{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:10:45Z","timestamp":1780553445022,"version":"3.54.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100008968","name":"National Research Council Sri Lanka","doi-asserted-by":"publisher","award":["NRC 16\u2013142"],"award-info":[{"award-number":["NRC 16\u2013142"]}],"id":[{"id":"10.13039\/100008968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011614","name":"University of Kelaniya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011614","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The aim was to investigate an emerging focus of cutaneous leishmaniasis (CL) in Gampaha district, Western Sri Lanka.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Sociodemographics of CL patients in Mirigama, Gampaha district, were compared with controls using a structured questionnaire. Clinical data and geographic positioning system coordinates of patients were recorded. Sandflies collections were performed in four selected sites using indoor hand collection (162 units) and cattle-baited net traps (n=3).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 73 patients (mean age 43.6 y; SD 20), 58.9% were males. Lesions consisted of nodules (52.1%) and ulcers (47.9%). Single lesions were seen in 69.9% of patients, while 30.1% had multiple lesions. Except for one mucosal lesion, all the others were cutaneous. Treatment consisted of sodium stibogluconate and cryotherapy (46.6%), sodium stibogluconate (45.2%) or cryotherapy (8.2%). Multiple lesions were more likely to receive combination therapy (p=0.013). The majority of those employed (81.1%; 27\/33) were engaged in outdoor work. Male gender, low education attainment and poor disease awareness were significant risk factors for CL (p&amp;lt;0.05). Four households reported multiple cases. Phlebotomus argentipes was detected in all cattle-baited net traps and 35.3% of indoor hand collection units.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>CL is emerging in Gamapha district with Mirigama as the epicentre. Case distribution indicates local transmission, with P. argentipes as the probable vector.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/trstmh\/trab141","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T11:31:18Z","timestamp":1631100678000},"page":"1288-1297","source":"Crossref","is-referenced-by-count":11,"title":["An investigation of a new cutaneous leishmaniasis endemic area in Western Sri Lanka"],"prefix":"10.1093","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-8931","authenticated-orcid":false,"given":"Chandana H","family":"Mallawarachchi","sequence":"first","affiliation":[{"name":"Department of Parasitology, Medical Research Institute, Colombo 08, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilmini","family":"Chandrasena","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Faculty of Medicine, University of Kelaniya, Ragama 11010, Sri 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