Health-risk assessment of Portuguese man-of-war (Physalia physalis) envenomations on urban beaches in São Luís city, in the state of Maranhão, Brazil

Abstract INTRODUCTION: The Portuguese man-of-war (Physalia physalis) is a cosmopolitan species, with a widespread distribution and responsible for a great number of injuries caused by cnidarians worldwide, including Brazil. Geoprocessing technology, however, has never been used to assess the spatial distribution of these animals on beaches. The aim of this study was to carry out a health risk assessment of Portuguese man-of-war (P. physalis) envenomations on the São Marcos and Calhau beaches in São Luís city, in the state of Maranhão, Brazil. METHODS: This is a descriptive and quantitative study concerning primary data on the occurrence of the Portuguese man-of-war (P. physalis) and human envenomations in the studied places, conducted over a two-year period in São Luís, Maranhão, northeastern Brazil. RESULTS: Envenomations mainly occurred on beaches presenting high density of P. physalis during the dry period. Vinegar has been incorporated as a first aid, according to recommendations set by the Brazilian Ministry of Health. CONCLUSIONS: In order to improve prevention and control actions of human envenomation, risk areas for this type of envenomation should be clearly indicated as alert areas. Inclusion of the geographical location of the envenomation in the Notification/Investigation SINAN Form was suggested for allowing the continuity of studies involving this public health issue.

An outbreak of Portuguese man-of-war (Physalia physalis - Linnaeus, 1758) envenoming in Southeastern Brazil

Introduction Portuguese man-of-war, Physalia physalis (Linnaeus, 1758), are cnidarians capable of discharging intracellular organelles filled with venom, resulting in severe envenomation in humans. Methods We report the clinical and therapeutic aspects of 331 accidents involving Portuguese man-of-war in an outbreak on the coast of the State of São Paulo, Brazil. Results The clinical manifestations of envenomation were rare and mild and mostly local, systemic reactions; there was a low rate of late complications. Conclusions The consequences of envenomation were of moderate severity, and first aid measures were effective in controlling the pain. Outbreaks of accidents involving Portuguese man-of-war occur periodically in the area without a clear explanation. .

Actividad antileishmanial de seis extractos de organismos marinos / Antileishmanial activity of six extracts from marine organisms

Introducción: las infecciones causadas por protozoos del género Leishmania constituyen un problema de salud mundial con una alta prevalencia en países subdesarrollados. En la actualidad no existe una vacuna contra esta enfermedad y el tratamiento utilizado es deficiente, por lo que la búsqueda de medicamentos más efectivos y seguros constituye una urgente necesidad. Objetivo: evaluar la actividad antileishmanial in vitro de 6 extractos acuosos e hidroalcohólicos de organismos marinos. Métodos: se determinó la actividad frente a promastigotes y amastigotes de Leishmania amazonensis, así como su toxicidad frente a macrófagos peritoneales de ratones BALB/c. Resultados: en el ensayo de promastigotes los extractos de Bryothamnion triquetrum, Bunodosoma granulifera, Halimeda opuntia, y Physalia physalis mostraron una inhibición del crecimiento a concentraciones menores de 100 µg/mL; mientras que frente a amastigotes, estos 2 últimos extractos fueron los más activos y menos tóxicos con un índice de selectividad de 6 y 8, respectivamente. Conclusiones: teniendo en cuenta estos resultados se consideró que los extractos de H. opuntia y P. physalis mostraron una promisoria actividad, por lo que se sugiere continuar los estudios de su actividad in vivo.

Introduction: infections caused by protozoa of the genus Leishmania are a global health problem with a high prevalence in underdeveloped countries. There is no vaccine against this disease at present and the treatment used is poor, so the search for more effective and safe medicines is an urgent need. Objective: to assess the in vitro antileishmanial activity of six aqueous and hydroalcohol extracts from marine organisms. Methods: the activity of six extracts against Leishmania amazonensis promastigots and amastigots as well as their toxicity against peritoneal macrophages in BALB/c mice. Results: in the promastigot assay, the extracts from Bryothamnion triquetrum, Bunodosoma granulifera, Halimeda opuntia and Physalia physalis showed growth inhibition at concentrations lower than 100 µg/mL whereas in amastigots, these last two extracts were the most active and least toxic with a selectivity index of 6 and 8 respectively. Conclusions: taking these results into account, it was considered that the H. opuntia and P. physalis extracts showed a promising activity, so it is suggested that further studies on its in vivo activity be conducted.