A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article
Background: Cutaneous leishmaniasis (CL) remains a serious public health concern in Kerman Province, eastern Iran. This study was aimed to conduct a comprehensive review and highlights various aspects of CL in the province of Kerman. Methods: This article mainly focuses on the studies published in...
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Tehran University of Medical Sciences
2015-03-01
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doaj-535dd0ca1e9c4ec39991527f931b98f92020-12-02T18:55:12ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932015-03-014433522A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review ArticleIraj Sharifi0Mohammad Reza Aflatoonian1Ali Reza Fekri2Maryam Hakimi Parizi3Abbas Aghaei Afshar4Ahmad Khosravi5Fatemeh Sharifi6Behnaz Aflatoonian7Ali Khamesipour8Yahya Dowlati9Farrokh Modabber10Abolhasan Nadim11Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran.Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran.Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran.Drugs for Neglected Diseases Initiatives (DNDi), 15 Chemin Louis-Dunant, Geneva, Switzerland.School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Background: Cutaneous leishmaniasis (CL) remains a serious public health concern in Kerman Province, eastern Iran. This study was aimed to conduct a comprehensive review and highlights various aspects of CL in the province of Kerman. Methods: This article mainly focuses on the studies published in the past 26 years on CL in the province. Current data for the present status were obtained through the provincial health system. Results: Bam was the most infected district (63.6%), followed by Kerman (24.7%) and other districts to a less extent. Leishmania tropica is the major causative agent (95.5%) of CL in Kerman province, however, L. major accounts for 4.5% of the total cases. Bam, Kerman and southern districts of Kerman province were purely anthroponotic CL (ACL), while Rafsanjan, Baft, and Sirjan showed both ACL and zoonotic CL (ZCL). In contrast, Orzoieh district was merely endemic to ZCL type. Phlebotomus sergenti was the main vector in ACL foci while Ph. papatasi was the major vector in the ZCL district of Orzoieh. Localized CL was the most prevalent form (80%) of the disease, while leishmaniasis recidivans was the most uncommon clinical manifestation (18.7%). Conclusion: Due to recent rises in CL disease both in regard of increases in incidence rate and expansion of the disease to new foci, and presence of various risk factors in the province, control measures and health strategies should have high priorities to help treat the existing cases and prevent the expansion of the disease to new areas. https://ijph.tums.ac.ir/index.php/ijph/article/view/3657Cutaneous leishmaniasisIranLeishmania majorLeishmania tropica |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Iraj Sharifi Mohammad Reza Aflatoonian Ali Reza Fekri Maryam Hakimi Parizi Abbas Aghaei Afshar Ahmad Khosravi Fatemeh Sharifi Behnaz Aflatoonian Ali Khamesipour Yahya Dowlati Farrokh Modabber Abolhasan Nadim |
spellingShingle |
Iraj Sharifi Mohammad Reza Aflatoonian Ali Reza Fekri Maryam Hakimi Parizi Abbas Aghaei Afshar Ahmad Khosravi Fatemeh Sharifi Behnaz Aflatoonian Ali Khamesipour Yahya Dowlati Farrokh Modabber Abolhasan Nadim A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article Iranian Journal of Public Health Cutaneous leishmaniasis Iran Leishmania major Leishmania tropica |
author_facet |
Iraj Sharifi Mohammad Reza Aflatoonian Ali Reza Fekri Maryam Hakimi Parizi Abbas Aghaei Afshar Ahmad Khosravi Fatemeh Sharifi Behnaz Aflatoonian Ali Khamesipour Yahya Dowlati Farrokh Modabber Abolhasan Nadim |
author_sort |
Iraj Sharifi |
title |
A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article |
title_short |
A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article |
title_full |
A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article |
title_fullStr |
A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article |
title_full_unstemmed |
A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article |
title_sort |
comprehensive review of cutaneous leishmaniasis in kerman province, southeastern iran- narrative review article |
publisher |
Tehran University of Medical Sciences |
series |
Iranian Journal of Public Health |
issn |
2251-6085 2251-6093 |
publishDate |
2015-03-01 |
description |
Background: Cutaneous leishmaniasis (CL) remains a serious public health concern in Kerman Province, eastern Iran. This study was aimed to conduct a comprehensive review and highlights various aspects of CL in the province of Kerman.
Methods: This article mainly focuses on the studies published in the past 26 years on CL in the province. Current data for the present status were obtained through the provincial health system.
Results: Bam was the most infected district (63.6%), followed by Kerman (24.7%) and other districts to a less extent. Leishmania tropica is the major causative agent (95.5%) of CL in Kerman province, however, L. major accounts for 4.5% of the total cases. Bam, Kerman and southern districts of Kerman province were purely anthroponotic CL (ACL), while Rafsanjan, Baft, and Sirjan showed both ACL and zoonotic CL (ZCL). In contrast, Orzoieh district was merely endemic to ZCL type. Phlebotomus sergenti was the main vector in ACL foci while Ph. papatasi was the major vector in the ZCL district of Orzoieh. Localized CL was the most prevalent form (80%) of the disease, while leishmaniasis recidivans was the most uncommon clinical manifestation (18.7%).
Conclusion: Due to recent rises in CL disease both in regard of increases in incidence rate and expansion of the disease to new foci, and presence of various risk factors in the province, control measures and health strategies should have high priorities to help treat the existing cases and prevent the expansion of the disease to new areas.
|
topic |
Cutaneous leishmaniasis Iran Leishmania major Leishmania tropica |
url |
https://ijph.tums.ac.ir/index.php/ijph/article/view/3657 |
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