title: Situation analysis of cutaneous leishmaniasis in an endemic area, south of Iran.
abstract: OBJECTIVE
  To update current situation of the cutaneous leishmaniasis (CL) in Kazerun County, southwest of Iran and to analyse the epidemiological aspects of the disease during 2005-2015.
  
  
  METHODS
  Data on CL were obtained from the Health Center of Kazerun County, and then were analysed and mapped using SPSS and Arc GIS 10.3.
  
  
  RESULTS
  A total of 700 cases of CL were recorded during the study period with an overall decreasing trend from 2005 to 2015. More than 60% of the patients were inhabitants of rural areas and males were infected more than females. Although there was not a significant difference between gender, job categories, residence and CL infection (P > 0.05), age groups were significantly different (P < 0.05). But there was no significant correlation between monthly cases of the disease with average temperature (P > 0.05). Most of the acute lesions were found to be present on the hand, leg and face, respectively. The average CL incidence in the study area was calculated as 24.9/100000 population. A hot spot for the disease was found in southern part of the area (P < 0.05).
  
  
  CONCLUSIONS
  This study revealed that CL is present in Kazerun country. Thus, effective monitoring and sustained surveillance system is crucial in counteracting the disease, and if possible, to eliminate it.
authors.affiliation: Department of Medical Entomology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
authors.forename: Mansour
authors.initials: M
authors.lastname: Nazari
authors.affiliation: Students Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
authors.forename: Saman
authors.initials: S
authors.lastname: Nazari
authors.affiliation: Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Ahmad Ali
authors.initials: AA
authors.lastname: Hanafi-Bojd
authors.affiliation: Medical Entomology, Health Center of Kazerun City, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Najafi
authors.affiliation: Students Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. Electronic address: nsasan@yahoo.com.
authors.forename: Sasan
authors.initials: S
authors.lastname: Nazari
keywords: Cutaneous leishmaniasis; Epidemiological study; Southern Iran