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Santos A, Brito M, Silva E, Rocha F, Oliveira A, Dávila R, Gama H, Albuquerque J, Paiva M, Baía-Silva D, Sampaio V, Balieiro P, Rufatto R, Grewal Daumerie P, Peterka C, Edilson Lima F, Monteiro W, Arcanjo A, Silva R, Batista Pereira D, Lacerda M, Murta F. Perspectives of healthcare professionals on training for quantitative G6PD testing during implementation of tafenoquine in Brazil (QualiTRuST Study). PLoS Negl Trop Dis 2024; 18:e0012197. [PMID: 38837977 PMCID: PMC11152287 DOI: 10.1371/journal.pntd.0012197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 05/06/2024] [Indexed: 06/07/2024] Open
Abstract
Effective radical cure of Plasmodium vivax malaria is essential for malaria elimination in Brazil. P. vivax radical cure requires administration of a schizonticide, such as chloroquine, plus an 8-aminoquinoline. However, 8-aminoquinolines cause hemolysis in individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency, requiring prior screening to exclude those at risk. Brazil is pioneering the implementation of tafenoquine, a single-dose 8-aminoquinoline indicated for P. vivax patients with >70% of normal G6PD activity. Tafenoquine implementation in Manaus and Porto Velho, two municipalities located in the western Brazilian Amazon, included comprehensive training of healthcare professionals (HCPs) on point-of-care quantitative G6PD testing and a new treatment algorithm for P. vivax radical cure incorporating tafenoquine. Training was initially provided to higher-level facilities (phase one) and later adapted for primary care units (phase two). This study analyzed HCP experiences during training and implementation and identified barriers and facilitators. In-depth interviews and focus discussion groups were conducted 30 days after each training for a purposive random sample of 115 HCPs. Thematic analysis was employed using MAXQDA software, analyzing data through inductive and deductive coding. Analysis showed that following the initial training for higher-level facilities, some HCPs did not feel confident performing quantitative G6PD testing and prescribing the tafenoquine regimen. Modifications to the training in phase two resulted in an improvement in understanding the implementation process of the G6PD test and tafenoquine, as well as in the knowledge acquired by HCPs. Additionally, knowledge gaps were addressed through in situ training, peer communication via a messaging app, and educational materials. Training supported effective deployment of the new tools in Manaus and Porto Velho and increased awareness of the need for pharmacovigilance. A training approach for nationwide implementation of these tools was devised. Implementing quantitative G6PD testing and tafenoquine represents a significant shift in P. vivax malaria case management. Consistent engagement with HCPs is needed to overcome challenges in fully integrating these tools within the Brazilian health system.
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Affiliation(s)
- Alicia Santos
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Marcelo Brito
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
| | - Evellyn Silva
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Felipe Rocha
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
| | - Ana Oliveira
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
| | - Rafaela Dávila
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Hiran Gama
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | | | - Mena Paiva
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Djane Baía-Silva
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Vanderson Sampaio
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Patrícia Balieiro
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Rosilene Rufatto
- Centro de Pesquisa em Medicina Tropical de Rondônia (CEPEM), Porto Velho, Brazil
| | | | | | | | - Wuelton Monteiro
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
| | - Ana Arcanjo
- Fundação de Vigilância em Saúde, Manaus, Brazil
| | | | | | - Marcus Lacerda
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
- Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil
- University of Texas Medical Branch, Galveston, Texas, United States of America
| | - Felipe Murta
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, Brazil
- Universidade do Estado do Amazonas, Manaus, Brazil
- Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil
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Silva FS, da Costa Viana J, de França da Costa F, Araújo GB, Brito JM, Neta BMC. Field comparison of broad-spectrum white LED-baited traps with narrow-spectrum green LED-baited traps in the capture of Anopheles mosquitoes (Diptera: Culicidae). Parasitol Res 2024; 123:194. [PMID: 38656453 DOI: 10.1007/s00436-024-08217-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 04/18/2024] [Indexed: 04/26/2024]
Abstract
Light-Emitting Diodes (LEDs) have been effective light sources in attracting Anopheles mosquitoes, but the broad-spectrum white light, even with a wide-ranging application in lighting, have not been evaluated yet. In this study, the white light was field evaluated against the green one in the light trapping of anopheline mosquitoes by using two non-suction Silva traps and two CDC-type suction light traps. Anopheline mosquitoes were captured for two 21-night periods of collecting (2022 and 2023). In the first period, two LEDs were used per Silva trap, but three were used in the second one to increase the luminance/illuminance at traps. A CDC-type suction light trap equipped with an incandescent lamp was used in 2022 and a CDC-type suction light trap equipped with a 6 V-white light (higher luminance/illuminance) in 2023. A total of eight species and 3,289 specimens were captured in both periods. The most frequent species were Anopheles triannulatus s.l., An. goeldii, An. evansae and An. argyritarsis. In 2022, white LEDs were less attractive to anopheline mosquitoes than the other light sources, but without statistical difference among treatments (F = 2.703; P = 0.0752; df = 2). In 2023, even with an increased luminance/illuminance at traps, no statistical difference was found between the two LED-baited Silva traps (F = 6.690; P = 0.0024; df = 2), but rather between the 6 V-white-baited CDC-type suction light trap and green-baited Silva traps. Due to some drawbacks and the lower abundance of individuals caught by using white LEDs, the narrow-banded green LEDs is preferable to white ones for attracting anophelines.
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Affiliation(s)
- Francinaldo Soares Silva
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, 65500-000, Brazil.
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP: 65080-805, São Luís, Maranhão, Brazil.
- Programa de Pós-Graduação em Ciências Ambientais, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, CEP: 65500-000, Brazil.
| | - Joany da Costa Viana
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, 65500-000, Brazil
- Programa de Pós-Graduação em Ciências Ambientais, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, CEP: 65500-000, Brazil
| | - Francisco de França da Costa
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, 65500-000, Brazil
| | - Geolane Barbosa Araújo
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, 65500-000, Brazil
- Programa de Pós-Graduação em Ciências Ambientais, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, CEP: 65500-000, Brazil
| | - Jefferson Mesquita Brito
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, 65500-000, Brazil
| | - Benedita Maria Costa Neta
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA, 65500-000, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP: 65080-805, São Luís, Maranhão, Brazil
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Ribeiro BC, Garcia CGR, Lima LJP, Guerreiro JF, Póvoa MM, Cunha MG. Malaria in a vulnerable population living in quilombo remnant communities in the Brazilian Amazon: a cross-sectional study from 2005-2020. Rev Inst Med Trop Sao Paulo 2024; 66:e25. [PMID: 38656041 PMCID: PMC11027486 DOI: 10.1590/s1678-9946202466025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Accepted: 02/26/2024] [Indexed: 04/26/2024] Open
Abstract
Quilombo remnant communities are areas officially recognized by the Brazilian government as historical communities founded by formerly enslaved individuals. These communities are mostly located in the endemic areas of malaria in the Brazilian Amazon. We retrospectively described the prevalence of malaria among individuals living in 32 recognized quilombo remnant communities in the Baiao and Oriximina municipalities located in the Para State. The number of malaria cases and the Annual Parasitic Incidence (API) recorded by the Brazilian malaria surveillance system (SIVEP-Malaria) from January 2005 to December 2020 were analyzed. We found that all communities registered at least one case over the 16-year period, the most frequent parasitic species being Plasmodium vivax (76.1%). During this period, 0.44% (4,470/1,008,714) of the malaria cases registered in Para State were reported in these quilombo remnant communities, with frequencies of 10.9% (856/7,859) in Baiao municipality and 39.1% (3,614/9,238) in Oriximina municipality, showing that individuals living in these rural communities are exposed to malaria. These data indicate that effective surveillance requires improved measures to identify malaria transmission among vulnerable populations living in quilombo remnant communities in the Brazilian Amazon.
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Affiliation(s)
- Beatriz Costa Ribeiro
- Universidade Federal do Pará, Instituto de Ciências Biológicas, Laboratório de Microbiologia e Imunologia, Belém, Pará, Brazil
| | - Carla Gisele R Garcia
- Universidade Federal do Pará, Instituto de Ciências Biológicas, Laboratório de Microbiologia e Imunologia, Belém, Pará, Brazil
- Secretaria de Saúde do Estado do Pará, Belém, Pará, Brazil
| | - Lilian Jéssica Passos Lima
- Universidade Federal do Pará, Instituto de Ciências Biológicas, Laboratório de Microbiologia e Imunologia, Belém, Pará, Brazil
| | - João F. Guerreiro
- Universidade Federal do Pará, Laboratório de Genética Humana e Médica, Belém, Pará, Brazil
| | | | - Maristela G. Cunha
- Universidade Federal do Pará, Instituto de Ciências Biológicas, Laboratório de Microbiologia e Imunologia, Belém, Pará, Brazil
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Feio-Dos-Santos AC, Reis CC, Sucupira IMC, Lenhart A, Santos MMM, Reis ER, do Carmo EL, Daniel S, Mesones Lapouble OM, de Oliveira AM, Povoa MM. Physical durability and insecticidal activity of long-lasting insecticidal nets in Cruzeiro do Sul, Brazil. Sci Rep 2024; 14:9044. [PMID: 38641670 PMCID: PMC11031583 DOI: 10.1038/s41598-024-59172-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 04/08/2024] [Indexed: 04/21/2024] Open
Abstract
Vector control is one of the principal strategies used for reducing malaria transmission. Long-lasting insecticidal bed nets (LLINs) are a key tool used to protect populations at risk of malaria, since they provide both physical and chemical barriers to prevent human-vector contact. This study aimed to assess the physical durability and insecticidal efficacy of LLINs distributed in Cruzeiro do Sul (CZS), Brazil, after 4 years of use. A total of 3000 LLINs (PermaNet 2.0) were distributed in high malaria risk areas of CZS in 2007. After 4 years of use, 27 'rectangular' LLINs and 28 'conical' LLINs were randomly selected for analysis. The evaluation of physical integrity was based on counting the number of holes and measuring their size and location on the nets. Insecticidal efficacy was evaluated by cone bioassays, and the amount of residual insecticide remaining on the surface of the LLINs was estimated using a colorimetric method. After 4 years of use, physical damage was highly prevalent on the rectangular LLINs, with a total of 473 holes detected across the 27 nets. The upper portion of the side panels sustained the greatest damage in rectangular LLINs. The overall mosquito mortality by cone bioassay was < 80% in 25/27 rectangular LLINs, with panel A (at the end of the rectangular bednet) presenting the highest mortality (54%). The overall mean insecticide concentration was 0.5 µg/sample, with the bednet roof containing the highest average concentration (0.61 µg/sample). On the conical LLINs, 547 holes were detected, with the bottom areas sustaining the greatest damage. The cone bioassay mortality was < 80% in 26/28 of the conical LLINs. The mean insecticide concentration was 0.3 µg/sample. After 4 years of use, the insecticidal efficacy of the LLINs was diminished to below acceptable thresholds.
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Affiliation(s)
- Ana Cecília Feio-Dos-Santos
- Pós-Graduação em Biologia de Agentes Infecciosos e Parasitários, Universidade Federal do Pará, Belém, Pará, 66075-110, Brazil
- Laboratório de Entomologia de Malária, Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil
| | - Crissiane C Reis
- Pós-Graduação em Biologia de Agentes Infecciosos e Parasitários, Universidade Federal do Pará, Belém, Pará, 66075-110, Brazil
- Laboratório de Entomologia de Malária, Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil
| | - Izis M C Sucupira
- Laboratório de Entomologia de Malária, Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil.
| | - Audrey Lenhart
- Division of Parasitic Diseases and Malaria, Entomology Branch, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, Atlanta, GA, 30329, USA
| | - Márcia M M Santos
- Laboratório de Entomologia de Malária, Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil
| | - Ediane R Reis
- Laboratório de Entomologia de Malária, Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil
| | - Ediclei Lima do Carmo
- Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil
| | - Simone Daniel
- Hospital Juruá, Av. 25 de Agosto, 2151, Cruzeiro do Sul, Acre, Brazil
| | - Oscar M Mesones Lapouble
- Pan American Health Organization/World Health Organization Office in Suriname, Henck Arronstraat #60, Paramaribo, Suriname
| | - Alexandre Macedo de Oliveira
- Division of Parasitic Diseases and Malaria, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Marinete M Povoa
- Pós-Graduação em Biologia de Agentes Infecciosos e Parasitários, Universidade Federal do Pará, Belém, Pará, 66075-110, Brazil
- Laboratório de Entomologia de Malária, Seção de Parasitologia, Instituto Evandro Chagas/SVSA/MS, Ananindeua, Pará, CEP 67030-000, Brazil
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Viana Dos Santos MB, Braga de Oliveira A, Veras Mourão RH. Brazilian plants with antimalarial activity: A review of the period from 2011 to 2022. JOURNAL OF ETHNOPHARMACOLOGY 2024; 322:117595. [PMID: 38122914 DOI: 10.1016/j.jep.2023.117595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 11/16/2023] [Accepted: 12/12/2023] [Indexed: 12/23/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE Malaria continues to be a serious global public health problem in subtropical and tropical countries of the world. The main drugs used in the treatment of human malaria, quinine and artemisinin, are isolates of medicinal plants, making the use of plants a widespread practice in countries where malaria is endemic. Over the years, due to the increased resistance of the parasite to chloroquine and artemisinin in certain regions, new strategies for combating malaria have been employed, including research with medicinal plants. AIM This review focuses on the scientific production regarding medicinal plants from Brazil whose antimalarial activity was evaluated during the period from 2011 to 2022. 2. METHODOLOGY For this review, four electronic databases were selected for research: Pubmed, ScienceDirect, Scielo and Periódicos CAPES. Searches were made for full texts published in the form of scientific articles written in Portuguese or English and in a digital format. In addition, prospects for new treatments as well as future research that encourages the search for natural products and antimalarial derivatives are also presented. RESULTS A total of 61 publications were encountered, which cited 36 botanical families and 92 species using different Plasmodium strains in in vitro and in vivo assays. The botanical families with the most expressive number of species found were Rubiaceae, Apocynaceae, Fabaceae and Asteraceae (14, 14, 9 and 6 species, respectively), and the most frequently cited species were of the genera Psychotria L. (8) and Aspidosperma Mart. (12), which belong to the families Rubiaceae and Apocynaceae. Altogether, 75 compounds were identified or isolated from 28 different species, 31 of which are alkaloids. In addition, the extracts of the analyzed species, including the isolated compounds, showed a significant reduction of parasitemia in P. falciparum and P. berghei, especially in the clones W2 CQ-R (in vitro) and ANKA (in vivo), respectively. The Brazilian regions with the highest number of species analyzed were those of the north, especially the states of Pará and Amazonas, and the southeast, especially the state of Minas Gerais. CONCLUSION Although many plant species with antimalarial potential have been identified in Brazil, studies of new antimalarial molecules are slow and have not evolved to the production of a phytotherapeutic medicine. Given this, investigations of plants of traditional use and biotechnological approaches are necessary for the discovery of natural antimalarial products that contribute to the treatment of the disease in the country and in other endemic regions.
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Affiliation(s)
- Maria Beatriz Viana Dos Santos
- Laboratório de Bioprospecção e Biologia Experimental - LabBBEx, Universidade Federal do Oeste do Pará, Rua Vera Paz, s/n, Salé, 68035-110, Santarém, PA, Brazil; Programa de Pós-Graduação Doutorado em Rede de Biodiversidade e Biotecnologia - BIONORTE/Polo Pará. Universidade Federal do Pará, Rua Augusto Corrêa, 01, Guamá, 66075-110, Belém, PA, Brazil.
| | - Alaíde Braga de Oliveira
- Laboratório de Bioprospecção e Biologia Experimental - LabBBEx, Universidade Federal do Oeste do Pará, Rua Vera Paz, s/n, Salé, 68035-110, Santarém, PA, Brazil; Programa de Pós-Graduação Doutorado em Rede de Biodiversidade e Biotecnologia - BIONORTE/Polo Pará. Universidade Federal do Pará, Rua Augusto Corrêa, 01, Guamá, 66075-110, Belém, PA, Brazil; Programa de Pós-Graduação em Ciências Farmacêuticas - PPGCF, Faculdade de Farmácia, Departamento de Produtos Farmacêuticos, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, 31270-901, Belo Horizonte, MG, Brazil.
| | - Rosa Helena Veras Mourão
- Laboratório de Bioprospecção e Biologia Experimental - LabBBEx, Universidade Federal do Oeste do Pará, Rua Vera Paz, s/n, Salé, 68035-110, Santarém, PA, Brazil; Programa de Pós-Graduação Doutorado em Rede de Biodiversidade e Biotecnologia - BIONORTE/Polo Pará. Universidade Federal do Pará, Rua Augusto Corrêa, 01, Guamá, 66075-110, Belém, PA, Brazil
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da Silva Bastos A, Dos Santos NAC, Andrade AO, Pontual JDC, Araújo JE, Medeiros JF, da Silva Araújo M. Evaluation of insemination, blood feeding, and Plasmodium vivax infection effects on locomotor activity patterns of the malaria vector Anopheles darlingi (Diptera: Culicidae). Parasitol Res 2023; 123:15. [PMID: 38060049 PMCID: PMC10703739 DOI: 10.1007/s00436-023-08053-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 10/31/2023] [Indexed: 12/08/2023]
Abstract
Circadian behavioral patterns in mosquitoes can be observed through their locomotor activity, which includes fundamental behaviors such as foraging, mating, and oviposition. These habits, which are fundamental to the life cycle of Anopheles mosquitoes, are closely related to pathogen transmission to humans. While rhythmic cycles of locomotor activity have been described in Anopheles species, no studies have been conducted on Anopheles darlingi species, the main malaria vector in the Amazon region. The aim of this study was to investigate how insemination status, blood meal, and Plasmodium vivax infection affect the locomotor activity of An. darlingi. The experiments were performed with 3- to 10-day-old An. darlingi females, which had been fed with 15% honey solution. These mosquitoes were obtained from the Malaria Vector Production and Infection Platform (PIVEM)/FIOCRUZ-RO. The experimental groups were divided into four categories: virgin vs. inseminated, unfed virgin vs. blood-fed virgin, unfed inseminated vs. blood-fed inseminated, and infected blood vs. uninfected blood. Locomotor activity was monitored using the Flybox equipment, capturing images that were subsequently converted into video to measure the insect activity, using PySoLo software. The periodicity and rhythmicity of mosquito locomotor activity were analyzed using MatLab® software. The locomotor activity of An. darlingi females showed a nocturnal and bimodal pattern under LD conditions. When comparing the insemination states and blood meal, there was a reduction in the locomotor activity in inseminated and blood-fed females. However, the P. vivax+ infection did not increase locomotor activity of An. darlingi species.
