Rewriting the history of leishmaniasis in Sri Lanka: An untold story since 1904

Leishmaniasis is widely considered a disease that emerged in Sri Lanka in the 1990s. However, a comprehensive case report from 1904 suggests that the presence of Leishmaniasis was well demonstrated in Sri Lanka long before that. The Annual Administration Reports of Ceylon/Sri Lanka from 1895 to 1970 and the Ceylon Blue Book from 1821 to 1937 are official historical documents that provide an annual performance, progress, goals achieved, and finances of Sri Lanka during that time. Both these documents are available in the National Archives. The Ceylon Administrative Report of 1904 reports a full record of observation of Leishman-Donovan bodies in Sri Lanka for the first time. These reports contain a total of 33,438 cases of leishmaniasis in the years 1928 to 1938, 1953, 1956, 1957, 1959, 1960, and 1961 to 1962. Up to 1938, the term cutaneous leishmaniasis was used, and after 1938, the term leishmaniasis was used in these reports. Kala-azar was also mentioned in 11 administrative reports between 1900 and 1947. In 1947, an extensive vector study has been carried out where they reported kala-azar cases. This well-documented government health information clearly shows that the history of leishmaniasis is almost the same as the global history in which the first case with Leishman-Donovan bodies were reported in 1903.

Automated summary

Leishmaniasis, a disease believed to have emerged in Sri Lanka in the 1990s, was actually present much earlier, as indicated by a comprehensive case report from 1904. Historical documents, such as the Annual Administration Reports and the Ceylon Blue Book, provide evidence of the presence of Leishmaniasis in Sri Lanka from 1821 to 1970. This government health information demonstrates that the history of leishmaniasis in Sri Lanka aligns with the global history of the disease.