Epidemiology of cutaneous leishmaniasis in Merida, Venezuela. III. Altitudinal distribution, age structure, natural infection and feeding behaviour of sandflies and their relation to the risk of transmission.

An entomological survey revealed that the distribution of the Lutzomyia species in Merida, Venezuela, varies with altitude. Of the 21 species encountered, 12 (57%) are known to be anthropophilic. The significance of the predominant man-biting species at any altitude is discussed in terms of the risk of transmission of cutaneous leishmaniasis. The general parous rate (and perhaps the ability of a female sandfly to survive oviposition and transmit Leishmania parasites during a second or subsequent bloodmeal) was found to be related to rainfall and altitude. The finding of Leishmania infections in wild-caught parous females of anthropophilic species indicates the high risk of acquiring leishmaniasis in the study area. Observations on the feeding habits of the sandflies indicate that some species are opportunistic feeders, attracted to a variety of hosts, including man.