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Affiliation(s)
- Alessandra da Silva Bastos
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil
- Programa de Pós-Graduação Em Biologia Experimental, Fundação Universidade Federal de Rondônia, FIOCRUZ Rondônia, Porto Velho, Rondônia, Brazil
| | - Najara Akira Costa Dos Santos
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil
- Programa de Pós-Graduação Em Biologia Experimental, Fundação Universidade Federal de Rondônia, FIOCRUZ Rondônia, Porto Velho, Rondônia, Brazil
| | - Alice Oliveira Andrade
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil
- Programa de Pós-Graduação Em Saúde Pública, Faculdade de Saúde Pública, Universidade Federal de São Paulo, São Paulo, SP, 01246-904, Brazil
| | - José Daniel Costa Pontual
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil
| | - Jéssica Evangelista Araújo
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil
- Programa de Pós-Graduação Em Biologia Experimental, Fundação Universidade Federal de Rondônia, FIOCRUZ Rondônia, Porto Velho, Rondônia, Brazil
| | - Jansen Fernandes Medeiros
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil
- Programa de Pós-Graduação Em Biologia Experimental, Fundação Universidade Federal de Rondônia, FIOCRUZ Rondônia, Porto Velho, Rondônia, Brazil
| | - Maisa da Silva Araújo
- Plataforma de Produção E Infecção de Vetores da Malária (PIVEM), Laboratório de Entomologia, Fiocruz Rondônia, Porto Velho, Rondônia, Brazil.
- Programa de Pós-Graduação em Conservação e uso de Recursos Naturais-PPGReN, Fundação Universidade Federal de Rondônia, Porto Velho, Rondônia, Brazil.
- Laboratório de Pesquisa Translacional E Clínica, Centro de Pesquisa Em Medicina Tropical, Porto Velho, Rondônia, Brazil.
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Gonzalez-Daza W, Vivero-Gómez RJ, Altamiranda-Saavedra M, Muylaert RL, Landeiro VL. Time lag effect on malaria transmission dynamics in an Amazonian Colombian municipality and importance for early warning systems. Sci Rep 2023; 13:18636. [PMID: 37903862 PMCID: PMC10616112 DOI: 10.1038/s41598-023-44821-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 10/12/2023] [Indexed: 11/01/2023] Open
Abstract
Malaria remains a significant public health problem worldwide, particularly in low-income regions with limited access to healthcare. Despite the use of antimalarial drugs, transmission remains an issue in Colombia, especially among indigenous populations in remote areas. In this study, we used an SIR Ross MacDonald model that considered land use change, temperature, and precipitation to analyze eco epidemiological parameters and the impact of time lags on malaria transmission in La Pedrera-Amazonas municipality. We found changes in land use between 2007 and 2020, with increases in forested areas, urban infrastructure and water edges resulting in a constant increase in mosquito carrying capacity. Temperature and precipitation variables exhibited a fluctuating pattern that corresponded to rainy and dry seasons, respectively and a marked influence of the El Niño climatic phenomenon. Our findings suggest that elevated precipitation and temperature increase malaria infection risk in the following 2 months. The risk is influenced by the secondary vegetation and urban infrastructure near primary forest formation or water body edges. These results may help public health officials and policymakers develop effective malaria control strategies by monitoring precipitation, temperature, and land use variables to flag high-risk areas and critical periods, considering the time lag effect.
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Affiliation(s)
- William Gonzalez-Daza
- Programa do Pós-Graduação em Ecologia e Conservação da Biodiversidade, Departamento de Biociências, Universidade Federal de Mato Grosso, Cuiabá, MT, 78060-900, Brazil.
| | - Rafael Jose Vivero-Gómez
- Grupo de Microbiodiversidad y Bioprospección, Laboratorio de Biología Celular y Molecular, Universidad Nacional de Colombia Sede Medellín, Street 59A #63-20, 050003, Medellín, Colombia
- Programa de Estudio y Control de Enfermedades Tropicales-PECET, Universidad de Antioquia, Calle 62 No. 52-59 Laboratorio 632, Medellín, Colombia
| | | | - Renata L Muylaert
- Molecular Epidemiology and Public Health Laboratory, School of Veterinary Science, Massey University, Palmerston North, New Zealand
| | - Victor Lemes Landeiro
- Departamento de Botânica e Ecologia, Instituto de Biociências, Universidade Federal de Mato Grosso, Cuiabá, MT, 78060-900, Brazil
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Costa-Neta BM, de Sousa FCDS, de Araújo EC, Viana JDC, Brito JM, Silva FS. The evening crepuscular host-seeking activity of Anopheles mosquitoes in northeast Brazil. JOURNAL OF MEDICAL ENTOMOLOGY 2023; 60:1008-1015. [PMID: 37364566 DOI: 10.1093/jme/tjad071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 05/10/2023] [Accepted: 06/09/2023] [Indexed: 06/28/2023]
Abstract
Studies on the timing of anopheline host-seeking are important for understanding mosquito ecology, behaviors, and possible role in disease transmission. To study the evening crepuscular host-seeking activity of anophelines and the effects of moonlight, anopheline mosquitoes were collected with light traps settled in a livestock area in the Brazilian Cerrado region. Traps (Silva traps) were placed next to animal enclosures at 1.5 m asl. The research was divided in 2 experiments: the first experiment (12 nights) comprised 2 trapping periods, one from 6 PM to 7 PM and one from 7 PM to 6 AM, and the second experiment (16 evenings) divided in three 20-min intervals based on the 3 twilight phases (civil: 6-6:20 PM; nautical: 6:20-6:40 PM; and astronomical: 6:40-7 PM). A total of 2,815 anopheline mosquitoes and 9 species were found. The main species were Anopheles triannulatus s.l., An. argyritarsis, An. goeldii, and An. evanse. Host-seeking mosquitoes were more frequently active during the first hour after sunset, with a significant peak in the second 20-min interval. After that, a decrease in the number of individuals was observed from the astronomical twilight onwards. Moonlight did not affect the evening flight activity of anophelines. By using LED-based passive light traps, the evening arrival time of anophelines at blood-feeding sites was demonstrated, and it may be a key time window for malaria vector control interventions.
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Affiliation(s)
- Benedita Maria Costa-Neta
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA 65500-000, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP: 65080-805, São Luís, Maranhão, Brazil
| | - Francisca Claudia da Silva de Sousa
- Programa de Pós-Graduação em Ciência Animal, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, CEP: 65500-000, Chapadinha, MA, Brazil
| | - Eudimara Carvalho de Araújo
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA 65500-000, Brazil
| | - Joany da Costa Viana
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA 65500-000, Brazil
| | - Jefferson Mesquita Brito
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA 65500-000, Brazil
| | - Francinaldo Soares Silva
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, Chapadinha, MA 65500-000, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP: 65080-805, São Luís, Maranhão, Brazil
- Programa de Pós-Graduação em Ciências Ambientais, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, CEP: 65500-000, Chapadinha, MA, Brazil
- Programa de Pós-Graduação em Biodiversidade e Conservação, Universidade Federal do Maranhão, CEP: 65080-805, São Luís, MA, Brazil
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Barbosa LMC, Scarpassa VM. Bionomics and population dynamics of anopheline larvae from an area dominated by fish farming tanks in northern Brazilian Amazon. PLoS One 2023; 18:e0288983. [PMID: 37624846 PMCID: PMC10456186 DOI: 10.1371/journal.pone.0288983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 07/10/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND In Brazilian Amazon, deforestation and other anthropogenic activities as a consequence of human occupation have created new and artificial larval habitats for anopheline mosquitoes, providing conditions for oviposition, development and expansion of malaria vector populations. OBJECTIVES This study aimed to structurally characterize and describe the entomological and limnological parameters of Anopheles larval habitats from a malaria region in northern Brazilian Amazon. METHODS Fifty-two larval habitats were investigated in the District of Ilha de Santana, in the Brazilian state of Amapá, comprising fish farming tanks, ponds, and streams. For entomological parameters, the immature larvae were collected monthly from July 2019 to June 2020. For limnological parameters, the water samples were collected from 20 larval habitats during the sampling period. The data were analyzed using Generalized Linear Models, Multivariate analyses, and Kruskal-Wallis tests. RESULTS Fifty habitats were positive for Anopheles larvae and a total of nine species were collected. The fish farming tanks had the highest abundance of larvae compared with ponds and streams. Anopheles darlingi, Anopheles nuneztovari s.l. and Anopheles triannulatus were collected in 94% of the larval habitats and showed the highest positivity index. The degree of shade and the type of water of the breeding sites were important factors for the presence of the main malaria vector, A. darlingi. This species was the most affected by pH, total dissolved solids, electrical conductivity, and nitrate. CONCLUSIONS Our findings indicate that fish farming tanks are major contributors to vector anopheline abundance and malaria transmission. Vector control strategies focused on these habitats are urgently needed.
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Affiliation(s)
- Ledayane Mayana Costa Barbosa
- Departamento de Ciências Biológicas e da Saúde, Laboratório de Arthropoda, Universidade Federal do Amapá, Rodovia Juscelino Kubitschek, Macapá, Amapá, Brasil
| | - Vera Margarete Scarpassa
- Laboratório de Genética de Populações e Evolução de Mosquitos Vetores de Malária e Dengue, Instituto Nacional de Pesquisas da Amazônia, Coordenação de Biodiversidade, Manaus, Amazonas, Brasil
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Conn JE, Bickersmith SA, Saavedra MP, Morales JA, Alava F, Diaz Rodriguez GA, del Aguila Morante CR, Tong CG, Alvarez-Antonio C, Daza Huanahui JM, Vinetz JM, Gamboa D. Natural Infection of Nyssorhynchus darlingi and Nyssorhynchus benarrochi B with Plasmodium during the Dry Season in the Understudied Low-Transmission Setting of Datem del Marañon Province, Amazonian Peru. Am J Trop Med Hyg 2023; 109:288-295. [PMID: 37364858 PMCID: PMC10397451 DOI: 10.4269/ajtmh.23-0058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 04/25/2023] [Indexed: 06/28/2023] Open
Abstract
The persistence of malaria hotspots in Datem del Marañon Province, Peru, prompted vector control units at the Ministry of Health, Loreto Department, to collaborate with the Amazonian International Center of Excellence for Malaria Research to identify the main vectors in several riverine villages that had annual parasite indices > 15 in 2018-2019. Anophelinae were collected indoors and outdoors for two 12-hour nights/community during the dry season in 2019 using human landing catch. We identified four species: Nyssorhynchus benarrochi B, Nyssorhynchus darlingi, Nyssorhynchus triannulatus, and Anopheles mattogrossensis. The most abundant, Ny. benarrochi B, accounted for 96.3% of the total (7,550/7,844), of which 61.5% were captured outdoors (4,641/7,550). Six mosquitoes, one Ny. benarrochi B and five Ny. darlingi, were infected by Plasmodium falciparum or Plasmodium vivax. Human biting rates ranged from 0.5 to 592.8 bites per person per hour for Ny. benarrochi B and from 0.5 to 32.0 for Ny. darlingi, with entomological inoculation rates as high as 0.50 infective bites per night for Ny. darlingi and 0.25 for Ny. benarrochi B. These data demonstrate the risk of malaria transmission by both species even during the dry season in villages in multiple watersheds in Datem del Marañon province.
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Affiliation(s)
- Jan E. Conn
- Wadsworth Center, New York State Department of Health, Albany, New York
- Department of Biomedical Sciences, School of Public Health, State University of New York-Albany, Albany, New York
| | | | - Marlon P. Saavedra
- Amazonian International Center of Excellence for Malaria Research, Laboratorios de Investigación y Desarrollo, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Juliana A. Morales
- Amazonian International Center of Excellence for Malaria Research, Laboratorios de Investigación y Desarrollo, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
| | | | | | | | - Carlos G. Tong
- Laboratorio de Salud Pública-Gerencia Regional de Salud de Loreto, GERESA, Iquitos, Peru
| | | | - Jesus M. Daza Huanahui
- Red de Salud Datem del Marañon – Gerencia Regional de Salud de Loreto, GERESA, Iquitos, Peru
| | - Joseph M. Vinetz
- Amazonian International Center of Excellence for Malaria Research, Laboratorios de Investigación y Desarrollo, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
- Laboratorio de Malaria: Parásitos y Vectores, Laboratorios de Investigación y Desarrollo, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
- Section of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
- VA Connecticut Healthcare System, West Haven, Connecticut
- Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Dionicia Gamboa
- Amazonian International Center of Excellence for Malaria Research, Laboratorios de Investigación y Desarrollo, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
- Laboratorio de Malaria: Parásitos y Vectores, Laboratorios de Investigación y Desarrollo, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
- Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru
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Gonzalez Daza W, Muylaert RL, Sobral-Souza T, Lemes Landeiro V. Malaria Risk Drivers in the Brazilian Amazon: Land Use-Land Cover Interactions and Biological Diversity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6497. [PMID: 37569037 PMCID: PMC10419050 DOI: 10.3390/ijerph20156497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 07/06/2023] [Accepted: 07/27/2023] [Indexed: 08/13/2023]
Abstract
Malaria is a prevalent disease in several tropical and subtropical regions, including Brazil, where it remains a significant public health concern. Even though there have been substantial efforts to decrease the number of cases, the reoccurrence of epidemics in regions that have been free of cases for many years presents a significant challenge. Due to the multifaceted factors that influence the spread of malaria, influencing malaria risk factors were analyzed through regional outbreak cluster analysis and spatio-temporal models in the Brazilian Amazon, incorporating climate, land use/cover interactions, species richness, and number of endemic birds and amphibians. Results showed that high amphibian and bird richness and endemism correlated with a reduction in malaria risk. The presence of forest had a risk-increasing effect, but it depended on its juxtaposition with anthropic land uses. Biodiversity and landscape composition, rather than forest formation presence alone, modulated malaria risk in the period. Areas with low endemic species diversity and high human activity, predominantly anthropogenic landscapes, posed high malaria risk. This study underscores the importance of considering the broader ecological context in malaria control efforts.
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Affiliation(s)
- William Gonzalez Daza
- Programa do Pós-Graduação em Ecologia e Conservação da Biodiversidade, Departamento de Biociências, Av. Fernando Corrêa da Costa, 2367, Cuiabá 78060-900, MT, Brazil
| | - Renata L. Muylaert
- Molecular Epidemiology and Public Health Laboratory, School of Veterinary Science, Massey University, Palmerston North 4472, New Zealand;
| | - Thadeu Sobral-Souza
- Departamento de Botânica e Ecologia, Instituto de Biociências, Universidade Federal de Mato Grosso (UFMT), Cuiabá 78060-900, MT, Brazil; (T.S.-S.); (V.L.L.)
| | - Victor Lemes Landeiro
- Departamento de Botânica e Ecologia, Instituto de Biociências, Universidade Federal de Mato Grosso (UFMT), Cuiabá 78060-900, MT, Brazil; (T.S.-S.); (V.L.L.)
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da Silva Ferreira Lima AC, Galardo AKR, Müller JN, de Andrade Corrêa APS, Ribeiro KAN, Silveira GA, Hijjar AV, Soares da Roch Bauzer LG, Lima JBP. Evaluation of Long-lasting insecticidal nets (LLINs) for malaria control in an endemic area in Brazil. Parasit Vectors 2023; 16:162. [PMID: 37173754 PMCID: PMC10182611 DOI: 10.1186/s13071-023-05759-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 03/29/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND Most cases of malaria in Brazil are concentrated in the Amazon region. One of the vector control alternatives recommended by the WHO is the long-lasting insecticidal net (LLIN). This tool is used in the nine federal states of the Brazilian Legal Amazon, where LLINs are essential for reducing vector density and disease transmission as they prevent contact between the mosquito and the individual. The objective of this study was to evaluate the residuality and use of LLIN insecticides in different health regions in a city located in the Brazilian Amazon. METHODS A total of 17,027 LLINs were installed in the third, fifth and ninth health regions of the municipality of Porto Velho, Rondonia State, Brazil. The LLINs were of two types: Olyset (permethrin), for around the bed, and Interceptor (alphacypermethrin), for around hammocks. The residuality of 172 LLINs was evaluated using cone bioassays to verify the mortality rate of the mosquito Nyssorhynchus darlingi, over a period of 2 years. Structured questionnaires on the acceptance and use of LLINs were distributed to the participating population (n = 391), covering a total sample of 1147 mosquito nets. The mortality rate was evaluated both in terms of days after LLIN installation and the type of insecticide used. Statistical analyses were based on analysis of variance (ANOVA) and Chi-square and were performed using the SPSS statistical program. RESULTS For the Ny. darlingi mosquito, Interceptor-type LLINs showed residual efficacy, with mortality rates ≥ 80% during the 2-year study period, as determined by the WHO. In contrast, Olyset-type LLINs were associated with a reduction in mortality rates, with 76% and 45% mortality rates in the last two assessments, which occurred during the last 6 months of the study period. Based on the structured questionnaires, the acceptance rate, i.e. percentage of individuals accepting the permanence of the 1147 LLINs sampled, in the three health regions of Porto Velho was 93.8% (of 1076 LLINs). CONCLUSION The alphacypermethrin-impregnated LLIN was more effective than the LLIN impregnated with permethrin. The results indicate that the correct use of mosquito nets-and consequently the protection of the population-needs to be supported by health promotion actions. These initiatives are considered to be essential for the success of this vector control strategy. New studies that consider the monitoring of the placement of mosquito nets are necessary to provide effective support in the correct use of this methodology.
