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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>I wrote to Dr. Salomon as follows:<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Dear Dr. Salomon,<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Thank you so much for your active
participation in WorldLeish4, held early this month in <st1:country-region
w:st="on">India</st1:country-region>, by presenting two papers on VL and CL in <st1:country-region
w:st="on">Argentina</st1:country-region> as well as chairing the session of
Epidemiology in <st1:place w:st="on"><st1:country-region w:st="on">America</st1:country-region></st1:place>.
&nbsp;I look forward to your continuing support by active participation in the
future WLs.<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>The message I received below reminded me
of you as the leishmaniac I should contact to point out the mistake in the
write-up (in red). I also take the liberty of CC this message to Professor Roberto
Docampo who is an outstanding researcher originally from <st1:place w:st="on"><st1:country-region
 w:st="on">Argentina</st1:country-region></st1:place>. I have had the good
fortune of acquaintance with Roberto as a friend and collaborator for many
years. You may have already worked together with Roberto and/or his associates
toward the resolution of leishmaniasis in <st1:place w:st="on"><st1:country-region
 w:st="on">Argentina</st1:country-region></st1:place>.<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>My best regards.<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>KP<o:p></o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p>&nbsp;</o:p></span></font></p>

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face="Times New Roman"><span style='font-size:12.0pt'>

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<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> leish-l-bounces@lineu.icb.usp.br
[mailto:leish-l-bounces@lineu.icb.usp.br] <b><span style='font-weight:bold'>On
Behalf Of </span></b>fred opperdoes<br>
<b><span style='font-weight:bold'>Sent:</span></b> Thursday, February 26, 2009
4:44 AM<br>
<b><span style='font-weight:bold'>To:</span></b> BobKillick-Kendrick;
leish-l@lineu.icb.usp.br<br>
<b><span style='font-weight:bold'>Subject:</span></b> Re: [Leish-l]
Leishmaniasis - <st1:country-region w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region>:
epidemic potential</span></font><o:p></o:p></p>

</div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p>&nbsp;</o:p></span></font></p>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Dear Bob,<o:p></o:p></span></font></p>

<div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Thank you for the comment which I think is very useful. Please note
that I am not the author of this article. It was forwarded from the ProMed
mailing list because I thought it might be of interest to everybody working in
this field.<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>With best wishes,<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Fred<o:p></o:p></span></font></p>

<div>

<div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>On Feb 26, 2009, at 11:16 AM, BobKillick-Kendrick wrote:<o:p></o:p></span></font></p>

</div>

<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><br>
<br>
<o:p></o:p></span></font></p>

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<p class=MsoNormal><font size=1 color=black face=Helvetica><span
style='font-size:9.0pt;font-family:Helvetica;color:black'>Dear Fred,<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=1 color=black face=Helvetica><span
style='font-size:9.0pt;font-family:Helvetica;color:black'>&nbsp;&nbsp;&nbsp;
Thank you for this account. I didn't know leishmaniasis was transmitted by a
mosquito! I thought it was a sand fly!<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=1 color=black face=Helvetica><span
style='font-size:9.0pt;font-family:Helvetica;color:black'>&nbsp;&nbsp;&nbsp; The
killing of infected dogs does is not a feasible means of reducing the risk of
infection. Far better is to use an insecticide-impregnated dog collar to reduce
contact between sand flies and dogs.<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=1 color=black face=Helvetica><span
style='font-size:9.0pt;font-family:Helvetica;color:black'>&nbsp;&nbsp;&nbsp;
Best wishes,<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=1 color=black face=Helvetica><span
style='font-size:9.0pt;font-family:Helvetica;color:black'>&nbsp;&nbsp;&nbsp;
Bob<o:p></o:p></span></font></p>

</div>

<blockquote style='border:none;border-left:solid black 1.5pt;padding:0in 0in 0in 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt'>

<div>

<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>----- Original Message -----<o:p></o:p></span></font></p>

</div>

<div style='background-image:initial;background-repeat:initial;background-attachment:
initial;-webkit-background-clip: initial;-webkit-background-origin: initial;
background-position:initial initial'>

