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We read with interest the letter by Alok et al. regarding the high incidence of Kala Azar in Nepal.
It would be interesting to note that Nepal is in close geographic proximity to Bihar,the state that contributes to the maximum number of cases of Kala Azar in India and that there is a large influx of immigrant labourers from Bihar into Nepal.
At our clinic we have noticed that most of the cases of Kala Azar are immigrant Indians and relatively uncommon among the Nepali population.
we are also finding lots of cases of kala azar here in nepal, not only in
india. even we had some cases with frank hepatitis in kala azar patients
without any treatment history.
Is the incidence of Kala Azar in Nepal influenced by the influx of immigrant Indian population ?
Dear Sir,
We read with interest the letter by Alok et al. regarding the high incidence of Kala Azar in Nepal.
It would be interesting to note that Nepal is in close geographic proximity to Bihar,the state that contributes to the maximum number of cases of Kala Azar in India and that there is a large influx of immigrant labourers from Bihar into Nepal.
At our clinic we have noticed that most of the cases of Kala Azar are immigrant Indians and relatively uncommon among the Nepali population.
Competing interests: No competing interests