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Cutaneous leishmaniasis in the Jordanian side of the Jordan Valley: severe under‐reporting and consequences on public health management
Author(s) -
Mosleh Ibrahim M.,
Geith Eid,
Natsheh Lina,
AbdulDayem Muna,
Abotteen Nabil
Publication year - 2008
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2008.02063.x
Subject(s) - leishmaniasis , medicine , cutaneous leishmaniasis , public health , environmental health , traditional medicine , surgery , immunology , pathology
Summary Objective To test if cutaneous leishmaniasis (CL) is under‐reported in the Jordanian Mid Jordan Valley, with resultant serious consequences for drug supply. Methods For 2001–2003, prescribed amounts of drug and laboratory log‐books were investigated to estimate CL cases reported in Jordanian Mid Jordan Valley. From April 2004 to May 2005, passive detection and focused active ‘index case cluster’‐directed detection were used. Results An average of 75/100 000 cases per year was estimated to have occurred 2001–2003, resulting in under‐reporting by a factor of 47. In 2004/2005, 313/100 000 cases per year were passively detected. Active case‐finding detected additional cases. Conclusion Cutaneous leishmaniasis is severely under‐reported in Jordanian Mid Jordan Valley, which impacts its eradication.