The EUROLEISH.NET has allowed training a cohort of junior scientists who will lead the global research efforts to control leishmaniasis and other infectious diseases in the future. European centres of excellence, both academic and non-academic, involved in the network provided a stimulating training environment and as such consolidated and nurtured years of international exchange and cooperation between them, working in the spirit of a European research area. The research and training programmes implemented in EUROLEISH.NET have had a direct impact on the (1) researchers’ career, (2) the institutions involved in the network and (3) on leishmaniasis control. A number of new tools and strategies to prevent, diagnose and treat different forms of leishmaniasis have been developed and evaluated. Some of the results of the action are highlighted here.
The control of leishmaniasis is essentially dependent on the diagnosis and treatment of cases however the arsenal of diagnostic tests and antileishmanial drugs currently available is limited and must be protected and expanded. Dr Hinckel based in Coris Bioconcept (Belgium) contributed to the development and evaluation of a test to monitor the treatment outcome in visceral leishmaniasis (Project 1.4). Dr Wijnant from LSTHM (UK) evaluated new drugs to treat cutaneous leishmaniasis and developed a new technique called skin microdialysis to measure pharmacologically active drug concentrations in the skin (Project 1.3). Dr Hefnawy at ITM (Belgium) partnered with GSK (Spain) to improve the process to develop antileishmanial drugs by using resistant parasites to screen new candidates early in the early stages of product development (Project 1.2). Finally, Ms Aerts from ISGlobal (Spain) and Ms Sunyoto from ITM (Belgium) have evaluated the impact of the Public-Private-Partnership model in the development and access of drugs and diagnostic tests for neglected infectious diseases, and leishmaniasis in particular (Projects 1.6 and 1.7).
Prevention is the second pillar of leishmaniasis control. As for case management the number of preventive tools is limited. In particular, canine leishmaniasis represents a serious veterinary problem in Europe and a major public health issue in other endemic areas. As part of EUROLEISH.NET Dr Velez (ISGlobal – Spain) evaluated a vaccine to prevent canine leishmaniasis under field conditions in Spain (Project 2.7). Ms Lison (Warwick Uni – UK) and Ms Wilson (CUNI – Czech Republic) developed and evaluated tests to identify dogs contributing most to transmission of Leishmania parasites (Project 2.5) and dogs exposed to vectors (Project 2.6) respectively. Finally, Dr Ares (ISGlobal – Spain) demonstrated that the use of systemic insecticides in dogs could be used as public health intervention in endemic areas to reduce the risk of Leishmania infection in humans (Project 2.4).
The progress made by the EUROLEISH.NET fellows and the institutions involved in the network will allow improving the control of leishmaniasis in Europe and other endemic areas. The cohort of researchers trained and the new collaborations established as part of this action will allow strengthen Europe’s position in neglected infectious diseases research.