Distribution of foci of endemicity and outbreaks of visceral leishmaniasis (VL). Distribution of foci of endemicity and outbreaks of visceral leishmaniasis.

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Distribution of foci of endemicity and outbreaks of visceral leishmaniasis (VL). Distribution of foci of endemicity and outbreaks of visceral leishmaniasis (VL). Violet triangle, provinces of VL endemicity reported in 1951 (67). Circles, current foci of endemicity (red, anthroponotic visceral leishmaniasis [AVL]; green, mountain-type zoonotic visceral leishmaniasis [MT-ZVL]; yellow, desert-type zoonotic visceral leishmaniasis [DT-ZVL]). Green and pale blue, provinces where VL presently is and is not endemic, respectively (14, 71, 75). Brown area, a focus of cutaneous leishmaniasis (CL) endemicity at Karamay, Xinjiang (4). Inset, expanded Kashgar region showing the sites of recent outbreaks (red triangles) (76, 77). For abbreviations for provinces, see the legend to Fig. 2. Zhao-Rong Lun et al. Clin. Microbiol. Rev. 2015; doi:10.1128/CMR.00080-14