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Affiliation(s)
- Ana Cristina da Silva Ferreira Lima
- Laboratório de Entomologia Médica, Instituto de Pesquisas Científicas e Tecnológicas do Estado do Amapá (IEPA), Macapá, Amapá, Brazil
- Laboratório de Fisiologia e Controle de Artrópodes Vetores, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Programa de Pós-Graduação em Medicina Tropical, Instituto Oswaldo Cruz FIOCRUZ, Rio de Janeiro, Brazil
| | - Allan Kardec Ribeiro Galardo
- Laboratório de Entomologia Médica, Instituto de Pesquisas Científicas e Tecnológicas do Estado do Amapá (IEPA), Macapá, Amapá, Brazil
| | - Josiane Nogueira Müller
- Laboratório de Entomologia Médica, Instituto de Pesquisas Científicas e Tecnológicas do Estado do Amapá (IEPA), Macapá, Amapá, Brazil.
- Laboratório de Fisiologia e Controle de Artrópodes Vetores, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
- Programa de Pós-Graduação em Medicina Tropical, Instituto Oswaldo Cruz FIOCRUZ, Rio de Janeiro, Brazil.
| | - Ana Paula Sales de Andrade Corrêa
- Laboratório de Entomologia Médica, Instituto de Pesquisas Científicas e Tecnológicas do Estado do Amapá (IEPA), Macapá, Amapá, Brazil
- Laboratório de Fisiologia e Controle de Artrópodes Vetores, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Programa de Pós-Graduação em Medicina Tropical, Instituto Oswaldo Cruz FIOCRUZ, Rio de Janeiro, Brazil
| | | | | | | | | | - José Bento Pereira Lima
- Laboratório de Fisiologia e Controle de Artrópodes Vetores, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Programa de Pós-Graduação em Medicina Tropical, Instituto Oswaldo Cruz FIOCRUZ, Rio de Janeiro, Brazil
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Magalhães AR, Codeço CT, Svenning JC, Escobar LE, Van de Vuurst P, Gonçalves-Souza T. Neglected tropical diseases risk correlates with poverty and early ecosystem destruction. Infect Dis Poverty 2023; 12:32. [PMID: 37038199 PMCID: PMC10084676 DOI: 10.1186/s40249-023-01084-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 03/19/2023] [Indexed: 04/12/2023] Open
Abstract
BACKGROUND Neglected tropical diseases affect the most vulnerable populations and cause chronic and debilitating disorders. Socioeconomic vulnerability is a well-known and important determinant of neglected tropical diseases. For example, poverty and sanitation could influence parasite transmission. Nevertheless, the quantitative impact of socioeconomic conditions on disease transmission risk remains poorly explored. METHODS This study investigated the role of socioeconomic variables in the predictive capacity of risk models of neglected tropical zoonoses using a decade of epidemiological data (2007-2018) from Brazil. Vector-borne diseases investigated in this study included dengue, malaria, Chagas disease, leishmaniasis, and Brazilian spotted fever, while directly-transmitted zoonotic diseases included schistosomiasis, leptospirosis, and hantaviruses. Environmental and socioeconomic predictors were combined with infectious disease data to build environmental and socioenvironmental sets of ecological niche models and their performances were compared. RESULTS Socioeconomic variables were found to be as important as environmental variables in influencing the estimated likelihood of disease transmission across large spatial scales. The combination of socioeconomic and environmental variables improved overall model accuracy (or predictive power) by 10% on average (P < 0.01), reaching a maximum of 18% in the case of dengue fever. Gross domestic product was the most important socioeconomic variable (37% relative variable importance, all individual models exhibited P < 0.00), showing a decreasing relationship with disease indicating poverty as a major factor for disease transmission. Loss of natural vegetation cover between 2008 and 2018 was the most important environmental variable (42% relative variable importance, P < 0.05) among environmental models, exhibiting a decreasing relationship with disease probability, showing that these diseases are especially prevalent in areas where natural ecosystem destruction is on its initial stages and lower when ecosystem destruction is on more advanced stages. CONCLUSIONS Destruction of natural ecosystems coupled with low income explain macro-scale neglected tropical and zoonotic disease probability in Brazil. Addition of socioeconomic variables improves transmission risk forecasts on tandem with environmental variables. Our results highlight that to efficiently address neglected tropical diseases, public health strategies must target both reduction of poverty and cessation of destruction of natural forests and savannas.
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Affiliation(s)
- Arthur Ramalho Magalhães
- Laboratory of Ecological Synthesis and Biodiversity Conservation (ECOFUN), Federal Rural University of Pernambuco, Recife, PE, Brazil
| | - Cláudia Torres Codeço
- Scientific Computation Program (PROCC), Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, RJ, Brazil
| | - Jens-Christian Svenning
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) & Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology., Aarhus University, Aarhus, Denmark
| | - Luis E Escobar
- Department of Fish and Wildlife Conservation, Virginia Tech, Blacksburg, VA, USA
- Center for Emerging Zoonotic and Arthropod-Borne Pathogens, Virginia Tech, Blacksburg, VA, USA
| | - Paige Van de Vuurst
- Center for Emerging Zoonotic and Arthropod-Borne Pathogens, Virginia Tech, Blacksburg, VA, USA
- Translational Biology, Medicine and Health Program, Virginia Tech Graduate School, Blacksburg, VA, USA
| | - Thiago Gonçalves-Souza
- Laboratory of Ecological Synthesis and Biodiversity Conservation (ECOFUN), Federal Rural University of Pernambuco, Recife, PE, Brazil.
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de Araújo EC, Neta BMC, Brito JM, Silva FS. Effect of ultraviolet LED and trap height on catches of host-seeking anopheline mosquitoes by using a low-cost passive light trap in northeast Brazil. Parasitol Res 2023; 122:1343-1349. [PMID: 37022501 DOI: 10.1007/s00436-023-07834-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 03/28/2023] [Indexed: 04/07/2023]
Abstract
Light traps have been widely used for monitoring malaria vectors, although drawbacks remain. In this context, new tools and attractants are always becoming available to perform monitoring tasks, like the Silva trap, a passive and low-cost LED-light trap for host-seeking anopheline mosquitoes. In this work, the effectiveness of the Silva trap by using UV-LED and at different heights as well as a comparison with the conventional CDC-type (HP) light trap was studied. A total of 9009 mosquitoes and nine species were caught, Anopheles triannulatus, An. argyritarsis, and An. goeldii being the most frequent species. The green (520 nm) and blue (470 nm) LEDs attracted almost equal numbers of anopheline mosquitoes, but UV LEDs (395 nm) attracted a significantly lower number of individuals (Kruskal-Wallis = 19.68, P = 0.0001). Even with the predominance of mosquitoes trapped at the height of 1.5 m, no significant statistical difference was found among the four heights tested (0.5 m; 1.0 m; 1.5 m; 2.0 m). Green-baited Silva traps collected significantly more individuals than incandescent-baited CDC-type traps (U = 60.5; P = 0.0303). LEDs have been useful as light sources for attracting insect vectors and together with a low-cost trap, as the Silva trap, a feasible alternative to conventional trap-based monitoring Anopheles mosquitoes that can be implemented in the field.
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Affiliation(s)
- Eudimara Carvalho de Araújo
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, MA, 65500-000, Chapadinha, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP, 65080-805, São Luís, Maranhão, Brazil
| | - Benedita Maria Costa Neta
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, MA, 65500-000, Chapadinha, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP, 65080-805, São Luís, Maranhão, Brazil
| | - Jefferson Mesquita Brito
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, MA, 65500-000, Chapadinha, Brazil
| | - Francinaldo Soares Silva
- Laboratório de Entomologia Médica, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, MA, 65500-000, Chapadinha, Brazil.
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Maranhão, CEP, 65080-805, São Luís, Maranhão, Brazil.
- Programa de Pós-Graduação em Ciências Ambientais, Centro de Ciências de Chapadinha, Universidade Federal do Maranhão, CEP, MA, 65500-000, Chapadinha, Brazil.
- Programa de Pós-Graduação em Biodiversidade e Conservação, Universidade Federal do Maranhão, CEP, MA, 65080-805, São Luís, Brazil.
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15
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Ayala MJC, Valiati NCM, Bastos LS, Villela DAM. Notification of malaria cases in the Brazilian Amazon Basin from 2010 to 2020: an analysis of the reporting times. Malar J 2023; 22:49. [PMID: 36765345 PMCID: PMC9913006 DOI: 10.1186/s12936-023-04464-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 01/20/2023] [Indexed: 02/12/2023] Open
Abstract
BACKGROUND As controlling malaria transmission remains a public-health challenge in the Brazilian Amazon basin, the National Surveillance System for Malaria (SIVEP-MALARIA) has registered malaria notifications for over fifteen years helping in the decision-making on control and elimination. As a surveillance database, the system is prone to reporting delays, and knowledge about reporting patterns is essential in decisions. METHODS This study contains an analysis of temporal and state trends of reporting times in a total of 1,580,617 individual malaria reports from January 2010 to December 2020, applying procedures for statistical distribution fitting. A nowcasting technique was applied to show an estimation of number of cases using a statistical model of reporting delays. RESULTS Reporting delays increased over time for the states of Amazonas, Rondônia, Roraima, and Pará. Amapá has maintained a similar reporting delay pattern, while Acre decreased reporting delay between 2010 and 2020. Predictions were more accurate in states with lower reporting delays. The temporal evolution of reporting delays only showed a decrease in malaria reports in Acre from 2010 to 2020. CONCLUSION Malaria notifications may take days or weeks to enter the national surveillance database. The reporting times are likely to impact incidence estimation over periods when data is incomplete, whilst the impact of delays becomes smaller for retrospective analysis. Short-term assessments for the estimation of malaria incidence from the malaria control programme must deal with reporting delays.
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Affiliation(s)
- Mario J C Ayala
- Programa de Computação Científica, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil.,Politécnico Grancolombiano, Escuela de Optimización, Diseño y Automatización, Bogotá, Colombia
| | - Naiara C M Valiati
- Programa de Computação Científica, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil
| | - Leonardo S Bastos
- Programa de Computação Científica, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil
| | - Daniel A M Villela
- Programa de Computação Científica, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, Brazil.
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Ibrahim A, Manko E, Dombrowski JG, Campos M, Benavente ED, Nolder D, Sutherland CJ, Nosten F, Fernandez D, Vélez-Tobón G, Castaño AT, Aguiar ACC, Pereira DB, da Silva Santos S, Suarez-Mutis M, Di Santi SM, Regina de Souza Baptista A, Dantas Machado RL, Marinho CR, Clark TG, Campino S. Population-based genomic study of Plasmodium vivax malaria in seven Brazilian states and across South America. LANCET REGIONAL HEALTH. AMERICAS 2023; 18:100420. [PMID: 36844008 PMCID: PMC9950661 DOI: 10.1016/j.lana.2022.100420] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 12/06/2022] [Accepted: 12/06/2022] [Indexed: 01/03/2023]
Abstract
Background Brazil is a unique and understudied setting for malaria, with complex foci of transmission associated with human and environmental conditions. An understanding of the population genomic diversity of P. vivax parasites across Brazil can support malaria control strategies. Methods Through whole genome sequencing of P. vivax isolates across 7 Brazilian states, we use population genomic approaches to compare genetic diversity within country (n = 123), continent (6 countries, n = 315) and globally (26 countries, n = 885). Findings We confirm that South American isolates are distinct, have more ancestral populations than the other global regions, with differentiating mutations in genes under selective pressure linked to antimalarial drugs (pvmdr1, pvdhfr-ts) and mosquito vectors (pvcrmp3, pvP45/48, pvP47). We demonstrate Brazil as a distinct parasite population, with signals of selection including ABC transporter (PvABCI3) and PHIST exported proteins. Interpretation Brazil has a complex population structure, with evidence of P. simium infections and Amazonian parasites separating into multiple clusters. Overall, our work provides the first Brazil-wide analysis of P. vivax population structure and identifies important mutations, which can inform future research and control measures. Funding AI is funded by an MRC LiD PhD studentship. TGC is funded by the Medical Research Council (Grant no. MR/M01360X/1, MR/N010469/1, MR/R025576/1, MR/R020973/1 and MR/X005895/1). SC is funded by Medical Research Council UK grants (MR/M01360X/1, MR/R025576/1, MR/R020973/1 and MR/X005895/1) and Bloomsbury SET (ref. CCF17-7779). FN is funded by The Shloklo Malaria Research Unit - part of the Mahidol Oxford Research Unit, supported by the Wellcome Trust (Grant no. 220211). ARSB is funded by São Paulo Research Foundation - FAPESP (Grant no. 2002/09546-1). RLDM is funded by Brazilian National Council for Scientific and Technological Development - CNPq (Grant no. 302353/2003-8 and 471605/2011-5); CRFM is funded by FAPESP (Grant no. 2020/06747-4) and CNPq (Grant no. 302917/2019-5 and 408636/2018-1); JGD is funded by FAPESP fellowships (2016/13465-0 and 2019/12068-5) and CNPq (Grant no. 409216/2018-6).
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Affiliation(s)
- Amy Ibrahim
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
| | - Emilia Manko
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
| | - Jamille G. Dombrowski
- Department of Parasitology, Institute of Biomedical Sciences, University
of São Paulo, São Paulo, Brazil
| | - Mónica Campos
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
| | - Ernest Diez Benavente
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
| | - Debbie Nolder
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
- Public Health England Malaria Reference Laboratory, London School of
Hygiene & Tropical Medicine, London, UK
| | - Colin J. Sutherland
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
- Public Health England Malaria Reference Laboratory, London School of
Hygiene & Tropical Medicine, London, UK
| | - Francois Nosten
- Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research
Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Tak,
Thailand
- Centre for Tropical Medicine and Global Health, Nuffield Department of
Clinical Medicine Research Building, University of Oxford Old Road Campus,
Oxford, UK
| | - Diana Fernandez
- Grupo Malaria, Facultad de Medicina, Universidad de Antioquia, Antioquia,
Colombia
| | - Gabriel Vélez-Tobón
- Grupo Malaria, Facultad de Medicina, Universidad de Antioquia, Antioquia,
Colombia
| | | | | | | | - Simone da Silva Santos
- Laboratório de Doenças Parasitárias, Institute Oswaldo Cruz - Fiocruz-
Rio de Janeiro, Brazil
| | - Martha Suarez-Mutis
- Laboratório de Doenças Parasitárias, Institute Oswaldo Cruz - Fiocruz-
Rio de Janeiro, Brazil
| | | | - Andrea Regina de Souza Baptista
- Centro de Investigação de Microrganismos – CIM, Departamento de
Microbiologia e Parasitologia, Universidade Federal Fluminense,
Brazil
| | - Ricardo Luiz Dantas Machado
- Centro de Investigação de Microrganismos – CIM, Departamento de
Microbiologia e Parasitologia, Universidade Federal Fluminense,
Brazil
| | - Claudio R.F. Marinho
- Department of Parasitology, Institute of Biomedical Sciences, University
of São Paulo, São Paulo, Brazil
| | - Taane G. Clark
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
- Faculty of Epidemiology & Population Health, London School of Hygiene
& Tropical Medicine, London, UK
| | - Susana Campino
- Faculty of Infectious & Tropical Diseases, London School of Hygiene
& Tropical Medicine, London, UK
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17
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Amazonian Anopheles with low numbers of oocysts transmit Plasmodium vivax sporozoites during a blood meal. Sci Rep 2022; 12:19442. [PMID: 36376491 PMCID: PMC9663451 DOI: 10.1038/s41598-022-24058-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 11/09/2022] [Indexed: 11/16/2022] Open
Abstract
Anopheles darlingi is the main malarial vector in the Brazilian Amazon region. An. nuneztovari s.l., An. triannulatus s.l., An. evansae, and An. benarrochi s.l. do not have a defined role as malarial vectors, although they have been found to be naturally infected with Plasmodium vivax, and some develop oocysts. In this study, we evaluated the importance of low numbers of oocysts in sporozoite salivary gland invasion and transmission. Field-collected mosquitoes were experimentally infected with P. vivax. The infection rates and oocyst and sporozoite infection intensities were evaluated and compared with those of An. aquasalis. We found the highest number of oocysts in An. darlingi (mean = 39.47) and the lowest in An. nuneztovari s.l. (mean = 2). The highest number of sporozoites was observed in An. darlingi (mean = 610) and lowest in An. benarrochi s.l. (mean = 30). Plasmodium vivax DNA was detected in the saliva of all mosquito species after a blood meal. Regardless of the number of oocysts, all species transmitted sporozoites during blood meals. Considering the abundance of these mosquitoes and transmission of sporozoites, it is logical to assume that An. nuneztovari s.l. and An. triannulatus s.l. are involved in the transmission of P. vivax.
