Risk factors associated with St. Louis encephalitis seroprevalence in two populations from Córdoba, Argentina

Silent Circulation of the Saint Louis Encephalitis Virus among Humans and Equids, Southeast Brazil

Saint Louis encephalitis virus (SLEV) is a mosquito-borne flavivirus that occurs throughout the Americas, and is considered a public health threat. In Brazil, SLEV has been detected from human cases associated with dengue-like disease, but no neurological symptoms were reported. Furthermore, the epidemiology of SLEV in human populations is still poorly explored in the country. We reported serological and molecular detection of SLEV in a healthy population of equids and humans from rural areas in Southeast Brazil. A plaque reduction neutralization test was applied, and neutralizing antibodies were detected in 11 individuals (4.6%) and 60 horses (21.5%). A qPCR targeting the 5′UTR region and reverse transcription-PCR (RT-PCR) targeting the non-structural protein (NS5) gene were performed and three individuals tested positive in both assays. Subsequent phylogenetic analysis confirmed SLEV circulation and its findings suggest the occurrence of an asymptomatic or subclinical presence in human and animal cases, correlating with the risks for outbreaks and consequently burden of SLEV infections to public health. Preventive strategies should include improved surveillance in regions with a high probability of SLEV occurrence, improvement in diagnostic methods, and evaluation of exposure/risk factors that can favor SLEV emergence.

St. Louis Encephalitis virus mosquito vectors dynamics in three different environments in relation to remotely sensed environmental conditions

In Argentina the St. Louis Encephalitis virus (SLEV) is an endemic and widely distributed pathogen transmitted by the cosmopolitan mosquito Culex quinquefasciatus. During two outbreaks in Córdoba city, in 2005 and 2010, Culex interfor was also found infected, but its role as vector of SLEV is poorly known. This mosquito species is distributed from central Argentina to southern Brazil. The primary aim of this study was to analyze the population dynamic of Cx. interfor and Cx. quinquefasciatus in three different environments (urban, suburban and non-urban) in relation to remotely sensed environmental data for vegetation (NDVI and NDWI) and temperature (brightness temperature). Cx. quinquefasciatus and Cx. interfor were found at the three sampled sites, being both the most abundant Culex species, with peaks in early and midsummer. Temporal distribution patterns of both mosquito species were highly correlated in a non-urban area of high SLEV risk transmission. Cx. quinquefasciatus and Cx. interfor were associated with the most urbanized site and the non-urban environment, respectively; high significant correlations were detected between vegetation indices and abundance of both mosquito species confirming these associations. These data provide a foundation for building density maps of these two SLEV mosquito vectors using remotely sensed data to help inform vector control programs.

Mosquito fauna inhabiting water bodies in the urban environment of Córdoba city, Argentina, following a St. Louis encephalitis outbreak

An understanding of urban aquatic environments as mosquito larval habitats is necessary to prioritize sites for surveillance and control of arbovirus vectors in urban areas. Natural and artificial water bodies at ground level that may be larval mosquito habitats in Córdoba city, Argentina were surveyed. Data on the characteristics of aquatic sites and the presence and abundance of mosquito larvae and pupae were collected in the summer of 2006, coinciding with the first report of human WNV and following an outbreak of St. Louis encephalitis in 2005. Eight species in the genera Aedes, Culex, and Mansonia were identified. At 64.2% (34 of 53) of the sites, only one species was collected, while 3.8% (2 of 53) had three associated species, the highest richness found per site. Culex quinquefasciatus represented over 99% (out of 32,729) of the specimens. It was also the most widely distributed and detected under diverse habitat conditions. Although puddles and semi-permanent pools harbored a greater number of species, drainages and channels may be more relevant as risk factors from an epidemiological point of view because they showed the highest larval densities, mainly of Cx. quinquefasciatus (vector of SLE and WNV). Also, higher densities of this species were associated with stormwater runoff and sewage water, thus water management systems should be targeted and closely monitored for mosquito control purposes.

Distribution of mosquitoes in relation to urban landscape characteristics

The current global increase in prevalence of vector borne diseases, as well as an expansion of tropical infections to more temperate zones, justifies further studies on vector populations. Urban areas may favour viral transmission to humans through close contacts between the vectors and the vertebrate hosts, and also affecting mosquito populations by offering larval habitat, refuges and adequate microclimates to survive the winter. This work analyses the spatial distribution of potential vector mosquitoes in relation to landscape characteristics in an urban environment in a temperate climate region. Mosquitoes were trapped monthly from October 2005 to March 2006 in 25 sites within Córdoba city and suburbs with miniature light traps+CO2. Nine species were collected, and the most abundant were Culex quinquefasciatus (37.1%), C. apicinus (26.6%) and Aedes aegypti (13.9%). Species that may be involved in SLEv transmission were recorded throughout the sampling. C. quinquefasciatus was detected in 92% of the sites; however, only two sites showed consistently larger collections. The site of highest C. quinquefasciatus abundance was located within an area of high Saint Louis Encefalitis virus prevalence and risk of infection, further supporting this species involvement as a vector. Significant correlations were detected between land cover characteristics and abundance of C. apicinus, C. interfor and C. maxi that were consistent with previous knowledge about their larval habitat and domestic preferences, which may be useful for targeting vector control operations.