Abstract

Cutaneous leishmaniasis caused by Leishmania tropica has long been associated with Aleppo in Syria. For 20 years up to the mid-1980s, the number of cases reported annually in the city and environs has remained low, not exceeding a few hundred. Since then, there has been a sudden increase to several thousand cases reported each year. The increase seems too great and too sudden to be attributable to improved case detection. Insecticide spraying, begun in 1991, was followed by a reduction in number of cases in 1992, but numbers increased subsequently in spite of continued spraying. The cases are found mainly in areas undergoing development outside the old centre of the city, and may be associated with poor waste disposal and heaps of construction waste.

References

Abdou et al., 1976
Abdou
A.H.
Chehade
A.
Zein El-Din
K.
Past and present situation of cutaneous leishmaniasis (Aleppo boil) in Syria
Bulletin of the Alexandria Faculty of Medicine
 , 
1976
, vol. 
12
 (pg. 
41
-
49
)
Ashford et al., 1993
Ashford
R.W.
Rioux
J.-A.
Jalouk
L.
Khiami
A.
Dye
C.
Evidence for a long-term increase in the incidence of Leishmania tropica in Aleppo, Syria
Transactions of the Royal Society of Tropical Medicine and Hygiene
 , 
1993
, vol. 
87
 (pg. 
247
-
249
)
Chehade and Mouakeh, 1989
Chehade
A.K.
Mouakeh
A.
Ambush
Y.O.
Wejeyaratne
P.M.
Cutaneous leishmaniasis in Aleppo, Syria
Zoonotic Parasitic Disease, Proceedings of the Third International and Pan Arab Seminar in Amman, Jordan
 , 
1989
Amman
University of Jordan
pg. 
68
 
Corrado, 1892
Corrado
M.
Sul Bottom Di Aleppo
 , 
1892
Naples
Stabilimento Tipografico dei Segretari Comunali
Desjeux, 1991
Desjeux
P.
Information on the Epidemiology and Control of the Leishmaniases by Country or Territory
 , 
1991
Geneva
World Health Organization
Hovnanian et al., 1937
Hovnanian
P.
Jebejian
R.
Yenikomshian
H.A.
Dermal leishmaniasis in a newly inhabited section of Aleppo
Transactions of the Royal Society of Tropical Medicine and Hygiene
 , 
1937
, vol. 
31
 (pg. 
191
-
199
)
Russell and Russell, 1794
Russell
A.
Russell
P.
The Natural History of Aleppo
 , 
1794
Farnborough
Gregg International Publishers
 
[Reprinted 1969]
WHO, 1990
WHO
Control of the Leishmaniases. Report of a WHO Expert Committee
Technical Report Series, no. 793
 , 
1990
Geneva
World Health Organization

Comments

0 Comments