title: [Outbreak of cutaneous leishmaniasis in military population coming back from French Guiana].
abstract: BACKGROUND
  An outbreak of cutaneous leishmaniasis occurred among 71 soldiers who had participated in various missions during a 4-month's period in French Guiana. The aims of this study were (i) to describe outbreak and (ii) to determine risk factors of cutaneous leishmaniasis.
  
  
  METHODS
  All patients were hospitalised. Cutaneous lesions were biopsied and cultured for species identification. Individual information was collected by a physician or a nurse, using on a standardised, anonymous chart. Data were processed with EpiInfo 6.04 and SAS.
  
  
  RESULTS
  Mean age of the 71 soldiers was about 25.9 years (19-37 years). Twelve soldiers presented 56 lesions due to Leishmania (Viannia) guyanensis (attack rate = 16.9 for 100). Among 56 lesions, 13 lesions were localized on the trunk, usually an unexposed body area. Logistic regression highlighted military exercises in the forest during a high risk period of leishmaniasis transmission (OR = 11.2; p < 0.01), and the young age (OR = 1.33; p = 0.04). Vector control measures were not statistically significant.
  
  
  CONCLUSIONS
  Military authorities should restrict deep forest activities during periods of high risk transmission. Vector control measures are essential. Officers should motivate their soldiers and supervise vector control measures. As ecotourism is developing, tourists as well as workers staying in deep forest must be informed of the risk and about vector control measures.
authors.affiliation: Département d'Epidémiologie et de Santé publique, Ecole du Val-de-Grâce - Ilot Bégin, 69, avenue de Paris, 94163 Saint-Mandé Cedex. desp.valecole@wanadoo.fr
authors.forename: F
authors.initials: F
authors.lastname: Berger
authors.forename: P
authors.initials: P
authors.lastname: Romary
authors.forename: D
authors.initials: D
authors.lastname: Brachet
authors.forename: C
authors.initials: C
authors.lastname: Rapp
authors.forename: P
authors.initials: P
authors.lastname: Imbert
authors.forename: E
authors.initials: E
authors.lastname: Garrabé
authors.forename: T
authors.initials: T
authors.lastname: Debord
authors.forename: A
authors.initials: A
authors.lastname: Spiegel
mesh_terms: D000328:Adult; D000367:Age Factors; D000818:Animals; D001179:Arthropod Vectors; D015331:Cohort Studies; D004196:Disease Outbreaks; D016021:Epidemiologic Studies; D005260:Female; D005602:France / Q000453:epidemiology; D005616:French Guiana; D006801:Humans; D018334:Leishmania guyanensis / Q000302:isolation & purification; D016773:Leishmaniasis, Cutaneous / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors