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Volume 24, Number 1—January 2018
Research Letter

Epidemiology of Cutaneous Leishmaniasis Outbreak, Waziristan, Pakistan

Mubashir Hussain, Shahzad MunirComments to Author , Taj Ali Khan, Abdullah Khan, Sultan Ayaz, Muhammad Ameen Jamal, Irfan Ahmed, Sohail Aziz, Noha Watany, and Mohamed Kasbari
Author affiliations: Kohat University of Science and Technology, Kohat, Pakistan (M. Hussain, S. Munir, T.A. Khan, A. Khan); Abdul Wali Khan University, Mardan, Pakistan (S. Ayaz); Yunnan Agricultural University, Kunming, China (S. Munir, M.A. Jamal, I. Ahmed); Khyber Medical University, Peshawar, Pakistan (S. Aziz); US Naval Medical Research Unit 3, Cairo, Egypt (N. Watany); French Agency for Health and Safety, Maisons-Alfort, France (M. Kasbari)

Main Article

Table

Areawise prevalence of cutaneous leishmaniasis in Waziristan, by microscopy and PCR

Area
 No. tested
 CL-positive samples, no.*
CL prevalence, %
Microscopy
 PCR
 Microscopy
 PCR
North Waziristan
Shewa 966 29 35 3† 3.62†
Spinwam 530 17 21 3.2† 3.96†
Mirali 320 6 7 1.87 2.18
Edaky 463 9 11 1.94 2.37
Darpakheil 450 11 14 2.44 3.11†
Hasankheil 373 9 11 2.41 2.94
Dosali 512 19 24 3.71† 4.68†
Miranshah 455 15 17 3.29† 3.73†
Razmak 367 14 16 3.81† 4.35†
Subtotal
 4,436
 129
 156
2.91
 3.51†
South Waziristan
Wanna 412 14 28 3.39 6.79†
Shekai 463 12 18 2.59 3.88†
Jandola 516 10 10 1.93 1.93
Sra Roha 253 8 11 3.16† 4.34†
Makeen 169 4 9 2.36 5.32†
Janata 448 6 11 1.33 2.45
Sreykhoray 195 6 12 3.07† 6.15†
Kotkai 755 12 18 1.58 2.38
Subtotal
 3,112
 72
 117
2.3
 3.75†
Total
 7,548
 201
 273
2.66
 3.61
*CL, cutaneous leishmaniasis.
†Denotes statistically significant difference (p<0.05) analyzed by χ2 test. In South Waziristan, the highest prevalence rate (6.79% by PCR), was found in Wanna district; in North Waziristan, Dosali had the highest prevalence (4.68% by PCR). However, South Waziristan showed a higher prevalence rate, 3.75% (117/3,112), than North Waziristan’s 3.51% (156/4,436).

Main Article

Page created: December 19, 2017
Page updated: December 19, 2017
Page reviewed: December 19, 2017
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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