<p class=MsoNormal style='background:#E4E4E4'><b><font size=2 color=black
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:black;
font-weight:bold'>From:</span></font></b><span class=apple-converted-space><font
size=2 color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'>&nbsp;</span></font></span><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black'><a
href="mailto:fred.opperdoes@uclouvain.be" title="fred.opperdoes@uclouvain.be">fred
opperdoes</a><o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><b><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black;font-weight:bold'>To:</span></font></b><span
class=apple-converted-space><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black'>&nbsp;</span></font></span><font
size=2 color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'><a href="mailto:Leish-l@lineu.icb.usp.br"
title="Leish-l@lineu.icb.usp.br">Leish-l@lineu.icb.usp.br</a><o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><b><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black;font-weight:bold'>Sent:</span></font></b><span
class=apple-converted-space><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black'>&nbsp;</span></font></span><font
size=2 color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'>Thursday, February 26, 2009 7:21 AM<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><b><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black;font-weight:bold'>Subject:</span></font></b><span
class=apple-converted-space><font size=2 color=black face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:black'>&nbsp;</span></font></span><font
size=2 color=black face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:black'>[Leish-l] Leishmaniasis - <st1:country-region w:st="on"><st1:place
 w:st="on">Argentina</st1:place></st1:country-region>: epidemic potential<o:p></o:p></span></font></p>

</div>

<div>

<p class=MsoNormal><font size=1 color=black face=Helvetica><span
style='font-size:9.0pt;font-family:Helvetica;color:black'><o:p>&nbsp;</o:p></span></font></p>

