Aronson N , Herwaldt BL , Libman M , Pearson R , Lopez-Velez R , Weina P , Carvalho EM , Ephros M , Jeronimo S , Magill A , 2016. Diagnosis and treatment of leishmaniasis: Clinical practice guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis 63: 1539–1557.
Aguado M , Espinosa P , Romero-Maté A , Tardío JC , Córdoba S , Borbujo J , 2013. Outbreak of cutaneous leishmaniasis in Fuenlabrada, Madrid. Actas Dermosifiliogr 104: 334–342.
Consejería de Sanidad, Comunidad de Madrid , 2015 General Direction of Public Health. Leishmaniasis in the Region of Madrid [in Spanish]. Available at: http://www.madrid.org/bvirtual/BVCM017837.pdf. Accessed July 2, 2023.
Ruiz-Fons F , Ferroglio E , Gortázar C , 2013. Leishmania infantum in free-ranging hares, Spain, 2004–2010. Euro Surveill 18: 20541.
Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid , 2016. Leishmaniasis Outbreak of Leishmaniasis in Fuenlabrada and Other Municipalities of the Region of Madrid. Role of Hares and Rabbits as Reservoirs [in Spanish]. Available at https://www.madrid.org/bvirtual/BVCM017962.pdf. Accessed July 2, 2023.
García N et al., 2014. Evidence of Leishmania infantum infection in rabbits (Oryctolagus cuniculus) in a natural area in Madrid, Spain. Biomed Res Int 2014: 318254.
Gomez-Barroso D , Herrador Z , San Martin JV , Gherasim A , Aguado M , Romero-Mate A , Molina L , Aparicio P , Benito A , 2015. Spatial distribution and cluster analysis of a leishmaniasis outbreak in the south-western Madrid region, Spain, September 2009 to April 2013. Euro Surveill 20: 11–20.
Aránguez Ruiz E et al., 2014. Spatial analysis of an outbreak of leishmaniasis in the south of Madrid’s metropolitan area, 2009–2013 [in Spanish]. Rev Salud Ambient 14: 39–53.
León P , 2016. Be Cautious, There are Rabbits Herein [in Spanish]. Available at: https://elpais.com/ccaa/2016/04/02/madrid/1459621906_198034.html. Accessed July 2, 2023.
Barroso FJ , 2016. Aim: To Erase Rabbits and Hares [in Spanish]. Available at: https://elpais.com/espana/madrid/2020-05-11/conejos-y-liebres-los-enemigos-que-hay-que-batir.html. Accessed July 2, 2023.
Callejo D , 2016. Rabbit Burrows Threaten Railways [in Spanish]. Available at: https://cadenaser.com/emisora/2016/03/28/ser_madrid_sur/1459164660_677893.html. Accessed July 2, 2023.
Carrasco-Antón N et al., 2017. Environmental factors as key determinants for visceral leishmaniasis in solid organ transplant recipients, Madrid, Spain. Emerg Infect Dis 23: 1155–1159.
González E , Molina R , Iriso A , Ruiz S , Aldea I , Tello A , Fernández D , Jiménez M , 2021. Opportunistic feeding behaviour and Leishmania infantum detection in Phlebotomus perniciosus females collected in the human leishmaniasis focus of Madrid, Spain (2012–2018). PLoS Negl Trop Dis 15: e0009240.
Municipality of Madrid , 2019. Exploitation of the Municipal Census of Inhabitants District of Villaverde [in Spanish]. Available at: https://www.madrid.es/UnidadesDescentralizadas/UDCEstadistica/Nuevaweb/Publicaciones/Padr%C3%B3n%20Municipal%20de%20Habitantes/2019/Distrito%2017_19.pdf. Accessed July 2, 2023.
Spanish National Center for Epidemiology, CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III , 2017. Epidemiological Surveillance of Transmissible Diseases in Spain, 2015 Annual Report [in Spanish]. Available at: http://gesdoc.isciii.es/gesdoccontroller?action=download&id=25/01/2019-d8ee271b6f. Accessed July 2, 2023.
Arce A et al., 2013. Re-emergence of leishmaniasis in Spain: Community outbreak in Madrid, Spain, 2009 to 2012. Euro Surveill 18: 20546.
Vilas F , Fúster F , 2016. Management of the leishmaniasis outbreak. Outbreak of Leishmaniasis in Fuenlabrada and Other Municipalities of the Region of Madrid. Role of Hares and Rabbits as Reservoirs [in Spanish]. Madrid, Spain: Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, 55–65.
