Hidden danger: Unexpected scenario in the vector-parasite dynamics of leishmaniases in the Brazil side of triple border (Argentina, Brazil and Paraguay).

Autor: Thomaz-Soccol V; Laboratório de Biologia Molecular, Departamento de Engenharia de Bioprocessos e Biotecnologia, Universidade Federal do Paraná, Curitiba, Paraná, Brazil., Gonçalves AL; Laboratório de Biologia Molecular, Departamento de Engenharia de Bioprocessos e Biotecnologia, Universidade Federal do Paraná, Curitiba, Paraná, Brazil., Piechnik CA; Laboratório de Biologia Molecular, Departamento de Engenharia de Bioprocessos e Biotecnologia, Universidade Federal do Paraná, Curitiba, Paraná, Brazil., Baggio RA; Laboratório de Biologia Molecular, Departamento de Engenharia de Bioprocessos e Biotecnologia, Universidade Federal do Paraná, Curitiba, Paraná, Brazil., Boeger WA; Laboratório de Ecologia Molecular e Parasitologia Evolutiva, Departamento de Zoologia, Universidade Federal do Paraná, Curitiba, Paraná, Brazil., Buchman TL; SESA- Secretaria de Saúde do Estado do Paraná, Curitiba, Paraná, Brazil; Núcleo de vigilância entomológica de Foz do Iguaçu, 9a regional de saúde, Foz do Iguaçu, Brazil e Núcleo de vigilância entomológica de Maringá - 15a regional de saúde-Maringá, Brazil., Michaliszyn MS; Pós-Graduação em Gestão Ambiental, Universidade Positivo, Curitiba, Paraná, Brazil., Rodrigues Dos Santos D; SESA- Secretaria de Saúde do Estado do Paraná, Curitiba, Paraná, Brazil; Núcleo de vigilância entomológica de Foz do Iguaçu, 9a regional de saúde, Foz do Iguaçu, Brazil e Núcleo de vigilância entomológica de Maringá - 15a regional de saúde-Maringá, Brazil., Celestino A; SESA- Secretaria de Saúde do Estado do Paraná, Curitiba, Paraná, Brazil; Núcleo de vigilância entomológica de Foz do Iguaçu, 9a regional de saúde, Foz do Iguaçu, Brazil e Núcleo de vigilância entomológica de Maringá - 15a regional de saúde-Maringá, Brazil., Aquino J Jr; Departamento de Geociências, Pós Graduação em Saúde e Ambiente, Universidade Federal do Maranhão, São Luiz, Maranhão, Brazil., Leandro AS; Prefeitura Municipal de Foz do Iguaçu, Centro de Controle de Zoonoses- CCZ, Foz do Iguaçu, Paraná, Brazil., Paz OLSD; Laboratório de Análise de Padrões Espaciais e Cartografia Temática (LAPE-CT), Laboratório Pedagógico de Geografia (LABOGEO), Universidade Federal do Paraná, Curitiba, Paraná, Brasil., Limont M; Pós-Graduação em Gestão Ambiental, Universidade Positivo, Curitiba, Paraná, Brazil., Bisetto A Jr; SESA- Secretaria de Saúde do Estado do Paraná, Curitiba, Paraná, Brazil; Núcleo de vigilância entomológica de Foz do Iguaçu, 9a regional de saúde, Foz do Iguaçu, Brazil e Núcleo de vigilância entomológica de Maringá - 15a regional de saúde-Maringá, Brazil., Shaw JJ; Departamento de Parasitologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil., Yadon ZE; Department of Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington, D.C. United States of America., Salomon OD; INMET-Institute National of Tropical Medicine, Puerto Iguazú, Misiones, Argentina.
Jazyk: angličtina
Zdroj: PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2018 Apr 06; Vol. 12 (4), pp. e0006336. Date of Electronic Publication: 2018 Apr 06 (Print Publication: 2018).
DOI: 10.1371/journal.pntd.0006336
Abstrakt: Every year about 3 million tourists from around the world visit Brazil, Argentina and Paraguay´s triple border region where the Iguaçu Falls are located. Unfortunately, in recent years an increasing number of autochthonous canine and human visceral leishmaniasis (VL) cases have been reported. The parasite is Leishmania (Leishmania) infantum and it is transmitted by sand flies (Phlebotominae). To assess the risk factors favorable for the establishment and spread of potential vectors the Centers for Disease Control and Prevention light trap (CDC-light trap) collections were made in the Foz do Iguaçu (FI) and Santa Terezinha de Itaipu (STI) townships and along two transects between them. Our study determined the Phlebotominae fauna, the factors that affect the presence and abundance of Lutzomyia longipalpis and Nyssomyia whitmani, the presence of L. infantum in different sand fly species and which Leishmania species are present in this region. Lutzomyia longipalpis was the prevalent species and its distribution was related to the abundance of dogs. Leishmania infantum was found in Lu. longipalpis, Ny. whitmani, Ny. neivai and a Lutzomyia sp. All the results are discussed within the Stockholm Paradigm and focus on their importance in the elaboration of public health policies in international border areas. This region has all the properties of stable VL endemic foci that can serve as a source of the disease for neighboring municipalities, states and countries. Most of the urban areas of tropical America are propitious for Lu. longipalpis establishment and have large dog populations. Pan American Health Organization´s initiative in supporting the public health policies in the border areas of this study is crucial and laudable. However, if stakeholders do not act quickly in controlling VL in this region, the scenario will inevitable become worse. Moreover, L. (Viannia) braziliensis found in this study supports the need to develop public health policies to avoid the spread of cutaneous leishmaniasis. The consequences of socioeconomic attributes, boundaries and frontiers on the spread of diseases cannot be neglected. For an efficient control, it is essential that urban planning is articulated with the neighboring cities.
Databáze: MEDLINE
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