Two recent but temporally distinct outbreaks of cutaneous leishmaniasis among foreign workers in the Dead-Sea area of Jordan.

Two temporally distinct outbreaks of human cutaneous leishmaniasis (CL), as well as scattered cases of the disease, have recently been observed close to the Dead Sea, in Jordan. Each of the two outbreaks, which occurred in 2004/2005 and 2007/2008, involved a group of foreign workers who were deployed within otherwise uninhabited locations. During each outbreak, about 20% of the workers were found infected with the causative parasite. In the earlier outbreak, 61 workers were found to have skin lesions like those of CL and all but three were confirmed by culture and/or the examination of smears (40 cases) or, in the case of 18 (86%) of the 21 suspected cases found smear- and culture-negative, by PCR. In the second outbreak, the cases were only identified from their clinical manifestations and their response to antileishmanial treatment (cryotherapy). Leishmania major was identified as the cause of the 2004/2005 outbreak and some sporadic cases that occurred, in 2004, along the shores of the Dead Sea. The burrows of potential reservoir hosts were found close to the outbreak locations, frequently under the chenopod Seidlitzia rosmarinus. The two outbreaks emphasise the continuing problem posed by the CL focus in the Mid Jordan Valley and its impact on humans who move into the area. Curiously, an investigation on the socio-economic conditions of the workers during the outbreaks identified a group of 48 workers who were living in air-conditioned rooms during the 2007/2008 outbreak, among whom no CL cases were found. In contrast, 26 of a neighbouring group of 124 workers, who were all living in non-air-conditioned rooms, developed CL lesions. The role of air conditioning, and of other factors and measures, in the prevention of the transmission of the causative parasites of CL merits further investigation and the attention of the local health authorities.

Comparative histological and histochemical studies on the adrenal gland of the albino and the Egyptian desert rats.

The adrenal gland of the albino rat and the Egyptian desert rodents Gerbillus pyramidum and Gerbillus gerbillus was subject to histological and histochemical studies. Compared to the albino rat, the adrenal gland of the Egyptian desert rat had a thicker capsule, its zona glomerulosa was thinner and more vacuolated, its cortex was sharply demarcated from the medulla which appeared in the form of packets of cells. Lipid droplets were larger and more numerous in the zona glomerulosa and no subglomerular zone was detected. Cholesterol and its esters were less marked in the outer cortex. Succinic dehydrogenase activity was more marked in the zona reticularis. The cholinesterase-reactive nervous network in the medulla was more complex and dense and the nerve cells were fewer. The significance of these differences is discussed.

A histoquantitative study of the effect of maternal hypervitaminosis A on the differentiation of the foetal mouse skin.

The skin of albino mouse foetuses aged 13, 15, 17, 19 and 21 days was studied histologically and quantitatively. The skin of foetuses aged 21 days after maternal hypervitaminosis A, was compared with that of 21 days controls. On the 13th day, the epidermis consisted of one layer of cuboidal cells. The stratum intermedium appeared on the 15th day, the stratum granulosum on the 19th day and the stratum corneum on the 21st day of intrauterine life. The quantitative study showed that although the epidermis increased more rapidly in thickness in the interval between the 13th and 17th day than in the subsequent 4 days, yet in the latter period differentiation of the stratum granulosum and corneum took place. On the other hand, the rate of proliferation of the epithelial cells concerned in the follicle formation was more rapid in the last two days of intrauterine life than in any previous prenatal stage. After maternal hypervitaminosis A, the whole thickness of the epidermis was reduced by 50% and the dermis showed an oedematous appearance. The hair follicle primordia showed a decreased volume.