Potential Challenges of Controlling Leishmaniasis in Sri Lanka at a Disease Outbreak

Author:

Wijerathna Tharaka1ORCID,Gunathilaka Nayana1ORCID,Gunawardana Kithsiri1,Rodrigo Wasana2

Affiliation:

1. Department of Parasitology, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka

2. Biotechnology Unit, Industrial Technology Institute, Colombo 7, Sri Lanka

Abstract

The present works reviewed the existing information on leishmaniasis in Sri Lanka and in other countries, focusing on challenges of controlling leishmaniasis in the country, in an outbreak. Evidence from recent studies suggests that there is a possibility of a leishmaniasis outbreak in Sri Lanka in the near future. Difficulty of early diagnosis due to lack of awareness and unavailability or inadequacy of sensitive tests are two of the main challenges for effective case management. Furthermore, the absence of a proper drug for treatment and lack of knowledge about vector biology, distribution, taxonomy and bionomics, and reservoir hosts make the problem serious. The evident potential for visceralization in the cutaneous variant ofL.donovaniin Sri Lanka may also complicate the issue. Lack of knowledge among local communities also reduces the effectiveness of vector and reservoir host control programs. Immediate actions need to be taken in order to increase scientific knowledge about the disease and a higher effectiveness of the patient management and control programs must be achieved through increased awareness about the disease among general public and active participation of local community in control activities.

Funder

National Research Council, Sri Lanka

Publisher

Hindawi Limited

Subject

General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine

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