ProMED, June 25, 2000. At least 11 people have died and about 200 have been infected.
Visceral leishmaniasis is a parasitic infection that is spread by sandfly bites.
The incubation period is weeks to months. Symptoms include recurrent fever, hepatosplenomegaly, lymphadenopathy, and pancytopenia. Travelers should take precautions against insect bites. WHO, Weekly Epidemiological Record, June 23, 2000. An outbreak of acute hemorrhagic fever syndrome has been reported from an isolated village in Gulran district, Afghanistan.