Canine visceral leishmaniasis in the great Athens area, Greece.

A survey of 1,175 dogs with suspected visceral leishmaniasis (VL), was carried out to investigate canine leishmaniasis in the Athens basin, the largest metropolitan area of Greece. The dogs examined were not a random sample since animals were selected on the basis of symptoms indicating the disease. Dog sera were tested using the indirect fluorescent antibody technique (IFAT), with titres greater than or equal to 1/200 considered positive for VL. On this basis 569 dogs (48.4%) were found positive for VL and 69 (5.9%) borderline (with titres of 1/100). Additionally, 218 of these sera were also tested by enzyme-linked immunosorbent assay (ELISA). Of this sample, 120 were negative and 88 were positive with both IFAT and ELISA (according to the stated criteria), and thus the concordance of the two methods was 98.6%. Dogs positive for VL were classified according to age, sex, breed, and area of residence. Dogs from outlying areas of the Athens basin had higher infection rates than dogs from the city. The most affected breed was the Doberman, and the least affected was the Collie.