Visceral and cutaneous leishmaniases are serious communicable diseases around the entire Mediterranean basin, including Southern Europe. These diseases are spreading and control is challenged by three escalating risk factors: human-made environmental chang es, immunosuppression (essentially because of Leishmania/HIV co-infection) and parasite resistance to first line drugs, pentavalent antimonials. Trans-border multidisciplinary surveillance of these three risk factors is essential for (i) precise and integr ated assessment of the risks, (ii) defining adequate control measures and (iii) the orientation of R&D priorities. Our general objective is to create a multidisciplinary network linking European and South/East Mediterranean partners in order to documen t the main risk factors involved in the spread of leishmaniasis around the Mediterranean and to promote transborder control strategies Our specific objectives are: 1.to review, assess and inform on current scientific knowledge on the epidemiology and cont rol of leishmaniasis around the Mediterranean; 2.to co-ordinate existing research on surveillance and control of leishmaniasis; 3.to disseminate and standardise relevant tools and good practice arising from research; 4.to advise national, regional and in ternational health authorities about the most effective transborder control measures; 5.to identify the gaps in current knowledge and expertise, and to define future multidisciplinary research to remedy the situation through co-ordinated action. Expected deliverables are: (i) 6 workshops for the 22 Euro-Mediterranean consortium partners, (ii) 3 short training courses (molecular epidemiology,diagnosis, GIS), (iii) constitution of a multidisciplinary expert group, (iv) reviews, opinion papers and guideline s and (v) 1 conference for dissemination of findings.
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Funding SchemeCA - Coordination action