Demographic study of cutaneous leishmaniasis and its geographical distribution in Dasht-e Azadegan County (2014-2018)

Document Type : Original Article

Authors

1 Student Research Committee, Faculty of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Department of Medical Entomology and Vector Control, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Background and Objective: Tropical Disease Research of World Health Organization has classified cutaneous leishmaniasis as an emerging and uncontrolled disease. The aim of this study was to evaluate the epidemiology of this disease in Dasht-e- Azadegan County.
Subjects and Methods: This retrospective study was conducted in Dasht-e-Azadegan County in 2015-2019, based on patient data collection (sex, age, occupation, number and location of wounds, geographical area and season of outbreak). Data were analyzed by SPSS software version 20.
Results: The number of patients with cutaneous leishmaniasis in the 5-year period was 1320 person, of which 720 of them were male (54.54%) and 600 of them were female (45.46%). The highest number of diseases was seen in the age group of 10-19 (23.78%) and 20-29 (23.63%) respectively. In addition, 61.74% of patients were urban and the rest were rural. Significant differences were observed between the geographical area, occupational group, and season with cutaneous leishmaniasis. About, 59.54% of patients had one wound and the most involved member was hands (28.78%). The highest seasonal prevalence was in winter and in January and February. During the period under review, the highest incidence of the disease was observed in Abu-Hamiyzeh, and overall the incidence of the disease had been decreased during these five years.
Conclusion: Due to the endemic nature of the disease and the prolonged activity of Phlebotomus papatasi in this county, education of high risk individuals is essential to reduce the incidence and prevent the disease.

