worse condition than I, got the first priority, and then they later came
back for me,” says Chool.

“These patients know of no other medical facilities around here. They need
to know where else they can seek treatment, so that they reach us earlier,”
adds Alison.

MSF operation it is expecting to treat in total more than 1500 patients.

There are fears that, with the remoteness of the areas, more patients could
be suffering silently in areas where they due to lack of access of health
facilities.

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