[ epidemiology of cutaneous leishmaniasis in the city and suburb of bam in 2010: active case - finding, treatment and health education of the school children]

ABSTRACT

Cutaneous leishmaniasis [CL] is one the major health problem in tropical and sub- tropical countries. Bam district in Iran is an old focus of anthroponotic CL [ACL]. The aim of this survey was to assess the prevalence rate of CL by case- finding, treatment of cases and training of primary school children in the city and suburb of Bam in 2010. All school children in three levels [18501 children] were included. Children were physically examined for presence of sores or scars. Suspected cases were referred to the center for cutaneous leishmaniasis control [CCLC] for diagnosis and the CL positive children were treated, accordingly. School children were trained and also educational and informative pamphlets were given to their parents. After initial physical examination, 117 suspected school children [6.9%] were referred to the CCLC and 48 children [28 per 10000] diagnosed as CL patients, comprising of 19 females [39.5%] and 29 males [60.5%]. Fifteen [31.2%] school children were identified as lupoid leishmaniasis, failure to treatment or non - healing cases. The prevalence rate was decreased about 18- fold as compared to the previous investigation in 2005. Establishment of the CCLC, active case- finding and subsequent treatment, seem to be a successful model for controlling CL in the endemic countries