American Visceral Leishmaniasis in Chiapas, Mexico

Jorge A. Pastor-Santiago Departamento de Prevención y Control de Enfermedades Transmitidas por Vector, Tuxtla Gutiérrez, Chiapas, México; Departamento de Parasitología, Instituto de Diagnóstico y Referencia Epidemiológicos, México City, México; Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, México; Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, México City, México

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Susana Chávez-López Departamento de Prevención y Control de Enfermedades Transmitidas por Vector, Tuxtla Gutiérrez, Chiapas, México; Departamento de Parasitología, Instituto de Diagnóstico y Referencia Epidemiológicos, México City, México; Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, México; Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, México City, México

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Carmen Guzmán-Bracho Departamento de Prevención y Control de Enfermedades Transmitidas por Vector, Tuxtla Gutiérrez, Chiapas, México; Departamento de Parasitología, Instituto de Diagnóstico y Referencia Epidemiológicos, México City, México; Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, México; Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, México City, México

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Ana Flisser Departamento de Prevención y Control de Enfermedades Transmitidas por Vector, Tuxtla Gutiérrez, Chiapas, México; Departamento de Parasitología, Instituto de Diagnóstico y Referencia Epidemiológicos, México City, México; Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, México; Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, México City, México

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Angélica Olivo-Díaz Departamento de Prevención y Control de Enfermedades Transmitidas por Vector, Tuxtla Gutiérrez, Chiapas, México; Departamento de Parasitología, Instituto de Diagnóstico y Referencia Epidemiológicos, México City, México; Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, México; Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, México City, México

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We report the results of a study conducted during 1990–2006 with 89 cases of American visceral leishmaniasis in Chiapas State in southeastern Mexico and a seroprevalence study performed with 726 persons and 224 dogs that lived near cases of American visceral leishmaniasis. Clinical aspects, epidemiologic profiles, and risk factors are described. Most cases were in children ≤ 5 years of age, the prevalence of seropositive persons was 77%. The main risk factors associated with this disease were having 1–3 rooms in a house compared with ≥ 4 rooms, having a roof that was not made of cement, and having domestic animals. In contrast, only 19% of dogs were seropositive, suggesting that this species is not important in the transmission cycle of Leishmania. These data indicate that active transmission is taking place in the central valley of Chiapas State, Mexico, in communities located < 1,000 meters above sea level near the Grijalva River.

Author Notes

*Address correspondence to Angélica Olivo-Díaz, Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, SSA, Calzada de Tlalpan 4800, Colonia Sección XVI, C.P. 14080, México City, México. E-mail: aolivod@yahoo.com

Financial support: This study was partially supported by grant I30103-B from the Consejo Nacional de Ciencia y Tecnología.

Authors' addresses: Jorge A. Pastor-Santiago, Departamento de Prevención y Control de Enfermedades Transmitidas por Vectores, Unidad Administrativa, Edificio C, Segundo Piso, Colonia Maya, C.P. 29007, Tuxtla Gutiérrez, Chiapas, México, E-mail: albertosan.pas@gmail.com. Susana Chávez-López and Carmen Guzmán-Bracho, Departamento de Parasitología, Instituto de Diagnóstico y Referencia Epidemiológicos, SSA, Carpio 470 2° Piso, Colonia Santo Tomas, C.P. 11340, México City, México, E-mails: sus_bte@yahoo.com.mx and cguzman@salud.gob.mx. Ana Flisser, Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, México City, México, E-mail: flisser@servidor.unam.mx. Angélica Olivo-Díaz, Departamento de Biología Molecular e Histocompatibilidad, Hospital General Dr. Manuel Gea González, SSA, Calzada de Tlalpan 4800, Colonia Sección XVI, C.P. 14080, México City, México, E-mail: aolivod@yahoo.com.

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