[Leishmaniasis in Ecuador. 5. Leishmaniasis and anthropization on the Pacific coast].

We have evaluated the impact of anthropization of the forest on the incidence of leishmaniasis, due to Leishmania panamensis, in three coastal study areas, Corriente Grande (primary forest), Paraiso Escondido and La Tablada (secondary forest). The situation of isolated dwellings, in deforested areas, has also been analysed in the last two stations. In each station, the study of the density of anthropophilic sand flies, specially Lutzomyia trapidoi, has been conducted in the domestic environment, coffee plantations and undergrowth. The incidence of leishmaniasis was nearly non existent in primary forest, though it ranged from 106 to 147% in the more or less cleared forest. At Corriente Grande, none Lu. trapidoi was caught in houses. In the undergrowth, catches were low (8% of the total). At Paraiso Escondido, Lu. trapidoi was the dominant species, with more than 83% of the catches in the undergrowth and in the coffee plantations (41 Man/hour), as well as in dwellings (10.6 M/h). At La Tablada, in the domestic environment, Lu. gomezi, was the dominant species: 2.8 M/h against 0.1 M/h for Lu. trapidoi. In the coffee plantations and in the undergrowth Lu. trapidoi was the main species, 21 M/h and 14 M/h. Thus in the primary rainforest, leishmaniasis transmission can be very low. In disturbed forest, coffee plantations near houses are good biotopes for Lu. trapidoi. The cycle of L. panamensis has been adapted to this new ecological situation, by being closer to the houses. The reservoirs live and circulate throughout coffee plantations. In deforested areas, neither aggressive sand flies have been observed, nor leishmaniasis transmission.