</div>

<blockquote style='margin-top:5.0pt;margin-bottom:5.0pt' type=cite>

<p class=MsoNormal><span class=apple-style-span><font size=1 color=black
face=Helvetica><span style='font-size:9.0pt;font-family:Helvetica;color:black'>Date:
Wed, 25 Feb 2009 21:23:15 -0500 (EST)</span></font></span><font size=1
color=black face=Helvetica><span style='font-size:9.0pt;font-family:Helvetica;
color:black'><br>
<span class=apple-style-span>From: ProMED-mail &lt;<a
href="mailto:promed@promed.isid.harvard.edu">promed@promed.isid.harvard.edu</a>&gt;</span><br>
<span class=apple-style-span>Subject: PRO/AH/EDR&gt; Leishmaniasis - <st1:country-region
w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region>:
epidemic potential</span><br>
<br>
<span class=apple-style-span>LEISHMANIASIS - <st1:country-region w:st="on"><st1:place
 w:st="on">ARGENTINA</st1:place></st1:country-region>: EPIDEMIC POTENTIAL</span><br>
<span class=apple-style-span>***********************************************</span><br>
<span class=apple-style-span>A ProMED-mail post</span><br>
<span class=apple-style-span>&lt;<a href="http://www.promedmail.org">http://www.promedmail.org</a>&gt;</span><br>
<span class=apple-style-span>ProMED-mail is a program of the</span><br>
<span class=apple-style-span>International Society for Infectious Diseases</span><br>
<span class=apple-style-span>&lt;<a href="http://www.isid.org/">http://www.isid.org</a>&gt;</span><br>
<br>
<span class=apple-style-span>Date: Tue 24 Feb 2009</span><br>
<span class=apple-style-span>Source: Datachaco.com [trans. Mod JGM, edited]</span><br>
<span class=apple-style-span>&lt;<a
href="http://datachaco.com/noticia.php?numero=17399">http://datachaco.com/noticia.php?numero=17399</a>&gt;</span><br>
<br>
<br>
<span class=apple-style-span>The occurrence of cases of yellow fever made
people pay attention to&nbsp;</span><br>
<span class=apple-style-span>mosquito-borne diseases, and dengue fever, which
is currently&nbsp;</span><br>
<span class=apple-style-span>attacking with unusual strength in <st1:country-region
w:st="on">Paraguay</st1:country-region>, set another alarm in&nbsp;</span><br>
<span class=apple-style-span>Chaco, <st1:City w:st="on">Corrientes</st1:City>,
and Misiones provinces, which share borders with&nbsp;</span><br>
<st1:country-region w:st="on"><span class=apple-style-span>Paraguay</span></st1:country-region><span
class=apple-style-span> and <st1:place w:st="on"><st1:country-region w:st="on">Bolivia</st1:country-region></st1:place>.</span><br>
<br>
<span class=apple-style-span>However, a new emerging disease has become the
main epidemic threat&nbsp;</span><br>
<span class=apple-style-span>in <st1:country-region w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region>:
Visceral leishmaniasis. This little known disease is&nbsp;</span><br>
<span class=apple-style-span>being analyzed now as a cause for a sanitary red
alert in <st1:country-region w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region>.</span><br>
<br>
<span class=apple-style-span>Visceral leishmaniasis is also caused by a
mosquito-borne parasite.&nbsp;</span><br>
<span class=apple-style-span>There is no vaccine for this disease, and therapy
is instituted only&nbsp;</span><br>
<span class=apple-style-span>once a case is clearly defined. Its mortality rate
is around 8 per&nbsp;</span><br>
<span class=apple-style-span>cent, and it has a particular feature: Dogs may
act as reservoirs for&nbsp;</span><br>
<span class=apple-style-span>the parasite.</span><br>
<br>
<span class=apple-style-span>A summary of the life cycle of the parasite
indicates that&nbsp;</span><br>
<span class=apple-style-span>_Lutzomyia_ insects infect dogs. These animals
develop the disease&nbsp;</span><br>
<span class=apple-style-span>and transmit the parasite to another insect vector,
which now is&nbsp;</span><br>
<span class=apple-style-span>capable of transmitting visceral leishmaniasis to
humans. There is no&nbsp;</span><br>
<span class=apple-style-span>human-to-human transmission.</span><br>
<br>
<span class=apple-style-span>Since the very 1st case was reported in 2006, 36
persons have been&nbsp;</span><br>
<span class=apple-style-span>affected, and there are 4 deceased patients. The
possibility of a&nbsp;</span><br>
<span class=apple-style-span>rapid increase in the number of cases is a reason
for concern.</span><br>
<br>
<span class=apple-style-span>Last week 2 cases of visceral leishmaniasis were
reported in <st1:City w:st="on"><st1:place w:st="on">Posadas</st1:place></st1:City>.&nbsp;</span><br>
<span class=apple-style-span>One is an 18-year-old woman, and the other is a
21-year-old man, who&nbsp;</span><br>
<span class=apple-style-span>separately developed the symptoms of the disease.
