<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812025000100208</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v9.514</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis epidemiológico de la leishmaniasis visceral y tegumentaria en Paraguay de 2017 a 2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiological analysis of visceral and tegumentary leishmaniasis in Paraguay 2017 to 2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarenga]]></surname>
<given-names><![CDATA[Eliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samudio]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yaluff]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galeano]]></surname>
<given-names><![CDATA[María Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Instituto de Investigaciones en Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Pacífico  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>208</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812025000100208&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812025000100208&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812025000100208&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Laleishmaniasis es una enfermedad endémica en Paraguay y aunque representa una alta carga en la morbimortalidad, no se cuenta con suficientes publicaciones sobre su epidemiología.  Objetivo:  Describir las características epidemiológicas y entomológicas de la leishmaniasis tegumentaria y visceral registrados en Paraguay en el período 2017-2020.  Metodología:  Estudio descriptivo, retrospectivo, de la epidemiología y los vectores asociados a la leishmaniasis tegumentaria y visceral en el período de 2017-2020. La información se tomó de las memorias anuales del SENEPA (2017-2020)y losboletines epidemiológicos emitidos por la Dirección General de Vigilancia de la Salud (DGVS) del MSPyBS de Paraguay.  Resultados:  Entre 2017 y 2020, se registraron 278 casos de leishmaniasis tegumentaria y 101 casos de LV. El mayor número de casos de LT se observó en el departamento de San Pedro con 61 casos (22%), seguido por Canindeyú con 49 casos (17,6%) y Caaguazú con 38 casos (13,8%). La leishmaniasis visceral se registró principalmente en el departamento Central con 59 casos. El año 2017 presentó el mayor número de casos. Hubo mayor número de pacientes con leishmaniasis tegumentaria y visceral de sexo masculino. De 2017 a 2019, se registró la captura de flebótomos Lutzomyia longipalpis (asociado a la transmisión de leishmaniasis visceral) y Nyssomyia whitmani, Nyssomyia neivai (asociado a leishmaniasis tegumentaria).  Conclusiones:  Los departamentos endémicos en Paraguay para LV sigue siendo Central y para LT San Pedro, Canindeyú y Caaguazú con un aumento anual en la frecuencia de casos. Lutzomyia longipalpis y Nyssomyia neivai son las especies de flebótomos más prevalentes. Estos hallazgos destacan la necesidad de vigilancia continua y estrategias de control específicas para mejorar la prevención y tratamiento de la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Leishmaniasis is an endemic disease in Paraguay and although it represents a high burden in morbidity and mortality, there are not enough publications on its epidemiology.  Objective:  To describe the epidemiological and entomological characteristics of tegumentary and visceral leishmaniasis recorded in Paraguay in the period 2017-2020.  Methodology:  Descriptive, retrospective study of the epidemiology and vectors associated with tegumentary and visceral leishmaniasis in the period 2017-2020. The information was taken from the annual reports of SENEPA (2017-2020) and the epidemiological bulletins issued by the General Directorate of Health Surveillance (DGVS) of the MSPyBS of Paraguay.  Results:  Between 2017 and 2020, 278 cases of tegumentary leishmaniasis and 101 cases of LV were recorded. The highest number of LT cases was observed in the department of San Pedro with 61 cases (22%), followed by Canindeyú with 49 cases (17.6%) and Caaguazú with 38 cases (13.8%). Visceral leishmaniasis was mainly recorded in the Central department with 59 cases. The year 2017 had the highest number of cases. There was a higher number of male patients with tegumentary and visceral leishmaniasis. From 2017 to 2019, the capture of Lutzomyia longipalpis sandflies (associated with the transmission of visceral leishmaniasis) and Nyssomyia whitmani, Nyssomyia neivai (associated with tegumentary leishmaniasis) was recorded.  Conclusions:  The endemic departments in Paraguay for LV remain Central and for LT San Pedro, Canindeyú and Caaguazú with an annual increase in the frequency of cases. Lutzomyia longipalpis and Nyssomyia neivai are the most prevalent sandfly species. These findings highlight the need for continued surveillance and targeted control strategies to improve disease prevention and treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[leishmaniasis]]></kwd>
<kwd lng="es"><![CDATA[Phlebotominae]]></kwd>
<kwd lng="es"><![CDATA[Paraguay.]]></kwd>
<kwd lng="en"><![CDATA[leishmaniasis]]></kwd>
<kwd lng="en"><![CDATA[Phlebotominae]]></kwd>
<kwd lng="en"><![CDATA[Paraguay.]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[JLS]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Age Modifies the Immunologic Response and Clinical Presentation of American Tegumentary Leishmaniasis]]></article-title>
<source><![CDATA[Am J Trop Med Hyg]]></source>
<year>2015</year>
<volume>92</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1173-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
