Editor,—We read with interest the report by Grechet al.1 From their population based study, it seems that the annual incidence of visceral leishmaniasis (VL) declined considerably in Malta as a result of the eradication of stray dogs. VL is still endemic around the Mediterranean Sea and sporadic cases are reported in children living in Northern Europe. It seems likely that with increasing tourism the incidence of VL will also increase in areas where until recently this condition would not even be thought of. During the last 18 months, we have diagnosed three …