Jafari Reza, Abdoli Hamid, Arandian Mohammad Hossein, Shareghi Nilofar, Ghanei Maryam, Jalali-Zand Nilofar, Nekoeian Shahram, Veysi Arshad, Montazeri Ahmad, Ghasemi Amirabdollah, Ramazanpour Javad, Fadaei Reza, Akhavan Amir Ahmad
Esfahan Health Research Station, School of Public Health, Tehran University of Medical Sciences, Esfahan, Iran.
Isfahan Province Health Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Arthropod Borne Dis. 2020 Jun 30;14(2):134-143. doi: 10.18502/jad.v14i2.3731. eCollection 2020 Jun.
Esfahan Province is considered as one of the main focus of zoonotic cutaneous leishmaniasis (ZCL) in Iran. Recently, ZCL distribution is expanding through this province leading to report of new cases in non-endemic areas. In the current study epidemiological aspects of ZCL has been investigated in Naein County in Esfahan Province.
Adult sand flies were collected from beginning to the end of their seasonal activity. Rodents were caught by Sherman live traps once a month for one year. To active case detection, a hundred households in each selected village were visited in November and December 2016. Nested-PCR was employed to detect parasite in the vector, reservoir and human.
Totally 1562 sand flies including , , and were collected and identified. No infection was detected in the collected sand flies. All of the 30 collected rodents were identified as , and of these 3.3% and 26.7% were infected by using microscopic and molecular technique respectively. Totally, 914 individuals were investigated and the ulcer and scar rates of ZCL calculated to be at 1.1 and 15.3 per 1000 population, respectively. Molecular results confirmed infection in human and reservoir samples.
It is concluded that ZCL is established in the area in low endemicity, and it is extrapolated the disease will not be a serious increasing health problem in the near future in this region.
伊斯法罕省被认为是伊朗人畜共患皮肤利什曼病(ZCL)的主要疫源地之一。最近,ZCL在该省的分布范围不断扩大,导致非流行地区出现新病例报告。在本研究中,对伊斯法罕省纳因县的ZCL流行病学特征进行了调查。
在成年白蛉季节性活动开始至结束期间进行采集。用谢尔曼活捕器每月捕获啮齿动物一次,持续一年。为进行主动病例检测,于2016年11月和12月对每个选定村庄的100户家庭进行走访。采用巢式聚合酶链反应(Nested-PCR)检测媒介、宿主和人体中的寄生虫。
共采集并鉴定了1562只白蛉,包括……。在所采集的白蛉中未检测到……感染。所捕获的30只啮齿动物均鉴定为……,其中分别采用显微镜检查和分子技术检测到3.3%和26.7%的啮齿动物感染……。总共对914人进行了调查,计算得出ZCL的溃疡率和瘢痕率分别为每1000人1.1例和15.3例。分子检测结果证实人体和宿主样本中存在……感染。
得出结论,该地区已存在低流行率的ZCL,据推测该疾病在该地区近期不会成为严重的日益增长的健康问题。