Worldwide increasing risk factors for leishmaniasis

Worldwide increasing risk factors for leishmaniasis
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DOI:
10.1007/s004300100085
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发表时间:
2001-11-01
影响因子:
5.4
通讯作者:
Desjeux, P
Desjeux, P
中科院分区:
医学2区
文献类型:
--
作者:
Desjeux, P

文献摘要

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越来越多的危险因素使利什曼病成为世界许多国家日益关注的公共卫生问题。一些风险因素是新的,而另一些风险因素以前是已知的,但最近变得越来越重要。有些与特定的生态流行病学实体有关,其他则影响所有形式的利什曼病。利什曼病包括四种主要的生态流行病学实体:人畜共患 ZVL)和人源 AVL)内脏利什曼病、人畜共患 ZCL)和人源 ACL)皮肤利什曼病。在人为形式中,人类被认为是白蛉媒介的唯一感染源;相反,在人畜共患病传播周期中,动物参与其中并发挥传播利什病毒的储存库的作用。
Increasing risk factors are making leishmaniasis a growing public health concern for many countries around the world. Some risk factors are new, while others were previously known but became recently more and more significant. Some are related to a specific ecoepidemiological entity, others affect all forms of leishmaniasis.The leishmaniases include four major eco-epidemiological entities: zoonotic ZVL) and anthroponotic AVL) visceral leishmaniasis, zoonotic ZCL) and anthroponotic ACL) cutaneous leishmaniasis. In anthroponotic forms man is considered to be the sole source of infection for the sandfly vector; in contrast, in zoonotic transmission cycles, animals are involved and play a role of reservoirs which disseminate the Leish-