Inside a dank clinic in the north of war-torn Syria, a girl covered in scabs wails and tries to wriggle out of her mother's arms to escape a nurse's needle.
The illness is endemic to Syria, the World Health Organisation says, but has become more prevalent during the eight-year civil war. Many were in northern and northeastern areas rocked in recent years by clashes to expel the Islamic State group. Younes al-Naeemi, the manager of the Karama health centre, says the clinic has received 4,000 cases of leishmaniasis from the town and surrounding villages since April last year.
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