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The first effective drug for kala-azar

AI-drafted · awaiting admin review

Did Upendranath Brahmachari in Calcutta create the first effective cure for kala-azar in 1922?

India first (well documented)Medicine & health

Indian claim

Dr Upendranath Brahmachari synthesised urea stibamine, an antimony compound, at the Campbell Medical School in Calcutta and showed in 1922 that it cured kala-azar (visceral leishmaniasis), which killed most of those infected.

Evidence for the Indian claim

  • Urea stibamine was widely used in Assam and Bengal in the 1920s and 1930s and is credited with saving hundreds of thousands of lives.
  • The Nobel archive records that Brahmachari was nominated for the Prize in Physiology or Medicine in 1929 and five times in 1942 for this work and for describing post-kala-azar dermal leishmanoid.

Commonly credited to

Earlier antimony treatment (tartar emetic), introduced by Gaspar Vianna in Brazil in 1912 for skin leishmaniasis and used by others for kala-azar from 1915, was toxic and only partly effective.

Evidence for the other claim

  • Antimony compounds were already known to act against Leishmania; Brahmachari's advance was a much safer and more effective pentavalent compound.

What historians and scientists say

Urea stibamine was the first highly effective treatment for kala-azar, and it was made in India by an Indian scientist. It is one of the clearest Indian firsts in modern medicine.

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