Shimabukuro Paloma Helena Fernandes, da Silva Túllio Romão Ribeiro, Ribeiro Frederico Octávio Fonseca, Baton Luke Anthony, Galati Eunice Aparecida Bianchi
Instituto Leônidas e Maria Deane, FIOCRUZ - Amazônia, Rua Terezina, 476, Adrianópolis, Manaus, Amazonas, Brazil.
Parasit Vectors. 2010 Dec 20;3:121. doi: 10.1186/1756-3305-3-121.
BACKGROUND: American cutaneous leishmaniasis (ACL) is a re-emerging disease in the state of São Paulo, Brazil. It is important to understand both the vector and disease distribution to help design control strategies. As an initial step in applying geographic information systems (GIS) and remote sensing (RS) tools to map disease-risk, the objectives of the present work were to: (i) produce a single database of species distributions of the sand fly vectors in the state of São Paulo, (ii) create combined distributional maps of both the incidence of ACL and its sand fly vectors, and (iii) thereby provide individual municipalities with a source of reference material for work carried out in their area. RESULTS: A database containing 910 individual records of sand fly occurrence in the state of São Paulo, from 37 different sources, was compiled. These records date from between 1943 to 2009, and describe the presence of at least one of the six incriminated or suspected sand fly vector species in 183/645 (28.4%) municipalities. For the remaining 462 (71.6%) municipalities, we were unable to locate records of any of the six incriminated or suspected sand fly vector species (Nyssomyia intermedia, N. neivai, N. whitmani, Pintomyia fischeri, P. pessoai and Migonemyia migonei). The distribution of each of the six incriminated or suspected vector species of ACL in the state of São Paulo were individually mapped and overlaid on the incidence of ACL for the period 1993 to 1995 and 1998 to 2007. Overall, the maps reveal that the six sand fly vector species analyzed have unique and heterogeneous, although often overlapping, distributions. Several sand fly species - Nyssomyia intermedia and N. neivai - are highly localized, while the other sand fly species - N. whitmani, M. migonei, P. fischeri and P. pessoai - are much more broadly distributed. ACL has been reported in 160/183 (87.4%) of the municipalities with records for at least one of the six incriminated or suspected sand fly vector species, while there are no records of any of these sand fly species in 318/478 (66.5%) municipalities with ACL. CONCLUSIONS: The maps produced in this work provide basic data on the distribution of the six incriminated or suspected sand fly vectors of ACL in the state of São Paulo, and highlight the complex and geographically heterogeneous pattern of ACL transmission in the region. Further studies are required to clarify the role of each of the six suspected sand fly vector species in different regions of the state of São Paulo, especially in the majority of municipalities where ACL is present but sand fly vectors have not yet been identified.
背景:美洲皮肤利什曼病(ACL)在巴西圣保罗州呈再度流行之势。了解病媒和疾病分布情况对于制定防控策略至关重要。作为应用地理信息系统(GIS)和遥感(RS)工具绘制疾病风险地图的第一步,本研究的目的是:(i)建立圣保罗州白蛉病媒物种分布的单一数据库;(ii)绘制ACL发病率及其白蛉病媒的综合分布图;(iii)从而为各市政当局提供其所在地区开展工作的参考资料来源。 结果:汇编了一个数据库,其中包含来自37个不同来源的圣保罗州910条白蛉出现的个体记录。这些记录的时间跨度为1943年至2009年,描述了183/645(28.4%)个市中至少六种被认定或疑似的白蛉病媒物种之一的存在情况。对于其余462个(71.6%)市,我们未能找到六种被认定或疑似的白蛉病媒物种(中间奈氏白蛉、内氏奈氏白蛉、惠特曼奈氏白蛉、费氏细蚤白蛉、佩索阿细蚤白蛉和米氏米戈内白蛉)中任何一种的记录。分别绘制了圣保罗州六种被认定或疑似的ACL病媒物种的分布图,并将其叠加在1993年至1995年以及1998年至2007年的ACL发病率图上。总体而言,这些地图显示,所分析的六种白蛉病媒物种具有独特且异质的分布,尽管它们的分布常常重叠。几种白蛉物种——中间奈氏白蛉和内氏奈氏白蛉——分布高度局限,而其他白蛉物种——惠特曼奈氏白蛉、米氏米戈内白蛉、费氏细蚤白蛉和佩索阿细蚤白蛉——分布则更为广泛。在有至少一种六种被认定或疑似的白蛉病媒物种记录的160/183(87.4%)个市中报告了ACL病例,而在有ACL病例的318/478(66.5%)个市中没有这些白蛉物种的任何记录。 结论:本研究绘制的地图提供了圣保罗州六种被认定或疑似的ACL白蛉病媒分布的基础数据,并突出了该地区ACL传播的复杂且地理上异质的模式。需要进一步研究以阐明六种疑似白蛉病媒物种在圣保罗州不同地区的作用,特别是在大多数存在ACL但尚未鉴定出白蛉病媒的市。
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