First Evidence for Two Independent and Different Leishmaniasis Transmission Foci in Sri Lanka: Recent Introduction or Long-Term Existence?
المؤلفون المشاركون
Siriwardana, Yamuna
Deepachandi, Bhagya
Wickremarathne, Chandanie
Warnasuriya, Wipula
Kahawita, Indira
Chandrawansa, P. H.
Karunaweera, Nadira D.
Weliange, Shreenika de S.
Udagedara, Chandanie
Ranawaka, Ranthilaka R.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-07-25
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Cutaneous leishmaniasis caused by a genetic variant of L.
donovani is being reported from Sri Lanka since year 2001.
Patients presented from different geographical locations (600 patients from North or South and a minority of cases from other foci, 2001-2013) were studied.
Analysis revealed two different sociodemographic and clinical profiles of leishmaniasis in Northern and Southern Sri Lanka.
Also, the same different profiles were present in these foci since the onset of the recent outbreak and had independently propagated within each focus over the time.
A profile of 14 parameters identified in the Northern focus was further examined with regard to other locations.
Northwestern (10/14) and Central parts (9/14) of the island were more similar to Northern focus (14/14).
Infection would have originated in one focus and spread to other 2 in Northern Sri Lanka.
Southern focus was different from and appeared older than all others (2/14).
Western focus that accommodates a large transient population had a mixed picture of North and South features (4/14).
Lesions in North showed a slow progression and a nonulcerative nature (128/185, 69.2%), while those in South showed a rapid progression and less nonulcerative lesions (193/415, 46.5%).
Clinical analysis favoured a parasite aetiology (considerable strain differences) rather than a host aetiology (age, gender, or genetics).
Both foci demonstrated a biannual seasonal variation since the onset of the epidemic.
Two peaks were observed during the early and latter parts of the year.
Furthermore, long-term existence and recent spatiotemporal expansion and detection of leishmaniasis in this country rather than a recent introduction and establishment were indicated by these findings.
Vigorous antimalarial activities that existed in Sri Lanka until few decades ago, lack of professional awareness, and more recent military activities that brought human population in close contact with a sylvatic cycle would have played a role in silent propagation of Leishmania parasites and subsequent increment in human cases, respectively, in this country.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Siriwardana, Yamuna& Deepachandi, Bhagya& Weliange, Shreenika de S.& Udagedara, Chandanie& Wickremarathne, Chandanie& Warnasuriya, Wipula…[et al.]. 2019. First Evidence for Two Independent and Different Leishmaniasis Transmission Foci in Sri Lanka: Recent Introduction or Long-Term Existence?. Journal of Tropical Medicine،Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1192371
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Siriwardana, Yamuna…[et al.]. First Evidence for Two Independent and Different Leishmaniasis Transmission Foci in Sri Lanka: Recent Introduction or Long-Term Existence?. Journal of Tropical Medicine No. 2019 (2019), pp.1-11.
https://search.emarefa.net/detail/BIM-1192371
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Siriwardana, Yamuna& Deepachandi, Bhagya& Weliange, Shreenika de S.& Udagedara, Chandanie& Wickremarathne, Chandanie& Warnasuriya, Wipula…[et al.]. First Evidence for Two Independent and Different Leishmaniasis Transmission Foci in Sri Lanka: Recent Introduction or Long-Term Existence?. Journal of Tropical Medicine. 2019. Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1192371
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1192371
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر