Missawa Nanci Akemi, Dias Edelberto Santos
Laboratório de Entomologia, Secretaria Estadual de Saúde de Mato Grosso, Cuiabá, MT, Brasil.
Mem Inst Oswaldo Cruz. 2007 Dec;102(8):913-8. doi: 10.1590/s0074-02762007000800004.
Visceral leishmaniasis (VL) has been naturally transmitted in periurban areas due to the emergence and reemergence of its vectors in such areas. Aimed to further knowledge on ecological aspects affecting the occurrence of phlebotomine sand flies in VL transmission areas in the municipality of Várzea Grande, state of Mato Grosso (MT), Brazil, sand fly captures were carried out. Monthly collections of sand flies were undertaken with CDC light-traps, which were left in both intradomiciliary and peridomiciliary areas of ten residences during four consecutive days between January 2004 and June 2006. Twenty-two species of genus Lutzomyia and one of Brumptomyia were captured. The most abundant species was Lutzomyia longipalpis (65.23%), followed by L. evandroi (16.26%), L. lenti (7.69%), L. whitmani (4.92%), L. sallesi (2.34%) and L. termitophila (1.32%). The highest density of the main VL vector, L. longipalpis, was found in peridomiciliary areas, mostly males. No significant correlation was found between environment (temperature, air relative humidity and rain fall) and phlebotomine density; although a slight increase in sand fly density has been observed in the period following rainfalls, particularly L. longipalpis. No correlation was observed between distribution and density of L. longipalpis, prevalence of human VL cases and the presence of serologically positive dogs. The presence of infected dogs, increased vector density, susceptibility rate and interruption of epidemiological surveillance may raise the risk of VL transmission to man in Várzea Grande.
由于内脏利什曼病(VL)的病媒在城市周边地区出现和再次出现,该病已在这些地区自然传播。为了进一步了解影响巴西马托格罗索州(MT)大瓦尔泽亚市VL传播地区白蛉出现的生态因素,开展了白蛉捕获工作。2004年1月至2006年6月期间,连续四天使用疾控中心诱蚊灯在十所住宅的室内和室外区域每月收集白蛉。共捕获了二十二种卢氏白蛉属和一种布鲁姆白蛉属的白蛉。捕获数量最多的种类是长须卢氏白蛉(65.23%),其次是埃氏卢氏白蛉(16.26%)、伦氏卢氏白蛉(7.69%)、惠特曼卢氏白蛉(4.92%)、萨氏卢氏白蛉(2.34%)和嗜白蚁卢氏白蛉(1.32%)。主要的VL病媒长须卢氏白蛉的最高密度出现在室外区域,且大多为雄性。未发现环境(温度、空气相对湿度和降雨量)与白蛉密度之间存在显著相关性;尽管在降雨后的一段时间内观察到白蛉密度略有增加,尤其是长须卢氏白蛉。未观察到长须卢氏白蛉的分布和密度、人类VL病例的患病率与血清学检测呈阳性的犬只的存在之间存在相关性。受感染犬只的存在、病媒密度增加、易感性比率以及流行病学监测的中断可能会增加大瓦尔泽亚市VL传播给人类的风险。