Ser Onder, Cetin Hüseyin
Antalya Halk Sağlığı Müdürlüğü, Kepez Toplum Sağlığı Merkezi Sıtma Birimi, Antalya, Turkey.
Turkiye Parazitol Derg. 2013;37(2):84-91. doi: 10.5152/tpd.2013.21.
Leishmaniasis is a group of diseases, in different clinical forms, caused by the intracellular protozoan parasites, Leishmania species. The disease is transmitted by a female sand fly infected with the parasite sucking blood from people. Cutaneous leishmaniasis (CL) is the most common form of the disease. The aim of this study is to examine the status of CL in the Antalya province and contribute to the prevention of the disease in this region.
The data of CL cases officially notified in the province between 2005 and 2012 were provided by the Basic Health Statistics Module of Ministry of Health. The cases were evaluated according to months, seasons, years, age groups, gender, and locations.
Between 2005 and 2012, 220 CL cases were reported officially. Out of 220 cases, 129 (58.64%) and 91 (41.36%) were male and female, respectively. One hundred and eighteen (53.64%) of the cases were in individuals under 20 years old. The highest rate of cases was determined in May (33 cases, 15%) and also during spring (75 cases, 34.09%), while the lowest rate was obtained in July (11 cases, 5%) and also during summer (46 cases, 20.91%). It was determined that CL cases were generally reported from suburbs and villages of districts of the Antalya province.
The number of cases has decreased in Antalya in recent years. However, the climate, nature, vegetation cover, socio-economic structure, population mobility and continuous notification of the cases from the certain areas of the province are considered significant risk factors. Therefore, health screenings, public health education and vector control applications should be regularly performed by sectorial cooperation throughout the year.
利什曼病是由细胞内原生动物寄生虫利什曼原虫属引起的一组具有不同临床形式的疾病。该疾病通过感染寄生虫的雌性白蛉吸食人血进行传播。皮肤利什曼病（CL）是该疾病最常见的形式。本研究的目的是调查安塔利亚省皮肤利什曼病的发病情况，并为该地区的疾病预防做出贡献。
2005年至2012年该省官方通报的皮肤利什曼病病例数据由卫生部基本健康统计模块提供。根据月份、季节、年份、年龄组、性别和地点对病例进行评估。
2005年至2012年期间，官方报告了220例皮肤利什曼病病例。在这220例病例中，男性129例（58.64%），女性91例（41.36%）。118例（53.64%）病例为20岁以下个体。病例发生率最高的是在5月（33例，15%）以及春季（75例，34.09%），而最低发生率出现在7月（11例，5%）以及夏季（46例，20.91%）。经确定，皮肤利什曼病病例一般来自安塔利亚省各地区的郊区和村庄。
近年来安塔利亚省的病例数量有所下降。然而，气候、自然、植被覆盖、社会经济结构、人口流动性以及该省某些地区病例的持续通报被认为是重大风险因素。因此，应通过部门合作全年定期开展健康筛查、公共卫生教育和病媒控制工作。
