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Phylogeny of Zika Virus in Western Hemisphere, 2015

2016; Centers for Disease Control and Prevention; Volume: 22; Issue: 5 Linguagem: Inglês

10.3201/eid2205.160065

1080-6059

Robert S. Lanciotti, Amy J. Lambert, Mark Holodniy, Sonia Saavedra, Leticia del Carmen Castillo Signor,

Malaria Research and Control

into regions that are ill-equipped to manage imported cutaneous leishmaniasis has resulted in outbreaks in Turkey and Lebanon (5,6).Our findings emphasize the importance of contemporaneous disease tracking to identify human populations at highest disease risk.To ameliorate the current cutaneous leishmaniasis crisis, particularly during the winter when cases start to appear, accurate disease monitoring and strategic training of persons based within refugee camps (medical staff, aid workers, volunteers, and military personnel) needs to be prioritized.Moreover, clinicians and other medical personnel residing in refugee-hosting countries must be suitably trained to diagnose cutaneous leishmaniasis because other local diseases (e.g., sarcoidosis and cutaneous tuberculosis) can have similar manifestations.Along with vector and rodent control, new cutaneous leishmaniasis outbreaks should be managed by prompt diagnosis and treatment, which are even more pertinent given that L. tropica-associated cutaneous leishmaniasis typically is resistant to several treatment regimens.In summary, the coexistence of sand fly populations and Leishmania spp.within refugee camps, together with the considerable influx of persons who already have cutaneous leishmaniasis, create a dangerous cocktail that can lead to an outbreak unprecedented in modern times.