Prevalence of Cutaneous Leishmaniasis along the Nile River North of Khartoum (Sudan) in the Aftermath of an Epidemic in 1985

A. Y. KadaroDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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H. W. GhalibDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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M. S. AliDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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I. EltoumDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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A. IsmailDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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A. GaafarDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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M. KempDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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A. A. Y. KordofaniDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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S. G. ReedDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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A. M. El-HassanDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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A. KharazmiDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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M. Hag-AliDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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M. D. MustafaDepartments of Medicine and Pathology, Faculty of Medicine, University of Khartoum, Department of Microbiology, College of Medicine, Juba University, Faculty of Medicine, Wadi El Niel University, Department of Clinical Microbiology, Seattle Biomedical Laboratory, Sudan Medical Research Council and the NIH/Sudan Medical Parasitology Research Project, Khartoum, Sudan

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Based on a pilot clinical study of the prevalence of cutaneous leishmaniasis (CL) among school children in villages on both banks of the Nile River north of Khartoum, Sudan in the aftermath of a 1985 epidemic, we studied a random sample (303 individuals) from one of these villages to determine the prevalence of infection and exposure to CL. Four percent of the population had active CL lesions, 47% had healed lesions, and another 43% reacted positively to sensitization with leishmanin in the absence of past or active CL lesions. Ninety-one percent of the total population reacted positively to leishmanin. The present status of CL in the area and possible reasons for the emergence of the epidemic are discussed, and gaps in our knowledge about the epidemic are identified.

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