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Species of Hirudo are used extensively for medicinal purposes, but are currently listed as endangered due to population declines from economic utilization and environmental pollution. In total, five species of Hirudo are currently described throughout Eurasia, with Turkey being one of the major exporters of medicinal leech, primarily H. verbana.

A new species of Hirudo (Annelida: Hirudinidae): historical biogeography of Eurasian medicinal leeches