Investigating illegal activities that affect biodiversity: the case of wildlife consumption in the Brazilian Amazon

The illegal use of natural resources, manifested in activities like illegal logging, poaching, and illegal wildlife trade, poses a global threat to biodiversity. Addressing them will require an understanding of the magnitude of and factors influencing these activities. However, assessing such behaviors is challenging because of their illegal nature, making participants less willing to admit engaging in them. We compared how indirect (randomized response technique) and direct questioning techniques performed when assessing non-sensitive (fish consumption, used as negative control) and sensitive (illegal consumption of wild animals) behaviors across an urban gradient (small towns, large towns, and the large city of Manaus) in the Brazilian Amazon. We conducted 1,366 surveys of randomly selected households to assess the magnitude of consumption of meat from wild animals (i.e., wild meat) and its socioeconomic drivers, which included years the head of household lived in urban areas, age of the head of household, household size, presence of children, and poverty. The indirect method revealed higher rates of wildlife consumption in larger towns than did the direct method. Results for small towns were similar between the two methods. The indirect method also revealed socioeconomic factors influencing wild meat consumption that were not detected with direct methods. For instance, the indirect method showed that wild meat consumption increased with age of the head of household, and decreased with poverty and years the head of household lived in urban areas. Simultaneously, when responding to direct questioning, households with characteristics associated with higher wild meat consumption, as estimated from indirect questioning, tended to underreport consumption to a larger degree than households with lower wild meat consumption. Results for fish consumption, used as negative control, were similar for both methods. Our findings suggest that people edit their answers to varying degrees when responding to direct questioning, potentially biasing conclusions, and indirect methods can improve researchers' ability to identify patterns of illegal activities when the sensitivity of such activities varies across spatial (e.g., urban gradient) or social (e.g., as a function of age) contexts. This work is broadly applicable to other geographical regions and disciplines that deal with sensitive human behaviors.

Impacts of rural to urban migration, urbanization, and generational change on consumption of wild animals in the Amazon

For the first time in history, more people live in urban areas than in rural areas. This trend is likely to continue, driven largely by rural-to-urban migration. We investigated how rural-to-urban migration, urbanization, and generational change affect the consumption of wild animals. We used chelonian (tortoises and freshwater turtles), one of the most hunted taxa in the Amazon, as a model. We surveyed 1356 households and 2776 school children across 10 urban areas of the Brazilian Amazon (6 small towns, 3 large towns, and Manaus, the largest city in the Amazon Basin) with a randomized response technique and anonymous questionnaires. Urban demand for wild meat (i.e., meat from wild animals) was alarmingly high. Approximately 1.7 million turtles and tortoises were consumed in urban areas of Amazonas during 2018. Consumption rates declined as size of the urban area increased and were greater for adults than children. Furthermore, the longer rural-to-urban migrants lived in urban areas, the lower their consumption rates. These results suggest that wild meat consumption is a rural-related tradition that decreases as urbanization increases and over time after people move to urban areas. However, it is unclear whether the observed decline will be fast enough to conserve hunted species, or whether children's consumption rate will remain the same as they become adults. Thus, conservation actions in urban areas are still needed. Current conservation efforts in the Amazon do not address urban demand for wildlife and may be insufficient to ensure the survival of traded species in the face of urbanization and human population growth. Our results suggest that conservation interventions must target the urban demand for wildlife, especially by focusing on young people and recent rural to urban migrants. Article impact statement: Amazon urbanite consumption of wildlife is high but decreases with urbanization, over time for rural to urban migrants, and between generations. Impactos de la Migración del Campo a la Ciudad, la Urbanización y del Cambio Generacional sobre el Consumo de Animales Silvestres en el Amazonas.

