Neglected killer: kala-azar disease surges in Kenya

Kala-azar survivor Harada Hussein Abdirahman stands with her granddaughter in her compound in a village adjacent to one of the stone quarry areas in the hills outside Mandera town, Kenya. (AFP)
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Updated 09 February 2026
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Neglected killer: kala-azar disease surges in Kenya

  • A surge in cases among migrant workers at a quarry site in Mandera last year led authorities to restrict movement at dusk and dawn when sandflies are most active

MANDERA: For nearly a year, repeated misdiagnoses of the deadly kala-azar disease left 60-year-old Harada Hussein Abdirahman’s health deteriorating, as an outbreak in Kenya’s arid regions claimed a record number of lives.
Kala-azar is spread by sandflies and is one of the most dangerous neglected tropical diseases, with a fatality rate of 95 percent if untreated, causing fever, weight loss, and enlargement of the spleen and liver.
Cases of kala-azar, also known as visceral leishmaniasis, have spiked in Kenya, from 1,575 in 2024 to 3,577 in 2025, according to the health ministry.
It is spreading to previously untouched regions and becoming endemic, driven by changing climatic conditions and expanding human settlements, say health officials, with millions potentially at risk of infection.
Abdirahman, a 60-year-old grandmother, was bitten while herding livestock in Mandera county in Kenya’s northeast, a hotspot for the parasite but with only three treatment facilities capable of treating the disease.
She was forced to rely on a local pharmacist who repeatedly misdiagnosed her with malaria and dengue fever for about a year.
“I thought I was dying,” she told AFP. “It is worse than all the diseases they thought I had.”
She was left with hearing problems after the harsh treatment to remove the toxins from her body.
East Africa generally accounts for more than two-thirds of global cases, according to the World Health Organization.
“Climate change is expanding the range of sandflies and increasing the risk of outbreaks in new areas,” said Dr. Cherinet Adera, a researcher at the Drugs for Neglected Diseases Initiative in Nairobi.

- ‘So scared’ -

A surge in cases among migrant workers at a quarry site in Mandera last year led authorities to restrict movement at dusk and dawn when sandflies are most active.
At least two workers died, their colleagues said. Others returned to their villages and their fates are unknown.
“We did not know about the strange disease causing our colleagues to die,” said Evans Omondi, 34, who traveled hundreds of miles from western Kenya to work at the quarry.
“We were so scared,” added Peter Otieno, another worker from western Kenya, recalling how they watched their infected colleagues waste away day by day.
In 2023, the six most-affected African nations adopted a framework in Nairobi to eliminate the disease by 2030.
But there are “very few facilities in the country able to actively diagnose and treat,” kala-azar, Dr. Paul Kibati, tropical disease expert for health NGO Amref, told AFP.
He said more training is needed as mistakes in testing and treatment can be fatal.
The treatment can last up to 30 days and involves daily injections and often blood transfusions, costing as much as 100,000 Kenyan shillings ($775), excluding the cost of drugs, said Kibati, adding there is a need for “facilities to be adequately equipped.”
The sandfly commonly shelters in cracks in poorly plastered mud houses, anthills and soil fissures, multiplying during the rainy season after prolonged drought.
Northeastern Kenya, as well as neighboring regions in Ethiopia and Somalia, have experienced a devastating drought in recent months.
“Kala-azar affects mostly the poorest in our community,” Kibati said, exacerbated by malnutrition and weak immunity.
“We are expecting more cases when the rains start,” Kibati said.


House votes to slap back Trump’s tariffs on Canada in rare bipartisan rebuke

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House votes to slap back Trump’s tariffs on Canada in rare bipartisan rebuke

