Leishmaniasis. December 11th, 2003 Kirt P. Love Director, DSBR Contamination of American Blood supply, Gulf War I & II. Introduction. The 1990 -1991 Gulf War conflict was fought primarily during the winter season, so the issue of Sand Fly exposure was minimal. Still, what
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December 11th, 2003
Kirt P. Love
Contamination of American
Blood supply, Gulf War I & II.
The 1990 -1991 Gulf War conflict was fought primarily during the winter season, so the issue
of Sand Fly exposure was minimal. Still, what
has been overlooked by the military medical monitoring was that Leishmaniasis also flourishes
in wet pools, and then burrows into the feet of
Our organization met with the
Pentagons Deployment Health
Support Directorate on the
medical fate or troops
Deploying to Iraq in 2002.
September – December 2002
Mike Kilpatrick of DHSD
stated that the indecisive PCR
test for Leishmaniasis still
needed work, and wasn’t
September – December 2002
Even though a directive was sent out
by the Army Surgeon General on
December 23rd, 2002 to monitor
Leishmaniasis during the present War.
Diagnosis in the feild was exclusively visual
observation for lesions. PCR labs or Splenic
asparate / Bone marrow were not available
in the desert for non-visual symptoms.
Outbreak of Kala-Azar (Visceral Leishmaniasis) in Iraq
UNICEF has announced an outbreak of Kala-Azar (Visceral Leishmaniasis) in
Iraq. Though there have been outbreaks of the disease in Iraq in the past
around this time of year, it is particularly severe this time.
There are now more than 200 cases of Kala-Azar reported in Iraq. The
country does see regular outbreaks of the disease.
UNICEF has warned that this time the outbreak could be severe.
Kala-Azar is spread mainly by sand flies and causes malnutrition and
anaemia. When left untreated, the disease is fatal within 4 to 6 weeks.
[Byline: Kamini Sawhney (Baghdad)]
Thu 29 May 2003
Pre and Post deployment medical tracking of
the troops in Afghanistan and Iraq were hastily
done. So many did not give blood samples
before leaving, stored by the AFIP.
That blood taken before and after is strictly HIV
testing, and is not used for other test. The
Naval Research Medical Center, and others
have used it for limited recent studies, but it is
still strictly a military medical operation.
American Physicians are not ready for this Exotic
Endemic disorder, and will miss cases having little
September 12th 2003, William Winkenwerder:
Under Secretary for Health, Veteran Affairs
Memorandum to Joint Chiefs of Staff, Leishmaniasis
“It is also possible that deployed personnel may
re-deploy without knowing they are infected”
USA TODAYDecember 4, 2003
Coleman and Army Lt. Col. Peter Weina, a leishmaniasis
expert still in Iraq, predicted in April that there would be 400
cases, based on the number of bites seen and tests that show
about one out of 70 sand flies carries the bug.
New York Times - December 6, 2003Dr. Coleman found soldiers who got
more than 200 bites in a single night.
L Major - 1,500,00 cases world wide each year
L Tropica- 500,00 cases world wide each year
The Pentagon recognizes 12 cases of L. Tropica from the 1991 Gulf War, and 20 cases of L. Major.
The Pentagon is also trying to say there is almost no L. Tropica present in Iraq. WRAMC goes as far as to imply the Iraqi L. Tropica is less virulent.
Institute of Microbiology and Hygiene, Humboldt University, Charite, Berlin, Germany.
Current ELISA accuracy is still between 32%
to 67% with 3 part control under ideal conditions.
Visceral tissue biopsies are only good after infection
is severe to terminal.
Office of Clinical and Regulatory Affairs,
National Center For Complementary and
Alternative Medicine, National Institutes of
“visceral disease is incurable if untreated.”
Drug of Choice:
(photo sensitive – 4 to 6
times a day )
Not as effective with
Pentostam - Diflucan
100 MG 50 TAB $300.00
100 MG 50 TAB $300.00
$32.00 100 mg
With no compulsary reporting of Leishmaniasis around the world, It is still undetermined what long term incubations could remain in remission until turning visceral. One case at WRAMC showed 43 years after a old cutaneous scar was irritated, the case developed
With DOD unable to track this, or unwilling to pay for expensive advanced labs – there is no way of knowing for sure how many troops coming home will be infected or with what strain.
Until the lab detection procedures are 100% conclusive,
and species specific – isnt the risk of Leishmaniasis to
the general public from the troops too high.
With undetermined long term latency for Leishmaniasis
( Tropica )and the uncertainty of today’s labs, we at DSBR
recommend to the FDA a permanent blood ban on all troops
coming home From Iraq, Afghanistan from 1990 to present.
At a minimum the soldiers blood should not be used in
Vat blood products, or plasma serum based products.