Semage S N, Pathirana K P N, Agampodi S B
Sri Lanka Army Medical Services, Colombo, Sri Lanka.
Tropical Disease Research Unit, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka; Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka.
Int J Infect Dis. 2014 Aug;25:53-5. doi: 10.1016/j.ijid.2014.03.1382. Epub 2014 May 20.
The purpose of this study was to describe the emergence of cutaneous leishmaniasis in a district of Sri Lanka, documented at the national level as having zero incidence. We analyzed data from the Sri Lanka Army (SLA) to describe reported cases of cutaneous leishmaniasis for all armed forces personnel located in all 24 districts of Sri Lanka. These data are not included in the National Surveillance System. From January 2011 through February 2013, 314 armed forces personnel were confirmed as having leishmaniasis. Of these, 223 (81.4%) were working within the district of Mullaitivu at the time of investigation and another 21 (6.5%) reported that the lesion first appeared when they were working in Mullaitivu. The reported cumulative annual incidence of leishmaniasis among the army population was 7.5 per 10000, while in the general area of Mullaitivu the incidence was 234 per 10000. Leishmaniasis is emerging in epidemic proportions in Mullaitivu and is still not detected through the public health surveillance system. Urgent attention directed at disease surveillance and control activities is needed to control this emerging public health threat.
本研究的目的是描述斯里兰卡一个地区皮肤利什曼病的出现情况，该国国家级记录显示该地区发病率为零。我们分析了斯里兰卡军队（SLA）的数据，以描述斯里兰卡所有24个地区的所有武装部队人员报告的皮肤利什曼病病例。这些数据未纳入国家监测系统。从2011年1月到2013年2月，314名武装部队人员被确诊患有利什曼病。其中，223人（81.4%）在调查时在穆莱蒂武地区工作，另外21人（6.5%）报告称病变首次出现在他们在穆莱蒂武工作期间。军队人群中报告的利什曼病累计年发病率为每10000人7.5例，而在穆莱蒂武的一般地区，发病率为每10000人234例。皮肤利什曼病正在穆莱蒂武以流行比例出现，并且仍然未通过公共卫生监测系统被发现。需要针对疾病监测和控制活动给予紧急关注，以控制这一新兴的公共卫生威胁。
