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. 2020 Apr 5;20:446. doi: 10.1186/s12889-020-08532-9

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© The Author(s) 2020

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Epicurve of visceral leishmaniasis cases, Marsabit County Referral Hospital, Kenya, 2014 n = 136. The index case was reported in October 2013. On 11th May 2014, the Ministry of Health was notified of 18 laboratory (rK39) confirmed visceral leishmaniasis cases in Marsabit County from 10th to 21st May 2014. This prompted the Ministry of Health to conduct field investigation to confirm the existence of an outbreak and epidemiologically characterize the outbreak in Marsabit County. New cases continued being seen at the various facilities within the county after visceral leishmaniasis sensitization. Between May and September 2014, 118 visceral leishmaniasis cases have been reported in Marsabit County Hospital of which 12 (10%) cases have been lost to death. In the month of October 2014, follow up investigation was conducted to update the line list, clinically characterize the cases, and describe regimens used to manage the cases and their treatment outcome