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It may be transmitted by blood transfusion or sharing contaminated needles. Shield your self from sandfly bites, which normally occur after sundown in rural and forested areas and in some city centres. There isn’t a vaccine or drugs to protect in opposition to leishmaniasis. The diploma of risk of dengue adjustments seasonally, and varies from 12 months to yr. The extent of hazard additionally varies between areas in a country and should depend upon the elevation throughout the space.