@entity232 is a disease complex caused by the parasite of genus @entity3911 . @entity234 is caused by @entity3911 transmitted to @entity1 by sand @entity238 . Some wild animals and @entity1 reservoir is the major reservoir in most of the cases. The disease is prevalent in different parts of the world including India, Nepal, Bangladesh, Sudan and Brazil. It has also been reported from Northern half of Pakistan. In Hazara Division, it has been reported from Galiat, Battagram, Kaladhaka, Kohistan, Balakot, Kaghan and adjoining areas of Azad Jammu _ Kashmir. A focus of @entity234 was detected in villages located about 15 Km from Abbottabad city in year 2000. Sporadic cases were reported from the suburbs of Abbottabad but not from Abbottabad city. All these cases and cases from the other parts of Pakistan were @entity1 <12 years of age and the disease was not seen in adults except only one @entity1 , 11 year old. We report the 1st case from this area which is 16 years old @entity1 .

XXXX : adult population of Abbottabad at risk now.

@entity1 :: ('9606', 'Species') :: ['child', 'children', 'girl', 'human'] @entity234 :: ('MESH:D007898', 'Disease') :: ['Visceral Leishmaniasis', 'visceral Leishmaniasis'] @entity232 :: ('MESH:D007896', 'Disease') :: ['Leishmaniasis'] @entity3911 :: ('5661', 'Species') :: ['Leishmania donovani', 'Leishmania'] @entity238 :: ('7227', 'Species') :: ['fly']
@entity234 :: (MESH:D007898,Disease) :: ['Visceral leishmaniasis']
