Figure 1.

Map of putative human trafficking route associated with a cluster of patients with cutaneous leishmaniasis caused by Leishmania panamensis. Letters A–E indicate cities along reported air travel route (A: Djibouti City, Djibouti; B: Dubai, United Arab Emirates; C: Moscow, Russia; D: Havana, Cuba; E: Quito, Ecuador). Letter F: indicates suspected site of encounter with sand flies. Letter G: final destination, San Diego, California. Solid line indicates known air travel route. Dotted line indicates unknown ground travel route.