Tlamçani Zineb, Er-Rami Mohammed
Laboratory of Provincial Hospital Center of Taroudant, Morocco.
Turkiye Parazitol Derg. 2014;38(1):5-8. doi: 10.5152/tpd.2014.1401.
Cutaneous leishmaniasis (CL) is a public health problem on a global level because it affects the population of 88 countries. In Morocco, it is widely distributed, caused by Leishmania tropica, Leishmania major and Leishmania infantum rarely. The geographical distribution of different forms of leishmaniasis in Morocco is linked to well described bioclimatic zones. Over the past two decades, the epidemiological situation of CL has changed significantly. It acquire an increasingly epidemic status with geographic expansion to previously free areas and the emergence of overlapping foci of cutaneous leishmaniasis and visceral leishmaniasis in several provinces of Morocco. In this review the evolution of the epidemiological situation and epidemiological factors which influenced the course of it in the past two decades will be reported.
皮肤利什曼病(CL)是一个全球性的公共卫生问题,因为它影响着88个国家的人口。在摩洛哥,该病分布广泛,主要由热带利什曼原虫引起,杜氏利什曼原虫和婴儿利什曼原虫引起的情况较为少见。摩洛哥不同形式利什曼病的地理分布与已详细描述的生物气候区有关。在过去二十年中,皮肤利什曼病的流行病学情况发生了显著变化。随着其地理范围扩展到以前未发病的地区,以及摩洛哥几个省份出现皮肤利什曼病和内脏利什曼病的重叠病灶,该病的流行态势日益加剧。在本综述中,将报告过去二十年中流行病学情况的演变以及影响其发展过程的流行病学因素。