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. 2014 May 11;7:218. doi: 10.1186/1756-3305-7-218

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Copyright © 2014 Dutari and Loaiza; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Epidemiological patterns of Leishmania ( Viannia ) panamensis in Panama: (A) Sylvatic focus of American Cutaneous Leishmaniasis; (B) Non-stable transmission – farmers and hunters; (C) Endemic transmission – indigenous communities; (D) Epidemic transmission – military personnel, tourists and teachers; (E) Tree buttresses; (F) Forest leaf-litter; (G) Potential secondary reservoirs Proechimys semispinosus (Spiny rat), Didelphis marsupialis (Opossum), Dasyprocta punctata (Agoutis), Odocoileus virginianus (White-tail deer); and (H) Primary reservoir Choloepus hoffmanni (Two-toed sloth).