FAQs for health care providers leishmaniasis in Afghan evacuees
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FAQs for health care providers leishmaniasis in Afghan evacuees

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      Leishmaniasis is a parasitic infection transmitted by sand flies that is found in about 90 countries, including Afghanistan. There are more than 20 Leishmania species that affect humans. The most common include 5 Old World species, which occur primarily in Europe, the Mediterranean basin, Africa, the Middle East, and parts of Asia; and 7 New World species that occur in the Western hemisphere, primarily in Central and South America. These species are morphologically indistinguishable but can be differentiated by molecular methods. The two main forms of the disease are cutaneous leishmaniasis (CL) and visceral leishmaniasis (VL). Different species are associated with diverse clinical manifestations and sequelae.

      There is a high burden of leishmaniasis in Afghanistan. CL most commonly occurs in rural and semi- rural areas, especially the northern Afghan plains and outskirts of Kabul. Kandahar in the south and Herat in the west are also high transmission areas (Figure 1). However, CL is also found in urban dwellers, including residents of large cities, such as Kabul.

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