Poor vector competence of the human flea, Pulex irritans, to transmit Yersinia pestis

Current knowledge on fleas (Siphonaptera) associated with human plague transmission in Madagascar

Fleas are ectoparasites of mammals and birds. Some species are known for their medical and veterinary importance. Particularly for humans and domestic animals, fleas are often merely nuisance species, but may also be disease vectors. Some well-known infectious diseases are transmitted from animals to humans by flea bites: murine typhus, spotted-fever, bartonelloses and plague. Particularly for plague, more than 80 species were reported vectors in the world and some are internationally renowned and have been the focus of studies over decades. In Madagascar, fleas are associated with two diseases namely tungiasis and plague. Tungiasis is neglected while it affects many primarily rural districts of the country. Plague is a public health concern and endemic districts are mainly focused in the highland regions. Although more than 40 flea species occur in Madagascar, this paper is focused on some species that are confirmed or suspected vectors of plague bacteria (Yersinia pestis Lehmann and Neumann, 1896) in Madagascar namely Xenopsylla cheopis Rothschild, 1903, X. brasiliensis Baker, 1904, Synopsyllus fonquerniei Wagner and Roubaud, 1932, S. estradei Klein, 1964, Pulex irritans Linnaeus, 1758 and Paractenopsyllus pauliani Lumaret, 1962, and reviews their origins and geographic distributions, bioecology, host preferences, vector competence regarding Y. pestis, and their roles in pathogen transmission.

Brazilian fleas (Hexapoda: Siphonaptera): diversity, host associations, and new records on small mammals from the Atlantic Rainforest, including Rickettsia screening

BACKGROUND

Insects belonging to the Siphonaptera order are obligatory ectoparasites of vertebrates, including humans. Their life cycle is marked by holometabolous development, and adults are adapted to have a bloodmeal out of their hosts. The objective of this study is to review the families occurring in Brazil with their species and report new records from fleas collected in an Atlantic Rainforest preserved area, including Rickettsia sp. monitoring.

METHODS

Literature research was carried out, including journal articles and books available in scientific databases. The sample collection took place at Legado das Águas-Reserva Votorantim private reserve, where wild rodents, marsupials, and bats were captured and inspected for the presence of fleas. The fleas were identified, and their genetic material was extracted and subjected to two polymerase chain reactions (PCRs): an endogenous control to validate the extraction and a Rickettsia screening.

RESULTS

A total of 8 families were reviewed, resulting in 63 valid species that interact with a wide range of hosts. Among the collected fleas, 7 species were identified as interacting with 19 different host genera belonging to the Rodentia, Didelphimorphia, and Chiroptera orders. We highlight the presence of 2 new locality records and 15 new host interactions. Of the collected fleas, 105 specimens were tested individually for Rickettsia bacteria, but none showed expected amplicons for the bacterium.

CONCLUSIONS

This study provides an extensive revision of the Siphonaptera order present in Brazil with new insights, since the last robust revision made was from 2000, along with new information regarding host association and locality based on field collections conducted by the authors, which helps understanding the host-parasite interaction and encourages new studies.

Madagascar's Plague: One Health Research Aims to Slow Its Spread

The integrated approach tackles a perfect storm of poverty, invasive rats, deforestation, and climate change that is contributing to the increase in bubonic plague cases.

Antimicrobial therapies administrated during the Third Plague Pandemic in Europe

Plague raged in Europe for over 1400 years and was responsible for three major pandemics. Today, plague still poses a serious threat to global public health and surveillance is imperative. Plague is still present in natural reservoirs on several continents, including Africa, Asia and the Americas, and sometimes causes local cases and epidemics. The Third Plague Pandemic caused millions of deaths worldwide, including in Europe. Plague arrived in Europe in the autumn of 1896 mostly through maritime trade routes, where it spread with several epidemic events until 1945, when, in the port city of Taranto, the last known outbreak was recorded. In this paper, we present an overview of the natural history and pathogenicity of Yersinia pestis, the bacterium responsible for plague, its spread from Asia to Europe during the Third Pandemic, and the therapies used to treat and prevent the disease in Europe, with particular focus on the case of Taranto. In Taranto, the Pasteur Institute's antiserum antimicrobial therapy, and vaccination were used to treat and stop the advance of the bacterium, with mixed results.

Yersinia pestis can infect the Pawlowsky glands of human body lice and be transmitted by louse bite

Yersinia pestis, the causative agent of plague, is a highly lethal vector-borne pathogen responsible for killing large portions of Europe's population during the Black Death of the Middle Ages. In the wild, Y. pestis cycles between fleas and rodents; occasionally spilling over into humans bitten by infectious fleas. For this reason, fleas and the rats harboring them have been considered the main epidemiological drivers of previous plague pandemics. Human ectoparasites, such as the body louse (Pediculus humanus humanus), have largely been discounted due to their reputation as inefficient vectors of plague bacilli. Using a membrane-feeder adapted strain of body lice, we show that the digestive tract of some body lice become chronically infected with Y. pestis at bacteremia as low as 1 × 105 CFU/ml, and these lice routinely defecate Y. pestis. At higher bacteremia (≥1 × 107 CFU/ml), a subset of the lice develop an infection within the Pawlowsky glands (PGs), a pair of putative accessory salivary glands in the louse head. Lice that developed PG infection transmitted Y. pestis more consistently than those with bacteria only in the digestive tract. These glands are thought to secrete lubricant onto the mouthparts, and we hypothesize that when infected, their secretions contaminate the mouthparts prior to feeding, resulting in bite-based transmission of Y. pestis. The body louse's high level of susceptibility to infection by gram-negative bacteria and their potential to transmit plague bacilli by multiple mechanisms supports the hypothesis that they may have played a role in previous human plague pandemics and local outbreaks.

