TY - CHAP M1 - Book, Section TI - Leishmaniasis A1 - Valadares, Diogo G. A1 - Kwakye-Nuako, Godwin A1 - Wilson, Mary E. A2 - Boulton, Matthew L. A2 - Wallace, Robert B. PY - 2022 T2 - Maxcy-Rosenau-Last Public Health & Preventive Medicine, 16e AB - Leishmaniasis refers to a constellation of clinical syndromes caused by protozoa belonging to the genus Leishmania. Autocthonous acquisition of these diseases by humans occurs in more than 90 countries of the world, located in all continents except Antarctica.1 The distribution of these diseases is determined largely by the distribution of the different species of Leishmania. Remarkably and despite their highly similar genomes, the different species display quite unique biological characteristics leading to differences in localization, predilection for dissemination, and pathogenicity for human and other vertebrate hosts. The incidence of cutaneous leishmaniasis (CL), the most common form of disease, ranges from 0.7 to 1.2 million new cases per year. Visceral leishmaniasis (VL), the second most common form, has been estimated up to 400,000 cases annually but recently may have dropped below 100,000 per year.2 However, these estimates may be highly inaccurate. As an illustration, the actual incidence of VL in 14 villages in an endemic area of Bihar, India (population 26,444) according to a household survey was 8.13-fold higher than records of reporting agencies in the same 3-year period of time.3 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1182666556 ER -