An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks

Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been...
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Autor*in:	Daniel Boakye [verfasserIn] Silvia Botero [verfasserIn] Kwadwo Koram [verfasserIn] Karl C. Kronmann [verfasserIn] Greg Raczniak [verfasserIn] Ben Gyan [verfasserIn] Naiki Puplampu [verfasserIn] Kwame Desewu [verfasserIn] Godwin Kwakye Nuako [verfasserIn] Shirley Odoom [verfasserIn] Margaret A. Kweku [verfasserIn] Hannah Akuffo [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up

Übergeordnetes Werk:	In: Global Health Action - Taylor & Francis Group, 2008, 4(2011), 0, Seite 9
Übergeordnetes Werk:	volume:4 ; year:2011 ; number:0 ; pages:9

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3402/gha.v4i0.5527

Katalog-ID:	DOAJ076769429

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allfields	10.3402/gha.v4i0.5527 doi (DE-627)DOAJ076769429 (DE-599)DOAJb03225a9e3be4c6b968d5f9e741907cb DE-627 ger DE-627 rakwb eng RA1-1270 Daniel Boakye verfasserin aut An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important? cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up Public aspects of medicine Silvia Botero verfasserin aut Kwadwo Koram verfasserin aut Karl C. Kronmann verfasserin aut Greg Raczniak verfasserin aut Ben Gyan verfasserin aut Naiki Puplampu verfasserin aut Kwame Desewu verfasserin aut Godwin Kwakye Nuako verfasserin aut Shirley Odoom verfasserin aut Margaret A. Kweku verfasserin aut Hannah Akuffo verfasserin aut In Global Health Action Taylor & Francis Group, 2008 4(2011), 0, Seite 9 (DE-627)619682043 (DE-600)2540569-X 16549880 nnns volume:4 year:2011 number:0 pages:9 https://doi.org/10.3402/gha.v4i0.5527 kostenfrei https://doaj.org/article/b03225a9e3be4c6b968d5f9e741907cb kostenfrei http://www.globalhealthaction.net/index.php/gha/article/view/5527/9454 kostenfrei https://doaj.org/toc/1654-9880 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2011 0 9
spelling	10.3402/gha.v4i0.5527 doi (DE-627)DOAJ076769429 (DE-599)DOAJb03225a9e3be4c6b968d5f9e741907cb DE-627 ger DE-627 rakwb eng RA1-1270 Daniel Boakye verfasserin aut An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important? cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up Public aspects of medicine Silvia Botero verfasserin aut Kwadwo Koram verfasserin aut Karl C. Kronmann verfasserin aut Greg Raczniak verfasserin aut Ben Gyan verfasserin aut Naiki Puplampu verfasserin aut Kwame Desewu verfasserin aut Godwin Kwakye Nuako verfasserin aut Shirley Odoom verfasserin aut Margaret A. Kweku verfasserin aut Hannah Akuffo verfasserin aut In Global Health Action Taylor & Francis Group, 2008 4(2011), 0, Seite 9 (DE-627)619682043 (DE-600)2540569-X 16549880 nnns volume:4 year:2011 number:0 pages:9 https://doi.org/10.3402/gha.v4i0.5527 kostenfrei https://doaj.org/article/b03225a9e3be4c6b968d5f9e741907cb kostenfrei http://www.globalhealthaction.net/index.php/gha/article/view/5527/9454 kostenfrei https://doaj.org/toc/1654-9880 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2011 0 9
allfields_unstemmed	10.3402/gha.v4i0.5527 doi (DE-627)DOAJ076769429 (DE-599)DOAJb03225a9e3be4c6b968d5f9e741907cb DE-627 ger DE-627 rakwb eng RA1-1270 Daniel Boakye verfasserin aut An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important? cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up Public aspects of medicine Silvia Botero verfasserin aut Kwadwo Koram verfasserin aut Karl C. Kronmann verfasserin aut Greg Raczniak verfasserin aut Ben Gyan verfasserin aut Naiki Puplampu verfasserin aut Kwame Desewu verfasserin aut Godwin Kwakye Nuako verfasserin aut Shirley Odoom verfasserin aut Margaret A. Kweku verfasserin aut Hannah Akuffo verfasserin aut In Global Health Action Taylor & Francis Group, 2008 4(2011), 0, Seite 9 (DE-627)619682043 (DE-600)2540569-X 16549880 nnns volume:4 year:2011 number:0 pages:9 https://doi.org/10.3402/gha.v4i0.5527 kostenfrei https://doaj.org/article/b03225a9e3be4c6b968d5f9e741907cb kostenfrei http://www.globalhealthaction.net/index.php/gha/article/view/5527/9454 kostenfrei https://doaj.org/toc/1654-9880 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2011 0 9
allfieldsGer	10.3402/gha.v4i0.5527 doi (DE-627)DOAJ076769429 (DE-599)DOAJb03225a9e3be4c6b968d5f9e741907cb DE-627 ger DE-627 rakwb eng RA1-1270 Daniel Boakye verfasserin aut An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important? cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up Public aspects of medicine Silvia Botero verfasserin aut Kwadwo Koram verfasserin aut Karl C. Kronmann verfasserin aut Greg Raczniak verfasserin aut Ben Gyan verfasserin aut Naiki Puplampu verfasserin aut Kwame Desewu verfasserin aut Godwin Kwakye Nuako verfasserin aut Shirley Odoom verfasserin aut Margaret A. Kweku verfasserin aut Hannah Akuffo verfasserin aut In Global Health Action Taylor & Francis Group, 2008 4(2011), 0, Seite 9 (DE-627)619682043 (DE-600)2540569-X 16549880 nnns volume:4 year:2011 number:0 pages:9 https://doi.org/10.3402/gha.v4i0.5527 kostenfrei https://doaj.org/article/b03225a9e3be4c6b968d5f9e741907cb kostenfrei http://www.globalhealthaction.net/index.php/gha/article/view/5527/9454 kostenfrei https://doaj.org/toc/1654-9880 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2011 0 9
