Phlebotomid sandflies.

The article presents a synthesis of present knowledge concerning sandflies of the family Phlebotomidae in relation to leishmaniasis. Over 500 species of Phlebotominae are known, most of which belong to the genera Phlebotomus and Sergentomyia in the Old World and Lutzomyia in the New World. Phlebotomus is the dominant genus in the palaearctic region, extending also into the other regions of the Old World where Sergentomyia is the principal genus. Sandflies are of little importance in temperate North America but in tropical America Lutzomyia is the main genus and is found over large areas. The distribution of sandflies largely determines the occurrence of leishmaniasis. Certain species of Phlebotomus and Lutzomyia transmit dermal leishmaniasis in large areas of the palaearctic and neotropical regions. Visceral leishmaniasis is transmitted by some species of Phlebotomus in much of the palaearctic region, except desert areas of North Africa, and in limited areas of Africa and India, and by a species of Lutzomyia in north-eastern Brazil. Sandflies are quite likely to bite man in the open country of much of the Old World; they tend however to be localized in distribution on account of their need for a suitable microhabitat (e.g., the burrow of the Central Asian large gerbil, which has been extensively studied in relation to dermal leishmaniasis). It is noted that the distribution of sandflies and leishmaniasis appears to be changing.A few species of sandfly are regarded as proved vectors of human leishmaniasis according to five criteria; other species which are the only man-biting sandflies in the area are probably vectors. Although it is not possible to make a clear-cut list of vectors, a table of some proved and suspected vectors is included.