Sarcocystis falcatula-like derived from opossum in Northeastern Brazil: In vitro propagation in avian cells, molecular characterization and bioassay in birds

Most reported isolates of Sarcocystis spp. derived from Brazilian opossums (Didelphis sp.) have genetic characteristics distinct from the known species of Sarcocystis, but behave similarly as Sarcocystis falcatula, as they are infective to budgerigars. In previous studies, these Brazilian isolates, classified as Sarcocystis falcatula-like, were originated from South and Southeast regions of Brazil. In the current work, we aimed to culture and to perform multilocus sequence analysis of Sarcocystis sp. derived from a Brazilian opossum (D. aurita/D. marsupialis) that inhabited the city of Salvador, Bahia, in the Northeast of Brazil. The parasite was isolated in Vero cells, referred here as Sarco-BA1, and propagated in avian cells (DF-1). Molecular analysis of Sarco-BA1 revealed that the nucleotide sequence of the internal transcribed spacer 1 (ITS1) of the rDNA was identical to all isolates (n = 19) of Sarcocystis spp. reported in two studies from South and Southeast regions of the country. Two budgerigars were inoculated with 10 and 1000 sporocysts of Sarco-BA1, respectively, and developed acute sarcocystosis, showing that the parasite behaves like S. falcatula. It was interesting to observe that Sarco-BA1 had almost identical ITS1 and SAG sequences to all 16 isolates of S. falcatula-like recently described in Magellanic penguins (Spheniscus magellanicus) rescued on the coast of Espírito Santo state, Brazil. Our results suggest that Sarco-BA1 and S. falcatula-like may represent a single species of Sarcocystis. Propagation of the parasite in a permanent avian cell line significantly improved the yield of merozoites in cell culture. To our knowledge, this is the first molecular study and in vitro isolation of S. falcatula-like derived from Northeastern Brazil. Studies are under way to determine the infectivity of Sarco-BA1 to other animal species, as well as to investigate serological cross-reactivity among Sarco-BA1, S. neurona and related species.

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Sarcocystis falcatula-like was isolated for the first time in Northeastern Brazil.

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Its genetic pattern was similar to isolates from South and Southeastern Brazil.

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A permanent avian cell line was successfully used to propagate the parasite.

Accuracy of the SD BIOLINE Dengue Duo for rapid point-of-care diagnosis of dengue

Background

Rapid diagnosis tests (RDTs) are easy to carry out, provide fast results, and could potentially guide medical treatment decisions. We investigated the performance of a commercially available RDT, which simultaneously detects the non-structural 1 (NS1) dengue virus (DENV) antigen, and IgM and IgG DENV antibodies, using representative serum samples from individuals in a dengue endemic area in Salvador, Brazil.

Methodology/Principal findings

We evaluated the accuracy of the SD BIOLINE Dengue Duo RDT (Abbott, Santa Clara, USA; former Alere Inc, Waltham, USA) in a random collection of sera. Samples included acute-phase sera from 246 laboratory-confirmed dengue cases and 108 non-dengue febrile patients enrolled in a surveillance study for dengue detection, 73 healthy controls living in the same surveillance community, and 73 blood donors. RDT accuracy was blindly assessed based on the combined results for the NS1 and the IgM test components. The RDT sensitivity was 46.8% (38.6% for the NS1 component and 13.8% for the IgM component). Sensitivity was greater for samples obtained from patients with secondary DENV infections (49.8%) compared to primary infections (31.1%) (P: 0.02) and was also influenced by the result in the confirmatory dengue diagnostic test, ranging from 39.7% for samples of cases confirmed by IgM-ELISA seroconversion between paired samples to 90.4% for samples of cases confirmed by a positive NS1-ELISA. The RDT specificity was 94.4% for non-dengue febrile patients, 87.7% for the community healthy controls, and 95.9% for the blood donors.

Conclusions/Significance

The SD BIOLINE Dengue Duo RDT showed good specificities, but low sensitivity, suggesting that it may be more useful to rule in than to rule out a dengue diagnosis in dengue endemic regions.