allfieldsSound	10.3402/gha.v4i0.5527 doi (DE-627)DOAJ076769429 (DE-599)DOAJb03225a9e3be4c6b968d5f9e741907cb DE-627 ger DE-627 rakwb eng RA1-1270 Daniel Boakye verfasserin aut An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important? cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up Public aspects of medicine Silvia Botero verfasserin aut Kwadwo Koram verfasserin aut Karl C. Kronmann verfasserin aut Greg Raczniak verfasserin aut Ben Gyan verfasserin aut Naiki Puplampu verfasserin aut Kwame Desewu verfasserin aut Godwin Kwakye Nuako verfasserin aut Shirley Odoom verfasserin aut Margaret A. Kweku verfasserin aut Hannah Akuffo verfasserin aut In Global Health Action Taylor & Francis Group, 2008 4(2011), 0, Seite 9 (DE-627)619682043 (DE-600)2540569-X 16549880 nnns volume:4 year:2011 number:0 pages:9 https://doi.org/10.3402/gha.v4i0.5527 kostenfrei https://doaj.org/article/b03225a9e3be4c6b968d5f9e741907cb kostenfrei http://www.globalhealthaction.net/index.php/gha/article/view/5527/9454 kostenfrei https://doaj.org/toc/1654-9880 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2011 0 9
language	English
source	In Global Health Action 4(2011), 0, Seite 9 volume:4 year:2011 number:0 pages:9
sourceStr	In Global Health Action 4(2011), 0, Seite 9 volume:4 year:2011 number:0 pages:9
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up Public aspects of medicine
isfreeaccess_bool	true
container_title	Global Health Action
authorswithroles_txt_mv	Daniel Boakye @@aut@@ Silvia Botero @@aut@@ Kwadwo Koram @@aut@@ Karl C. Kronmann @@aut@@ Greg Raczniak @@aut@@ Ben Gyan @@aut@@ Naiki Puplampu @@aut@@ Kwame Desewu @@aut@@ Godwin Kwakye Nuako @@aut@@ Shirley Odoom @@aut@@ Margaret A. Kweku @@aut@@ Hannah Akuffo @@aut@@
publishDateDaySort_date	2011-01-01T00:00:00Z
hierarchy_top_id	619682043
id	DOAJ076769429
language_de	englisch
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callnumber-first	R - Medicine
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spellingShingle	Daniel Boakye misc RA1-1270 misc cutaneous leishmaniasis misc Ghana misc Volta Region misc West Africa misc outbreak misc follow-up misc Public aspects of medicine An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks
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topic_title	RA1-1270 An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks cutaneous leishmaniasis Ghana Volta Region West Africa outbreak follow-up
topic	misc RA1-1270 misc cutaneous leishmaniasis misc Ghana misc Volta Region misc West Africa misc outbreak misc follow-up misc Public aspects of medicine
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title	An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks
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author_browse	Daniel Boakye Silvia Botero Kwadwo Koram Karl C. Kronmann Greg Raczniak Ben Gyan Naiki Puplampu Kwame Desewu Godwin Kwakye Nuako Shirley Odoom Margaret A. Kweku Hannah Akuffo
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title_sort	outbreak of suspected cutaneous leishmaniasis in ghana: lessons learnt and preparation for future outbreaks
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title_auth	An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks
abstract	Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important?
abstractGer	Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important?
abstract_unstemmed	Human cutaneous leishmaniasis (CL) has previously been reported in West Africa, but more recently, sporadic reports of CL have increased. Leishmania major has been identified from Mauritania, Senegal, Mali, and Burkina Faso. Three zymodemes (MON-26, MON-117, and MON-74, the most frequent) have been found. The geographic range of leishmaniasis is limited by the sand fly vector, its feeding preferences, and its capacity to support internal development of specific species of Leishmania. The risk of acquiring CL has been reported to increase considerably with human activity and epidemics of CL have been associated with deforestation, road construction, wars, or other activities where humans intrude the habitat of the vector. In the Ho Municipality in the Volta Region of Ghana, a localised outbreak of skin ulcers, possibly CL, was noted in 2003 without any such documented activity. This outbreak was consistent with CL as evidenced using various methods including parasite identification, albeit, in a small number of patients with ulcers.This paper reports the outbreak in Ghana. The report does not address a single planned study but rather a compilation of data from a number of ad-hoc investigations in response to the outbreak plus observations and findings made by the authors. It acknowledges that a number of the observations need to be further clarified. What is the detailed epidemiology of the disease? What sparked the epidemic? Can it happen again? What was the causative agent of the disease, L. major or some other Leishmania spp.? What were the main vectors and animal reservoirs? What are the consequences for surveillance of the disease and the prevention of its reoccurrence when the communities see a self-healing disease and may not think it is important?
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title_short	An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks
url	https://doi.org/10.3402/gha.v4i0.5527 https://doaj.org/article/b03225a9e3be4c6b968d5f9e741907cb http://www.globalhealthaction.net/index.php/gha/article/view/5527/9454 https://doaj.org/toc/1654-9880
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An outbreak of suspected cutaneous leishmaniasis in Ghana: lessons learnt and preparation for future outbreaks

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