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18
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Arisco NJ, Peterka C, Castro MC. Imported malaria definition and minimum data for surveillance. Sci Rep 2022; 12:17982. [PMID: 36289250 PMCID: PMC9605982 DOI: 10.1038/s41598-022-22590-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 10/17/2022] [Indexed: 01/24/2023] Open
Abstract
The mobility of malaria-infected individuals poses challenges to elimination campaigns by way of spreading parasite drug resistance, straining country-to-country collaboration, and making routine data collection difficult, especially in resource-poor settings. Nevertheless, no concerted effort has been made to develop a common framework to define the spatial and temporal components of an imported malaria case and recommend the minimum data needed to identify it. We conducted a scoping review of imported malaria literature from 2010 to 2020 which showed that definitions vary widely, and local capabilities of detecting importation are often restricted in low-income countries. Following this, we propose a common definition for imported malaria and the minimum data required to identify a case, depending on the country's capability of conducting an epidemiological investigation. Lastly, we utilize the proposed definition using data from Brazil to demonstrate both the feasibility and the importance of tracking imported cases. The case of Brazil highlights the capabilities of regular surveillance systems to monitor importation, but also the need to regularly use these data for informing local responses. Supporting countries to use regularly collected data and adopt a common definition is paramount to tackling the importation of malaria cases and achieving elimination goals set forth by the World Health Organization.
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Affiliation(s)
- Nicholas J Arisco
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Cassio Peterka
- Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brazil
| | - Marcia C Castro
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
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19
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de Aguiar MF, Meireles BM, Monteiro WM, Gonçalves MJF. Malaria in indigenous and non-indigenous patients aged under 15 years between 2007-2018, Amazonas state, Brazil. Rev Soc Bras Med Trop 2022; 55:e06172021. [PMID: 36287509 PMCID: PMC9592102 DOI: 10.1590/0037-8682-0617-2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 06/15/2022] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Malaria is a serious problem in children because the immune system is less developed, thus, causing more severe symptoms. This study aimed to identify factors associated with malaria in indigenous and non-indigenous patients aged under 15 years in Amazonas, Brazil, from 2007 to 2018. METHODS An epidemiological, quantitative, cross-sectional study was conducted. Cases included patients aged under 15 years, using data from health system notifications between 2007 and 2018 in the state of Amazonas, Brazil. The variables included clinical-epidemiological, laboratory findings, and monitoring of cases. The outcome was ethnicity: indigenous, non-indigenous, and entries for which no ethnicity data were provided. A multivariable logistic regression model was used to compare the indigenous and non-indigenous populations. RESULTS Among malaria cases in patients aged under 15 years, there was a greater chance of being indigenous and having the following associated factors: female sex, children aged 0-4 years, passive case surveillance, a high load of parasitemia and the lack of data regarding the level of parasitemia, Plasmodium falciparum infections were more frequent, and timeliness of treatment, i.e., the interval between the onset of symptoms and time of treatment was within 48 hours. CONCLUSIONS The factors associated with malaria are more frequent in indigenous populations and highlight differences according to ethnicity, suggesting that the severity of the disease is attributable to the increased number of malarial infections within this population. As a result, malaria has a greater impact on the health of indigenous people.
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Affiliation(s)
| | | | - Wuelton Marcelo Monteiro
- Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus,
AM, Brasil., Universidade do Estado do Amazonas, Manaus, AM, Brasil
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20
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Meireles ACA, da Silva LR, Simplício MF, de Lima AA, Rios FGF, de Menezes CA, Feitoza LHM, Julião GR. Anopheline diversity in urban and peri-urban malaria foci: comparison between alternative traps and seasonal effects in a city in the Western Brazilian Amazon. Malar J 2022; 21:258. [PMID: 36068530 PMCID: PMC9450372 DOI: 10.1186/s12936-022-04274-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 08/22/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Continuous vector surveillance and sustainable interventions are mandatory in order to prevent anopheline proliferation (or spread to new areas) and interrupt malaria transmission. Anopheline abundance and richness were evaluated in urban and peri-urban malaria foci at a medium-sized city in the Brazilian Amazon, comparing the protected human landing catch technique (PHLC) and alternative sampling methods over different seasonal periods. Additional information was assessed for female feeding behaviour and faunal composition. METHODS Anophelines were sampled bimonthly in four urban and peri-urban sites in the city of Porto Velho, state of Rondônia, Brazil. The average number of captured mosquitoes was compared between an PHLC (gold standard), a tent trap (Gazetrap), and a barrier screen by means of generalized linear mixed models (GLMM), which also included season and environment (peri-urban/urban) as predictors. RESULTS Overall, 2962 Anopheles individuals belonging to 12 species and one complex were caught; Anopheles darlingi represented 86% of the individuals. More mosquitoes were captured in the peri-urban setting, and the urban setting was more diverse. The model estimates that significantly more anophelines were collected by PHLC than by the Screen method, and Gazetrap captured fewer individuals. However, the Screen technique yielded more blood-engorged females. The peak hours of biting activity were from 6 to 7 p.m. in urban areas and from 7 to 8 p.m. in peri-urban areas. CONCLUSIONS Although peri-urban settings presented a greater abundance of anophelines, Shannon and Simpson diversities were higher in urban sites. Each technique proved to be useful, depending on the purpose: PHLC was more effective in capturing the highest anopheline densities, Gazetrap caught the greatest number of species, and the barrier screen technique captured more engorged individuals. There was no seasonal effect on Anopheles assemblage structure; however, a more diverse fauna was caught in the transitional season. Biting activity was more intense from 6 to 8 p.m., with a predominance of An. darlingi.
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Affiliation(s)
- Anne Caroline Alves Meireles
- Postgraduate Program in Experimental Biology (PGBIOEXP), Federal University of Rondônia (UNIR), BR-364, Km 9.5, Porto Velho, RO, 78900-550, Brazil. .,Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil.
| | - Lucas Rosendo da Silva
- Postgraduate Program in Experimental Biology (PGBIOEXP), Federal University of Rondônia (UNIR), BR-364, Km 9.5, Porto Velho, RO, 78900-550, Brazil.,Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil.,INCT-EpiAmO - National Institute of Epidemiology of Western Amazônia, Porto Velho, RO, Brazil
| | - Marlon Ferreira Simplício
- Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil
| | - Alzemar Alves de Lima
- Centro de Pesquisa em Medicina Tropical de Rondônia, CEPEM-RO, Porto Velho, RO, 76812-329, Brazil.,Centro Universitário São Lucas, Porto Velho, RO, 76805-846, Brazil
| | - Flávia Geovana Fontineles Rios
- Postgraduate Program in Experimental Biology (PGBIOEXP), Federal University of Rondônia (UNIR), BR-364, Km 9.5, Porto Velho, RO, 78900-550, Brazil.,Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil
| | - Carla Augusta de Menezes
- Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil
| | - Luiz Henrique Maciel Feitoza
- Postgraduate Program in Experimental Biology (PGBIOEXP), Federal University of Rondônia (UNIR), BR-364, Km 9.5, Porto Velho, RO, 78900-550, Brazil.,Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil
| | - Genimar Rebouças Julião
- Laboratory of Entomology, Oswaldo Cruz Foundation, FIOCRUZ Rondônia, Porto Velho, RO, 76812-245, Brazil.,INCT-EpiAmO - National Institute of Epidemiology of Western Amazônia, Porto Velho, RO, Brazil
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21
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Zimmerman RH, Galardo AKR, Lounibos LP, Galardo C, Bahar AK, van Santen E. Vectorial capacities for malaria in eastern Amazonian Brazil depend on village, vector species, season, and parasite species. Malar J 2022; 21:237. [PMID: 35974410 PMCID: PMC9382821 DOI: 10.1186/s12936-022-04255-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 07/29/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The vector species in the Amazon River Basin are regionally and locally diverse, which makes it imperative to understand and compare their roles in malaria transmission to help select appropriate methods of intervention and evaluation. The major aim of this study was to measure the vectorial capacity of five Anopheles species in three neighbouring villages, for two Plasmodium parasite species affecting humans. METHODS From 32 consecutive months of sampling in three villages, 1.5-7.0 km apart, on the Matapi River, Amapá State, Brazil, vectorial capacities (C) were estimated as time series for An. darlingi, An. marajoara, An. nuneztovari, An. triannulatus, and An. intermedius. Monthly parity measurements for each vector species were used to estimate daily survivorship and compared to estimates of survivorship from mark-release-recapture experiments. Gonotrophic cycle lengths were estimated through a time-series analysis of parity data, and durations of sporogony at study site temperatures for the two malaria parasite species were estimated from previous literature. RESULTS The absolute abundances of five vector species were strongly tracked by the spatial variation in C among villages. Temporally, C varied between wet and dry seasons, with An. darlingi, An. marajoara and An. triannulatus exhibiting higher C in the dry season from August to December, and An. nuneztovari its highest C early in the rainy season in January and February. Anopheles intermedius exhibited higher C in the rainy season from April to June than in the dry season. Significant differences in overall survival for each independent variable, and a significant difference in C between wet and dry seasons, among villages, and among vector species for both Plasmodium falciparum and Plasmodium vivax. A generalized linear mixed model (GLMM) analysis by village showed significant effects of vector species on C in only one village, but significant effects of parasite species in all three. Although the GLMM analysis detected no significant parasite x vector species interaction effects on C, effects on C of spline regressions of C dynamics x vector species interactions were significant in all villages. CONCLUSIONS These detailed analyses of entomological and parasitological variables revealed hidden complexities of malaria epidemiology at local scales in neighbouring riverine villages of the Amazon Region.
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Affiliation(s)
- Robert H. Zimmerman
- Florida Medical Entomology Laboratory, University of Florida/IFAS, 200 9th Street SE, Vero Beach, FL 32962 USA
| | - Allan K. R. Galardo
- Laboratório de Entomologia Médica, Instituto de Pesquisas Científicas E Tecnológicas Do Estado de Amapá-IEPA, Campus do IEPA da Fazendinha-CEP, Macapá, 68912-250 Brazil
| | - L Philip Lounibos
- Florida Medical Entomology Laboratory, University of Florida/IFAS, 200 9th Street SE, Vero Beach, FL 32962 USA
| | - Clicia Galardo
- Laboratório de Entomologia Médica, Instituto de Pesquisas Científicas E Tecnológicas Do Estado de Amapá-IEPA, Campus do IEPA da Fazendinha-CEP, Macapá, 68912-250 Brazil
| | | | - Edzard van Santen
- Agronomy Department and Statistical Consulting Unit, University of Florida/IFAS, Gainesville, FL 32611 USA
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22
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Barboza MFX, Monteiro KHDC, Rodrigues IR, Santos GL, Monteiro WM, Figueira EAG, Sampaio VDS, Lynn T, Endo PT. Prediction of malaria using deep learning models: A case study on city clusters in the state of Amazonas, Brazil, from 2003 to 2018. Rev Soc Bras Med Trop 2022; 55:e0420. [PMID: 35946631 PMCID: PMC9344950 DOI: 10.1590/0037-8682-0420-2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 04/13/2022] [Indexed: 11/22/2022] Open
Abstract
Background: Malaria is curable. Nonetheless, over 229 million cases of malaria were recorded in 2019, along with 409,000 deaths. Although over 42 million Brazilians are at risk of contracting malaria, 99% percent of all malaria cases in Brazil are located in or around the Amazon rainforest. Despite declining cases and deaths, malaria remains a major public health issue in Brazil. Accurate spatiotemporal prediction of malaria propagation may enable improved resource allocation to support efforts to eradicate the disease. Methods: In response to calls for novel research on malaria elimination strategies that suit local conditions, in this study, we propose machine learning (ML) and deep learning (DL) models to predict the probability of malaria cases in the state of Amazonas. Using a dataset of approximately 6 million records (January 2003 to December 2018), we applied k-means clustering to group cities based on their similarity of malaria incidence. We evaluated random forest, long-short term memory (LSTM) and dated recurrent unit (GRU) models and compared their performance. Results: The LSTM architecture achieved better performance in clusters with less variability in the number of cases, whereas the GRU presents better results in clusters with high variability. Although Diebold-Mariano testing suggested that both the LSTM and GRU performed comparably, GRU can be trained significantly faster, which could prove advantageous in practice. Conclusions: All models showed satisfactory accuracy and strong performance in predicting new cases of malaria, and each could serve as a supplemental tool to support regional policies and strategies.
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Affiliation(s)
| | | | | | - Guto Leoni Santos
- Universidade Federal de Pernambuco, Centro de Informática, Recife, PE, Brasil
| | - Wuelton Marcelo Monteiro
- Universidade do Estado do Amazonas, Manaus, AM, Brasil.,Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil
| | - Elder Augusto Guimaraes Figueira
- Fundação de Vigilância em Saúde Rosemary Costa Pinto, Manaus, AM, Brasil.,Instituto Oswaldo Cruz, Programa de Pós-graduação Stricto Sensu em Medicina Tropical, Rio de Janeiro, RJ, Brasil
| | - Vanderson de Souza Sampaio
- Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.,Fundação de Vigilância em Saúde Rosemary Costa Pinto, Manaus, AM, Brasil.,Instituto Todos pela Saúde, São Paulo, SP, Brasil
| | - Theo Lynn
- Dublin City University, Dublin, Ireland
| | - Patricia Takako Endo
- Universidade de Pernambuco, Programa de Pós-Graduação em Engenharia da Computação, Recife, PE, Brasil
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23
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Garcia KKS, Abrahão AA, Oliveira AFDM, Henriques KMDD, de Pina-Costa A, Siqueira AM, Ramalho WM. Malaria time series in the extra-Amazon region of Brazil: epidemiological scenario and a two-year prediction model. Malar J 2022; 21:157. [PMID: 35641976 PMCID: PMC9153870 DOI: 10.1186/s12936-022-04162-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 04/13/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In Brazil, malaria is caused mainly by the Plasmodium vivax and Plasmodium falciparum species. Its transmission occurs in endemic and non-endemic areas. Malaria geography in Brazil has retracted and is now concentrated in the North region. The Brazilian Amazon region accounts for 99% of Brazil's cases. Brazil's extra-Amazon region has a high frequency of imported cases and in 2019 presented a mortality rate 123 times higher than the Amazon region. Extra-Amazon cases present risks of reintroduction. This study aims to characterize the epidemiological scenario for malaria in the extra-Amazon region of Brazil from 2011 to 2020 with a two-year forecast. METHODS Time-series study with description of malaria cases and deaths registered in Brazilian extra-Amazon region from 2011 to 2020. Public data from the Notifiable Diseases Information System (Sinan) and the Mortality Information System (SIM) were used. Descriptive analysis, incidence, and notification rates were calculated. Flow charts analysed the flux between Places of Probable Infection (PI) and places of notification. The prediction model utilized a multiplicative Holt-winters model for trend and seasonality components. RESULTS A total of 6849 cases were registered. Cases were predominantly white males with 9 to 11 years of education, mostly between 30 and 39 years old. Imported cases accounted for 78.9% of cases. Most frequent occupations for imported cases are related to travelling and tourism activities. Among autochthonous cases, there is a higher frequency of agriculture and domestic economic activities. In the period there were 118 deaths due to malaria, of which 34.7% were caused by P. falciparum infections and 48.3% were not specified. The most intense flows of imported cases are from Amazonas and Rondônia to São Paulo, Rio de Janeiro, and Paraná. The prediction estimates around 611 cases for each of the following two years. CONCLUSION The time series allows a vast epidemiological visualization with a short-term prediction analysis that supports public health planning. Government actions need to be better directed in the extra-Amazon region so the objective of eliminating malaria in Brazil is achieved. Carrying out quality assessments for information systems and qualifying personnel is advisable. Malaria outside the Amazon region is mainly due to imported cases and delay in diagnosis is associated with a higher fatality rate. Better strategies to diagnose and treat suspected cases can lead to lower risk of deaths and local outbreaks that will be important for achieving malaria elimination in Brazil.
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Affiliation(s)
| | | | | | | | - Anielle de Pina-Costa
- School of Medicine, Centro Universitário Serra Dos Órgãos (UNIFESO), Teresópolis, RJ, Brazil
| | - André Machado Siqueira
- FIOCRUZ, Evandro Chagas National Institute of Infectious Diseases, Av. Brasil, Rio de Janeiro, RJ, 4365, Brazil
| | - Walter Massa Ramalho
- Tropical Medicine Center, University of Brasilia, Darcy Ribeiro University Campus, Brasília, Brazil
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24
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Prevalencia de malaria gestacional en Ecuador. BIOMÉDICA 2022; 42:127-135. [PMID: 35471175 PMCID: PMC9059921 DOI: 10.7705/biomedica.6184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Indexed: 11/21/2022]
Abstract
Introducción. La malaria gestacional, definida como la presencia de Plasmodium spp. en sangre periférica materna o el hallazgo del parásito en la placenta, es considerada un importante problema de salud pública en las regiones tropicales y subtropicales. Objetivo. Determinar la frecuencia de casos de malaria gestacional diagnosticados en Ecuador entre 2015 y 2018. Materiales y métodos. Se hizo un estudio descriptivo, retrospectivo y transversal. Resultados. Se determinaron 46 casos de malaria gestacional en el período evaluado, 25 por Plasmodium falciparum y 21 por Plasmodium vivax, siendo el 2018 el año con más casos. En cuanto a las variables de edad y trimestre de gestación, prevalecieron en el grupo de 20 a 29 años (46 %) y en el segundo trimestre (37 %). Solo se observó una diferencia significativa entre los casos por año y la especie parasitaria. Conclusión. La malaria gestacional en Ecuador ha aumentado en los últimos cinco años, por lo que es importante informar a las mujeres en estado de gravidez sobre las medidas preventivas para evitar el contagio con el parásito, dadas las graves consecuencias que conlleva para ellas y sus hijos.
