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The director of the National Center for Disease Prevention, Ministry of Health of the Government of the National Accord in Libya, Badr Najjar, said that cutaneous leishmaniasis was spreading rapidly in the country, with no possibility of fighting it. According to Najjar, the new type of disease is skin leishmaniasis, an endemic disease in Libya, but the country had already been able to resist and provide recovery vaccines in recent years. Waves spread, in the absence of Libyan hospitals, across the country, to vaccines resistant to the disease.
Najjar attributed the reasons for the return of Leishmania to an increase in the number of rodents carrying the disease, which facilitates its transport to humans by the sandfly, so that the activity of the disease is widespread. This is due to the inability to tackle the piles of organic and industrial waste and the destruction of buildings, which caused the war and its fighting in most Libyan cities, although the waste and pollution of the environment increase the number of rodents, mainly mice. Ideal for flies to transmit diseases.
"Since 2011, the National Center for Disease Prevention does not have a budget for resistance to leishmaniasis or other:" We have no other way than to contact the Ministry of Health. Health and to urge him to provide as soon as possible disease-resistant vaccines, but our correspondence has received no response. Until now, the center has resorted to the World Health Organization, which should respond to our requests. "
According to Wafiq Ben Rabha, a member of the medical convoys office of the Ministry of Health, medical statistics confirm that up to now, leishmaniasis cases have reached 140 cases in Beni Walid (North West) and 350 in Zliten. ) And 65 in Sirte (north) and have been deployed significantly in the Nalut and Tigi areas of the west (north-west) mountain, without the final number of casualties in both regions and isolated cases in Gharyan and Tarhuna (northwestern) Number of cases in other regions.
Ben Rabeha says the ministry is distributing medical pamphlets explaining the symptoms of the disease so that doctors and medical center workers can identify him, explaining that the disease is transmitted by a very small fly difficult to see to the naked eye and conveying the parasite, Skin Deformity If it is not treated, the disease can cause the most serious internal lesions, indicating that the recovery period requires between six months and a full year.
"The recovery of leishmaniasis activity is due to the available environment," he said, "the accumulation of garbage is a direct cause. Malnutrition facilitates the endemic parasite in the body, especially vitamin A deficiency. " And the possibility of resistance to the disease, said: "The drug stores in the medical supply system are not resistant to vaccines, and the convoy office does not have a communication mechanism that allows it to monitor and count clearly affected areas, pointing out that the great negligence of the Ministry of Health led Spread of the disease.
The World Health Organization warned, in a statement, the seriousness of the increasing incidence of cutaneous leishmaniasis in Libya, given the lack of services and drugs, signaling the beginning of its efforts to train medical staff in the fight against the disease, including seven doctors in the Taorgha region. . She also confirmed that other training and provision of medicines and vaccines had been undertaken to combat the risk of spreading the disease in other Libyan regions.
Patients in Tunisia
Ben Rabaha says that the number of people with leishmaniasis in Nalut is 564, which indicates that it is an important and dangerous character in a small town like her. He added that the inhabitants of the city had sought refuge in Tunisia because of Nalut's proximity to the border, but he asked: "What about remote areas and towns? sera are not available even if the citizen is expensive for them? "
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