Spatial Epidemiologic Trends and Hotspots of Leishmaniasis, Sri Lanka, 2001-2018
| Autor: | Guofa Zhou, Samitha Ginige, Deepa Gamage, Yamuna Siriwardana, Upul Senerath, Nadira D. Karunaweera, S A S C Senanayake, Hermali Silva, N.H. Manamperi, Nilakshi Samaranayake |
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| Rok vydání: | 2019 |
| Předmět: |
Male
vector-borne infections lcsh:Medicine Disease infectious diseases Disease Outbreaks disease burden Spatial Epidemiologic Trends and Hotspots of Leishmaniasis Sri Lanka 2001–2018 protozoa 0302 clinical medicine Epidemiology Prevalence 030212 general & internal medicine Socioeconomics Child Indian subcontinent Incidence Age Factors Middle Aged dermatological pathologies 3. Good health Geography Child Preschool parasite Synopsis Female epidemiology Microbiology (medical) Adult medicine.medical_specialty South asia Asia Adolescent 030231 tropical medicine Leishmaniasis Cutaneous skin lesions parasites lcsh:Infectious and parasitic diseases 03 medical and health sciences Young Adult cutaneous leishmaniasis Sex Factors Spatio-Temporal Analysis Cutaneous leishmaniasis Hotspot (geology) medicine Humans lcsh:RC109-216 leishmaniasis Retrospective Studies Sri Lanka lcsh:R Infant Newborn Tropical disease Infant Leishmaniasis medicine.disease Sri lanka Leishmania donovani |
| Zdroj: | Emerging Infectious Diseases Emerging Infectious Diseases, Vol 26, Iss 1, Pp 1-10 (2020) |
| ISSN: | 1080-6059 |
| Popis: | Leishmaniasis, a neglected tropical disease, is on the decline in South Asia. However, cases of cutaneous leishmaniasis have risen in Sri Lanka since 2001, and the lack of in-depth research on its epidemiologic characteristics hampers control efforts. We analyzed data collected from patients with cutaneous leishmaniasis in Sri Lanka during 2001-2018 to study temporal and geographic trends and identify and monitor disease hotspots. We noted a progression in case rates, including a sharp rise in 2018, showing temporal expansion of disease-prevalent areas and 2 persistent hotspots. The northern hotspot shifted and shrank over time, but the southern hotspot progressively expanded and remained spatially static. In addition, we noted regional incidence differences for age and sex. We provide evidence of temporally progressive and spatially expanding incidence of leishmaniasis in Sri Lanka with distinct geographic patterns and disease hotspots, signaling an urgent need for effective disease control interventions. |
| Databáze: | OpenAIRE |
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