@article{article_497507, title={Epidemiology of Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus and Malaria in Adana Province}, journal={Ankara Medical Journal}, volume={18}, pages={479–491}, year={2018}, DOI={10.17098/amj.497507}, author={Acar, Onur and Akbaba, Burak and Altınsu, Ali Tanju and Yılancıoğlu, Yakup}, keywords={Cutaneous Leishmaniasis, Crimean Congo Hemorrhagic Fever, West Nile Virus, malaria, vector-borne, Turkey}, abstract={<p class="MsoNormal" style="background:#D9D9D9;"> <b> <span style="font-size:10pt;font-family:Constantia, serif;">Objectives: </span> </b> <span style="font-size:10pt;font-family:Constantia, serif;"> Aim of this study was to determine the biological and current epidemiological characteristics of some vector-borne diseases including Cutaneous Leishmaniasis (CL), Crimean-Congo Hemorrhagic Fever (CCHF), West Nile Virus (WNV) and Malaria in Adana to provide guidance for employees in public health. <br /> <b>Materials and Methods: </b> This study was carried out in cooperation with Public Health Department of Çukurova University and Public Health Services of Adana Provincial Health Directorate. After the necessary permissions, records of Vectorial and Zoonotic Diseases Unit including approximately 3 years period between 01.01.2016 and 15.11.2018 have been examined. Data were analyzed using STATISTICA 8.0 software and χ2 binary or multiple comparisons were used. p<0.05 was considered significant level. <br /> <b>Results: </b> 86.20% (n: 550) of 638 cases were local cases in which contact with the agent was inside Adana and the rest (n: 88) were import cases. 89.34% (n: 570) of all cases were belong to CL, followed by Malaria, WNV and CCHF with 5.32% (n: 34), 2.83% (n: 18) and 2.51% (n: 16), respectively. 50,35% (n: 287) of CL patients were male and the mean age was 23.97 years. Also 54.10% (n: 317) of CL was seen in Syrian migrants. It was found statistically significant that number of CL in Syrian migrants was higher than that of Turkish citizens (p=0.023) and higher in January and May than in other months (p<0.001). The mean age of the cases in CCHF was 35.68 years, 75.00% (n: 12) was male and 6.25% (n: 1) resulted in death. It was found statistically significant that CCHF was seen in June-August period more than the other months (p<0.01). The mean age of WNV was 36.52 years, 88.9% (n: 16) was male, 22.22% (n: 4) had WNV-induced neurological disease and 5.55% (n: 1) resulted in death. It was also found that WNV was more common in July and September than in other months (p<0.001). The mean age of malaria cases was 38.54 years, 2.94% (n: 1) was foreigners and all (n: 34) were males and import cases. <br /> <b>Conclusion: </b> All these diseases are still important today in our country as they have serious health effects. It is a known fact that current epidemiological studies that define the different characteristics of diseases guide the implementation of preventive health services. We hope that the current data on these vector-borne diseases will guide all healthcare providers working in the field. </span> </p> <p> </p>}, number={4}, publisher={Ankara Yildirim Beyazit University}