The epidemiology and control of leishmaniasis in Andean countries
This paper reviews the current knowledge of leishmaniasis epidemiology in Venezuela, Colombia, Ecuador, Peru, and Bolivia. In all 5 countries leishmaniasis is endemic in both the Andean highlands and the Amazon basin. The sandfly vectors belong to subgenera Helcocyrtomyia, Nyssomiya, Lutzomyia, and...
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doaj-c2a0ff35463f4e51a31b6b71983022a32020-11-25T02:27:06ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X1678-4464164925950S0102-311X2000000400013The epidemiology and control of leishmaniasis in Andean countriesClive Richard Davies0Richard Reithinger1Diarmid Campbell-Lendrum2Dora Feliciangeli3Rafael Borges4Noris Rodriguez5London School of Hygiene & Tropical MedicineLondon School of Hygiene & Tropical MedicineLondon School of Hygiene & Tropical MedicineUniversidad de CaraboboUniversidad Central de VenezuelaUniversidad Central de VenezuelaThis paper reviews the current knowledge of leishmaniasis epidemiology in Venezuela, Colombia, Ecuador, Peru, and Bolivia. In all 5 countries leishmaniasis is endemic in both the Andean highlands and the Amazon basin. The sandfly vectors belong to subgenera Helcocyrtomyia, Nyssomiya, Lutzomyia, and Psychodopygus, and the Verrucarum group. Most human infections are caused by Leishmania in the Viannia subgenus. Human Leishmania infections cause cutaneous lesions, with a minority of L. (Viannia) infections leading to mucocutaneous leishmaniasis. Visceral leishmaniasis and diffuse cutaneous leishmaniasis are both rare. In each country a significant proportion of Leishmania transmission is in or around houses, often close to coffee or cacao plantations. Reservoir hosts for domestic transmission cycles are uncertain. The paper first addresses the burden of disease caused by leishmaniasis, focusing on both incidence rates and on the variability in symptoms. Such information should provide a rational basis for prioritizing control resources, and for selecting therapy regimes. Secondly, we describe the variation in transmission ecology, outlining those variables which might affect the prevention strategies. Finally, we look at the current control strategies and review the recent studies on control.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2000000400013&lng=en&tlng=enleishmanioseecossistema andinodoenças endêmicascontrole de vetores |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Clive Richard Davies Richard Reithinger Diarmid Campbell-Lendrum Dora Feliciangeli Rafael Borges Noris Rodriguez |
spellingShingle |
Clive Richard Davies Richard Reithinger Diarmid Campbell-Lendrum Dora Feliciangeli Rafael Borges Noris Rodriguez The epidemiology and control of leishmaniasis in Andean countries Cadernos de Saúde Pública leishmaniose ecossistema andino doenças endêmicas controle de vetores |
author_facet |
Clive Richard Davies Richard Reithinger Diarmid Campbell-Lendrum Dora Feliciangeli Rafael Borges Noris Rodriguez |
author_sort |
Clive Richard Davies |
title |
The epidemiology and control of leishmaniasis in Andean countries |
title_short |
The epidemiology and control of leishmaniasis in Andean countries |
title_full |
The epidemiology and control of leishmaniasis in Andean countries |
title_fullStr |
The epidemiology and control of leishmaniasis in Andean countries |
title_full_unstemmed |
The epidemiology and control of leishmaniasis in Andean countries |
title_sort |
epidemiology and control of leishmaniasis in andean countries |
publisher |
Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
series |
Cadernos de Saúde Pública |
issn |
0102-311X 1678-4464 |
description |
This paper reviews the current knowledge of leishmaniasis epidemiology in Venezuela, Colombia, Ecuador, Peru, and Bolivia. In all 5 countries leishmaniasis is endemic in both the Andean highlands and the Amazon basin. The sandfly vectors belong to subgenera Helcocyrtomyia, Nyssomiya, Lutzomyia, and Psychodopygus, and the Verrucarum group. Most human infections are caused by Leishmania in the Viannia subgenus. Human Leishmania infections cause cutaneous lesions, with a minority of L. (Viannia) infections leading to mucocutaneous leishmaniasis. Visceral leishmaniasis and diffuse cutaneous leishmaniasis are both rare. In each country a significant proportion of Leishmania transmission is in or around houses, often close to coffee or cacao plantations. Reservoir hosts for domestic transmission cycles are uncertain. The paper first addresses the burden of disease caused by leishmaniasis, focusing on both incidence rates and on the variability in symptoms. Such information should provide a rational basis for prioritizing control resources, and for selecting therapy regimes. Secondly, we describe the variation in transmission ecology, outlining those variables which might affect the prevention strategies. Finally, we look at the current control strategies and review the recent studies on control. |
topic |
leishmaniose ecossistema andino doenças endêmicas controle de vetores |
url |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2000000400013&lng=en&tlng=en |
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