Leishmaniasis in the World Health Organization Eastern Mediterranean Region
Leishmaniasis in the World Health Organization Eastern Mediterranean Region
复制标题
DOI：
10.1016/j.ijantimicag.2010.06.023
复制
发表时间：
2010-11-01
影响因子：
10.8
通讯作者：
Postigo, Jose A. Ruiz
中科院分区：
文献类型：
--
作者：
Postigo, Jose A. Ruiz
利什曼病是世界卫生组织（WHO）东地中海区域（EMR）的一个主要公共卫生问题。皮肤和内脏利什曼病主要见于该区域22个国家中的14个国家。在其中几个国家，疾病暴发的明显趋势是每隔10年左右发生一次。2008年，报告了约10万例皮肤利什曼病新病例。由硕大利什曼原虫引起的人畜共患皮肤利什曼病的病灶发生在阿富汗、埃及、伊朗、伊拉克、约旦、利比亚、摩洛哥、巴勒斯坦、巴基斯坦、沙特阿拉伯、苏丹、叙利亚、突尼斯和也门。人源性皮肤利什曼病，由利什曼原虫引起。热带，发生在阿富汗，伊朗，伊拉克，摩洛哥，巴基斯坦，沙特阿拉伯，叙利亚和也门。人源性内脏利什曼病，由L. Donovani，主要发生在苏丹和索马里。人畜共患内脏利什曼病，由L.在该区域的大多数国家都有发生。为了解决电子病历中的利什曼病问题，世卫组织正在通过一项战略计划支持各国卫生部，重点是：（a）对方案管理人员和卫生工作者进行诊断和病例管理培训;（B）建立统一的区域监测系统;（c）建立区域专家网络;（d）促进各国政府的政治承诺。(C)2010年由Elsevier B. V.和国际化疗学会出版。
Leishmaniasis represents a major public health problem in the Eastern Mediterranean Region (EMR) of the World Health Organization (WHO). Cutaneous and visceral leishmaniasis are mainly seen in 14 of the 22 countries of the region. In several of these countries outbreaks have an apparent tendency to occur at around 10-year intervals. In 2008, some 100 000 new cases of cutaneous leishmaniasis were reported. Foci of zoonotic cutaneous leishmaniasis, caused by Leishmania major, occur in Afghanistan, Egypt, Iran, Iraq, Jordan, Libya, Morocco, Palestine, Pakistan, Saudi Arabia, Sudan, Syria, Tunisia and Yemen. Anthroponotic cutaneous leishmaniasis, caused by L. tropica, occurs in Afghanistan, Iran, Iraq, Morocco, Pakistan, Saudi Arabia, Syria and Yemen. Anthroponotic visceral leishmaniasis, caused by L. donovani, occurs mainly in Sudan and Somalia. Zoonotic visceral leishmaniasis, caused by L. infantum, occurs in most countries of the region. In order to address the problem of leishmaniasis in the EMR, WHO is supporting ministries of health through a strategic plan focusing on (a) training programme managers and health workers on diagnosis and case management; (b) establishing a harmonized regional surveillance system; (c) creating a regional network of experts; (d) promoting political commitment of national governments. (C) 2010 Published by Elsevier B.V. and the International Society of Chemotherapy.