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Leishmaniasis.

Myrthe Pareyn1, Fabiana Alves2, Sakib Burza3,4

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Leishmaniasis, a parasitic disease transmitted by sandflies, presents as severe visceral or skin-affecting cutaneous forms. Control efforts focus on improved diagnostics, treatments, and vector control for elimination.

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Area of Science:

  • Tropical medicine
  • Parasitology
  • Public health

Background:

  • Leishmaniasis is a significant neglected tropical disease caused by Leishmania parasites and transmitted by sandflies.
  • It manifests as visceral leishmaniasis (VL) or cutaneous leishmaniasis (CL), with varying severity influenced by parasite, host, and vector factors.
  • Current diagnostics include the rK39 test for VL and microscopy for CL, with treatment varying by disease form.

Purpose of the Study:

  • To provide an overview of leishmaniasis, including its transmission, clinical manifestations, and diagnostic methods.
  • To highlight current treatment strategies for both visceral and cutaneous leishmaniasis.
  • To discuss the World Health Organization's roadmap for leishmaniasis control and elimination and regional progress.

Main Methods:

  • Literature review and synthesis of existing data on leishmaniasis epidemiology, clinical presentation, diagnosis, and treatment.
  • Analysis of global and regional control initiatives, including the WHO 2021-2030 roadmap.
  • Summary of challenges and future directions for leishmaniasis elimination.

Main Results:

  • Leishmaniasis affects multiple continents, with distinct forms (VL and CL) and complex disease determinants.
  • Diagnostic tools like rK39 and microscopy are crucial, alongside varied treatment approaches from systemic to topical therapies.
  • Significant regional programs in South Asia and Eastern Africa show promise, but sustained progress requires multifaceted interventions.

Conclusions:

  • Eliminating visceral leishmaniasis and controlling cutaneous leishmaniasis are key global health goals.
  • Sustainable leishmaniasis control necessitates advancements in diagnostics, treatments, vector control, surveillance, and political commitment.
  • Vaccine development remains a critical area for future progress in combating leishmaniasis.