CONDITION OF MORBIDITY AND QUESTIONS OF EPIDEMIOLOGY OF LEISHMANIASIS IN THE SOGDIAN REGION OF TAJIKISTAN

Since 2003, visceral, and since 2009, skin leishmaniasis has been registered in the Sughd region and remains a significant problem for health care, especially the VL. The main risk group is children of 0–5 years old, whose immune system cannot with-stand leishmania. With late diagnosis and treatment can be fatal. The survey results indicate the epidemic activity of the synanthropic focal point of the VL. According to the epidemiological studies, it can be assumed that the foci of leishmaniasis in the Sogd region are anthropurgic. In many localities, Ph. sergenti is the dominant type of carrier, which is an anthroponotic carrier, and the presence of Ph. papatasi, the main carrier of zoonotic CL, indicates the pathogen circulation in the region.In order to combat leishmaniasis, it is recommended to conduct in the foci an early diagnosis and treatment of patients, active identification, treatment and shooting of sick dogs, extermination of rodents, treatment of residential and other household premises with long-lasting insecticides, sanitary improvement of premises for live-stock from manure, elimination of landfills (especially those containing food and agricultural waste) in the vicinity of localities, the use of impregnated bed curtains and sanitary educational work among the population.