Storm drains as larval development and adult resting sites for Aedes aegypti and Aedes albopictus in Salvador, Brazil

Background

Dengue (DENV), Chikungunya (CHIKV), Zika (ZIKV), as well as yellow fever (YFV) viruses are transmitted to humans by Aedes spp. females. In Salvador, the largest urban center in north-eastern Brazil, the four DENV types have been circulating, and more recently, CHIKV and ZIKV have also become common. We studied the role of storm drains as Aedes larval development and adult resting sites in four neighbourhoods of Salvador, representing different socioeconomic, infrastructure and topographic conditions.

Results

A sample of 122 storm drains in the four study sites were surveyed twice during a 4-month period in 2015; in 49.0 % of the visits, the storm drains contained water. Adults and immatures of Aedes aegypti were captured in two of the four sites, and adults and immatures of Aedes albopictus were captured in one of these two sites. A total of 468 specimens were collected: 148 Ae. aegypti (38 adults and 110 immatures), 79 Ae. albopictus (48 adults and 31 immatures), and 241 non-Aedes (mainly Culex spp.) mosquitoes (42 adults and 199 immatures). The presence of adults or immatures of Ae. aegypti in storm drains was independently associated with the presence of non-Aedes mosquitoes and with rainfall of ≤ 50 mm during the preceding week.

Conclusions

We found that in Salvador, one of the epicentres of the 2015 ZIKV outbreak, storm drains often accumulate water and serve as larval development sites and adult resting areas for both Ae. aegypti and Ae. albopictus. Vector control campaigns usually overlook storm drains, as most of the effort to prevent Ae. agypti reproduction is directed towards containers in the domicile environment. While further studies are needed to determine the added contribution of storm drains for the maintenance of Aedes spp. populations, we advocate that vector control programs incorporate actions directed at storm drains, including regular inspections and use of larvicides, and that human and capital resources are mobilized to modify storm drains, so that they do not serves as larval development sites for Aedes (and other) mosquitoes.

Influenza-like illness in an urban community of Salvador, Brazil: incidence, seasonality and risk factors

BACKGROUND

Our understanding of the epidemiology of influenza is limited in tropical regions, which in turn has hampered identifying optimal region-specific policy to diminish disease burden. Influenza-like illness (ILI) is a clinical diagnosis that can be used as a surrogate for influenza. This study aimed to define the incidence and seasonality of ILI and to assess its association with climatic variables and school calendar in an urban community in the tropical region of Salvador, Brazil.

METHODS

Between 2009 and 2013, we conducted enhanced community-based surveillance for acute febrile illnesses (AFI) among patients ≥ 5 years of age in a slum community emergency unit in Salvador, Brazil. ILI was defined as a measured temperature of ≥ 37.8 °C or reported fever in a patient with cough or sore throat for ≤ 7 days, and negative test results for dengue and leptospirosis. Seasonality was analyzed with a harmonic regression model. Negative binomial regression models were used to correlate ILI incidence with rainfall, temperature, relative humidity and the number of days per month that schools were in session while controlling for seasonality.

RESULTS

There were 2,651 (45.6% of 5,817 AFI patients) ILI cases with a mean annual incidence of 60 cases/1,000 population (95% CI 58-62). Risk of ILI was highest among 5-9 year olds with an annual incidence of 105 cases/1,000 population in 2009. ILI had a clear seasonal pattern with peaks between the 35-40th week of the year. ILI peaks were higher and earlier in 5-9 year olds compared with > 19 year olds. No association was seen between ILI and precipitation, relative humidity or temperature. There was a significant association between the incidence of ILI in children 5-9 years of age and number of scheduled school days per month.

CONCLUSIONS

We identified a significant burden of ILI with distinct seasonality in the Brazilian tropics and highest rates among young school-age children. Seasonal peaks of ILI in children 5-9 years of age were positively associated with the number of school days, indicating that children may play a role in the timing of seasonal influenza transmission.

Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk

Background

Few studies of dengue have shown group-level associations between demographic, socioeconomic, or geographic characteristics and the spatial distribution of dengue within small urban areas. This study aimed to examine whether specific characteristics of an urban slum community were associated with the risk of dengue disease.

Methodology/Principal Findings

From 01/2009 to 12/2010, we conducted enhanced, community-based surveillance in the only public emergency unit in a slum in Salvador, Brazil to identify acute febrile illness (AFI) patients with laboratory evidence of dengue infection. Patient households were geocoded within census tracts (CTs). Demographic, socioeconomic, and geographical data were obtained from the 2010 national census. Associations between CTs characteristics and the spatial risk of both dengue and non-dengue AFI were assessed by Poisson log-normal and conditional auto-regressive models (CAR). We identified 651 (22.0%) dengue cases among 2,962 AFI patients. Estimated risk of symptomatic dengue was 21.3 and 70.2 cases per 10,000 inhabitants in 2009 and 2010, respectively. All the four dengue serotypes were identified, but DENV2 predominated (DENV1: 8.1%; DENV2: 90.7%; DENV3: 0.4%; DENV4: 0.8%). Multivariable CAR regression analysis showed increased dengue risk in CTs with poorer inhabitants (RR: 1.02 for each percent increase in the frequency of families earning ≤1 times the minimum wage; 95% CI: 1.01-1.04), and decreased risk in CTs located farther from the health unit (RR: 0.87 for each 100 meter increase; 95% CI: 0.80-0.94). The same CTs characteristics were also associated with non-dengue AFI risk.

Conclusions/Significance

This study highlights the large burden of symptomatic dengue on individuals living in urban slums in Brazil. Lower neighborhood socioeconomic status was independently associated with increased risk of dengue, indicating that within slum communities with high levels of absolute poverty, factors associated with the social gradient influence dengue transmission. In addition, poor geographic access to health services may be a barrier to identifying both dengue and non-dengue AFI cases. Therefore, further spatial studies should account for this potential source of bias.

Dengue is influenced by the environment; however, few studies have investigated the relationship between neighborhood characteristics and the spatial distribution of dengue within small urban areas. We examined whether specific characteristics of an urban slum community were associated with dengue risk. From January 2009 to December 2010, we conducted community-based surveillance in a slum in Salvador, Brazil to identify patients with acute febrile illness (AFI) and to test them for dengue. We identified 651 (22.0%) patients with laboratory evidence of dengue infection among 2,962 AFI patients. All the four dengue serotypes were detected, but DENV2 predominated (DENV1 8.1%; DENV2 90.7%; DENV3 0.4%; DENV4 0.8%). Estimated risk of symptomatic dengue was 21.3 and 70.2 cases per 10,000 inhabitants in 2009 and 2010, respectively. We found that neighborhood poverty level and proximity to the health center were associated with higher risk of detection of dengue and other AFI. This study highlights the large burden of dengue in poor urban slums of Brazil and indicates that socioeconomic development could potentially mitigate risk factors for both dengue and non-dengue AFI cases. In addition, we found that residential proximity to a health care facility was associated with improved case detection. Therefore, further studies on disease distribution should consider household proximity to health care facilities when assessing risk.

The dup(3q) syndrome: report of eight cases and review of the literature

Clinical and cytogenetic examinations were performed on eight unrelated infants with duplication of part of the long arm of chromosome 3. A review of published cases shows a clinical syndrome characterized by statomotoric retardation, shortened life span, and a multiple congenital anomalies (MCA) syndrome of abnormal head configuration, hypertrichosis, hypertelorism, ocular anomalies, anteverted nostrils, long philtrum, maxillary prognathia, down-turned corners of the mouth, highly arched or cleft plate, micrognathia, malformed auricles, short, webbed neck, clinodactyly, simian crease, talipes, and congenital heart disease. The dup(3q) syndrome is a clinically easily recognizable entity.