[leish-l] Antigua & leishmaniasis

[BobKillick-Kendrick]

There is no mention of leishmaniasis in Antigua in the comprehensive review by Arias et al. (1996) [Epidemiologia y control de la leishmaniasis en las Américas, por pais o territorio.OPS, Cuaderno Técnico 44]. (Google this to see it on line.) Furthermore, there are no records of phlebotomine sand flies on Antigua in the most up-to-date book on American phlebotomines [Young & Duncan, 1994.] But this does not mean there is no leishmaniasis on Antigua. Probably nobody has looked for sand flies there, and L. mexicana might be on the island in forest rodents with no human cases yet recorded - as in Trinidad. Confirmation of the identity of the parasite seems necessary - preferably by isoenzymes(?) 
Bob Killick-Kendrick
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