WASHINGTON: The House voted Wednesday to slap back President Donald Trump’s tariffs on Canada, a rare if largely symbolic rebuke of the White House agenda as Republicans joined Democrats over the objections of GOP leadership.
The tally, 219-211, was among the first times the House, controlled by Republicans, has confronted the president over a signature policy, and drew instant recrimination from Trump himself. The resolution seeks to end the national emergency Trump declared to impose the tariffs, though actually undoing the policy would require support from the president, which is highly unlikely. It next goes to the Senate.
Trump believes in the power of tariffs to force US trade partners to the negotiating table. But lawmakers are facing unrest back home from businesses caught in the trade wars and constituents navigating pocketbook issues and high prices.
“Today’s vote is simple, very simple: Will you vote to lower the cost of living for the American family or will you keep prices high out of loyalty to one person — Donald J. Trump?” said Rep. Gregory Meeks of New York, the top Democrat on the House Foreign Affairs Committee, who authored the resolution.
Within minutes, as the gavel struck, Trump fired off a stern warning to those in the Republican Party who would dare to cross him.
“Any Republican, in the House or the Senate, that votes against TARIFFS will seriously suffer the consequences come Election time, and that includes Primaries!” the president posted on social media.
The high-stakes moment provides a snapshot of the House’s unease with the president’s direction, especially ahead of the midterm elections as economic issues resonate among voters. The Senate has already voted to reject Trump’s tariffs on Canada and other countries in a show of displeasure. But both chambers would have to approve the tariff rollbacks, and send the resolution to Trump for the president’s signature — or veto.
Six House Republicans voted for the resolution, and one Democrat voted against it.
From Canada, Ontario, Premier Doug Ford on social media called the vote “an important victory with more work ahead.” He thanked lawmakers from both parties “who stood up in support of free trade and economic growth between our two great countries. Let’s end the tariffs and together build a more prosperous and secure future.”
Trump recently threatened to impose a 100 percent tariff on goods imported from Canada over that country’s proposed China trade deal, intensifying a feud with the longtime US ally and Prime Minister Mark Carney.
GOP defections forced the vote
House Speaker Mike Johnson tried to prevent this showdown.
Johnson insisted lawmakers wait for a pending Supreme Court ruling in a lawsuit about the tariffs. He engineered a complicated rules change to prevent floor action. But Johnson’s strategy collapsed late Tuesday, as Republicans peeled off during a procedural vote to ensure the Democratic measure was able to advance.
“The president’s trade policies have been of great benefit,” Johnson, R-Louisiana, had said. “And I think the sentiment is that we allow a little more runway for this to be worked out between the executive branch and the judicial branch.”
Late Tuesday evening, Johnson could be seen speaking to holdout Republican lawmakers as the GOP leadership team struggled to shore up support during a lengthy procedural vote, but the numbers lined up against him.
“We’re disappointed,” Kevin Hassett, the director of the White House’s National Economic Council, told reporters at the White House on Wednesday morning. “The president will make sure they don’t repeal his tariffs.”
Terminating Trump’s emergency
The resolution put forward by Meeks would terminate the national emergency that Trump declared a year ago as one of his executive orders.
The administration claimed illicit drug flow from Canada constitutes an unusual and extraordinary threat that allows the president to slap tariffs on imported goods outside the terms of the US-Mexico-Canada trade agreement.
The Republican chairman of the House Foreign Affairs Committee, Rep. Brian Mast of Florida, said the flow of fentanyl into the US is a dire national emergency and the policy must be left in place.
“Let’s be clear again about what this resolution is and what it’s not. It’s not a debate about tariffs. You can talk about those, but that’s not really what it is,” Mast said. “This is Democrats trying to ignore that there is a fentanyl crisis.”
Experts say fentanyl produced by cartels in Mexico is largely smuggled into the US from land crossings in California and Arizona. Fentanyl is also made in Canada and smuggled into the US, but to a much lesser extent.
Torn between Trump and tariffs
Ahead of voting, some rank-and-file Republican lawmakers expressed unease over the choices ahead as Democrats — and a few renegade Republicans — impressed on their colleagues the need to flex their power as the legislative branch rather than ceding so much power to the president to take authority over trade and tariff policy.
Rep. Don Bacon, R-Nebraska, said he was unpersuaded by Johnson’s call to wait until the Supreme Court makes its decision about the legality of Trump’s tariffs. He voted for passage.
“Why doesn’t the Congress stand on its own two feet and say that we’re an independent branch?” Bacon said. “We should defend our authorities. I hope the Supreme Court does, but if we don’t do it, shame on us.”
Bacon, who is retiring rather than facing reelection, also argued that tariffs are bad economic policy.
Other Republicans had to swiftly make up their minds after Johnson’s gambit — which would have paused the calendar days to prevent the measure from coming forward — was turned back.
“At the end of the day, we’re going to have to support our president,” said Rep. Keith Self, R-Texas.
Rep. Darrell Issa, R-Calif., said he doesn’t want to tie the president’s hands on trade and would support the tariffs on Canada “at this time.”