Volume 8, Issue 3 (Summer 2019)                   Arch Hyg Sci 2019, 8(3): 178-187 | Back to browse issues page


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Ghavibazou L, Hosseini-Vasoukolaei N, Enayati A A, Akhavan A A, Motevalli Haghi F, Arabi M, et al . Epidemiological Survey of Cutaneous Leishmaniasis in Mazandaran Province, Northern Iran. Arch Hyg Sci 2019; 8 (3) :178-187
URL: http://jhygiene.muq.ac.ir/article-1-421-en.html
1- Department of Medical Entomology and Vector Control, Health Science Research Centre, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
2- Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Department of Community Medicine, Mazandaran University of Medical Sciences
4- Department of Community Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (3996 Views)

Background & Aims of the Study: Cutaneous leishmaniasis (CL) is considered one of
the most important human vector-borne diseases in Iran. The current study aimed to
determine some epidemiological aspects of cutaneous leishmaniasis in Mazandaran,
Northern Iran.

Materials and Methods: This descriptive study was conducted using the epidemiological
data, including demographic and clinical features collected from 379 patients diagnosed
with leishmaniasis in health centers affiliated to the Deputy for Health Center of
Mazandaran University of Medical Sciences within 2009-2017. The disease was
diagnosed based on clinical information and direct microscopic examination of the
samples. Data were analyzed in SPSS software using nonparametric Kruskal-Wallis and
Mann-Whitney U tests.

Results: A total number of 379 individuals were diagnosed with CL during a 9-year
period. Considering the population in Mazandaran, the incidence rate was reported as 1.27
per 100,000 population. It was also revealed that most of the cases of CL (n=279; 73.6%)
were males and the majority of patients (n=137; 36.1%) were in the 20-29 age group. In
addition, the majority of the ulcers were observed in hand (n=152; 26.7%) and foot
(n=129; 22.6%), respectively. Moreover, just one ulcer was spotted in most of the patients
(n=143; 37.7%). As the final note, the incidence was at the highest level during autumn in
November (n=61; 16.1%).

Conclusion: As evidenced by the obtained results, cutaneous leishmaniasis poses a
daunting challenge to the public health in Mazandaran. This disease can be attributed to
several factors, including agricultural activities, animal husbandry, and frequent national
and international holidaymakers' visits to the province. With this background in mind,
the results of the currents study could contribute greatly to the effective control of this
disease


 
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Type of Study: Original Article | Subject: Epidemiology
Received: 2019/10/7 | Accepted: 2019/11/9 | Published: 2020/01/15

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