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25
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Ayala MJC, Bastos LS, Villela DAM. On multifactorial drivers for malaria rebound in Brazil: a spatio-temporal analysis. Malar J 2022; 21:52. [PMID: 35177095 PMCID: PMC8851784 DOI: 10.1186/s12936-021-04037-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 12/24/2021] [Indexed: 12/03/2022] Open
Abstract
Background Malaria incidence in Brazil reversed its decreasing trend when cases from recent years, as recent as 2015, exhibited an increase in the Brazilian Amazon basin, the area with the highest transmission of Plasmodium vivax and Plasmodium falciparum. In fact, an increase of more than 20% in the years 2016 and 2017 revealed possible vulnerabilities in the national malaria-control programme. Methods Factors potentially associated with this reversal, including migration, economic activities, and deforestation, were studied. Past incidences of malaria cases due to P. vivax and P. falciparum were analysed with a spatio-temporal Bayesian model using more than 5 million individual records of malaria cases from January of 2003 to December of 2018 in the Brazilian Amazon to establish the municipalities with unexpected increases in cases. Results Plasmodium vivax incidence surpassed the past trends in Amazonas (AM), Amapá (AP), Acre (AC), Pará (PA), Roraima (RR), and Rondônia (RO), implying a rebound of these states between 2015 and 2018. On the other hand, P. falciparum also surpassed the past trends in AM, AC, AP, and RR with less severity than P. vivax incidence. Outdoor activities, agricultural activities, accumulated deforestation, and travelling might explain the rebound in malaria cases in RR, AM, PA, and RO, mainly in P. vivax cases. These variables, however, did not explain the rebound of either P. vivax and P. falciparum cases in AC and AP states or P. falciparum cases in RR and RO states. Conclusion The Amazon basin has experienced an unexpected increase in malaria cases, mainly in P. vivax cases, in some regions of the states of Amazonas, Acre, Pará, Amapá, Roraima, and Rondônia from 2015 to 2018 and agricultural activities, outdoor activities, travelling activities, and accumulated deforestation appear linked to this rebound of cases in particular regions with different impact. This shows the multifactorial effects and the heterogeneity of the Amazon basin, boosting the necessity of focusing the malaria control programme on particular social, economic, and environmental conditions. Supplementary Information The online version contains supplementary material available at 10.1186/s12936-021-04037-x.
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Affiliation(s)
- Mario J C Ayala
- Fundação Oswaldo Cruz (Fiocruz), Programa de Computação Científica, Av. Brasil, 4365-Manguinhos, Rio de Janeiro, 21040-900, Brazil
| | - Leonardo S Bastos
- Fundação Oswaldo Cruz (Fiocruz), Programa de Computação Científica, Av. Brasil, 4365-Manguinhos, Rio de Janeiro, 21040-900, Brazil
| | - Daniel A M Villela
- Fundação Oswaldo Cruz (Fiocruz), Programa de Computação Científica, Av. Brasil, 4365-Manguinhos, Rio de Janeiro, 21040-900, Brazil.
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de Almeida NCV, Louzada J, Neves MSAS, Carvalho TM, Castro-Alves J, Silva-do-Nascimento TF, Escalante AA, Oliveira-Ferreira J. Larval habitats, species composition and distribution of malaria vectors in regions with autochthonous and imported malaria in Roraima state, Brazil. Malar J 2022; 21:13. [PMID: 35027049 PMCID: PMC8759267 DOI: 10.1186/s12936-021-04033-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 12/18/2021] [Indexed: 11/10/2022] Open
Abstract
Background Malaria control requires local action. Assessing the vector diversity and abundance provides information on the local malariogenic potential or risk of transmission. This study aimed to determine the Anopheles species composition, habitats, seasonal occurrence, and distribution in areas with autochthonous and imported malaria cases in Roraima State. Methods A longitudinal study was conducted from January 2017 to October 2018, sampling larvae and adult mosquitoes in three municipalities of Roraima State: Boa Vista, Pacaraima and São João da Baliza. These areas have different risks of malaria importation. Four to six mosquito larval habitats were selected for larval sampling at each municipality, along with two additional sites for adult mosquito collection. All larval habitats were surveyed every two months using a standardized larval sampling methodology and MosqTent for adult mosquitoes. Results A total of 544 Anopheles larvae and 1488 adult mosquitoes were collected from the three municipalities studied. Although the species abundance differed between municipalities, the larvae of Anopheles albitarsis s.l., Anopheles nuneztovari s.l. and Anopheles triannulatus s.l. were collected from all larval habitats studied while Anopheles darlingi were collected only from Boa Vista and São João da Baliza. Adults of 11 species of the genus Anopheles were collected, and the predominant species in Boa Vista was An. albitarsis (88.2%) followed by An. darlingi (6.9%), while in São João da Baliza, An. darlingi (85.6%) was the most predominant species followed by An. albitarsis s.l. (9.2%). In contrast, the most abundant species in Pacaraima was Anopheles braziliensis (62%), followed by Anopheles peryassui (18%). Overall, the majority of anophelines exhibited greater extradomicile than peridomicile-biting preference. Anopheles darlingi was the only species found indoors. Variability in biting times was observed among species and municipalities. Conclusion This study revealed the composition of anopheline species and habitats in Boa Vista, Pacaraima and São João da Baliza. The species sampled differed in their behaviour with only An. darlingi being found indoors. Anopheles darlingi appeared to be the most important vector in São João da Baliza, an area of autochthonous malaria, and An. albitarsis s.l. and An. braziliensis in areas of low transmission, although there were increasing reports of imported malaria. Understanding the diversity of vector species and their ecology is essential for designing effective vector control strategies for these municipalities. Supplementary Information The online version contains supplementary material available at 10.1186/s12936-021-04033-1.
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Affiliation(s)
| | - Jaime Louzada
- Universidade Federal de Roraima, Boa Vista, Roraima, Brasil
| | | | - Thiago M Carvalho
- Laboratório de Imunoparasitologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | - Júlio Castro-Alves
- Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | - Ananias A Escalante
- Department of Biology/Institute for Genomics and Evolutionary Medicine (iGEM), Temple University, Philadelphia, PA, USA
| | - Joseli Oliveira-Ferreira
- Laboratório de Imunoparasitologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
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Silva-do-Nascimento TF, Sánchez-Ribas J, Oliveira TMP, Bourke BP, Oliveira-Ferreira J, Rosa-Freitas MG, Lourenço-de-Oliveira R, Marinho-e-Silva M, Neves MSAS, Conn JE, Sallum MAM. Molecular Analysis Reveals a High Diversity of Anopheline Mosquitoes in Yanomami Lands and the Pantanal Region of Brazil. Genes (Basel) 2021; 12:1995. [PMID: 34946944 PMCID: PMC8701885 DOI: 10.3390/genes12121995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 12/06/2021] [Accepted: 12/10/2021] [Indexed: 11/16/2022] Open
Abstract
Identifying the species of the subfamily Anophelinae that are Plasmodium vectors is important to vector and malaria control. Despite the increase in cases, vector mosquitoes remain poorly known in Brazilian indigenous communities. This study explores Anophelinae mosquito diversity in the following areas: (1) a Yanomami reserve in the northwestern Amazon Brazil biome and (2) the Pantanal biome in southwestern Brazil. This is carried out by analyzing cytochrome c oxidase (COI) gene data using Refined Single Linkage (RESL), Assemble Species by Automatic Partitioning (ASAP), and tree-based multi-rate Poisson tree processes (mPTP) as species delimitation approaches. A total of 216 specimens collected from the Yanomami and Pantanal regions were sequenced and combined with 547 reference sequences for species delimitation analyses. The mPTP analysis for all sequences resulted in the delimitation of 45 species groups, while the ASAP analysis provided the partition of 48 groups. RESL analysis resulted in 63 operational taxonomic units (OTUs). This study expands our scant knowledge of anopheline species in the Yanomami and Pantanal regions. At least 18 species of Anophelinae mosquitoes were found in these study areas. Additional studies are now required to determine the species that transmit Plasmodium spp. in these regions.
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Affiliation(s)
- Teresa Fernandes Silva-do-Nascimento
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
| | - Jordi Sánchez-Ribas
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
- Laboratório de Imunoparasitologia, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil
- Distrito Sanitário Especial Indígena Yanomami, Roraima 69301-080, Brazil
| | - Tatiane M. P. Oliveira
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo 01246-904, Brazil;
| | - Brian Patrick Bourke
- Walter Reed Biosystematics Unit, Museum Support Center MRC-534, Smithsonian Institution, 4210 Silver Hill Rd., Suitland, MD 20746, USA;
- Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, USA
- Department of Entomology, Smithsonian Institution—National Museum of Natural History, 10th St. NE & Constitution Ave. NE, Washington, DC 20002, USA
| | - Joseli Oliveira-Ferreira
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
| | - Maria Goreti Rosa-Freitas
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
- Geniac Ltd., São Paulo 01031-902, Brazil
| | - Ricardo Lourenço-de-Oliveira
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
| | - Mariana Marinho-e-Silva
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
- Instituto Nacional da Propriedade Industrial, Rio de Janeiro 20090-910, Brazil
| | - Maycon Sebastião Alberto Santos Neves
- Laboratório de Mosquitos Transmissores de Hematozoários, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil; (T.F.S.-d.-N.); (J.S.-R.); (J.O.-F.); (M.G.R.-F.); (R.L.-d.-O.); (M.M.-e.-S.); (M.S.A.S.N.)
| | - Jan E. Conn
- Wadsworth Center, New York State Department of Health, Albany, NY 12159, USA;
- Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY 12222, USA
| | - Maria Anice Mureb Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo 01246-904, Brazil;
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Ueno TMRL, Lima LNGC, Sardinha DM, Rodrigues YC, de Souza HUS, Teixeira PR, Guimarães RJDPSE, Lima KVB, Ventura AMRDS. Socio-Epidemiological Features and Spatial Distribution of Malaria in an Area under Mining Activity in the Brazilian Amazon Region. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910384. [PMID: 34639684 PMCID: PMC8507758 DOI: 10.3390/ijerph181910384] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 08/20/2021] [Accepted: 09/16/2021] [Indexed: 11/16/2022]
Abstract
Malaria is an acute febrile infectious disease that represents an important public health problem in the Brazilian amazon region. The present study described the socio-epidemiological and spatial characteristics of malaria in a population from the Tapajós mining areas, Pará, Brazilian Amazon. A cross-sectional study, including individuals from Itaituba city, an area under mining activity influence, was conducted. The geographic coordinates were obtained in the field using the Global Positioning System (GPS) Garmin 78csx; for spatial analysis, we used the Kernel Density Estimator with the application of scanning statistics with the SaTScan software. Of the 908 individuals, 311 were positive for malaria. Most of the malaria cases were associated with male individuals, gold miners and with a monthly income of 4-6 salaries. Binary logistic regression analysis demonstrated that gold miners were nearly five times more likely to acquire malaria. In addition, a context of risk for sexually transmitted infections, substance abuse and poor support conditions was observed, worsening the healthcare scenario in this endemic area for malaria. The spatial distribution of malaria cases is irregular in the municipality with hotspot areas located in the Amana Flona that coincide with areas of illegal mining and high human mobility. Finally, the presented socio-epidemiological and spatial distribution data may aid in the development of more effective control measures for malaria in the area.
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Affiliation(s)
- Thalyta Mariany Rêgo Lopes Ueno
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Instituto Evandro Chagas (IEC), Universidade do Estado do Pará (UEPA), Belém 66087-662, Brazil; (L.N.G.C.L.); (Y.C.R.); (K.V.B.L.); (A.M.R.d.S.V.)
- Correspondence: ; Tel.: +55-91-98252-7226
| | - Luana Nepomuceno Gondim Costa Lima
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Instituto Evandro Chagas (IEC), Universidade do Estado do Pará (UEPA), Belém 66087-662, Brazil; (L.N.G.C.L.); (Y.C.R.); (K.V.B.L.); (A.M.R.d.S.V.)
- Seção de Bacteriologia e Micologia (SABMI), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
- Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde (PPGEVS), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
| | - Daniele Melo Sardinha
- Seção de Bacteriologia e Micologia (SABMI), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
- Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde (PPGEVS), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
| | - Yan Corrêa Rodrigues
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Instituto Evandro Chagas (IEC), Universidade do Estado do Pará (UEPA), Belém 66087-662, Brazil; (L.N.G.C.L.); (Y.C.R.); (K.V.B.L.); (A.M.R.d.S.V.)
- Seção de Bacteriologia e Micologia (SABMI), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
| | - Herberto Ueno Seelig de Souza
- Programa de Pós-Graduação em Ciências Florestais (PPGCF), Universidade Federal Rural da Amazônia (UFRA), Belém 66077-830, Brazil;
| | - Paula Ribeiro Teixeira
- Discente do Curso de Licenciatura em Ciências Biológicas, Instituto de Educação, Ciência e Tecnologia do, Pará (IFPA), Itaituba 68183-300, Brazil;
| | - Ricardo José de Paula Souza e Guimarães
- Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde (PPGEVS), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
- Laboratório de Geoprocessamento (LABGEO), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil
| | - Karla Valéria Batista Lima
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Instituto Evandro Chagas (IEC), Universidade do Estado do Pará (UEPA), Belém 66087-662, Brazil; (L.N.G.C.L.); (Y.C.R.); (K.V.B.L.); (A.M.R.d.S.V.)
- Seção de Bacteriologia e Micologia (SABMI), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil;
| | - Ana Maria Revorêdo da Silva Ventura
- Programa de Pós-Graduação em Biologia Parasitária na Amazônia (PPGBPA), Instituto Evandro Chagas (IEC), Universidade do Estado do Pará (UEPA), Belém 66087-662, Brazil; (L.N.G.C.L.); (Y.C.R.); (K.V.B.L.); (A.M.R.d.S.V.)
- Seção de Parasitologia (SAPAR), Instituto Evandro Chagas (IEC), Ananindeua 67030-000, Brazil
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Monteiro EF, Fernandez-Becerra C, Curado I, Wunderlich G, Hiyane MI, Kirchgatter K. Antibody Profile Comparison against MSP1 Antigens of Multiple Plasmodium Species in Human Serum Samples from Two Different Brazilian Populations Using a Multiplex Serological Assay. Pathogens 2021; 10:1138. [PMID: 34578170 PMCID: PMC8470980 DOI: 10.3390/pathogens10091138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 08/31/2021] [Accepted: 09/01/2021] [Indexed: 11/16/2022] Open
Abstract
Plasmodium malariae has a wide geographic distribution, but mainly at very low parasitemias and in co-infections, leading to an underestimated prevalence of this species. Studies for the detection of antibodies against Plasmodium recombinant proteins are increasingly used to map geographical distributions, seroprevalence and transmission intensities of malaria infection. However, no seroepidemiological survey using recombinant P. malariae proteins has been conducted in Brazil. This work evaluated the antibody response in serum samples of individuals from endemic regions of Brazil (the Amazon region and Atlantic Forest) against five recombinant proteins of P. malariae merozoite surface protein 1 (MSP1), and the MSP1 C-terminal portions of P. vivax and P. falciparum, in a multiplex assay. The positivity was 69.5% of samples recognizing at least one MSP1 recombinant protein. The mean of the Reactivity Index for the C-terminal portion of the P. falciparum was significantly higher compared to the other recombinant proteins, followed by the C-terminal of P. vivax and the N-terminal of P. malariae. Among the recombinant P. malariae proteins, the N-terminal of P. malariae showed the highest Reactivity Index alone. This study validates the use of the multiplex assay to measure naturally acquired IgG antibodies against Plasmodium MSP1 proteins and demonstrate that these proteins are important tools for seroepidemiological surveys and could be used in malaria surveillance.
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Affiliation(s)
- Eliana Ferreira Monteiro
- Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil; (E.F.M.); (I.C.)
| | - Carmen Fernandez-Becerra
- ISGlobal, Hospital Clínic—Universitat de Barcelona, 08036 Barcelona, Spain;
- Germans Trias i Pujol Health Science Research Institute (IGTP), 08916 Badalona, Spain
| | - Izilda Curado
- Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil; (E.F.M.); (I.C.)
- Departamento de Laboratórios Especializados, Superintendência de Controle de Endemias, São Paulo 01027-000, Brazil
| | - Gerhard Wunderlich
- Departamento de Parasitologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo 05508-000, Brazil;
| | - Meire Ioshie Hiyane
- Departamento de Imunologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo 05508-900, Brazil;
| | - Karin Kirchgatter
- Instituto de Medicina Tropical, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05403-000, Brazil; (E.F.M.); (I.C.)
