Figure 4

Current distribution of Leishmania infantum in Italy before and after 1989. Foci of canine leishmaniosis until the 1990s (yellow pushpin) in endemic regions of central and southern Italy (no autochthonous cases in northern regions were reported). New foci (red pushpin) in non-endemic areas after the 1990s until 2009 based on the report of autochthonous infected dogs and concomitant presence of competent sandflies.