This image depicts members of the Colombian Field Epidemiology Training Program (CFETP) team, which in March, 2014, performed searches for cases of cutaneous leishmaniasis in different zones of the Indian community of Wiwa in Sierra Nevada de Santa Marta, Colombia. Here, you see two CFETP team members posing for this picture, as they stood aside a mother and her young children at an entrance to a Colombian river crossing bridge.
The FETP trains workers on the ground to help countries build sustainable capacity for detecting and responding to health threats. The program develops in-country expertise so that disease outbreaks can be detected locally and prevented from spreading.
For more on the FETP, or leishmaniasis, see the links below.
Leishmaniasis includes two major diseases, cutaneous leishmaniasis and visceral leishmaniasis, caused by more than 20 different leishmanial species.
Cutaneous leishmaniasis, the most common form of the disease, causes skin ulcers. Visceral leishmaniasis causes a severe systemic disease that is usually fatal without treatment. Mucocutaneous leishmaniasis is a rare but severe form affecting the nasal and oral mucosa.
Leishmaniasis is transmitted by the bite of small insects called sand flies. Many leishmanial species infect animals as well as humans. The distribution is world-wide, but 90% of visceral leishmaniasis cases occur in India, Bangladesh, Nepal, Sudan, Ethiopia and Brazil, while 90% of cutaneous leishmaniasis cases occur in Afghanistan, Algeria, Iran, Saudi Arabia, Syria, Brazil, Colombia, Peru and Bolivia.