Media Contacts:
Dr. Edward Breitschwerdt, 919/513-6234
Greg Thomas, News Services, 919/515-3470 or [EMAIL PROTECTED]

Aug. 25, 2000


Canine Leishmaniasis Cases Are Confirmed in 21 States
FOR IMMEDIATE RELEASE
Results of DNA and blood tests obtained by scientists at North Carolina State
University's College of Veterinary Medicine and the National Centers for
Disease Control and Prevention (CDC) have confirmed cases of visceral canine
leishmaniasis -- a rare, often fatal tropical disease that can be transmitted
to humans and other animals -- in 21 U.S. states and southern Canada.

The test results suggest leishmaniasis is substantially more widespread in
North American canine populations than originally thought.

"We have a very serious disease that leads to chronic debilitation and kidney
failure in dogs, and can lead to their death. Unfortunately the disease is
extremely hard to diagnose," says Dr. Edward Breitschwerdt, professor of
small animal internal medicine at NC State, who helped lead the research
effort to facilitate more widespread testing for leishmaniasis after
diagnosing the disease at a New York hunt club last spring.

Until researchers determine how leishmaniasis is transmitted in the United
States, the threat to human health is not completely known, Breitschwerdt
says. Direct contact transmission would pose a far smaller risk than
transmission by insects like sand flies or ticks. That mode of transmission,
Breitschwerdt says, could create a public health concern.

Leishmaniasis is a parasitic infection and most often occurs in rural areas
of the tropics and subtropics, where the most common species of the parasite
is transmitted by the bite of an infected female sand fly. Symptoms of
leishmaniasis include skin lesions, nose bleeds, swollen lymph glands, weight
loss, seizures, hair loss, kidney failure and swollen limbs and joints.

The disease is potentially fatal in humans, but can be treated. While there
is no cure for leishmaniasis in dogs, it can be put into remission.

Breitschwerdt says leishmaniasis is prevalent in southern Europe, India and
South America, but, until very recently, was not thought to be present in the
United States. "I think there is the possibility that there could have been
human cases in the United States that weren't diagnosed," he says. Ongoing
research efforts should allow scientists to determine the source of the U.S.
canine Leishmaniasis, how it's being transmitted, and if the cases in
different states come from the same strain of the organism.

Breitschwerdt and his colleagues implemented the new diagnostic tests at the
College of Veterinary Medicine last spring in response to a disease outbreak
among foxhounds at a New York hunt club. When foxhounds at the club began
losing weight and suffering from skin lesions, seizures, swollen limbs and
joints, and in most cases fatal kidney failure, the clubs attending
veterinarian turned to veterinary medicine researchers at NC State for help.
Using the DNA and blood tests, Breitschwerdt and his team were able to
confirm that the disease was canine leishmaniasis.

The NC State team has been collaborating with the CDC, the Walter Reed Army
Institute of Research and the Dutchess County (New York) Department of Health
to investigate the New York Leishmaniasis outbreak.

In conjunction with the CDC, they've tested foxhounds from other regions and
identified canine leishmaniasis in 21 other states, including North Carolina,
and southern Canada. "So we’ve gone from an outbreak in New York to literally
a national epidemic that's probably been smoldering for 15 to 20 years,"
Breitschwerdt says. It's still not clear how the dogs in New York became
infected.

Breitschwerdt's research and testing team is made up of more than a dozen NC
State students, clinicians, pathologists and other researchers, including Dr.
Michael Levy, professor of parasitology; Dr. Amanda Gaskin, internal medicine
resident; Dr. Adam Birkenheur, graduate student; and Lindsay Tomlinson,
pathology instructor.

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