- Departamento de Laboratórios Especializados, Superintendência de Controle de Endemias, São Paulo 01027-000, Brazil
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In silico studies of semi-synthetic benzo[a]phenazines as inhibitors of dihydrofolate reductase from Plasmodium falciparum. J Mol Struct 2021. [DOI: 10.1016/j.molstruc.2021.130404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Residual malaria of Atlantic Forest systems and the influence of anopheline fauna. Parasitol Res 2021; 120:2759-2767. [PMID: 34273000 DOI: 10.1007/s00436-021-07238-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 06/29/2021] [Indexed: 10/20/2022]
Abstract
In Brazil, the Amazon region comprises 99.5% of the reported malaria cases. However, another hotspot of the disease is the Atlantic Forest regions, with the sporadic occurrence of autochthonous human cases. In such context, this study sought to investigate the role of anopheline mosquitoes (Diptera: Culicidae) in the residual malaria transmission in Atlantic Forest areas. Two rural areas in the Espírito Santo state were the surveyed sites. Mosquitoes were captured using Shannon trap and CDC light traps and identified into species based on morphological characters. Ecological indexes (Shannon-Wiener diversity, Simpson's dominance, Pielou equability, and Sorensen similarity) were the tools used in the anopheline fauna characterization and comparison along with the two explored areas. The assessment of the sampling adequacy in the studied areas was possible through the generation of a species accumulation curve. A correlation test verified the influence of climatic variables on the anopheline species abundance. A total of 1471 female anopheline mosquitoes were collected from May 2019 to April 2020, representing 13 species. The species richness was higher in Valsugana Velha (hypo-endemic) than in Alto Caparaó (non-endemic). There was a significant variation in the species abundance between Valsugana Velha (n = 1438) and Alto Caparaó (n = 33). The most abundant species was Anopheles (Kerteszia) cruzii complex Dyar and Knab, 1908 representing 87% of the total anophelines collected. These results suggest that the Plasmodium spp. circulation in Brazilian Atlantic Forest areas occurs mainly due to the high frequency of Anopheles (K.) cruzii complex, considered the principal vector of simian and human malaria in the region.
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Oliveira TMP, Laporta GZ, Bergo ES, Chaves LSM, Antunes JLF, Bickersmith SA, Conn JE, Massad E, Sallum MAM. Vector role and human biting activity of Anophelinae mosquitoes in different landscapes in the Brazilian Amazon. Parasit Vectors 2021; 14:236. [PMID: 33957959 PMCID: PMC8101188 DOI: 10.1186/s13071-021-04725-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 04/16/2021] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Environmental disturbance, deforestation and socioeconomic factors all affect malaria incidence in tropical and subtropical endemic areas. Deforestation is the major driver of habitat loss and fragmentation, which frequently leads to shifts in the composition, abundance and spatial distribution of vector species. The goals of the present study were to: (i) identify anophelines found naturally infected with Plasmodium; (ii) measure the effects of landscape on the number of Nyssorhynchus darlingi, presence of Plasmodium-infected Anophelinae, human biting rate (HBR) and malaria cases; and (iii) determine the frequency and peak biting time of Plasmodium-infected mosquitoes and Ny. darlingi. METHODS Anopheline mosquitoes were collected in peridomestic and forest edge habitats in seven municipalities in four Amazon Brazilian states. Females were identified to species and tested for Plasmodium by real-time PCR. Negative binomial regression was used to measure any association between deforestation and number of Ny. darlingi, number of Plasmodium-infected Anophelinae, HBR and malaria. Peak biting time of Ny. darlingi and Plasmodium-infected Anophelinae were determined in the 12-h collections. Binomial logistic regression measured the association between presence of Plasmodium-infected Anophelinae and landscape metrics and malaria cases. RESULTS Ninety-one females of Ny. darlingi, Ny. rangeli, Ny. benarrochi B and Ny. konderi B were found to be infected with Plasmodium. Analysis showed that the number of malaria cases and the number of Plasmodium-infected Anophelinae were more prevalent in sites with higher edge density and intermediate forest cover (30-70%). The distance of the drainage network to a dwelling was inversely correlated to malaria risk. The peak biting time of Plasmodium-infected Anophelinae was 00:00-03:00 h. The presence of Plasmodium-infected mosquitoes was higher in landscapes with > 13 malaria cases. CONCLUSIONS Nyssorhynchus darlingi, Ny. rangeli, Ny. benarrochi B and Ny. konderi B can be involved in malaria transmission in rural settlements. The highest fraction of Plasmodium-infected Anophelinae was caught from midnight to 03:00 h. In some Amazonian localities, the highest exposure to infectious bites occurs when residents are sleeping, but transmission can occur throughout the night. Forest fragmentation favors increases in both malaria and the occurrence of Plasmodium-infected mosquitoes in peridomestic habitat. The use of insecticide-impregnated mosquito nets can decrease human exposure to infectious Anophelinae and malaria transmission.
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Affiliation(s)
- Tatiane M P Oliveira
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil.
| | - Gabriel Z Laporta
- Setor de Pós-Graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC (FMABC), Fundação ABC, Santo André, SP, Brazil
| | - Eduardo S Bergo
- Superintendencia de Controle de Endemias, Secretaria de Estado da Saúde, Araraquara, SP, Brazil
| | - Leonardo Suveges Moreira Chaves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil
| | - José Leopoldo F Antunes
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil
| | | | - Jan E Conn
- Wadsworth Center, New York State Department of Health, Albany, NY, USA
- Department of Biomedical Sciences, School of Public Health, State University of New York, Albany, NY, USA
| | - Eduardo Massad
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, RJ, Brazil
| | - Maria Anice Mureb Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brazil
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Nekkab N, Lana R, Lacerda M, Obadia T, Siqueira A, Monteiro W, Villela D, Mueller I, White M. Estimated impact of tafenoquine for Plasmodium vivax control and elimination in Brazil: A modelling study. PLoS Med 2021; 18:e1003535. [PMID: 33891582 PMCID: PMC8064585 DOI: 10.1371/journal.pmed.1003535] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 01/06/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Despite recent intensification of control measures, Plasmodium vivax poses a major challenge for malaria elimination efforts. Liver-stage hypnozoite parasites that cause relapsing infections can be cleared with primaquine; however, poor treatment adherence undermines drug effectiveness. Tafenoquine, a new single-dose treatment, offers an alternative option for preventing relapses and reducing transmission. In 2018, over 237,000 cases of malaria were reported to the Brazilian health system, of which 91.5% were due to P. vivax. METHODS AND FINDINGS We evaluated the impact of introducing tafenoquine into case management practices on population-level transmission dynamics using a mathematical model of P. vivax transmission. The model was calibrated to reflect the transmission dynamics of P. vivax endemic settings in Brazil in 2018, informed by nationwide malaria case reporting data. Parameters for treatment pathways with chloroquine, primaquine, and tafenoquine with glucose-6-phosphate dehydrogenase deficiency (G6PDd) testing were informed by clinical trial data and the literature. We assumed 71.3% efficacy for primaquine and tafenoquine, a 66.7% adherence rate to the 7-day primaquine regimen, a mean 5.5% G6PDd prevalence, and 8.1% low metaboliser prevalence. The introduction of tafenoquine is predicted to improve effective hypnozoite clearance among P. vivax cases and reduce population-level transmission over time, with heterogeneous levels of impact across different transmission settings. According to the model, while achieving elimination in only few settings in Brazil, tafenoquine rollout in 2021 is estimated to improve the mean effective radical cure rate from 42% (95% uncertainty interval [UI] 41%-44%) to 62% (95% UI 54%-68%) among clinical cases, leading to a predicted 38% (95% UI 7%-99%) reduction in transmission and over 214,000 cumulative averted cases between 2021 and 2025. Higher impact is predicted in settings with low transmission, low pre-existing primaquine adherence, and a high proportion of cases in working-aged males. High-transmission settings with a high proportion of cases in children would benefit from a safe high-efficacy tafenoquine dose for children. Our methodological limitations include not accounting for the role of imported cases from outside the transmission setting, relying on reported clinical cases as a measurement of community-level transmission, and implementing treatment efficacy as a binary condition. CONCLUSIONS In our modelling study, we predicted that, provided there is concurrent rollout of G6PDd diagnostics, tafenoquine has the potential to reduce P. vivax transmission by improving effective radical cure through increased adherence and increased protection from new infections. While tafenoquine alone may not be sufficient for P. vivax elimination, its introduction will improve case management, prevent a substantial number of cases, and bring countries closer to achieving malaria elimination goals.
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Affiliation(s)
- Narimane Nekkab
- Malaria: Parasites and Hosts, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France
| | - Raquel Lana
- Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Marcus Lacerda
- Diretoria de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil
- Instituto Leônidas e Maria Deane, Fundação Oswaldo Cruz, Manaus, Brazil
| | - Thomas Obadia
- Malaria: Parasites and Hosts, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France
| | - André Siqueira
- Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Wuelton Monteiro
- Diretoria de Ensino e Pesquisa, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil
- School of Health Sciences, Universidade do Estado do Amazonas, Manaus, Brazil
| | - Daniel Villela
- Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Ivo Mueller
- Malaria: Parasites and Hosts, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France
- Population Health & Immunity Division, Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia
- Department of Medical Biology, University of Melbourne, Melbourne, Victoria, Australia
| | - Michael White
- Malaria: Parasites and Hosts, Department of Parasites and Insect Vectors, Institut Pasteur, Paris, France
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Rocha EM, Marinotti O, Serrão DM, Correa LV, Katak RDM, de Oliveira JC, Muniz VA, de Oliveira MR, do Nascimento Neto JF, Pessoa MCF, Roque RA, da Mota AJ, Onorati P, Souza-Neto JA, Terenius O, Tadei WP. Culturable bacteria associated with Anopheles darlingi and their paratransgenesis potential. Malar J 2021; 20:40. [PMID: 33441101 PMCID: PMC7805163 DOI: 10.1186/s12936-020-03574-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/29/2020] [Indexed: 02/08/2023] Open
Abstract
Background Malaria remains a major public health problem in South America, mostly in the Amazon region. Among newly proposed ways of controlling malaria transmission to humans, paratransgenesis is a promising alternative. Paratransgenesis aims to inhibit the development of parasites within the vector through the action of genetically modified bacteria. The first step towards successful paratransgenesis in the Amazon is the identification of Anopheles darlingi symbiotic bacteria, which are transmitted vertically among mosquitoes, and are not pathogenic to humans. Methods Culturable bacteria associated with An. darlingi and their breeding sites were isolated by conventional microbiological techniques. Isolated strains were transformed with a GFP expressing plasmid, pSPT-1-GFP, and reintroduced in mosquitoes by feeding. Their survival and persistence in the next generation was assessed by the isolation of fluorescent bacteria from eggs, larvae, pupae and adult homogenates. Results A total of 179 bacterial strains were isolated from samples from two locations, Coari and Manaus. The predominant genera identified in this study were Acinetobacter, Enterobacter, Klebsiella, Serratia, Bacillus, Elizabethkingia, Stenotrophomonas and Pantoea. Two isolated strains, Serratia-Adu40 and Pantoea-Ovo3, were successfully transformed with the pSPT-1-GFP plasmid and expressed GFP. The fluorescent bacteria fed to adult females were transferred to their eggs, which persisted in larvae and throughout metamorphosis, and were detected in adult mosquitoes of the next generation. Conclusion Serratia-Adu40 and Pantoea-Ovo3 are promising candidates for paratransgenesis in An. darlingi. Further research is needed to determine if these bacteria are vertically transferred in nature.
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Affiliation(s)
- Elerson Matos Rocha
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas - PPGBIOTEC / UFAM, Manaus, Brazil
| | | | | | | | - Ricardo de Melo Katak
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas - PPGBIOTEC / UFAM, Manaus, Brazil
| | - Juan Campos de Oliveira
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas - PPGBIOTEC / UFAM, Manaus, Brazil
| | | | | | | | | | - Rosemary Aparecida Roque
- Laboratório de Malária E Dengue, Instituto Nacional de Pesquisas da Amazônia, INPA, Manaus, Brazil
| | - Adolfo Jose da Mota
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas - PPGBIOTEC / UFAM, Manaus, Brazil
| | - Piero Onorati
- Department of Ecology, Swedish University of Agricultural Sciences (SLU), Box 7044, 750 07, Uppsala, Sweden
| | - Jayme A Souza-Neto
- School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Central Multi User Laboratory, São Paulo State University (UNESP), Botucatu, Brazil
| | - Olle Terenius
- Department of Ecology, Swedish University of Agricultural Sciences (SLU), Box 7044, 750 07, Uppsala, Sweden. .,Department of Cell and Molecular Biology, Microbiology, Uppsala University, Box 596, 751 24, Uppsala, Sweden.
| | - Wanderli Pedro Tadei
- Laboratório de Malária E Dengue, Instituto Nacional de Pesquisas da Amazônia, INPA, Manaus, Brazil.
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Pereira-Silva JW, Martins-Campos KM, Sabrina Dos Reis Martins E, de Souza Menezes A, Guimarães Lacerda MV, Costa Pessoa FA, Ríos-Velásquez CM. Long-lasting infectivity of Plasmodium vivax present in malarial patient blood to Anopheles aquasalis. Exp Parasitol 2021; 222:108064. [PMID: 33421382 DOI: 10.1016/j.exppara.2021.108064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 11/18/2020] [Accepted: 01/04/2021] [Indexed: 11/15/2022]
Abstract
Experimental studies for understanding the relationship between Plasmodium vivax and its vector hosts are difficult, because of to the lack of a long-term, in vitro continuous culture system unavailability of infected blood samples, seasonality of the disease, and the concentration of most cases in remote areas. This study evaluates the duration of the infectivity of P. vivax to Anopheles aquasalis after collecting blood from malaria-infected patients. Blood was collected from patients and stored at 4 °C and 37 °C. Every day, for 4 days, the blood was fed to An. aquasalis adult females, and a Giemsa-stained thick blood smear was mounted to account for sexual (gametocytes) and asexual (trophozoites and schizonts) stages and calculate parasitemia. Oocysts in the midgut of the mosquitoes were counted on the seventh day after feeding. Kruskal-Wallis test was used to compare the mean number of oocysts (MO) and the parasite density (PD) in each storage condition and post-infection time-points. The Mann-Whitney test was used to compare the number of oocysts for each day between temperatures. The results show that P. vivax stored at 4 °C and at 37 °C has its infectivity to An. aquasalis preserved for 2 days and 3 days, respectively. Infection rate (IR), PD and MO were higher on the day of blood collection and decreased gradually over time. The parasite density (number of parasites/μL) diminished faster at 4 °C than at 37 °C. In this study, a preservation protocol is shown for long-lasting infectivity of P. vivax in a blood sample taken from malaria-infected patients. These results show that infectivity of P. vivax stored at 4 °C and at 37 °C to An. aquasalis persist until 3 days after blood collection, but parasite density, infection rate, and mean of oocysts decreased 24h after blood collection. Since the malaria cases are increasingly far from the urban areas these results indicate that is possible, losing some infectivity, to realize experimental infections several dozen hours after the blood collection. However, it is necessary to improve the procedures for preserving P. vivax gametocytes for mosquito infection in the laboratory.
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Affiliation(s)
- Jordam William Pereira-Silva
- Lab. Ecologia de Doenças Transmissíveis Na Amazônia, Instituto Leônidas e Maria Deane, Fiocruz Amazônia, Brazil; Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil; PPG Medicina Tropical, Escola Superior de Ciências da Saúde, Universidade Do Estado Do Amazonas, Manaus, Brazil
| | | | | | - Alexandre de Souza Menezes
- Lab. Ecologia de Doenças Transmissíveis Na Amazônia, Instituto Leônidas e Maria Deane, Fiocruz Amazônia, Brazil; PPG Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane, Fiocruz, Manaus, AM, Brazil
| | - Marcus Vinicius Guimarães Lacerda
- Lab. Diagnóstico e Controle de Doenças Infecciosas Na Amazônia, Instituto Leônidas e Maria Deane, Fiocruz Amazônia, Brazil; Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil; PPG Medicina Tropical, Escola Superior de Ciências da Saúde, Universidade Do Estado Do Amazonas, Manaus, Brazil; PPG Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane, Fiocruz, Manaus, AM, Brazil
| | - Felipe Arley Costa Pessoa
- Lab. Ecologia de Doenças Transmissíveis Na Amazônia, Instituto Leônidas e Maria Deane, Fiocruz Amazônia, Brazil; PPG Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane, Fiocruz, Manaus, AM, Brazil
| | - Claudia Maria Ríos-Velásquez
- Lab. Ecologia de Doenças Transmissíveis Na Amazônia, Instituto Leônidas e Maria Deane, Fiocruz Amazônia, Brazil; PPG Medicina Tropical, Escola Superior de Ciências da Saúde, Universidade Do Estado Do Amazonas, Manaus, Brazil; PPG Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane, Fiocruz, Manaus, AM, Brazil.