Werneck GL , Costa CH , Walker AM , David JR , Wand M , Maguire JH , 2002. The urban spread of visceral leishmaniasis: Clues from spatial analysis. Epidemiology 13: 364–367.
Sanchez E , 2019. Railways, A Natural Paradise for the Rabbits [in Spanish]. Available at: https://elpais.com/sociedad/2019/04/06/actualidad/1554570785_625062.html. Accessed July 2, 2023.
Pérez-Roldan F , Montilla-Pérez M , Muñoz-Lomas F , 2016. Leishmaniasis’s outbreak in the autonomous community of Madrid. Importance of the measures of protection [in Spanish]. Enfermería Global [Internet] 41: 361–374.
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The largest outbreak of human leishmaniasis in Europe took place in Fuenlabrada, Spain, between 2009 and 2017. The University Hospital “12 de Octubre” in Madrid serves the population residing in three districts of Madrid located just north of the outbreak area (Villaverde, Usera, and Carabanchel). Villaverde and Usera are connected by rail to the outbreak area, unlike Carabanchel. We performed a retrospective study including all cases of leishmaniasis diagnosed between 2011 and 2020. Fifty-one cases were documented. In the districts connected by rail to the outbreak area, a higher-than-expected incidence was observed (13.45–15.55 versus 5.2 per 100,000 inhabitants). Apart from the linear distance from the place of residence to the railway tracks, no differences in terms of demographics or risk factors were detected between the populations of the districts. We hypothesize that the direct connection with the outbreak area by rail could explain the higher incidence observed in Villaverde and Usera.
Financial support: This work was supported by
Current contact information: Jesús Alonso-Carrillo, José Tiago Silva, Sara Castaño-Pérez, Mónica Prieto, Nuria Valdeolivas, and María Asunción Pérez-Jacoiste Asín, Unit of Infectious Diseases, Hospital Universitario “12 de Octubre”, Instituto de Investigación Sanitaria Hospital “12 de Octubre” (imas12), Madrid, Spain, E-mails: jesusalonsocarrillo@gmail.com, j.tiago.silva@hotmail.com, sarcaspe@gmail.com, monica.prieto@live.com, nuria.valdeolivas.hidalgo@gmail.com, and mperezja82@hotmail.com. Ana Pérez Ayala, Department of Microbiology, Hospital Universitario “12 de Octubre”, Instituto de Investigación Sanitaria Hospital “12 de Octubre” (imas12), Madrid, Spain, E-mail: apayalabalzola@salud.madrid.org. Mario Fernández-Ruiz, José María Aguado, and Francisco López-Medrano, Unit of Infectious Diseases, Hospital Universitario “12 de Octubre”, Instituto de Investigación Sanitaria Hospital “12 de Octubre” (imas12), Madrid, Spain, Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III (ISCIII), Madrid, Spain, and Department of Medicine, School of Medicine, Universidad Complutense, Madrid, Spain, E-mails: mario_fdezruiz@yahoo.es, jaguadog1@gmail.com, and flmedrano@yahoo.es. Manuel Lizasoain, Unit of Infectious Diseases, Hospital Universitario “12 de Octubre”, Instituto de Investigación Sanitaria Hospital “12 de Octubre” (imas12), Madrid, Spain, and Department of Medicine, School of Medicine, Universidad Complutense, Madrid, Spain, E-mail: manuel.lizasoain@salud.madrid.org.
Aronson N , Herwaldt BL , Libman M , Pearson R , Lopez-Velez R , Weina P , Carvalho EM , Ephros M , Jeronimo S , Magill A , 2016. Diagnosis and treatment of leishmaniasis: Clinical practice guidelines by the Infectious Diseases Society of America (IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). Clin Infect Dis 63: 1539–1557.
Aguado M , Espinosa P , Romero-Maté A , Tardío JC , Córdoba S , Borbujo J , 2013. Outbreak of cutaneous leishmaniasis in Fuenlabrada, Madrid. Actas Dermosifiliogr 104: 334–342.
Consejería de Sanidad, Comunidad de Madrid , 2015 General Direction of Public Health. Leishmaniasis in the Region of Madrid [in Spanish]. Available at: http://www.madrid.org/bvirtual/BVCM017837.pdf. Accessed July 2, 2023.
Ruiz-Fons F , Ferroglio E , Gortázar C , 2013. Leishmania infantum in free-ranging hares, Spain, 2004–2010. Euro Surveill 18: 20541.
Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid , 2016. Leishmaniasis Outbreak of Leishmaniasis in Fuenlabrada and Other Municipalities of the Region of Madrid. Role of Hares and Rabbits as Reservoirs [in Spanish]. Available at https://www.madrid.org/bvirtual/BVCM017962.pdf. Accessed July 2, 2023.
García N et al., 2014. Evidence of Leishmania infantum infection in rabbits (Oryctolagus cuniculus) in a natural area in Madrid, Spain. Biomed Res Int 2014: 318254.
Gomez-Barroso D , Herrador Z , San Martin JV , Gherasim A , Aguado M , Romero-Mate A , Molina L , Aparicio P , Benito A , 2015. Spatial distribution and cluster analysis of a leishmaniasis outbreak in the south-western Madrid region, Spain, September 2009 to April 2013. Euro Surveill 20: 11–20.
Aránguez Ruiz E et al., 2014. Spatial analysis of an outbreak of leishmaniasis in the south of Madrid’s metropolitan area, 2009–2013 [in Spanish]. Rev Salud Ambient 14: 39–53.
León P , 2016. Be Cautious, There are Rabbits Herein [in Spanish]. Available at: https://elpais.com/ccaa/2016/04/02/madrid/1459621906_198034.html. Accessed July 2, 2023.
Barroso FJ , 2016. Aim: To Erase Rabbits and Hares [in Spanish]. Available at: https://elpais.com/espana/madrid/2020-05-11/conejos-y-liebres-los-enemigos-que-hay-que-batir.html. Accessed July 2, 2023.
Callejo D , 2016. Rabbit Burrows Threaten Railways [in Spanish]. Available at: https://cadenaser.com/emisora/2016/03/28/ser_madrid_sur/1459164660_677893.html. Accessed July 2, 2023.
Carrasco-Antón N et al., 2017. Environmental factors as key determinants for visceral leishmaniasis in solid organ transplant recipients, Madrid, Spain. Emerg Infect Dis 23: 1155–1159.
González E , Molina R , Iriso A , Ruiz S , Aldea I , Tello A , Fernández D , Jiménez M , 2021. Opportunistic feeding behaviour and Leishmania infantum detection in Phlebotomus perniciosus females collected in the human leishmaniasis focus of Madrid, Spain (2012–2018). PLoS Negl Trop Dis 15: e0009240.
Municipality of Madrid , 2019. Exploitation of the Municipal Census of Inhabitants District of Villaverde [in Spanish]. Available at: https://www.madrid.es/UnidadesDescentralizadas/UDCEstadistica/Nuevaweb/Publicaciones/Padr%C3%B3n%20Municipal%20de%20Habitantes/2019/Distrito%2017_19.pdf. Accessed July 2, 2023.
Spanish National Center for Epidemiology, CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III , 2017. Epidemiological Surveillance of Transmissible Diseases in Spain, 2015 Annual Report [in Spanish]. Available at: http://gesdoc.isciii.es/gesdoccontroller?action=download&id=25/01/2019-d8ee271b6f. Accessed July 2, 2023.
Arce A et al., 2013. Re-emergence of leishmaniasis in Spain: Community outbreak in Madrid, Spain, 2009 to 2012. Euro Surveill 18: 20546.
Vilas F , Fúster F , 2016. Management of the leishmaniasis outbreak. Outbreak of Leishmaniasis in Fuenlabrada and Other Municipalities of the Region of Madrid. Role of Hares and Rabbits as Reservoirs [in Spanish]. Madrid, Spain: Dirección General de Salud Pública, Consejería de Sanidad, Comunidad de Madrid, 55–65.
Werneck GL , Costa CH , Walker AM , David JR , Wand M , Maguire JH , 2002. The urban spread of visceral leishmaniasis: Clues from spatial analysis. Epidemiology 13: 364–367.
Sanchez E , 2019. Railways, A Natural Paradise for the Rabbits [in Spanish]. Available at: https://elpais.com/sociedad/2019/04/06/actualidad/1554570785_625062.html. Accessed July 2, 2023.
Pérez-Roldan F , Montilla-Pérez M , Muñoz-Lomas F , 2016. Leishmaniasis’s outbreak in the autonomous community of Madrid. Importance of the measures of protection [in Spanish]. Enfermería Global [Internet] 41: 361–374.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1341 | 1341 | 602 |
Full Text Views | 34 | 34 | 14 |
PDF Downloads | 46 | 46 | 21 |