Epidemiology of the outbreak, vectors and reservoirs of cutaneous leishmaniasis in Mali: A systematic review and meta-analysis
10.1016/j.apjtm.2016.07.025
- Author:
Abdoulaye Kassoum KONE
1
;
Doumbo Safiatou NIARE
1
;
Mahamadou Ali THERA
1
;
Kassoum KAYENTAO
1
;
Abdoulaye DJIMDE
1
;
Bourema KOURIBA
1
;
Ogobara K. DOUMBO
1
;
Pascal DELAUNAY
2
;
Pierre MARTY
2
;
Ogobara K. DOUMBO
2
;
Pascal DELAUNAY
3
;
Pierre MARTY
3
;
Pascal del GIUDICE
4
;
Arezki IZRI
5
Author Information
1. Malaria Research and Training Center, Department of Epidemiology of Parasitic Diseases, Faculty of Medicine, and Dentistry, UMI-3189, University of Science, Technique and Technology of Bamako
2. Inserm U1065, Centre Méditerranéen de Médecine Moléculaire, C3M, Université de Nice-Sophia Antipolis
3. Parasitologie-Mycologie, Hôpital de l'Archet, Centre Hospitalier Universitaire de Nice
4. Unit of Infectious et Tropical Diseases, Hospital Bonnet
5. Parasitology-Mycology, Hospital Avicenne, Paris 13 University, UMR 190, Aix-Marseille University
- Publication Type:Journal Article
- Keywords:
Cutaneous;
Epidemiology;
Leishmaniasis;
Mali;
Reservoirs;
Risk factors vectors
- From:
Asian Pacific Journal of Tropical Medicine
2016;9(10):985-990
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compile available data and to estimate the burden, characteristics and risks factors of cutaneous leishmaniasis (CL) in Mali. Methods Articles in English and French were searched in Hinari, Google scholar and PubMed. Unpublished studies were identified by searching in Google.com. Terms used were cutaneous leishmaniasis Mali; Leishmaniasis Mali, Leishmania major Mali; or Phlebotomus Mali or Sergentomyia Mali. We select descriptive studies on CL and sandflies in Mali. Data were extracted and checked by the author, then analyzed by region, by study population and type of biological tests, meta-analysis approach with STATA software was used. Results Nineteen published (n = 19) and three unpublished were included. CL epidemiology was characterized by occurrence of clinical cases in different areas of Mali, outbreaks restricted to known areas of transmission and isolated cases diagnosed in travelers. In endemic areas, population at risk are young age persons, farmers, ranchers, housewives, teachers and military personnel. The annual incidence ranged from 290 to 580 cases of CL. Leishmania major is the main species encountered throughout the country (North Savanna, Sahel and Sub-Saharan areas), and Phlebotomus duboscqi has been identified as the vector and Sergentomyia (Spelaeomyia) darlingi as possible vector. The overall estimated prevalence of positive LST (Leishmanin Skin Test) was 22.1%. The overall frequency of CL disease among suspected cases was 40.3%. Conclusions Although descriptive, hospital-based and cross-sectional studies are robust enough to determine the extent of CL in Mali; future well-designed eco-epidemiological studies at a nationwide scale are needed to fully characterize CL epidemiology and risk factors in Mali.