Keywords

References

1-Yaghoobi-Ershadi MR. Phlebotomine sand flies (Diptera: Psychodidae) in Iran and their role on Leishmania transmission. J Arthropod Borne Dis. 2012; 6(1):1-17.
2-Mohebali M. Visceral leishmaniasis in Iran: review of the epidemiological and clinical features. Iran J Parasitol. 2013; 8(3):348-358.
3-WHO (2019). Available from: https://www.who.int/news-room/fact-sheets/detail/leishmaniasis
4-Dawit G, Girma Z, Simenew K. A review on biology. Epidemiology and public health significance of leishmaniasis. J Bacteriol Parasitol. 2013; 4(166): 2-7.
5-Aflatoonian MR, Sharifi I, Babaei Z, Sharifi F, Keyhani A, Salarkia E, Khosravi A, Khamesipour A, Mohebali M, Nadim A, Bamorovat M. Emerging Epidemics of Cutaneous Leishmaniasis in Iran: Operational Aspects, Management and Implemented Control Approaches. J Med Microbiol. 2019; 7(3):52-60.
6-Jahanifard E, Hanafi-Bojd AA, Nasiri H, Matinfar HR, Charrahy Z, Abai MR, Yaghoobi-Ershadi MR, Akhavan AA. Prone Regions of Zoonotic Cutaneous Leishmaniasis in Southwest of Iran: Combination of Hierarchical Decision Model (AHP) and GIS. J Arthropod Borne Dis. 2019; 13(3):310.
7-Nadim A, Amini H. The effect of antimalaria spraying on the transmission of zoonotic cutaneous leishmaniasis. Trop Geogr Med. 1970; 22(4):479-81.
8-World Health Organization. Report of the consultative meeting on cutaneus Leishmaniasis. Geneva, Switzerland: WHO Document Production Services; 2008.
9-Torgerson PR, Macpherson CNL. The socioeconomic burden of   parasitic   zoonoses:  Global   trends.  Vet Parasitol. 2011; 182(1):79-95.
10-Norouzinezhad F, Ghaffari F, Norouzinejad A, Kaveh F, Gouya MM. Cutaneous leishmaniasis in Iran: Results from an epidemiological study in urban and rural provinces. Asian Pac J Trop Biomed. 2016; 6(7):614-9.
11-Yaghoobi-Ershadi MR, Zahraei-Ramazani AR, Akhavan AA, Jalali-Zand AR, Abdoli H, Nadim A. Rodent control operations against zoonotic cutaneous leishmaniasis in rural Iran. Ann Saudi Med. 2005; 25(4):309-12.
12-Athari A, Jalallou N. A Five-Year Survey of cutaneous leishmaniasis in Iran (2001-2006). J Isfahan Medical School 2006; 24(82): 8-13.
13-Yaghoobi Ershadi MR, Jaafari R, Zahraii Ramazani AR, Mohebali M, Akhavan MA. A survey on Phlebotoums in an endemic region of cutaneous leishmaniasis in Isfahan district. J Yazd Univ Med Sci. 2001; 9(4): 42-9.
14-Khademvatan S, Salmanzadeh S, Foroutan-Rad M, Bigdeli S, Hedayati-Rad F, Saki J, Heydari-Gorji E. Spatial distribution and epidemiological features of cutaneous leishmaniasis in southwest of Iran. Alexandria Journal of Medicine. 2017; 53(1):93-8.
15-Spotin A, Rouhani S, Ghaemmaghami P, Haghighi A, Zolfaghari MR, Amirkhani A, Farahmand M, Bordbar A, Parvizi P. Different morphologies of Leishmania major amastigotes with no molecular diversity in a neglected endemic area of zoonotic cutaneous leishmaniasis in Iran. Iran Biomed J. 2015; 19(3):149.
16-Beiranvand R, Delpisheh A, Solymani S, Sayehmiri K, Weysi K, Ghalavandi S. Assessment of Tuberculosis distribution by geographical information system in Khuzestan province: a brief report. Tehran Univ Medi J. 2014; 72(6): 417-422.
17-Salname Amari.  Iran:  Statistical Center of Iran, Office of the Head, Public Relations and International Cooperation. 2018: 935 pages
18-Vazirianzadeh B, Kamalvandi M, Shamsi J, Viesbehbahani R, Amraee K, Sollary SS. Epidemiology of cutaneous leishmaniasis in west of Ahvaz district, Khuzestan Province, southwestern of Iran. J Exp Zool India. 2014; 17(1):219-22.
19-Zahirnia AH, Moradi AR, Norozi NA, Bathaii JN, Erfani HO, Moradi AB. Epidemiological survey of cutaneous Leishmaniasis in Hamadan province (2002-2007). Scien J Hamadan Univ Med Sci. 2009; 16(1):43-7. (In Persian).
20-Mohammadi J, Soltani A. Epidemiologic Profile of Cutaneous Leishmaniasis between 2010-2016 in an Endemic Area of Fars Province, South Iran. Shiraz E-Med J. 2019; 20(9):1-5.
21-Doroodgar A, Mahboubi S, Nematyan M, Sayyah M, Doroodgar M. [Epidemiology of cutaneous leishmaniasis in Kashan Provincein 2007]. J Semnan Univ Med Sci. 2009; 10(3): 177-184. (In Persian).
22-Jafarnejad A, Jamshidi F, Deghan A. Evaluation of cutaneous leishmaniasis in the city of Lamerd in 2004-2014. Medi J Mashhad Univ Medi Sci. 2017; 60(1): 376-82. (In Persian).
23-Dehghan A, Ghahramani F, Hashemi B. The epidemiology of anthroponotic cutaneous leishmaniasis (ACL) in Larestan, 2006-2008. J Jahrom Univ Medi Sci. 2010 Jun 10; 8(3): 8-11. (In Persian).
24-Jorjani O, Mirkarimi K, Charkazi A, Shahamat YD, Mehrbakhsh Z, Bagheri A. The epidemiology of cutaneous leishmaniasis in Golestan Province, Iran: A cross-sectional study of 8-years. Parasite Epidemiol Control. 2019; 5:e00099.
25-Barati H, Barati M, Lotfi MH. Epidemiological study of cutaneous leishmaniasis in Khatam, Yazd province, 2004-2013. J Paramed Sci Mil Health. 2015; 10(2): 1-5. (In Persian).
26-Hanafi-Bojd AA, YaghoobiErshadi MR, Zamani J, Barzekar A, Jafari RE, PoorAbazari G. Epidemiologic aspects of cutaneaus leishmaniasis in Hajiabad, Hormozgan, Iran (2003). Hormozgan Med J. 2006; 10(1):63-70. (In Persian).
27-Talary S, Vakili Z, Moshtaqi S. [Prevalence of cutaneous leishmaniasis in the city of Kashan, 1994-2000]. J Feiz. 2003; 26: 72-76. (In Persian).
28-Fattahi Bafghi A, Eftekhari M, Ahmadi S, Moghateli M. Epidemiological pattern of cutaneous leishmaniasis in the province of Fars, Iran (since 2010-2014). J Community Health Res. 2016; 5(4):240-8.
29-Ghatee MA, Sharifi I, Haghdoost AA, Kanannejad Z, Taabody Z, Hatam G, Abdollahipanah A. Spatial correlations of population and ecological factors with distribution of visceral leishmaniasis cases in southwestern Iran. J Vector Borne Dis. 2013; 50(3): 179-187.
Jundishapur Scientific Medical Journal
Volume 19, Issue 2 - Serial Number 125
May and June 2020
Pages 215-225

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History

  • Receive Date: 17 March 2020
  • Revise Date: 07 June 2020
  • Accept Date: 22 June 2020

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