Fw: (LML) Reservoirs and Transmission Routes of Leprosy; A Systematic Review

 

Leprosy Mailing List – May 9,  2020

 

Ref.:  (LML) Reservoirs and Transmission Routes of Leprosy; A Systematic Review

From:  William Faber, Soest, the Netherlands

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Dear Pieter and colleagues,

 

 

Has the final stage of elimination of leprosy come, or should we be concerned about a persisting high incidence in some geographical areas? Are we fully aware of potential alternative transmission routes? Beside armadillo's, red squirrels have been shown to be a reservoir of leprosy causing pathogens, and likewise there may be other reservoirs. What is the impact of these reservoirs in maintenance of transmission? Additional factors may play a role, e.g. what is there a role for vectors and for the environment?

 

According to one of the reviewers, our paper is the most thorough review of environmental sources of leprosy bacilli in the last 40 years and includes more than 75 years of leprosy research. The review shows a shift towards molecular techniques in studies aimed at tracing and characterization of the causative agents of leprosy, and elucidation of pathogenesis. It also shows that overall, the great variety of studies lacks standardization and hampers comparative evaluation.

https://doi.org/10.1371/journal.pntd.0008276

 

One Health

Factors and mechanisms involved in maintenance of leprosy transgress the discipline of human healthcare. For that reason, we advocate a One Health transdisciplinary research approach, integrating human, animal, and environmental health disciplines.

 

William Faber

 

Reference:

Thomas Ploemacher, William Faber, Henk Menke, Victor Rutten and Toine Pieters. Reservoirs and transmission routes of leprosy; A systematic review.

Research Article PLOS NEGLECTED TROPICAL DISEASES. April 27, 2020.

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LML - S Deepak, B Naafs, S Noto and P Schreuder

LML blog link: http://leprosymailinglist.blogspot.it/

Contact: Dr Pieter Schreuder << editorlml@gmail.com

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