THE first autochthonous cases of cutaneous leishmaniasis occurred in Haifa in the year 1936. They came from a densely populated Arab quarter, and the dissemination of the disease during the first years was observed entirely in this quarter and in the neighboring houses. Today one sees patients from different parts of the town, and their number has already exceeded 300.
In this country the insect vector for the parasite called Leishmania tropica is Phlebotomus papatasii, according to Adler and Theodor. As this species of sandfly is widely distributed in the area, dissemination of the peculiar dermatosis can be expected if the new repellents and insecticides will not eventually prevent the spread of any insectborne disease.
Since Haifa became an area of endemic cutaneous leishmaniasis no increase in the number of sporadic cases of visceral leishmaniasis (kalaazar) has been observed.
The autochthonous cases of leishmaniasis
GILL S. CUTANEOUS LEISHMANIASIS (ORIENTAL SORE): Report of Autochthonous Cases Observed in Haifa. Arch Derm Syphilol. 1946;54(3):333–337. doi:10.1001/archderm.1946.01510380080010
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