Immune Reactions of Vector Insects to Parasites and Pathogens

This overview initially describes insect immune reactions and then brings together present knowledge of the interactions of vector insects with their invading parasites and pathogens. It is a way of introducing this Special Issue with subsequent papers presenting the latest details of these interactions in each particular group of vectors. Hopefully, this paper will fill a void in the literature since brief descriptions of vector immunity have now been brought together in one publication and could form a starting point for those interested and new to this important area. Descriptions are given on the immune reactions of mosquitoes, blackflies, sandflies, tsetse flies, lice, fleas and triatomine bugs. Cellular and humoral defences are described separately but emphasis is made on the co-operation of these processes in the completed immune response. The paper also emphasises the need for great care in extracting haemocytes for subsequent study as appreciation of their fragile nature is often overlooked with the non-sterile media, smearing techniques and excessive centrifugation sometimes used. The potential vital role of eicosanoids in the instigation of many of the immune reactions described is also discussed. Finally, the priming of the immune system, mainly in mosquitoes, is considered and one possible mechanism is presented.

Socio-ecological risk factors associated with human flea infestations of rural household in plague-endemic areas of Madagascar

Plague is a flea-borne fatal disease caused by the bacterium Yersinia pestis, which persists in rural Madagascar. Although fleas parasitizing rats are considered the primary vectors of Y. pestis, the human flea, Pulex irritans, is abundant in human habitations in Madagascar, and has been found naturally infected by the plague bacterium during outbreaks. While P. irritans may therefore play a role in plague transmission if present in plague endemic areas, the factors associated with infestation and human exposure within such regions are little explored. To determine the socio-ecological risk factors associated with P. irritans infestation in rural households in plague-endemic areas of Madagascar, we used a mixed-methods approach, integrating results from P. irritans sampling, a household survey instrument, and an observational checklist. Using previously published vectorial capacity data, the minimal P. irritans index required for interhuman bubonic plague transmission was modeled to determine whether household infestations were enough to pose a plague transmission risk. Socio-ecological risk factors associated with a high P. irritans index were then identified for enrolled households using generalized linear models. Household flea abundance was also modeled using the same set of predictors. A high P. irritans index occurred in approximately one third of households and was primarily associated with having a traditional dirt floor covered with a plant fiber mat. Interventions targeting home improvement and livestock housing management may alleviate flea abundance and plague risk in rural villages experiencing high P. irritans infestation. As plague-control resources are limited in developing countries such as Madagascar, identifying the household parameters and human behaviors favoring flea abundance, such as those identified in this study, are key to developing preventive measures that can be implemented at the community level.

Uncovering the Holocene roots of contemporary disease-scapes: bringing archaeology into One Health

The accelerating pace of emerging zoonotic diseases in the twenty-first century has motivated cross-disciplinary collaboration on One Health approaches, combining microbiology, veterinary and environmental sciences, and epidemiology for outbreak prevention and mitigation. Such outbreaks are often caused by spillovers attributed to human activities that encroach on wildlife habitats and ecosystems, such as land use change, industrialized food production, urbanization and animal trade. While the origin of anthropogenic effects on animal ecology and biogeography can be traced to the Late Pleistocene, the archaeological record-a long-term archive of human-animal-environmental interactions-has largely been untapped in these One Health approaches, thus limiting our understanding of these dynamics over time. In this review, we examine how humans, as niche constructors, have facilitated new host species and 'disease-scapes' from the Late Pleistocene to the Anthropocene, by viewing zooarchaeological, bioarchaeological and palaeoecological data with a One Health perspective. We also highlight how new biomolecular tools and advances in the '-omics' can be holistically coupled with archaeological and palaeoecological reconstructions in the service of studying zoonotic disease emergence and re-emergence.

Fleas (Siphonaptera) of domestic and wild animals in extreme northeastern Algeria: first inventory, hosts, and medical and veterinary importance

Fleas are an important member of the North African entomofauna. An understanding of the risks of flea-borne diseases to public and veterinary health can be gained with surveys of their abundance, distribution, and hosts. The aims of this study were to make an initial assessment of flea (Siphonaptera) species collected from a selected number of mammalian hosts in Algeria and debate their medical and veterinary importance. To do so, an entomological survey was conducted on several animal species (goats, dogs, cats, rabbits, hedgehogs, and mongooses) in six localities of El Tarf region located in extreme northeastern Algeria. During the survey, flea specimens were collected from hosts, stored in alcohol, and identified using a taxonomic key. More than 1,200 specimens were collected and identified; including four species: Ctenocephalides felis, Ctenocephalides canis, Pulex irritans, and Archaeopsylla erinacei (s.l.). Goats and dogs were the most infested animals, followed by cats and hedgehogs. Ctenocephalides felis was the most prevalent flea among all infested animals, with 631 collected specimens, followed by Pulex irritans with 433 samples. Overall, this study is an initial assessment of flea species recovered from selected common mammals in northeastern Algeria.

Assessing the origins of the European Plagues following the Black Death: A synthesis of genomic, historical, and ecological information

The second plague pandemic started in Europe with the Black Death in 1346 and lasted until the 19th century. Based on ancient DNA studies, there is a scientific disagreement over whether the bacterium, Yersinia pestis, came into Europe once (Hypothesis 1) or repeatedly over the following four centuries (Hypothesis 2). Here, we synthesize the most updated phylogeny together with historical, archeological, evolutionary, and ecological information. On the basis of this holistic view, we conclude that Hypothesis 2 is the most plausible. We also suggest that Y. pestis lineages might have developed attenuated virulence during transmission, which can explain the convergent evolutionary signals, including pla decay, that appeared at the end of the pandemics.