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The estimated distribution of autochthonous leishmaniasis by Leishmania infantum in Europe in 2005–2020

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dc.contributor.authorMaia, Carla
dc.contributor.authorPereira, André
dc.contributor.authorConceição, Cláudia
dc.contributor.authorRocha, Rafael
dc.contributor.authorOrtuño, María
dc.contributor.authorMuñoz Hernández, Clara
dc.contributor.authorJumakarova, Zarima
dc.contributor.authorPérez Cutillas, Pedro
dc.contributor.authorÖzbel, Yusuf
dc.contributor.authorTöz, Seray
dc.contributor.authorBaneth, Gad
dc.contributor.authorGasimov, Elkhan
dc.contributor.authorMonge Maillo, Begoña
dc.contributor.authorVan der Stede, Yves
dc.contributor.authorTorres, Gregorio
dc.contributor.authorGossner, Celine M.
dc.contributor.authorBerriatua Fernández de Larrea, Eduardo
dc.contributor.departmentSin departamento asociado
dc.date.accessioned2026-01-19T12:06:35Z
dc.date.available2026-01-19T12:06:35Z
dc.date.copyright© 2023 Maia et al.
dc.date.issued2023-07-19
dc.description.abstractLeishmaniasis caused by the protozoan parasite Leishmania infantum, is a zoonotic sand fly-transmitted disease endemic in southern Europe, of great medical and veterinary importance. Environmental and human-related changes affecting the risk of exposure to vectors, such as travelling of infected animals, urbanization of endemic rural areas and climate change are some examples of drivers of the epidemiology of leishmaniasis. In this paper, we review the distribution and assess the evidence of emergence of human and animal leishmaniasis between 2005 and 2020 in endemic European countries. We found autochthonous infections in every Mediterranean and Balkan countries with a highly variable incidence. However, we detected no evidence of a widespread increased incidence across Europe. Notwithstanding this, underreporting is very high for animal and cutaneous human leishmaniasis. Moreover, human hospital discharges are the most accurate source of data for estimating the incidence of severe human visceral leishmaniasis, and this could be used to identify hotspots of leishmaniasis in animal reservoirs of infection. Consequently, we encourage integrated surveillance and accurate notification of cases following the One Health approach to adopt effective strategies resulting in a better control of leishmaniasis.
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dc.format.extent25
dc.identifier.citationPLOS Neglected Tropical Diseases, 2020, Vol. 17, Issue, 7 : e0011497
dc.identifier.doihttps://doi.org/10.1371/journal.pntd.0011497
dc.identifier.eissn1935-2735
dc.identifier.issn1935-2727
dc.identifier.urihttp://hdl.handle.net/10201/188449
dc.languageeng
dc.publisherPublic Library of Science
dc.relationAuthors from Portugal were funded by the Fundac¸ão para a Ciência e a Tecnologia, I.P. (FCT) through contract GHTM-UID/Multi/04413/ 2013. R. Rocha was supported by the Portuguese Ministry of Education and Science (via FCT) through a PhD grant (UI/BD/151067/2021). C. Muñoz holds a postdoctoral contract Margarita Salas (Unive rsity of Murcia) from the Program of Requalification of the Spanish University System (Spanish Ministry of Universities) financed by the European Union – NextGenerationEU. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.relation.publisherversionhttps://journals.plos.org/plosntds/article/citation?id=10.1371/journal.pntd.0011497
dc.rightsAttribution 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleThe estimated distribution of autochthonous leishmaniasis by Leishmania infantum in Europe in 2005–2020
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublicationes
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relation.isAuthorOfPublication8136045d-0c4c-468e-94c0-2f8dd71865fb
relation.isAuthorOfPublication.latestForDiscoveryed7b26e8-ba82-4424-9d88-9146b063fb8c
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