“…The results of this study showed that during the period of 2013 to 2016, the disease was higher in males than in females, which is similar to results found in Omidieh, Kermanshah, Damghan, Hamedan, Andimeshk and Yazd (Zahirnia et al, 2009;Hamzavi et al, 2009;Rafati et al, 2007;Behbahani et al, 2012;Nejati et al, 2012;Barati et al, 2015), which could be due to men having less clothing coverage than women and men being more active outdoors, thus having an increased likelihood of contact with an insect carrier. On the other hand, in the present study, in the year 2013, the incidence seen in women was higher than that seen in men, which is similar to that of a study in Larestan (Dehghan et al, 2010), which could be a result of the lack of employment by men in occupations such as agriculture and resulting exposure to sand flies. In the present study, most of the lesions seen in hands were similar to those of Omidieh, Hamedan and Andimeshk (Zahirnia et al, 2009;Behbahani et al, 2012;Nejati et al, 2012) due to the lack of coverage in this area and exposure to insect carriers.…”