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<div><div class="ecxgmail_quote">---------- Forwarded message ----------<br>From: <b class="ecxgmail_sendername">ProMED-mail</b> <span dir="ltr"><<a href="mailto:promed@promed.isid.harvard.edu">promed@promed.isid.harvard.edu</a>></span><br>
Date: 2012/3/28<br>Subject: PRO> Leishmaniasis, human, canine - Spain: (MD)<br>To: <a href="mailto:promed@promedmail.org">promed@promedmail.org</a><br><br><br>LEISHMANIASIS, HUMAN, CANINE - SPAIN: (MADRID)<br>
**********************************************<br>
A ProMED-mail post<br>
<<a href="http://www.promedmail.org" target="_blank">http://www.promedmail.org</a>><br>
ProMED-mail is a program of the<br>
International Society for Infectious Diseases<br>
<<a href="http://www.isid.org" target="_blank">http://www.isid.org</a>><br>
<br>
Date: Tue 27 Mar 2012<br>
Source: Typically Spanish [edited]<br>
<<a href="http://www.typicallyspanish.com/news/publish/article_34168.shtml" target="_blank">http://www.typicallyspanish.com/news/publish/article_34168.shtml</a>><br>
<br>
<br>
The Ministry of Health is investigating the largest outbreak of<br>
leishmaniasis in humans, which is centred in Fuenlabrada, Madrid.<br>
<br>
The illness is usually restricted to dogs but can be transmitted to<br>
humans, and the number of human cases have increased from 15 in 2009<br>
to 118 last year [2011]. At the end of February [2012], the number of<br>
cases reached 228.<br>
<br>
Since 2010, residents and users of the parks at Polvoranca and Bosqu<br>
Sur have complained of increasing cases. It causes skin ulcers and, in<br>
severe cases, inflammation of the liver and spleen.<br>
<br>
According to the Madrid Vets College, Colvelma, there were 101 cases<br>
in humans in 2003 in all of Spain, of which 24 were in the Madrid<br>
region. Now they say between 7-8 percent of the dogs in the region are<br>
infected, a condition which will almost certainly lead to them being<br>
sacrificed.<br>
<br>
--<br>
Communicated by:<br>
ProMED-mail <<a href="mailto:promed@promedmail.org">promed@promedmail.org</a>><br>
<br>
[Leishmaniasis is endemic in Spain. The subspecies is _Leishmania<br>
infantum_, and the reservoir is dogs. A recent review (Gil-Prieto R et<br>
al. Epidemiology of leishmaniasis in Spain based on hospitalization<br>
records (1997-2008). Am J Trop Med Hyg. 2011;85:820-5) identified 2028<br>
individuals who were hospitalized with leishmaniasis, with an average<br>
hospitalization rate of 0.41/100 000 inhabitants. Control of<br>
leishmaniasis focuses on controlling the canine reservoir and the<br>
phlebotomine sand fly vector. - Mod.EP]<br>
<br>
[For the HealthMap/ProMED map of Fuenlabrada, Spain, see<br>
<<a href="http://healthmap.org/r/23uM" target="_blank">http://healthmap.org/r/23uM</a>>. - Mod.MPP]<br>
<br>
[see also:<br>
Leishmaniasis, canine - Singapore ex Spain: OIE 20120125.1022003<br>
2010<br>
----<br>
Leishmaniasis, human - Spain 20100612.1969<br>
2004<br>
----<br>
Leishmaniasis, dog reservoir - Spain 20040524.1388<br>
2000<br>
----<br>
Leishmaniasis - Germany ex Spain (02) 20000729.1254<br>
Leishmaniasis, Germany ex Spain: background 20000727.1248<br>
Leishmaniasis - Germany ex Spain 20000725.1236]<br>
.................................................mj/ep/msp/mpp<br>
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