Some personnel from&nbsp;</span><br>
<span class=apple-style-span>the army are currently collaborating with
municipal authorities in&nbsp;</span><br>
<st1:City w:st="on"><st1:place w:st="on"><span class=apple-style-span>Posadas</span></st1:place></st1:City><span
class=apple-style-span> for cleaning wastelands, which are considered breeding
places&nbsp;</span><br>
<span class=apple-style-span>for insect vectors.</span><br>
<br>
<span class=apple-style-span>This health problem has become quite dangerous and
important in the&nbsp;</span><br>
<span class=apple-style-span>main cities in Misiones province, and specialists
warn that the&nbsp;</span><br>
<span class=apple-style-span>disease may reach other provinces in the short
term.</span><br>
<br>
<span class=apple-style-span>&quot;We are observing that the vector is
spreading fast, and 2 corridors&nbsp;</span><br>
<span class=apple-style-span>have been established, one directing towards <st1:City
w:st="on">Resistencia</st1:City> and the&nbsp;</span><br>
<span class=apple-style-span>other one towards <st1:City w:st="on"><st1:place
 w:st="on">Corrientes</st1:place></st1:City>. Also, the northern area of Entre
Rios,&nbsp;</span><br>
<span class=apple-style-span>as well as <st1:City w:st="on">Santa Fe</st1:City>,
and <st1:City w:st="on"><st1:place w:st="on">Cordoba</st1:place></st1:City> are
vulnerable places. The mosquito&nbsp;</span><br>
<span class=apple-style-span>vector for visceral leishmaniasis has become an
urban-living insect,&nbsp;</span><br>
<span class=apple-style-span>so there is a substantial risk for its presence in
big urban&nbsp;</span><br>
<span class=apple-style-span>centers,&quot; explained Dr. Daniel Salomon, from
the <st1:PlaceName w:st="on">National</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType>
for&nbsp;</span><br>
<span class=apple-style-span>Epidemics in <st1:country-region w:st="on"><st1:place
 w:st="on">Argentina</st1:place></st1:country-region>'s Ministry of Health.</span><br>
<br>
<span class=apple-style-span>&quot;It is quite difficult to implement
preventive measures, because&nbsp;</span><br>
<span class=apple-style-span>people are so in love with their pets,&quot;
commented Dr. Salomon. There&nbsp;</span><br>
<span class=apple-style-span>are very few options for controlling the spread of
the disease apart&nbsp;</span><br>
<span class=apple-style-span>from sacrificing sick animals.</span><br>
<br>
<span class=apple-style-span>In 2004, the 1st dog infected with the causative
agent of visceral&nbsp;</span><br>
<span class=apple-style-span>leishmaniasis was detected. When 40 cases were
reported in Misiones&nbsp;</span><br>
<span class=apple-style-span>province, the Ministry of Health issued a red
alert. Nonetheless, the&nbsp;</span><br>
<span class=apple-style-span>current situation is much worse. In <st1:City
w:st="on"><st1:place w:st="on">Posadas</st1:place></st1:City>, it was
determined that&nbsp;</span><br>
<span class=apple-style-span>7000 dogs actually have the parasite.
Additionally, there are 300&nbsp;</span><br>
<span class=apple-style-span>infected dogs in <st1:City w:st="on"><st1:place
 w:st="on">Corrientes</st1:place></st1:City>, and it is worth mentioning that
in its&nbsp;</span><br>
<span class=apple-style-span>capital city, there are thousands of homeless dogs
considered to be&nbsp;</span><br>
<span class=apple-style-span>infected with the parasite.</span><br>
<br>
<span class=apple-style-span>The analysis of the experience from <st1:country-region
w:st="on">Brazil</st1:country-region> and <st1:country-region w:st="on"><st1:place
 w:st="on">Paraguay</st1:place></st1:country-region> indicates&nbsp;</span><br>
<span class=apple-style-span>that there is a probability of having one person
infected for every&nbsp;</span><br>
<span class=apple-style-span>60 infected dogs. There is a high risk for an
epidemic.</span><br>
<br>
<span class=apple-style-span>Sanitary authorities recommend that pets must not
be carried to the&nbsp;</span><br>
<span class=apple-style-span>areas considered to be at risk. It is also
advisable not to transport&nbsp;</span><br>
<span class=apple-style-span>dogs from the affected regions to other areas in
the country. The&nbsp;</span><br>
<span class=apple-style-span>idea is to cut the transmission cycle of the
parasite. Those persons&nbsp;</span><br>
<span class=apple-style-span>who may visit the northern part of <st1:country-region
w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region> must
be immunized&nbsp;</span><br>
<span class=apple-style-span>against yellow fever as an ordinary preventive
measure, and they must&nbsp;</span><br>
<span class=apple-style-span>leave their pets at home as an additional
preventive measure.</span><br>
<br>
