Domestic and peridomestic transmission of American cutaneous leishmaniasis: Changing epidemiological patterns present new control opportunities

Predictions that deforestation would reduce American cutaneous leishmaniasi s incidence have proved incorrect. Presentations at a recent international workshop. instead, demonstrated frequent domestication of transmission thro ughout Latin America. While posing new threats, this process also increases the effectiveness of vector control in and around houses. New approaches f or sandfly control and effective targeting of resources are reviewed.