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    What is kala-azar, and why are health experts alarmed by its rising spread?

    Rising heat and prolonged drought create the ideal environment for sandflies, which are fueling the spread of kala-azar.

    By David Njagi // 20 August 2024

    Every year kala-azar — the disease also known as black fever or visceral leishmaniasis — leaves many patients in Africa nursing chronic conditions. Now climate change is driving the disease to spread to new places on the continent and straining health systems in the process.

    Leishmaniasis is a disease caused by an infection with parasites spread by the bite of infected sandflies, and kala-azar is one of three strains of leishmaniasis. The strain caused 5,710 deaths in 2019, and the World Health Organization estimates that there are 700,000 to a million new leishmaniasis patients each year. Kala-azar is fatal if left untreated in over 95% of cases.

    The spread of the disease is due to rising heat and prolonged drought, which provides the perfect environment for the sandflies that spread it, Martin Muchangi, director for population health and environment at the African Medical and Research Foundation, or AMREF, told Devex.

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    ► Opinion: The business case for investing in neglected tropical diseases

    ► Opinion: It's official, noma is a neglected tropical disease. Now what?

    ► Opinion: A 'one health' approach can avert climate crisis impact on NTDs

    • Global Health
    • Environment & Natural Resources
    • African Medical and Research Foundation (AMREF)
    • Drugs for Neglected Diseases Initiative (DNDi)
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    About the author

    • David Njagi

      David Njagi

      David Njagi is a Kenya-based Devex Contributing Reporter with over 12 years’ experience in the field of journalism. He graduated from the Technical University of Kenya with a diploma in journalism and public relations. He has reported for local and international media outlets, such as the BBC Future Planet, Reuters AlertNet, allAfrica.com, Inter Press Service, Science and Development Network, Mongabay Reporting Network, and Women’s Media Center.

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