New challenges in the epidemiology and treatment of visceral leishmaniasis in periurban areas

Visceral leishmaniasis (VL) represents a major public health problem in many areas of the world. This review focuses on the impact of periurbanization on the epidemiology and treatment of VL, using Brazil as an example. VL continues to be primarily a disease of poverty with impact on families. Howev...

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Veröffentlicht in:Drug development research 2011-09, Vol.72 (6), p.451-462
Hauptverfasser: Dupnik, Kathryn M., Nascimento, Eliana L., Rodrigues-Neto, Joao F., Keesen, Tatjana, Zélia Fernandes, Maria, Duarte, Iraci, Jeronimo, Selma M.B.
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container_end_page 462
container_issue 6
container_start_page 451
container_title Drug development research
container_volume 72
creator Dupnik, Kathryn M.
Nascimento, Eliana L.
Rodrigues-Neto, Joao F.
Keesen, Tatjana
Zélia Fernandes, Maria
Duarte, Iraci
Jeronimo, Selma M.B.
description Visceral leishmaniasis (VL) represents a major public health problem in many areas of the world. This review focuses on the impact of periurbanization on the epidemiology and treatment of VL, using Brazil as an example. VL continues to be primarily a disease of poverty with impact on families. However, the disease has expanded in Latin America, with foci reported as far south as Argentina. There is an increasing overlap of Leishmania infantum chagasi and human immune deficiency virus (HIV) infections and other immunosuppressive conditions, resulting in the emergence of VL as an opportunistic infection. This new setting poses new challenges for VL disease control and patient management. Drug Dev Res 72:451–462, 2011. © 2011 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ddr.20452
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subjects cancer
HIV
Human immunodeficiency virus
Leishmania infantum
urbanization
visceral leishmaniasis
title New challenges in the epidemiology and treatment of visceral leishmaniasis in periurban areas
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