Canché-Pool Elsy B, Panti-May Jesús A, Ruiz-Piña Hugo A, Torres-Castro Marco, Escobedo-Ortegón Francisco J, Tamay-Segovia Paulino, Blum-Domínguez Selene, Torres-Castro Jimmy R, Reyes-Novelo Enrique
Centro de Investigaciones Regionales "Dr. Hideyo Noguchi", Universidad Autónoma de Yucatán, Av. Itzaes No. 490 x 59, Col. Centro, Mérida 97200, Mexico.
Centro de Investigaciones Biomédicas, Universidad Autónoma de Campeche, Av. Agustín Melgar s/n x 20 y Juan de la Barrera, Col. Buenavista, Campeche 24039, Mexico.
Trop Med Infect Dis. 2022 Dec 17;7(12):444. doi: 10.3390/tropicalmed7120444.
Environmental changes triggered by deforestation, urban expansion and climate change are present-day drivers of the emergence and reemergence of leishmaniasis. This review describes the current epidemiological scenario and the feasible influence of environmental changes on disease occurrence in the state of Yucatan, Mexico. Relevant literature was accessed through different databases, including PubMed, Scopus, Google, and Mexican official morbidity databases. Recent LCL autochthonous cases, potential vector sandflies and mammal hosts/reservoirs also have been reported in several localities of Yucatan without previous historical records of the disease. The impact of deforestation, urban expansion and projections on climate change have been documented. The current evidence of the relationships between the components of the transmission cycle, the disease occurrence, and the environmental changes on the leishmaniasis emergence in the state shows the need for strength and an update to the intervention and control strategies through a One Health perspective.
森林砍伐、城市扩张和气候变化引发的环境变化是当今利什曼病出现和再次出现的驱动因素。本综述描述了墨西哥尤卡坦州当前的流行病学情况以及环境变化对疾病发生的可能影响。通过不同数据库获取了相关文献，包括PubMed、Scopus、谷歌和墨西哥官方发病率数据库。在尤卡坦州的几个地区也报告了近期的本地皮肤利什曼病病例、潜在病媒白蛉以及哺乳动物宿主/储主，而这些地区以前没有该疾病的历史记录。森林砍伐、城市扩张以及气候变化预测的影响已有文献记载。目前关于该州利什曼病传播周期各组成部分、疾病发生与环境变化之间关系的证据表明，有必要通过“同一健康”视角加强并更新干预和控制策略。
