title: Epidemiological Surveillance of Leishmaniasis in Montenegro, 1992-2013.
abstract: BACKGROUND
  The diseases caused by Leishmania are spread worldwide and represent a significant public health problem.
  
  
  OBJECTIVE
  The aim of this study was to present the results of epidemiological surveillance of leishmaniasis in humans in Montenegro in the period from 1992 to 2013.
  
  
  METHODS
  The study was planned and realized as a descriptive epidemiological study.The sample included patients of leishmaniasis in Montenegro in the period from 1992 to 2013. The health and demographic data were collected from medical records.The disease was microbiologically proven in the patients. For statistical analysis the χ2-test was used, which examined the significance of the incidence rate.
  
  
  RESULTS
  During this period, 66 cases of leishmaniasis were identified (40 men and 26 women) aged 0 to 62 (mean 15.61 ± 16.76 years). A visceral form of the disease was diagnosed in 65 (98%) patients, and one patient was diagnosed with cutaneous leishmaniasis. The average incidence rate for the abovementioned period is 0.48 per 100,000 inhabitants. The highest average incidence rate was identified in patients up to seven years of age (3.50 per 100,000 inhabitants). The highest average incidence rates of leishmaniasis were identified in the coastal region of Montenegro, while seasonal distribution indicates that the disease occurs throughout the year with predominance in late spring and summer.
  
  
  CONCLUSIONS
  The research has shown that Montenegro is among the countries with low incidence of leishmaniasis. Nevertheless, because of leishmaniasis re-emergence in the entire Mediterranean Basin, a comprehensive research of ecological and epidemiological characteristics of leishmaniasis, including better monitoring and notification system, is required.
authors.forename: Sanja
authors.initials: S
authors.lastname: Medenica
authors.forename: Svetlana
authors.initials: S
authors.lastname: Jovanović
authors.forename: Ivan
authors.initials: I
authors.lastname: Dožić
authors.forename: Biljana
authors.initials: B
authors.lastname: Milicić
authors.forename: Novak
authors.initials: N
authors.lastname: Lakićević
authors.forename: Božidarka
authors.initials: B
authors.lastname: Rakocević
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D007896:Leishmaniasis / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D054548:Montenegro / Q000453:epidemiology; D012621:Seasons; D055815:Young Adult