Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/22439
Title: Spatial epidemiologic trends and hotspots of leishmaniasis, Sri Lanka, 2001-2018
Authors: 
Karunaweera, N.D.
Ginige, S.
Senanayake, S.
Silva, H.
Manamperi, N.
Samaranayake, N.
Siriwardana, Y.
Gamage, D.
Senerath, U.
Zhou, G.
Keywords: Leishmaniasis
Leishmaniasis, Cutaneous
Leishmaniasis, Cutaneous-epidemiology
Disease Outbreaks
Prevalence
Retrospective Studies
Spatio-Temporal Analysis
Sex Factors
Sri Lanka-epidemiology
Issue Date: 2020
Publisher: Centers for Disease Control and Prevention (CDC)
Citation: Emerging Infectious Diseases. 2020; 26(1):1-10.
Abstract: ABSTRACT: Leishmaniasis, a neglected tropical disease, is on the decline in South Asia. However, cases of cutaneous leishmaniasis have risen in Sri Lanka since 2001, and the lack of in-depth research on its epidemiologic characteristics hampers control efforts. We analyzed data collected from patients with cutaneous leishmaniasis in Sri Lanka during 2001-2018 to study temporal and geographic trends and identify and monitor disease hotspots. We noted a progression in case rates, including a sharp rise in 2018, showing temporal expansion of disease-prevalent areas and 2 persistent hotspots. The northern hotspot shifted and shrank over time, but the southern hotspot progressively expanded and remained spatially static. In addition, we noted regional incidence differences for age and sex. We provide evidence of temporally progressive and spatially expanding incidence of leishmaniasis in Sri Lanka with distinct geographic patterns and disease hotspots, signaling an urgent need for effective disease control interventions. KEYWORDS: Asia; Indian subcontinent; Leishmania donovani; Sri Lanka; cutaneous leishmaniasis; dermatological pathologies; epidemiology; infectious diseases; leishmaniasis; parasites; protozoa; skin lesions; vector-borne infections.
Description: Indexed in MEDLINE
URI: http://repository.kln.ac.lk/handle/123456789/22439
ISSN: 1080-6040 (Print)
1080-6059 (Electronic)
1080-6040 (Linking)
Appears in Collections:Journal/Magazine Articles

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