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Ribeiro de Castro Duarte AM, Fernandes LN, Silva FS, Sicchi IL, Mucci LF, Curado I, Fernandes A, Medeiros-Sousa AR, Ceretti-Junior W, Marrelli MT, Evangelista E, Teixeira R, Summa JL, Nardi MS, Garnica MR, Loss AC, Buery JC, Cerutti Jr. C, Pacheco MA, Escalante AA, Mureb Sallum MA, Laporta GZ. Complexity of malaria transmission dynamics in the Brazilian Atlantic Forest. CURRENT RESEARCH IN PARASITOLOGY & VECTOR-BORNE DISEASES 2021; 1:100032. [PMID: 35284897 PMCID: PMC8906072 DOI: 10.1016/j.crpvbd.2021.100032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 05/07/2021] [Accepted: 05/23/2021] [Indexed: 11/26/2022]
Abstract
Plasmodium malariae and Plasmodium vivax are protozoan parasites that can cause malaria in humans. They are genetically indistinguishable from, respectively, Plasmodium brasilianum and Plasmodium simium, i.e. parasites infecting New World non-human primates in South America. In the tropical rainforests of the Brazilian Atlantic coast, it has long been hypothesized that P. brasilianum and P. simium in platyrrhine primates originated from P. malariae and P. vivax in humans. A recent hypothesis proposed the inclusion of Plasmodium falciparum into the transmission dynamics between humans and non-human primates in the Brazilian Atlantic tropical rainforest. Herein, we assess the occurrence of human malaria in simians and sylvatic anophelines using field-collected samples in the Capivari-Monos Environmental Protection Area from 2015 to 2017. We first tested simian blood and anopheline samples. Two simian (Aloutta) blood samples (18%, n = 11) showed Plasmodium cytb DNA sequences, one for P. vivax and another for P. malariae. From a total of 9,416 anopheline females, we found 17 pools positive for Plasmodium species with a 18S qPCR assay. Only three showed P. cytb DNA sequence, one for P. vivax and the others for rodent malaria species (similar to Plasmodium chabaudi and Plasmodium berghei). Based on these results, we tested 25 rodent liver samples for the presence of Plasmodium and obtained P. falciparum cytb DNA sequence in a rodent (Oligoryzomys sp.) liver. The findings of this study indicate complex malaria transmission dynamics composed by parallel spillover-spillback of human malaria parasites, i.e. P. malariae, P. vivax, and P. falciparum, in the Brazilian Atlantic forest. Human malaria parasites circulate in sylvatic cycles in the Brazilian Atlantic forest. Plasmodium vivax and Plasmodium malariae identified in simian blood samples. Plasmodium falciparum detected in a rodent liver sample. Anopheline vectors found to carry human and rodent malaria parasites. Local vector ecology and biology are key to the spillover-spillback of human malaria parasites.
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Gomes ECDS, Cruz DLD, Santos MAVM, Souza RMC, Oliveira CMFD, Ayres CFJ, Domingos RM, Pedro MDGDS, Paiva MHS, Pimentel LMLM. Outbreak of autochthonous cases of malaria in coastal regions of Northeast Brazil: the diversity and spatial distribution of species of Anopheles. Parasit Vectors 2020; 13:621. [PMID: 33317632 PMCID: PMC7734732 DOI: 10.1186/s13071-020-04502-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 11/25/2020] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Brazil has the fourth highest prevalence of malaria of all countries in the Americas, with an estimated 42 million people at risk of contracting this disease. Although most cases occur in the Amazon region, cases of an autochthonous nature have also been registered in the extra-Amazonian region where Anopheles aquasalis and An. albitarsis are the mosquito species of greatest epidemiological interest. In 2019, the municipality of Conde (state of Paraíba) experienced an epidemic of autochthonous cases of malaria. Here we present preliminary results of an entomological and case epidemiology investigation, in an attempt to correlate the diversity and spatial distribution of species of Anopheles with the autochthonous cases of this outbreak of malaria. METHODS Case data were collected using case report forms made available by the Conde Municipal Health Department. The entomological survey was carried out from July to November 2019. The various methods of capture included the use of battery-powered aspirators, mouth aspirators, Shannon traps, BG-Sentinel traps (with and without dry ice) and CDC light traps. Captured mosquitoes were separated, packaged and sent to the laboratory for sexing and molecular identification of the various species of anophelines. The data were tabulated and analyzed using Microsoft Excel. Spatial analysis of the data was performed using ArcGis 10 software. RESULTS In 2019, 20 autochthonous cases and one imported case of malaria caused by Plasmodium vivax were diagnosed, with three cases of relapses. A total of 3713 mosquitoes were collected, of which 3390 were culicines and 323 were anophelines. Nine species of genus Anopheles were identified, with the most abundant being An. aquasalis (38.9%), followed by An. minor (18.2%) and An. albitarsis (9.0%). Spatial analysis of the data showed that the area could be considered to be at risk of malaria cases and that there was a high prevalence of Anopheles. CONCLUSIONS The results presented indicate that this extra-Amazonian region has an environment conducive to maintenance of the malaria transmission cycle owing to the wide diversity of Anopheles species. This environment in combination with the high influx of people from endemic areas to the study area provides a perfect setting for the occurrence and maintenance of malaria.
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Affiliation(s)
- Elainne Christine de Souza Gomes
- Department of Parasitology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health, Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil.
| | - Derciliano Lopes da Cruz
- Department of Entomology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil
| | - Maria Alice Varjal Melo Santos
- Department of Entomology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil
| | - Renata Maria Costa Souza
- Department of Immunology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health, Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil
| | - Cláudia Maria Fontes de Oliveira
- Department of Entomology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil
| | - Constância Flávia Junqueira Ayres
- Department of Entomology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil
| | - Renata Martins Domingos
- Health Department of Conde/ Paraíba, Rua Paulo da Rocha Barreto, 79 Centro, Conde, PB, 58322-000, Brazil
| | | | - Marcelo Henrique Santos Paiva
- Department of Entomology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil.,Agreste Academic Center, University of Pernambuco, Rodovia BR-104, km 59 Nova Caruaru, Caruaru, PE, 55002-970, Brazil
| | - Lílian Maria Lapa Montenegro Pimentel
- Department of Immunology, Aggeu Magalhães Institute, Fiocruz, Ministry of Health, Brazil, Av. Professor Moraes Rego, s/n Cidade Universitária, Recife, PE, 50740-465, Brazil
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Hutchings RSG, Hutchings RW, Menezes IS, Sallum MAM. Mosquitoes (Diptera: Culicidae) From the Southwestern Brazilian Amazon: Liberdade and Gregório Rivers. JOURNAL OF MEDICAL ENTOMOLOGY 2020; 57:1793-1811. [PMID: 32597474 DOI: 10.1093/jme/tjaa100] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Indexed: 06/11/2023]
Abstract
The mosquito community from remote locations toward the southern border of the Brazilian State of Amazonas, in four localities along the Liberdade and Gregório Rivers, was sampled using CDC and Malaise traps, complemented with net sweeping and immature collections. During May 2011, 190 collections yielded 13,012 mosquitoes, from 15 genera and 112 different species, together with 10 morphospecies, which may represent new undescribed taxa. Among the species collected, there are two new geographical distribution records for the State of Amazonas. Culex, the most abundant genus, also had the highest number of species. Both Aedes and Uranotaenia had the second highest number of species, although they were the second and seventh most abundant, respectively. The most abundant species were Aedes (Ochlerotatus) fulvus (Wiedemann), Aedes (Ochlerotatus) nubilus (Theobald), Culex (Culex) mollis Dyar & Knab, Nyssorhynchus (Nyssorhynchus) oswaldoi sensu lato, Culex (Melanoconion) pedroi Sirivanakarn & Belkin, and Culex (Melanoconion) gnomatos Sallum, Hutchings & Ferreira. The epidemiological implications of mosquito species are discussed and compared with other mosquito inventories from the Amazon region. These results represent the first standardized mosquito inventories of the Liberdade and Gregório Rivers, with the identification of 112 species and 10 morphospecies, within the municipalities of Ipixuna and Eirunepé, from which we have only few records in the published literature.
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Affiliation(s)
- Rosa Sá Gomes Hutchings
- Laboratório de Bionomia e Sistemática de Culicidae, Coordenação de Biodiversidade, Instituto Nacional de Pesquisas da Amazônia, Manaus, AM, Brazil
| | - Roger William Hutchings
- Laboratório de Bionomia e Sistemática de Culicidae, Coordenação de Biodiversidade, Instituto Nacional de Pesquisas da Amazônia, Manaus, AM, Brazil
| | - Isis Sá Menezes
- Laboratório de Bionomia e Sistemática de Culicidae, Coordenação de Biodiversidade, Instituto Nacional de Pesquisas da Amazônia, Manaus, AM, Brazil
| | - Maria Anice Mureb Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
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de Araújo WS, Vieira TM, de Souza GA, Bezerra IC, Corgosinho PHC, Borges MAZ. Nocturnal Mosquitoes of Pará State in the Brazilian Amazon: Species Composition, Habitat Segregation, and Seasonal Variation. JOURNAL OF MEDICAL ENTOMOLOGY 2020; 57:1913-1919. [PMID: 32484514 DOI: 10.1093/jme/tjaa103] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Indexed: 06/11/2023]
Abstract
Mosquitoes (Diptera: Culicidae) are one of the most important disease vector species in the world. Many species have a high degree of anthropophilia and are often found in human habitations. In the present study, we have inventoried the nocturnal mosquito assemblage in intra-, peri-, and extradomicile environments in four municipalities in Pará, Brazil. At each municipality, a residence was selected and the mosquitoes were sampled using the protected human attraction capture and Shannon trap methods in April (rainy season) and August 2018 (dry season). We have collected a total of 696 mosquito specimens belonging to 8 genera and 17 species. The most abundant species were Mansonia (Mansonoides) titillans (Walker) (366/696, 52.6%), Anopheles (Nyssorhynchus) albitarsis Lynch-Arribálzaga (97/696, 13.9%), and Culex (Culex) quinquefasciatus Say (93/696, 13.4%). Mosquito richness, abundance, and composition did not differ between intra-, peri-, and extradomicile environments suggesting limited habitat segregation among the different species. However, mosquito species richness and mosquito species abundance were significantly higher during the rainy season than during the dry season, suggesting increased mosquito activity during the rainy season. We detected several important vector species of human diseases including Aedes (Stegomyia) aegypti (Linnaeus), Anopheles (Nyssorhynchus) darlingi Root, Haemagogus (Conopostegus) leucocelaenus (Dyar and Shannon), Coquillettidia (Coquillettidia) venezuelensis (Theobald), and Culex (Culex) quinquefasciatus which are the main transmitters of dengue, malaria, yellow fever, mayaro, and oropouche fever, respectively. As inventories of disease-carrying mosquitoes in the region are very scarce, mainly in residential environments, our results suggest high potential for mosquito-borne disease transmission in Pará State.
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Affiliation(s)
- Walter Santos de Araújo
- Departamento de Biologia Geral, Centro de Ciências Biológicas e da Saúde, Minas Gerais, Brazil
| | - Thallyta Maria Vieira
- Departamento de Biologia Geral, Centro de Ciências Biológicas e da Saúde, Minas Gerais, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, Minas Gerais, Brazil
| | - Guilherme Antunes de Souza
- Programa de Pós-Graduação em Biodiversidade e Uso dos Recursos Naturais, Universidade Estadual de Montes Claros, Montes Claros, Minas Gerais, Brazil
| | - Isaque Clementino Bezerra
- Instituto Federal de Educação, Ciência e Tecnologia do Norte de Minas Gerais, Januária, Minas Gerais, Brazil
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Gomes MFC, Codeço CT, Bastos LS, Lana RM. Measuring the contribution of human mobility to malaria persistence. Malar J 2020; 19:404. [PMID: 33176792 PMCID: PMC7659106 DOI: 10.1186/s12936-020-03474-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 10/31/2020] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND To achieve malaria elimination, it is important to determine the role of human mobility in parasite transmission maintenance. The Alto Juruá basin (Brazil) exhibits one of the largest vivax and falciparum malaria prevalence in the Amazon. The goal of this study was to estimate the contribution of human commutes to malaria persistence in this region, using data from an origin-destination survey. METHODS Data from an origin-destination survey were used to describe the intensity and motivation for commutations between rural and urban areas in two Alto Juruá basin (Brazil) municipalities, Mâncio Lima and Rodrigues Alves. The relative time-person spent in each locality per household was estimated. A logistic model was developed to estimate the effect of commuting on the probability of contracting malaria for a certain residence zone inhabitant commuting to another zone. RESULTS The main results suggest that the assessed population is not very mobile. A total of [Formula: see text] households reported spending over [Formula: see text] of their annual person-hour in areas within the same residence zone. Study and work were the most prevalent commuting motivations, calculated at [Formula: see text] and [Formula: see text] respectively. Spending person-hours in urban Rodrigues Alves conferred relative protection to urban Mâncio Lima residents. The opposite effect was observed for those spending time in rural areas of both municipalities. CONCLUSION Residence area is a stronger determinant for contracting malaria than commuting zones in the Alto Juruá region. As these municipalities are a hotspot for Plasmodium transmission, understanding the main local human fluxes is essential for planning control strategies, since the probability of contracting malaria is dependent on the transmission intensity of both the origin and the displacement area. The natural conditions for the circulation of certain pathogens, such as Plasmodium spp., combined with the Amazon human mobility pattern indicate the need for disease control perspective changes. Therefore, intersectoral public policies should become the basis for health mitigation actions.
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Affiliation(s)
- Marcelo F C Gomes
- Programa de Computação Científica, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, 21040-900, Rio de Janeiro, Brazil.
| | - Cláudia T Codeço
- Programa de Computação Científica, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, 21040-900, Rio de Janeiro, Brazil
| | - Leonardo S Bastos
- Programa de Computação Científica, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, 21040-900, Rio de Janeiro, Brazil
| | - Raquel M Lana
- Programa de Computação Científica, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, 21040-900, Rio de Janeiro, Brazil
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Meireles BM, de Souza Sampaio V, Monteiro WM, Gonçalves MJF. Factors associated with malaria in indigenous populations: A retrospective study from 2007 to 2016. PLoS One 2020; 15:e0240741. [PMID: 33085704 PMCID: PMC7577477 DOI: 10.1371/journal.pone.0240741] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 10/01/2020] [Indexed: 12/04/2022] Open
Abstract
Background In Brazil malaria is most frequent in the Amazon region, mainly in the Amazonas state, where it is found the most proportion of indigenous people of the whole country. It is remarkable publications about malaria in the Amazon, although information on malaria in indigenous populations is still poorly explored. Objective Identify factors associated with malaria in indigenous populations. Methods Cross-sectional study of positive cases of malaria in the state of Amazonas, Brazil, from 2007 to 2016. Secondary data were obtained from the Epidemiological Surveillance Information System for Malaria and from the Mortality Information System, both from Brazil. To tackle with race missing data, cases with no race fulfilled were classified according to the probable location where infection occurred. This way, was imputed indigenous race for those which the probable infection location was indigenous village (aldeia). Variables tested with race were: sex, age, schooling, microscope surveillance slide type, parasitic infection species, parasitemia level, and timeliness of treatment. Multivariate logistic regression was used. Results A total of 1,055,852 cases of malaria were notified in the state of Amazonas. Among the factors that associate malaria and indigenous peoples, the most significant were sex, children and high levels of parasitemia. The magnitude of Plasmodium vivax infection is higher than Plasmodium falciparum, although this parasite was more frequent in indigenous than other races. In regards to mortality, 109 deaths were registered, most of them related to P. vivax. Conclusion The findings underscore the importance of look at indigenous people differently of other races. The associated factors highlight a profile of cases severity, because of highest parasitemia, many cases of P. falciparum although high frequency of P. vivax, and children. Furthermore, the mortality in indigenous, specially in older people is worrying
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Affiliation(s)
- Bruna Martins Meireles
- Escola de Enfermagem de Manaus, Universidade Federal do Amazonas, Manaus, Amazonas, Brazil
| | - Vanderson de Souza Sampaio
- Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil
- Fundação de Vigilância em Saúde do Estado do Amazonas, Manaus, Amazonas, Brazil
| | - Wuelton Marcelo Monteiro
- Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil
| | - Maria Jacirema Ferreira Gonçalves
- Escola de Enfermagem de Manaus, Universidade Federal do Amazonas, Manaus, Amazonas, Brazil
- Instituto Leônidas & Maria Deane/Fiocruz, Manaus, Brazil
- * E-mail:
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Rocha EM, Katak RDM, Campos de Oliveira J, Araujo MDS, Carlos BC, Galizi R, Tripet F, Marinotti O, Souza-Neto JA. Vector-Focused Approaches to Curb Malaria Transmission in the Brazilian Amazon: An Overview of Current and Future Challenges and Strategies. Trop Med Infect Dis 2020; 5:E161. [PMID: 33092228 PMCID: PMC7709627 DOI: 10.3390/tropicalmed5040161] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 10/10/2020] [Accepted: 10/13/2020] [Indexed: 01/05/2023] Open
Abstract
In Brazil, malaria transmission is mostly confined to the Amazon, where substantial progress has been made towards disease control in the past decade. Vector control has been historically considered a fundamental part of the main malaria control programs implemented in Brazil. However, the conventional vector-control tools have been insufficient to control or eliminate local vector populations due to the complexity of the Amazonian rainforest environment and ecological features of malaria vector species in the Amazon, especially Anopheles darlingi. Malaria elimination in Brazil and worldwide eradication will require a combination of conventional and new approaches that takes into account the regional specificities of vector populations and malaria transmission dynamics. Here we present an overview on both conventional and novel promising vector-focused tools to curb malaria transmission in the Brazilian Amazon. If well designed and employed, vector-based approaches may improve the implementation of malaria-control programs, particularly in remote or difficult-to-access areas and in regions where existing interventions have been unable to eliminate disease transmission. However, much effort still has to be put into research expanding the knowledge of neotropical malaria vectors to set the steppingstones for the optimization of conventional and development of innovative vector-control tools.
