National Centre of Infectious and Parasitic Diseases (NCIPD), Department of Parasitology and Tropical Medicine, Sofia, Bulgaria.
Euro Surveill. 2013 Jul 18;18(29):20531.
Visceral leishmaniasis is a sporadic illness in Bulgaria. However, cases in humans are registered nearly every year. This study describes the geographical distribution of the disease in Bulgaria from 1988 to 2012, over a period of 25 years. Cases were analysed according to age, sex, and place of residence. A total of 122 cases were registered in 25 years, 118 of which were autochthonous and four of which were imported from endemic countries in southern Europe. The average annual incidence for the study period was 0.06 per 100,000 population, or an average of five cases per year (maximum 15 in 1989; no cases notified in 1991, 1995, 1996 and 2008). Cases of visceral leishmaniasis were recorded in 13 out of 28 regions in Bulgaria, mainly in the southern part of the country. The highest number of cases were registered in the regions of Blagoevgrad (n=36) and Stara Zagora (n=34). Data presented in this study show that there is ongoing transmission of visceral leishmaniasis in Bulgaria with a high mortality rate (1:7), affecting mostly children.
内脏利什曼病在保加利亚是一种散发疾病。然而，几乎每年都会登记到人类感染病例。本研究描述了 1988 年至 2012 年 25 年间保加利亚该病的地理分布情况。病例按年龄、性别和居住地进行分析。25 年间共登记 122 例，其中 118 例为本地病例，4 例为从南欧流行国家输入的病例。研究期间的年平均发病率为每 10 万人 0.06 例，即平均每年 5 例（1989 年最多为 15 例；1991 年、1995 年、1996 年和 2008 年均无病例报告）。保加利亚 28 个地区中有 13 个地区记录到内脏利什曼病病例，主要在该国南部。病例最多的地区是 Blagoevgrad 地区（n=36）和 Stara Zagora 地区（n=34）。本研究提供的数据表明，保加利亚仍存在内脏利什曼病的传播，死亡率高（1:7），主要影响儿童。
