Ecoepidemiology of leishmaniases in Syria. 2--Presence, in dogs, of Leishmania infantum Nicolle and Leishmania tropica (Wright) (Kinetoplastida-Trypanonomatidae)

Abstract

In an ecoepidemiological study in the Syrian foci of human visceral (VL) and cutaneous (CL) leishmaniasis, domestic dogs infected with Leishmania infantum MON-1 and L. tropica MON-76 were found for the first time. In Syria canine leishmaniasis caused by L. infantum, occurs in the humid and sub-humid western belt from the coastal zone to the nearby mountain ranges. Sporadis cases of human VL occur in this area. Canine CL, caused by L. tropica was found in the semi-arid zone in a village with a high human infection rate. The infection causes small papules or crusted ulcers on the nose or muzzle. These observations are relevant to control. In human VL foci it is recommended not to control the dog population, unless this is linked with other activities, such as rabies control. Control of dogs in the CL areas is not justified because of the small size of the lesions and the rarity of the parasites. Indeed the role of the dog as the "true" reservoir host is questionable. Human CL infection is best controlled by active case detection and specific treatment.