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Affiliation(s)
- Elerson Matos Rocha
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas—PPGBIOTEC/UFAM, Manaus 69067-005, Brazil; (E.M.R.); (R.d.M.K.); (J.C.d.O.)
| | - Ricardo de Melo Katak
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas—PPGBIOTEC/UFAM, Manaus 69067-005, Brazil; (E.M.R.); (R.d.M.K.); (J.C.d.O.)
| | - Juan Campos de Oliveira
- Programa de Pós-Graduação em Biotecnologia, Universidade Federal do Amazonas—PPGBIOTEC/UFAM, Manaus 69067-005, Brazil; (E.M.R.); (R.d.M.K.); (J.C.d.O.)
| | - Maisa da Silva Araujo
- Laboratory of Medical Entomology, Oswaldo Cruz Foundation, FIOCRUZ RONDONIA, Porto Velho, RO 76812-245, Brazil;
| | - Bianca Cechetto Carlos
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil;
- Central Multiuser Laboratory, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
| | - Roberto Galizi
- Centre of Applied Entomology and Parasitology, School of Life Sciences, Keele University, Staffordshire ST5 5GB, UK; (R.G.); (F.T.)
| | - Frederic Tripet
- Centre of Applied Entomology and Parasitology, School of Life Sciences, Keele University, Staffordshire ST5 5GB, UK; (R.G.); (F.T.)
| | | | - Jayme A. Souza-Neto
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil;
- Central Multiuser Laboratory, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
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Massad E, Laporta GZ, Conn JE, Chaves LS, Bergo ES, Figueira EAG, Bezerra Coutinho FA, Lopez LF, Struchiner C, Sallum MAM. The risk of malaria infection for travelers visiting the Brazilian Amazonian region: A mathematical modeling approach. Travel Med Infect Dis 2020; 37:101792. [PMID: 32771653 DOI: 10.1016/j.tmaid.2020.101792] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 05/30/2020] [Accepted: 06/15/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Human mobility between malaria endemic and malaria-free areas can hinder control and elimination efforts in the Amazon basin, maintaining Plasmodium circulation and introduction to new areas. METHODS The analysis begins by estimating the incidence of malaria in areas of interest. Then, the risk of infection as a function of the duration of stay after t0 was calculated as the number of infected travelers over the number of arrived travelers. Differential equations were employed to estimate the risk of nonimmune travelers acquiring malaria in Amazonian municipalities. Risk was calculated as a result of the force of the infection in terms of local dynamics per time of arrival and duration of visit. RESULTS Maximum risk occurred at the peak or at the end of the rainy season and it was nonlinearly (exponentially) correlated with the fraction of infected mosquitoes. Relationship between the risk of malaria and duration of visit was linear and positively correlated. Relationship between the risk of malaria and the time of arrival in the municipality was dependent on local effects of seasonality. CONCLUSIONS The risk of nonimmune travelers acquiring malaria is not negligible and can maintain regional circulation of parasites, propagating introductions in areas where malaria has been eliminated.
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Affiliation(s)
- Eduardo Massad
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
| | - Gabriel Zorello Laporta
- Setor de Pós-graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC, Fundação do ABC, Santo André, SP, Brazil
| | - Jan Evelyn Conn
- Wadsworth Center, New York State Department of Health, Albany, NY, USA
| | - Leonardo Suveges Chaves
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Eduardo Sterlino Bergo
- Superintendência de Controle de Endemias, Secretaria de Estado da Saúde de São Paulo, Araraquara, SP, Brazil
| | | | | | | | - Claudio Struchiner
- Escola de Matemática Aplicada, Fundação Getúlio Vargas, Rio de Janeiro, Brazil
| | - Maria Anice Mureb Sallum
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
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Sucena LMDA, Batista AGC, Machado CJ. Shah S. The fever: how malaria has ruled humankind for 500,000 years. India: Penguin Random House India; 2018. CIENCIA & SAUDE COLETIVA 2020. [DOI: 10.1590/1413-81232020256.20542019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Phylogeny of Anopheles ( Kerteszia) (Diptera: Culicidae) Using Mitochondrial Genes. INSECTS 2020; 11:insects11050324. [PMID: 32456322 PMCID: PMC7290731 DOI: 10.3390/insects11050324] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 05/19/2020] [Accepted: 05/21/2020] [Indexed: 11/21/2022]
Abstract
Identification of mosquito species is necessary for determining the entomological components of malaria transmission, but it can be difficult in morphologically similar species. DNA sequences are largely used as an additional tool for species recognition, including those that belong to species complexes. Kerteszia mosquitoes are vectors of human and simian malaria in the Neotropical Region, but there are few DNA sequences of Kerteszia species in public databases. In order to provide relevant information about diversity and improve knowledge in taxonomy of Kerteszia species in Peru, we sequenced part of the mitochondrial genome, including the cytochrome c oxidase I (COI) barcode region. Phylogenetic analyses structured all species of mosquitoes collected in Peru into a single clade, separate from the Brazilian species. The Peruvian clade was composed of two lineages, encompassing sequences from Anopheles (Kerteszia) boliviensis and Anopheles (Kerteszia) pholidotus. An. pholidotus sequences were recorded for the first time in Peru, whereas An. boliviensis sequences were for the first time published in the GenBank database. Sequences generated from specimens morphologically identified as Anopheles (Kerteszia) cruzii clustered into three separate clades according to the collection localities of Serra do Mar, Serra da Mantiqueira, and Serra da Cantareira, confirming An. cruzii as a species complex, composed of at least three putative species.
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Soares RR, Nakaie CR, Rodrigues-da-Silva RN, da Silva RL, Lima-Junior JDC, Scopel KKG. Main B-cell epitopes of PvAMA-1 and PvMSP-9 are targeted by naturally acquired antibodies and epitope-specific memory cells in acute and convalescent phases of vivax malaria. Parasite Immunol 2020; 42:e12705. [PMID: 32096238 DOI: 10.1111/pim.12705] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Revised: 01/30/2020] [Accepted: 02/11/2020] [Indexed: 01/11/2023]
Abstract
Although antibodies are considered critical for malaria protection, little is known about the mechanisms/factors that maintain humoral immunity, especially regarding the induction and maintenance of memory B cells over time. In Brazilian endemic areas, this is the first time that the profile of antibody responses and the occurrence of antigen-specific memory B cells (MBC) against P vivax were investigated during acute malaria and up to six months after parasite clearance. For this, we selected two peptides, PvAMA-1(S290-K307) and PvMSP-9(E795-A808) , which represent the apical membrane antigen-1 and merozoite surface protein-9 of P vivax, respectively. Both peptides were previously described as containing linear B-cell epitopes. Our findings were as follows: 1-both peptides were recognized by IgG antibodies at a high frequency (between 24% and 81%) in all study groups; 2-in the absence of infection, the IgG levels remained stable throughout 6 months of follow-up; and 3-PvAMA-1(S290-K307) and PvMSP-9(E795-A808) -specific MBCs were detected in all individual groups in the absence of reinfection throughout the follow-up period, suggesting long-lived MBC. However, no positive association was observed between malaria-specific antibody levels and frequency of MBCs over time. Taken together, these results suggest that peptides can be, in the future, an alternative strategy to polypeptidic vaccine formulation.
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Affiliation(s)
- Roberta Reis Soares
- Department of Parasitology, Microbiology and Immunology, Institute of Biological Sciences, Federal University of Juiz de For a, Juiz de For a, Brazil
| | - Clovis Ryuichi Nakaie
- Departament of Biophysics, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | | | - Rogério Lauria da Silva
- Departament of Biophysics, Paulista School of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | | | - Kézia Katiani Gorza Scopel
- Department of Parasitology, Microbiology and Immunology, Institute of Biological Sciences, Federal University of Juiz de For a, Juiz de For a, Brazil
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Dos Santos EH, Yamamoto L, Domingues W, di Santi SM, Kanunfre KA, Okay TS. A new Real Time PCR with species-specific primers from Plasmodium malariae/P. brasilianum mitochondrial cytochrome b gene. Parasitol Int 2020; 76:102069. [PMID: 32032726 DOI: 10.1016/j.parint.2020.102069] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 01/17/2020] [Accepted: 02/03/2020] [Indexed: 10/25/2022]
Abstract
Plasmodium malariae mainly causes asymptomatic submicroscopic parasitemia in the endemic Amazon and non-endemic Atlantic Forest, where the number of cases and transmission of malaria through blood transfusion has increased. This study developed a P. malariae/P. brasilianum Real Time PCR (rtPCR) targeting the cytochrome b oxidase (cytb), a highly repetitive gene (20-150 copies/parasite) that should detect more cases than the 18S rRNA (4-8 copies/parasite) gene-based amplification systems. Cytb from human and non-human Plasmodium species (including P. brasilianum) aligned to the only 20 African P. malariae cytb sequences identified polymorphic regions within which we designed P. malariae species-specific primers. Non-human Plasmodium species, related parasites, anemia-causing microorganisms, normal human DNA and 47 blood bank donors samples that were truly negative to malaria accessed rtPCR specificity. Truly positive samples (n = 101) with species identification by semi-nested, nested or TaqMan PCR, and four samples from the Atlantic Forest that were suspected of malaria but three of them had negative genus TaqMan and 18S rRNA nested PCR. The cloned amplification product used in standard curves determined qPCR detection limit (0.5-1 parasite equivalent/μL). The 10 positive P. malariae samples among truly positives yielded positive rtPCR results and more importantly, rtPCR detected the four samples suspected of malaria from the Atlantic Forest. The rtPCR specificity was 100%, reproducibility 11.1% and repeatability 6.7%. In conclusion, the proposed rtPCR is fast, apparently more sensitive than all 18S rRNA amplification systems for detecting extremely low parasitemia. The rtPCR is also specific to P. malariae/P. brasilianum species. This new molecular tool could be applied to the detection of P. malariae/brasilianum infections with submicroscopic parasitemias in the context of epidemiological studies and blood bank safety programs.
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Affiliation(s)
| | - Lidia Yamamoto
- Instituto de Medicina Tropical, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Wilson Domingues
- Instituto de Medicina Tropical, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Silvia Maria di Santi
- Instituto de Medicina Tropical, Universidade de São Paulo, São Paulo, SP, Brazil; Núcleo de Estudos em Malária, Superintendência de Controle de Endemias (SUCEN), São Paulo, SP, Brazil; Departamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Kelly Aparecida Kanunfre
- Instituto de Medicina Tropical, Universidade de São Paulo, São Paulo, SP, Brazil; LIM 48, Laboratório de Investigação Médica, Departamento de Moléstias Infecciosas e Parasitárias, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Thelma Suely Okay
- Instituto de Medicina Tropical, Universidade de São Paulo, São Paulo, SP, Brazil; Departamento de Pediatria, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.
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Minimal genetic differentiation of the malaria vector Nyssorhynchus darlingi associated with forest cover level in Amazonian Brazil. PLoS One 2019; 14:e0225005. [PMID: 31725789 PMCID: PMC6855485 DOI: 10.1371/journal.pone.0225005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 10/25/2019] [Indexed: 12/05/2022] Open
Abstract
The relationship between deforestation and malaria in Amazonian Brazil is complex, and a deeper understanding of this relationship is required to inform effective control measures in this region. Here, we are particularly interested in characterizing the impact of land use and land cover change on the genetics of the major regional vector of malaria, Nyssorhynchus darlingi (Root). We used nextera-tagmented, Reductively Amplified DNA (nextRAD) genotyping-by-sequencing to genotype 164 Ny. darlingi collected from 16 collection sites with divergent forest cover levels in seven municipalities in four municipality groups that span the state of Amazonas in northwestern Amazonian Brazil: São Gabriel da Cachoeira, Presidente Figueiredo, four municipalities in the area around Cruzeiro do Sul, and Lábrea. Using a dataset of 5,561 Single Nucleotide Polymorphisms (SNPs), we investigated the genetic structure of these Ny. darlingi populations with a combination of model- and non-model-based analyses. We identified weak to moderate genetic differentiation among the four municipality groups. There was no evidence for microgeographic genetic structure of Ny. darlingi among forest cover levels within the municipality groups, indicating that there may be gene flow across areas of these municipalities with different degrees of deforestation. Additionally, we conducted an environmental association analysis using two outlier detection methods to determine whether individual SNPs were associated with forest cover level without affecting overall population genetic structure. We identified 14 outlier SNPs, and investigated functions associated with their proximal genes, which could be further characterized in future studies.
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Castro MC, Baeza A, Codeço CT, Cucunubá ZM, Dal’Asta AP, De Leo GA, Dobson AP, Carrasco-Escobar G, Lana RM, Lowe R, Monteiro AMV, Pascual M, Santos-Vega M. Development, environmental degradation, and disease spread in the Brazilian Amazon. PLoS Biol 2019; 17:e3000526. [PMID: 31730640 PMCID: PMC6881077 DOI: 10.1371/journal.pbio.3000526] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Revised: 11/27/2019] [Indexed: 12/03/2022] Open
Abstract
The Amazon is Brazil's greatest natural resource and invaluable to the rest of the world as a buffer against climate change. The recent election of Brazil's president brought disputes over development plans for the region back into the spotlight. Historically, the development model for the Amazon has focused on exploitation of natural resources, resulting in environmental degradation, particularly deforestation. Although considerable attention has focused on the long-term global cost of "losing the Amazon," too little attention has focused on the emergence and reemergence of vector-borne diseases that directly impact the local population, with spillover effects to other neighboring areas. We discuss the impact of Amazon development models on human health, with a focus on vector-borne disease risk. We outline policy actions that could mitigate these negative impacts while creating opportunities for environmentally sensitive economic activities.
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Affiliation(s)
- Marcia C. Castro
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America
| | - Andres Baeza
- Center for Global Discovery and Conservation Science (GDCS), Arizona State University, Tempe, Arizona, United States of America
| | | | - Zulma M. Cucunubá
- MRC Centre for Global Infectious Disease Analysis (MRC GIDA), Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom
| | - Ana Paula Dal’Asta
- Instituto Nacional de Pesquisas Espaciais, São José dos Campos, São Paulo, Brazil
| | - Giulio A. De Leo
- Woods Institute for the Environment and Hopkins Marine Station of Stanford University, Pacific Grove, California, United States of America
| | - Andrew P. Dobson
- Department of Ecology and Evolutionary Biology, Princeton University, Princeton, New Jersey, United States of America
| | - Gabriel Carrasco-Escobar
- Institute of Tropical Medicine “Alexander von Humboldt,” Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Raquel Martins Lana
- Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Rachel Lowe
- Centre on Climate Change and Planetary Health & Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom
- Barcelona Institute for Global Health, Barcelona, Spain
| | | | - Mercedes Pascual
- Department of Ecology and Evolution, University of Chicago, Chicago, Illinois, United States of America
| | - Mauricio Santos-Vega
- Departamento de Ingeniería Biomédica, Grupo de Investigación en Biología Matemática y Computacional BIOMAC, Universidad de los Andes, Bogotá, Colombia
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Demari-Silva B, Laporta GZ, Oliveira T, Sallum M. Plasmodium infection in Kerteszia cruzii (Diptera: Culicidae) in the Atlantic tropical rain forest, southeastern Brazil. INFECTION GENETICS AND EVOLUTION 2019; 78:104061. [PMID: 31683005 DOI: 10.1016/j.meegid.2019.104061] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 09/28/2019] [Accepted: 10/02/2019] [Indexed: 01/19/2023]
Abstract
In Southeastern Brazil, Kerteszia cruzii (former Anopheles cruzii), a bromeliad mosquito species, is considered an efficient human Plasmodium spp. vector. In this region, recent studies showed asymptomatic or sub-patent Plasmodium falciparum infection. In areas of the Atlantic coast in Rio de Janeiro, Plasmodium simium infection was recently reported in both human and howler monkey. Considering that (1) few malaria cases are reported each year in areas across the tropical Atlantic rain forest in southeastern Brazil; (2) malaria elimination in Atlantic forest is challenged by circulation of P. falciparum and P. simium in humans; (3) the complexity of malaria epidemiology in this region; and (4) the public health importance of Kerteszia cruzii as a sylvatic vector; the major goal of this study is to evaluate Plasmodium infection in Ke. cruzii. Mosquito sampling collections were conducted in Esteiro do Morro and Sítio Itapuan, in Cananeia municipality, and Tapiraí municipality in Ribeira Valley, southeastern São Paulo state, Brazil. Influence of climate and landscape factors in Plasmodium infection in Ke. cruzii was addressed. Among the 1719 mosquitoes tested, 3 females collected in Sítio Itapuan and three from Tapiraí were found infected with either P. vivax or P. simium. Results of statistical analyses did not demonstrate association between Plasmodium infection in mosquito and the landscape. Mosquito infection was found in two landscape clusters, with Plasmodium detected in forest fringe mosquitoes. This finding shows that Ke. cruzii can facilitate transmission among human and non-human primates. Plasmodium falciparum was not identified in the samples analyzed. Spatiotemporal variation in local malaria incidence, low prevalence of Plasmodium, variations in humidity and temperature can explain the absence of mosquitoes infected with P. falciparum in the study.
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Affiliation(s)
- B Demari-Silva
- Faculdade de Saúde Pública, Departamento de Epidemiologia. Av. Dr. Arnaldo - 715, São Paulo, SP, CEP 01246-904, Brazil.
| | - G Z Laporta
- Centro Universitário Saúde ABC da Fundação ABC, Setor de Pós-graduação, Pesquisa e Inovação. Av. Lauro Gomes, 2000, Santo André, SP, CEP, 09060-870, Brazil.
| | - Tmp Oliveira
- Faculdade de Saúde Pública, Departamento de Epidemiologia. Av. Dr. Arnaldo - 715, São Paulo, SP, CEP 01246-904, Brazil.
| | - Mam Sallum
- Faculdade de Saúde Pública, Departamento de Epidemiologia. Av. Dr. Arnaldo - 715, São Paulo, SP, CEP 01246-904, Brazil.
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