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1). Epidemic of anthroponotic cutaneous leishmaniasis in adjacent districts A newly established focus of ACL with low endemicity occurred following the earthquake in the rural areas of Mohammadabad County, Jiroft District, adjacent to Dehbakri County, bordering Bam District (Poursmaelian et al. 2010). Originally, seven cases sporadically emerged between 1997 and 2002 prior to the earthquake. The cases sharply increased to 181 patients after 2003 to peak in 2006 and become endemic, thereafter. The overall prevalence rate was 5.3%, 6.2% in females and 4.5% in males, resulting in a significant gender difference (PEntinostat villages (Nazamshahr County) of Bam District (Aflatoonian et al. 2013). Overall, 1.2% of the inhabitants were infected (0.5% active and 0.7% scars) and females Mianserin HCl were more significantly infected (1.7%) than males (0.8%) (P= 0.003). All the age groups were equally affected. Most of the lesions were on the face and majority of them had single lesion. Most of the cases appeared from 2006 to 2008 during the CL epidemic in the city of Bam. PCR indicated L. tropica as the causative agent. Northwestern villages of Bam Another epidemic of ACL due to L. tropica occurred in rural areas of Dehbakri County, North West of Bam District (Sharifi et al. 2011c). Again, all the age groups were affected although patients ��10 years of age showed the highest rate of infection (P= 0.0001). The overall prevalence rate was 5.3%, 6.3% in females and 4.3% in males. Out of 204 cases, 1.8% had active sores and 3.5% showed scars with a significant difference between the genders (P= 0.005). Of the lesions, 47% were on the face and 77.9% had one lesion. The incidence gradually increased 2004�C2005 but grew exponentially 2006�C2008. Vector susceptibility test Baseline susceptibility tests were carried out on field-collected strains of P. papatasi and P. sergenti and tested using WHO impregnated papers with DDT 4% and deltamethrin 0.05% in the selleck endemic focus of disease in Dehbakri County during 2010. LT50 values of DDT4% and deltamethrin 0.05% against P. papatasi were 20.6 and 13.6 min, respectively. The same data for P. sergenti ranged between 21.8 and 17.7 min (Aghaei Afshar et al. 2011). The impact and outcome indicators following residual spraying with deltamethrin were assessed in a new focus of CL in Dahbakri (Bam). Incidence of the disease was significantly decreased (3.7 vs. 8.5). There was a significant difference between the treatment and control areas on blood fed and gravity of sand flies.