Epidemiology of cutaneous leishmaniasis in a newly emerging focus in Gampaha district, Western province of Sri Lanka Article Swipe
Chandana Harendra Mallawarachchi
,
T.G.A.N. Chandrasena
,
Tharaka Wijerathna
,
Rasika Dalpadado
,
Maleesha S.M.N.S. Mallawarachchi
,
Gunarathna G.A
,
Nayana Gunathilaka
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-28735/v1
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-28735/v1
Background Cutaneous leishmaniasis (CL) appears to be spreading to previously non-endemic regions of Sri Lanka. The aim of this study was to describe a newly emerging focus of CL in the district of Gampaha, in Western Sri Lanka. Methods A case based descriptive study was carried out from January 2018 to April 2019 in the Mirigama Medical Officer of Health (MOH) area, which reported the highest number of CL cases in Gampaha District. Laboratory confirmed cases were traced and socio-demographic and clinical data were collected via a validated questionnaire and clinic records respectively. The quality of life (QOL) of study participants was measured using the Dermatology Life Quality Index (DLQI). Global Positioning System (GPS) coordinates of patient residences were recorded using handheld GPS receivers. Sand-flies were collected from four selected sites, using Indoor Hand Collection (IHC) (162 units) and Cattle Baited Net Traps (CBNT) (n=3) and a battery-operated aspirator. Results Of 73 patients identified in this study, 58.9% were males, with a mean age of 43.6 years (SD 20.1). The lesions included nodules (52.05%) and ulcers (47.9%). Single lesions were seen in 69.86%, while 30.1% had multiple. Except for one mucosal lesion, all others were on skin. Treatment varied from sodium stibogluconate (SSG) + cryotherapy (46.57%), SSG (45.2%) and cryotherapy (8.2%). Patients with multiple lesions were more likely to be treated with combined SSG + cryotherapy (p< 0.05). The mean DLQI score was 8.14 (SD=7). Most patients engaged in outdoor activities that exposed them to the risk of sand-fly bites Workplaces of 81.1% (27/33) were located within the district. Housing conditions of study participants were of moderate (59%), good (35.6%) and poor (5%) quality. Four households reported multiple cases. Spatial distribution of cases indicated notable clustering in seven adjacently located Public Health Inspector (PHI) areas. Phlebotomus argentipes was detected in all CBNTs and 35.28% of IHC units surveyed. Conclusions CL is emerging in Gamapha district with Mirigama MOH area being the epicentre of infection. The disease had a moderately negative impact on QOL of patients. Minimal migration of cases, clustering of cases within households and in the locality indicates local transmission with P. argentipes as the probable vector.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-28735/v1
- https://www.researchsquare.com/article/rs-28735/v1.pdf?c=1631848919000
- OA Status
- gold
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4243153106
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4243153106Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-28735/v1Digital Object Identifier
- Title
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Epidemiology of cutaneous leishmaniasis in a newly emerging focus in Gampaha district, Western province of Sri LankaWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-05-18Full publication date if available
- Authors
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Chandana Harendra Mallawarachchi, T.G.A.N. Chandrasena, Tharaka Wijerathna, Rasika Dalpadado, Maleesha S.M.N.S. Mallawarachchi, Gunarathna G.A, Nayana GunathilakaList of authors in order
- Landing page
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https://doi.org/10.21203/rs.3.rs-28735/v1Publisher landing page
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https://www.researchsquare.com/article/rs-28735/v1.pdf?c=1631848919000Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.researchsquare.com/article/rs-28735/v1.pdf?c=1631848919000Direct OA link when available
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Sri lanka, Epidemiology, Cutaneous leishmaniasis, Geography, Environmental health, Focus (optics), Socioeconomics, Medicine, Leishmaniasis, Traditional medicine, Dermatology, Environmental planning, Pathology, Sociology, Tanzania, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| primary_location.pdf_url | https://www.researchsquare.com/article/rs-28735/v1.pdf?c=1631848919000 |
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| publication_date | 2020-05-18 |
| publication_year | 2020 |
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