Deane L M
Departamento de Entomologia, Instituto Oswaldo Cruz, Rio de Janeiro, Brasil.
Mem Inst Oswaldo Cruz. 1992;87 Suppl 3:1-20. doi: 10.1590/s0074-02761992000700001.
In Brazil simian malaria is widely spread, being frequent in the Amazon region (10% of primates infected) and even more in the forested coastal mountains of the Southeastern and Southern regions (35% and 18% infected, respectively), but absent in the semi-arid Northeast. Only two species of plasmodia have been found: the quartan-like Plasmodium brasilianum and the tertian-like P. simium, but the possible presence of other species is not excluded. P. brasilianum is found in all enzootic foci, but P. simium was detected only on the coast of the Southeastern and Southern regions, between paralles 20 degrees S and 30 degrees S. Nearly all hosts are monkeys (family Cebidae, 28 species harbouring plasmodia out of 46 examined), and very rarely marmosets or tamarins (family Callitrichidae, 1 especies out of 16). P. brasilianum was present in all infected species, P. simium in only two. The natural vector in the Southeastern and Southern regions was found to be Anopheles cruzi, but has not been conclusively identified in the Amazon. One natural, accidental human infection due to P. simium was observed. There is no evidence of the relation of simian to human malaria in the Southeastern and Southern regions, where human malaria was eradicated in spite of the high rates of monkeys infected, but in the Amazon recent serological studies by other workers, revealing high positivity for P. brasilianum/P. malariae antibodies in local indians, would suggest that among them malaria might possibly be regarded as a zoonosis.
在巴西,猴疟广泛传播,在亚马逊地区较为常见(10%的灵长类动物感染),在东南部和南部地区的森林沿海山区更为普遍(分别有35%和18%的感染率),但在半干旱的东北部地区不存在。仅发现了两种疟原虫:类三日疟的巴西疟原虫和类间日疟的猴疟原虫,但不排除可能存在其他种类。巴西疟原虫在所有动物疫源地均有发现,但猴疟原虫仅在南纬20度至30度之间的东南部和南部沿海地区被检测到。几乎所有宿主都是猴子(卷尾猴科,46种被检查的猴子中有28种携带疟原虫),很少是狨猴或绢毛猴(狨科,16种中有1种)。巴西疟原虫存在于所有感染物种中,猴疟原虫仅存在于两种物种中。在东南部和南部地区,自然传播媒介被发现是克鲁斯按蚊,但在亚马逊地区尚未得到最终确认。观察到一例由猴疟原虫引起的自然、意外的人类感染。在东南部和南部地区,尽管猴子感染率很高,但人类疟疾已被根除,没有证据表明猴疟与人类疟疾之间存在关联。但在亚马逊地区,其他研究人员最近的血清学研究表明,当地印第安人中巴西疟原虫/间日疟原虫抗体呈高阳性,这表明在他们当中,疟疾可能被视为一种人畜共患病。