Avian schistosomes and human cercarial dermatitis in a wildlife refuge in Mazandaran Province, northern Iran.

Each year, hundreds of aquatic migratory birds migrate from northern hemisphere to the Mazandaran Province, northern Iran. Little information is available on prevalence and density of schistosomes in water birds in Iran and around the world. The objectives of this study were to determine definitive and intermediate hosts of avian schistosomes as well as to assess human cercarial dermatitis (HCD) in a wildlife refuge in Mazandaran Province. Of 1106 examined people, 589 (53.2%) had maculopapular rashes mainly on feet but also on hand. The majority of cases were adults and local residents. Of 260 ducks, 41 (15.8%) were found to be infected with Trichobilharzia spp. eggs or adult worms. Prevalence was highest in Anas clypeata and Anas platyrhynchos, 79% and 18.9%, respectively. A total of 1.2% snails, examined by both shedding and crushing methods, were infected with furcocercariae belonging to avian schistosomes. The most frequently infected snail was Lymnaea gedrosiana (5.9%). Our results showed that cercarial dermatitis and avian schistosomiasis is a common and yet neglected disease in this area. Anas clypeata played the most important role in exposing snails to miracidia in ponds and paddy fields. Moreover, because of the high prevalence in ducks and high prevalence of HCD in the region, it is considered as a new endemic focus in Iran.

Molecular and Seroepidemiological Survey of Visceral Leishmaniasis among Humans and Domestic Dogs in Mazandaran Province, North of Iran.

BACKGROUND: New cases of visceral leishmaniasis (VL) have been reported recently in some parts of Mazandaran Province, north of Iran where the first human case of VL was reported in 1949. This study aimed to determine the present status of Leishmaniainfantum infection among humans and domestic dogs using serological and molecular methods in central parts of Mazandaran Province. METHODS: In this cross-sectional study, blood samples were randomly collected from 402 humans and forty-nine domestic dogs throughout 2009 and 2010 in the central part of Mazandaran Province including Semeskadeh and Kiakola districts where recent cases of human visceral leishmaniasis had been reported there. All the collected samples were tested by direct agglutination test (DAT) for the detection of anti-Leishmania infantum antibodies as well as convenience PCR assay on whole blood samples for detection of leishmanial infection and identification of Leishmania species. RESULTS: None of 402 collected human (402) and dog (49) blood samples showed anti Leishmaniainfantum antibodies at titers 1:3200 and 1:320 as cut-off values of DAT, respectively but only 2 of domestic dogs (4.1%) were found PCR-positive corresponding to L.infantum. CONCLUSION: This study confirms the circulation of L. infantum at least among domestic dogs and highlights the sporadic pattern of VL in the studied areas. Further investigations regarding to sand flies fauna and wild canines as reservoir hosts of the disease, are recommended.