Our results have shown the wide diversity of parasites within New Worl
d Leishmania. Biochemical and molecular characterization of species wi
thin the genus has revealed that much of the population heterogeneity
has a genetic basis. The source of genetic diversity among Leishmania
appears to arise from predominantly asexual, clonal reproduction, alth
ough occasional bouts of sexual reproduction can not be ruled out. Gen
etic variation is extensive with some clones widely distributed and ot
hers seemingly unique and localized to a particular endemic focus. Epi
demiological studies of leishmaniasis has been directed to the ecology
and dynamics of transmission of Leishmania species/variants, particul
arly in localized areas. Future research using molecular techniques sh
ould aim to identify and follow Leishmania types in nature and correla
te genetic typing with important clinical characteristics such as viru
lence, pathogenicity, drug resistance and antigenic variation. The epi
demiological significance of such variation not only has important imp
lications for the control of the leishmaniases, but would also help to
elucidate the evolutionary biology of the causative agents.