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<Articles JournalTitle="Iranian Journal of Public Health">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Iranian Journal of Public Health</JournalTitle>
      <Issn>2251-6085</Issn>
      <Volume>44</Volume>
      <Issue>3</Issue>
      <PubDate PubStatus="epublish">
        <Year>2015</Year>
        <Month>03</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">A Comprehensive Review of Cutaneous Leishmaniasis in Kerman Province, Southeastern Iran- Narrative Review Article</title>
    <FirstPage>299</FirstPage>
    <LastPage>307</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Iraj</FirstName>
        <LastName>Sharifi</LastName>
        <affiliation locale="en_US">Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mohammad Reza</FirstName>
        <LastName>Aflatoonian</LastName>
        <affiliation locale="en_US">Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ali Reza</FirstName>
        <LastName>Fekri</LastName>
        <affiliation locale="en_US">Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Maryam</FirstName>
        <LastName>Hakimi Parizi</LastName>
        <affiliation locale="en_US">Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Abbas</FirstName>
        <LastName>Aghaei Afshar</LastName>
        <affiliation locale="en_US">Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ahmad</FirstName>
        <LastName>Khosravi</LastName>
        <affiliation locale="en_US">Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Fatemeh</FirstName>
        <LastName>Sharifi</LastName>
        <affiliation locale="en_US">Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Behnaz</FirstName>
        <LastName>Aflatoonian</LastName>
        <affiliation locale="en_US">Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ali</FirstName>
        <LastName>Khamesipour</LastName>
        <affiliation locale="en_US">Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Yahya</FirstName>
        <LastName>Dowlati</LastName>
        <affiliation locale="en_US">Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Farrokh</FirstName>
        <LastName>Modabber</LastName>
        <affiliation locale="en_US">Drugs for Neglected Diseases Initiatives (DNDi), 15 Chemin Louis-Dunant, Geneva, Switzerland.</affiliation>
      </Author>
      <Author>
        <FirstName>Abolhasan</FirstName>
        <LastName>Nadim</LastName>
        <affiliation locale="en_US">School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>10</Month>
        <Day>14</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background: Cutaneous leishmaniasis (CL) remains a serious public health concern in Kerman Province, eastern&#xA0;Iran. This study was aimed to conduct a comprehensive review and highlights various aspects of CL in the province of&#xA0;Kerman.

Methods: This article mainly focuses on the studies published in the past 26 years on CL in the province. Current&#xA0;data for the present status were obtained through the provincial health system.

Results: Bam was the most infected district (63.6%), followed by Kerman (24.7%) and other districts to a less extent.&#xA0;Leishmania tropica is the major causative agent (95.5%) of CL in Kerman province, however, L. major accounts for 4.5%&#xA0;of the total cases. Bam, Kerman and southern districts of Kerman province were purely anthroponotic CL (ACL),&#xA0;while Rafsanjan, Baft, and Sirjan showed both ACL and zoonotic CL (ZCL). In contrast, Orzoieh district was merely&#xA0;endemic to ZCL type. Phlebotomus sergenti was the main vector in ACL foci while Ph. papatasi was the major vector in&#xA0;the ZCL district of Orzoieh. Localized CL was the most prevalent form (80%) of the disease, while leishmaniasis recidivans was the most uncommon clinical manifestation (18.7%).

Conclusion: Due to recent rises in CL disease both in regard of increases in incidence rate and expansion of the disease to new foci, and presence of various risk factors in the province, control measures and health strategies should&#xA0;have high priorities to help treat the existing cases and prevent the expansion of the disease to new areas.</abstract>
    <web_url>https://ijph.tums.ac.ir/index.php/ijph/article/view/3657</web_url>
    <pdf_url>https://ijph.tums.ac.ir/index.php/ijph/article/download/3657/3332</pdf_url>
  </Article>
</Articles>
