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Cutaneous Leishmania (CL) skin defects lasting for u003e6 weeks1 similar to chronic wounds of the elderly in developed countries are prevalent in Afghanistan2 in uncovered body parts mostly of young children after their first contact with the parasite through a sand-fly bite. From two phase II CL trials3,4 it appears that clean CL wound management is crucial for rapid healing.

Afghan hurdles: from signing the pledge in 2012 to hand hygiene implementation in 2014