Risk Factors Associated with Leishmaniasis in the Most Affected Provinces by Leishmania infantum in Morocco

Autor: Maryam Hakkour, Asmae Hmamouch, Mohamed Mahmoud El Alem, Abdelhakim Bouyahya, Abdelaali Balahbib, Abdelhak EL Khazraji, Hajiba Fellah, Abderrahim Sadak, Faiza Sebti
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Interdisciplinary Perspectives on Infectious Diseases, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 1687-708X
1687-7098
DOI: 10.1155/2020/6948650
Popis: Background. Human leishmaniasis, both visceral and cutaneous, has been reported in Morocco for centuries and constitutes a serious public health problem. However, the evolution of this pathology depends on several factors such as ecological, socioeconomic, and climatic conditions. The risk study of the affected foci is of great value for the control and surveillance of this endemic disease, especially in the provinces where Leishmania infantum predominates. Methods. This study concerned nine provinces located in the extreme and central north of Morocco (Taounate, Taza, Chefchaouen, Al Hoceima, Larache, Tétouane, Tanger-Assilah, M’diq-Fnideq, and Fahs-Anjra Provinces). In this work, leishmaniasis cases (VL and CL) were subjected to an epidemiological study which was performed using a linear regression model to identify the impact as well as the interaction between all predictor variables on the distribution of leishmaniasis in this region. Results. During the period 1997–2018, a total of 6 128 cases of VL and CL were recorded in the study area. Our results showed that among demographic factors studied, urbanization showed significance for both cutaneous and visceral forms (P
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