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Autochthonous cutaneous-subcutaneous leishmaniasis on Taiwan.

J H Cross, J J Gunning, D J Drutz

    The American Journal of Tropical Medicine and Hygiene
    |March 1, 1985
    PubMed
    Summary

    Leishmaniasis, a parasitic disease, has emerged in Taiwan. This study reports the first cases of local transmission of cutaneous-subcutaneous leishmaniasis in native Taiwanese aborigines.

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    Area of Science:

    • * Parasitology
    • * Tropical Medicine
    • * Epidemiology

    Background:

    • * Leishmaniasis is a parasitic disease transmitted by sandflies.
    • * Previously, leishmaniasis was not considered endemic to Taiwan.
    • * Cases of kala-azar and post-kala-azar dermal leishmaniasis were observed in Taiwan post-World War II, primarily in soldiers infected abroad.

    Observation:

    • * This paper documents the initial occurrences of autochthonous leishmaniasis in Taiwan.
    • * Two native-born Taiwanese aborigines were diagnosed with cutaneous-subcutaneous leishmaniasis.
    • * These cases suggest local transmission rather than imported infections.

    Findings:

    • * The study confirms the presence of autochthonous cutaneous-subcutaneous leishmaniasis in Taiwan.
    • * This marks the first documented instance of indigenous leishmaniasis in native Taiwanese individuals.
    • * The findings indicate a potential shift in the epidemiological landscape of leishmaniasis.

    Implications:

    • * Highlights the need for enhanced surveillance and diagnostic capabilities for leishmaniasis in Taiwan.
    • * Suggests that leishmaniasis vectors or reservoirs may be present in Taiwan.
    • * Underscores the importance of considering local transmission in endemic and non-endemic regions.

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