Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014
Background and Objectives: Cutaneous leishmaniasis (CL) is a public health problem in Iran and Kerman Province which is expanding to new foci. This study was conducted to estimate the incidence of CL by a simple and cost – effective method in a major focus of CL in the city of Kerman, southeastern I...
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Tehran University of Medical Sciences
2016-08-01
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| Series: | مجله اپیدمیولوژی ایران |
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| Online Access: | http://irje.tums.ac.ir/article-1-5511-en.html |
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| author | MR Aflatoonian I Sharifi M Zeinali M Bamorovat B Aflatoonian |
| author_facet | MR Aflatoonian I Sharifi M Zeinali M Bamorovat B Aflatoonian |
| author_sort | MR Aflatoonian |
| collection | DOAJ |
| description | Background and Objectives: Cutaneous leishmaniasis (CL) is a public health problem in Iran and Kerman Province which is expanding to new foci. This study was conducted to estimate the incidence of CL by a simple and cost – effective method in a major focus of CL in the city of Kerman, southeastern Iran.
Methods: A combination of two longitudinal and cross – sectional studies was performed. First, the frequency of referred patients to the CL treatment clinic in 2009-2014 was assessed. Then, four highly infected zones consisting of 800 households in the city were selected. In addition, the relative proportions of referred and non – referred subjects were assessed. Eventually, the incidence of CL was calculated by dividing the number of CL cases over the total at risk population for the corresponding period (2009-2014).
Results: The mean annual incidence was 175 per 100000 (943 patients) in the city of Kerman, while it was 500 per 100000 people (0.5%) in the new foci. The highest CL infection was observed among the <25-year-old individuals but there was no significant difference between the sexes.
Conclusion:The incidence rate probably increased significantly following the 2003 Bam earthquake because of the migration of CL patients to southern, eastern, and northeastern areas of the city of Kerman. Since only 50% of the cases were passively referred to the CL treatment clinic, health authorities should actively detect CL cases by house – to – house visit for effective treatment strategies. |
| first_indexed | 2024-12-22T05:08:34Z |
| format | Article |
| id | doaj.art-40e2d7e8f0754cdc9d1d43649c35127e |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-12-22T05:08:34Z |
| publishDate | 2016-08-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-40e2d7e8f0754cdc9d1d43649c35127e2022-12-21T18:38:02ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072016-08-0112218Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014MR Aflatoonian0I Sharifi1M Zeinali2M Bamorovat3B Aflatoonian4 Instructor of Epidemiology, Research Center for Tropical and Infectious Diseases, Kerman University of Medical Sciences Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran PhD Student of Infectious Diseases, Communicable Diseases Management Center, Ministry of Health and Medical Education, Tehran, Iran PhD Student of Leishmaniasis, Kerman University of Medical Sciences, Kerman, Iran Researcher, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran Background and Objectives: Cutaneous leishmaniasis (CL) is a public health problem in Iran and Kerman Province which is expanding to new foci. This study was conducted to estimate the incidence of CL by a simple and cost – effective method in a major focus of CL in the city of Kerman, southeastern Iran. Methods: A combination of two longitudinal and cross – sectional studies was performed. First, the frequency of referred patients to the CL treatment clinic in 2009-2014 was assessed. Then, four highly infected zones consisting of 800 households in the city were selected. In addition, the relative proportions of referred and non – referred subjects were assessed. Eventually, the incidence of CL was calculated by dividing the number of CL cases over the total at risk population for the corresponding period (2009-2014). Results: The mean annual incidence was 175 per 100000 (943 patients) in the city of Kerman, while it was 500 per 100000 people (0.5%) in the new foci. The highest CL infection was observed among the <25-year-old individuals but there was no significant difference between the sexes. Conclusion:The incidence rate probably increased significantly following the 2003 Bam earthquake because of the migration of CL patients to southern, eastern, and northeastern areas of the city of Kerman. Since only 50% of the cases were passively referred to the CL treatment clinic, health authorities should actively detect CL cases by house – to – house visit for effective treatment strategies.http://irje.tums.ac.ir/article-1-5511-en.htmlcutaneous leishmaniasisincidenceprevalencekermaniran |
| spellingShingle | MR Aflatoonian I Sharifi M Zeinali M Bamorovat B Aflatoonian Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014 مجله اپیدمیولوژی ایران cutaneous leishmaniasis incidence prevalence kerman iran |
| title | Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014 |
| title_full | Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014 |
| title_fullStr | Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014 |
| title_full_unstemmed | Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014 |
| title_short | Estimation of the Incidence of Cutaneous Leishmaniasis by Combining Two Longitudinal and Cross sectional Studies in Kerman, Iran in 2009-2014 |
| title_sort | estimation of the incidence of cutaneous leishmaniasis by combining two longitudinal and cross sectional studies in kerman iran in 2009 2014 |
| topic | cutaneous leishmaniasis incidence prevalence kerman iran |
| url | http://irje.tums.ac.ir/article-1-5511-en.html |
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