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<br><br><div><div id="SkyDrivePlaceholder"></div><hr id="stopSpelling"><br><div class="ecxgmail_quote">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: 2011/7/30<br>Subject: PRO/AH/EDR> Leishmaniasis, cutaneous - Suriname<br>To: <a href="mailto:promed-ahead-edr@promedmail.org">promed-ahead-edr@promedmail.org</a><br><br><br>LEISHMANIASIS, CUTANEOUS - SURINAME<br>
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A ProMED-mail post<br>
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International Society for Infectious Diseases<br>
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<br>
Date: Wed 27 Jul 2011<br>
Source: Royal Tropical Institute [edited]<br>
<a href="http://www.kit.nl/-/INS/67346/Royal-Tropical-Institute/KIT-Biomedical-Research--/Considerable-increase-in-leishmaniasis-in-Suriname" target="_blank">http://www.kit.nl/-/INS/67346/Royal-Tropical-Institute/KIT-Biomedical-Research--/Considerable-increase-in-leishmaniasis-in-Suriname</a><br>
<br>
<br>
Considerable increase in leishmaniasis in Suriname<br>
--------------------------------------------------<br>
Recent research in Suriname shows a considerable increase in the<br>
numbers of cases of the parasitic skin disease leishmaniasis, in<br>
Suriname better known as 'Bosjaws' or 'Busi-yasi.'<br>
<br>
Within the integrated research programme 'Leishmaniasis in Suriname,'<br>
coordinated by the department Biomedical Research of the Royal<br>
Tropical Institute (KIT) and funded by NOW-WOTRO, Surinam and Dutch<br>
researchers are studying the biology, diagnosis and treatment of the<br>
disease. Furthermore, health care seeking behaviour of patients is<br>
being studied.<br>
<br>
Accurate diagnosis<br>
------------------<br>
At a recent consortium meeting, which was also attended by the<br>
Minister of Health of Surinam and other local stakeholders, it was<br>
announced that the number of registered leishmaniasis cases in 2010<br>
was doubled compared to previous years.<br>
<br>
And possibly even more cases are present in the hinterland of Surinam<br>
that is not well accessible. This increase emphasizes the need for<br>
good diagnosis of the disease, as it may be confused with other skin<br>
diseases. The media in Surinam have called for more attention for<br>
leishmaniasis. This also applies for Dutch general practitioners who<br>
may be confronted more and more with the disease through patients who<br>
have contracted slow healing ulcers during their visit to the interior<br>
in Surinam.<br>
<br>
Treatment and prevention<br>
------------------------<br>
Researcher Henk Schallig from KIT Biomedical Research emphasized that<br>
appropriate treatment of leishmaniasis is needed to prevent further<br>
spread of the disease, and that less painful therapies should be<br>
sought. At the moment, leishmaniasis is treated in Suriname by giving<br>
3 injections 3 times around the ulcers. Particularly for children this<br>
treatment is very painful. In addition, the consortium demonstrated<br>
that possibly not all patients responded well to treatment. The reason<br>
for this is currently being investigated.<br>
<br>
--<br>
Communicated by:<br>
ProMED-mail<br>
<<a href="mailto:promed@promedmail.org">promed@promedmail.org</a>><br>
<br>
[A study 5 years ago states "Cutaneous leishmaniasis (CL) is a<br>
widespread disease in Suriname caused by Leishmania Viannia<br>
guyanensis. It is argued that other Leishmania species are also<br>
responsible for CL and that the incidence is increasing" and "With<br>
extrapolation of collected data, a detection rate was calculated of<br>
5.32 to 6.13 CL patients per 1000 inhabitants for the hinterland and<br>
0.64 to 0.74 patients per 1000 inhabitants for the whole country."<br>
(van der Meide WF et al. Epidemiology of cutaneous leishmaniasis in<br>
Suriname: a study performed in 2006. Am J Trop Med Hyg.<br>
2008;79:192-7). It should be noted that an increased interest in CL in<br>
Suriname may increase the number of registered cases.<br>
<br>
HealthMap location: <<a href="http://healthmap.org/r/15Lc" target="_blank">http://healthmap.org/r/15Lc</a>>. - Mod.EP]<br>
<br>
[see also:<br>
Leishmaniasis, cutaneous - Honduras (SC) 20110708.2073<br>
Leishmaniasis, cutaneous - Saudi Arabia: (QS) 20110328.0973<br>
Leishmaniasis, cutaneous - Israel 20110130.0362]<br>
.................................................sb/ep/ejp/dk<br>
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