<span class=apple-style-span>&quot;Visceral leishmaniasis was present in the
northern part of <st1:place w:st="on">South&nbsp;<br>
 America</st1:place> until migrating workers started moving it towards the
south.&nbsp;</span><br>
<span class=apple-style-span>In early 2000, there were some important outbreaks
in <st1:City w:st="on">Campo Grande</st1:City> do&nbsp;</span><br>
<span class=apple-style-span>Sul and in <st1:City w:st="on"><st1:place w:st="on">Asuncion</st1:place></st1:City>,
where the average number of persons infected is&nbsp;</span><br>
<span class=apple-style-span>around 70 per year. In <st1:country-region w:st="on"><st1:place
 w:st="on">Brazil</st1:place></st1:country-region> there are around 4000 cases
and 200&nbsp;</span><br>
<span class=apple-style-span>deaths per year,&quot; pointed out Dr. Salomon,
who had been doing some&nbsp;</span><br>
<span class=apple-style-span>field work during the past few weeks in the
Litoral provinces.</span><br>
<br>
<span class=apple-style-span>He also added: &quot;There is a trend for an
increase in visceral&nbsp;</span><br>
<span class=apple-style-span>leishmaniasis, so the disease may spread, and it
is expected to have&nbsp;</span><br>
<span class=apple-style-span>more cases.&quot;</span><br>
<br>
<span class=apple-style-span>Climate changes and deforesting seem to be the
main explanations for&nbsp;</span><br>
<span class=apple-style-span>the migration of mosquito-borne diseases. However,
trying to justify&nbsp;</span><br>
<span class=apple-style-span>the occurrence of emergent diseases only because
of reasons inherent&nbsp;</span><br>
<span class=apple-style-span>to nature itself may exonerate provincial and
municipal authorities&nbsp;</span><br>
<span class=apple-style-span>for not complying with their obligations with
respect to the&nbsp;</span><br>
<span class=apple-style-span>implementation of disease control programs and
cleaning empty lots.</span><br>
<br>
<span class=apple-style-span>Consequently, now there are many public
accusations between Misiones,&nbsp;</span><br>
<st1:City w:st="on"><span class=apple-style-span>Corrientes</span></st1:City><span
class=apple-style-span>, and <st1:place w:st="on">Chaco</st1:place> health
officers. These persons, now that there&nbsp;</span><br>
<span class=apple-style-span>are cases of visceral leishmaniasis, immediately
try to explain that&nbsp;</span><br>
<span class=apple-style-span>transmission may have taken place outside their
respective&nbsp;</span><br>
<span class=apple-style-span>jurisdictions. The clear point is that the
mosquito vector appears&nbsp;</span><br>
<span class=apple-style-span>because of lack of public hygiene.</span><br>
<br>
<span class=apple-style-span>- --</span><br>
<span class=apple-style-span>Communicated by:</span><br>
<span class=apple-style-span>ProMED-mail &lt;<a
href="mailto:promed@promedmail.org">promed@promedmail.org</a>&gt;</span><br>
<br>
<span class=apple-style-span>[Leishmaniasis has been slowly spreading in
northern <st1:country-region w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region>
over&nbsp;</span><br>
<span class=apple-style-span>the past decades (Salomon O et al. First visceral
leishmaniasis focus&nbsp;</span><br>
<span class=apple-style-span>in <st1:country-region w:st="on"><st1:place w:st="on">Argentina</st1:place></st1:country-region>.
Mem Inst Oswaldo Cruz. 2008;103:109-11</span><br>
<span class=apple-style-span>&lt;<a
href="http://www.ncbi.nlm.nih.gov/pubmed/18368242?ordinalpos=9&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum">http://www.ncbi.nlm.nih.gov/pubmed/18368242?ordinalpos=9&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum</a>&gt;).</span><br>
<br>
<span class=apple-style-span>The ecology of the vector has been changing, and
increasing&nbsp;</span><br>
<span class=apple-style-span>urbanization has been suggested as one of the
explanations (Salomon&nbsp;</span><br>
<span class=apple-style-span>OD et al. Phlebotominae (Diptera: Psycodidae)
fauna in the Chaco&nbsp;</span><br>
<span class=apple-style-span>region and Cutaneous Leishmaniasis transmission
patterns in&nbsp;</span><br>
<st1:country-region w:st="on"><st1:place w:st="on"><span
  class=apple-style-span>Argentina</span></st1:place></st1:country-region><span
class=apple-style-span>. Mem Inst Oswaldo Cruz. 2008;103:578-84</span><br>
<span class=apple-style-span>&lt;<a
href="http://www.ncbi.nlm.nih.gov/pubmed/18949328?ordinalpos=3&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum">http://www.ncbi.nlm.nih.gov/pubmed/18949328?ordinalpos=3&amp;itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum</a>&gt;).</span><br>
<span class=apple-style-span>&nbsp;- Mod.EP]</span><o:p></o:p></span></font></p>

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