Moradores de áreas rurais de municípios mineiros endêmicos para a doença de Chagas: ideias e concepções sobre a doença, os vetores e os serviços de saúde / Residents of rural areas in municipalities of Minas Gerais endemic for Chagas disease: their ideas and conceptions about the disease, vector, and health services

Resumo Introdução A vigilância da doença de Chagas (DC), baseada na participação popular, ocorre por meio da detecção e notificação de insetos suspeitos de serem vetores da DC aos Postos de Informação de Triatomíneos (PITs). Objetivo Compreender as ideias e concepções dos moradores em áreas rurais dos municípios da Microrregião de Saúde de Itaúna (MSI) em relação a aspectos relacionados à DC, seus vetores e serviços de saúde. Método Em 2016, foram realizados quatro grupos focais nos municípios da MSI. Esses grupos focais foram gravados, transcritos e analisados utilizando a técnica de análise de conteúdo. Neste processo, identificamos e categorizamos unidades de análise tanto dentro de cada grupo focal quanto entre eles. Resultados Descobrimos que há compreensão por parte de alguns moradores sobre a natureza da transmissão da DC, as características morfológicas e hábitos dos vetores, o encaminhamento do vetor para os PITs e o diagnóstico da DC. Também encontramos relatos da ausência de intervenções educacionais e de saúde relacionadas à DC. Conclusão Compreender as concepções e ideias sobre a DC das populações em áreas endêmicas é fundamental para desenvolver futuras estratégias envolvendo a participação popular.

Abstract Background The surveillance of Chagas disease (CD) based on public participation is carried out through the detection and notification of insects suspected of being vectors of CD to Triatomine Information Posts (TIPs). Objective To understand the ideas and conceptions of residents in rural areas of the municipalities of the Micro-region of Health de Itaúna (MHI) regarding aspects related to CD, its vectors, and health services. Method In 2016, four focus groups were conducted in the municipalities of MHI. These focus groups were recorded, transcribed, and analyzed using the content analysis technique. In this process, units of analysis, both within each focus group and between them, were identified and categorized. Results It was found that some residents have a good understanding of the nature of CD transmission and of the morphological characteristics and habits of the vectors, in addition to an understanding of the forwarding of the vector to TIPs, and the diagnosis of CD. Reports of the absence of education and health interventions related to CD were also found. Conclusion Understanding the conceptions and ideas about CD of populations in endemic areas is fundamental to developing future strategies involving public participation.

Evaluation of triatomines infestation occurrence in home environments in the city of Taua-Ce, 2012 / Avaliação da ocorrência de infestação por triatomíneos em ambientes domiciliares no município de Tauá-Ce, 2012 / Evaluación de la ocurrencia de infestación por triatominos en ambientes domiciliarios en el municipio de Tauá-Ce, 2012

Background and Objectives: Triatomines are vectors of Trypanosoma cruzi, the etiologic agent of Chagas disease, a parasitic disease that affects mammals and humans. The destruction or transformation of natural ecotopes has intensified, resulting in the invasion of triatomines in households, bringing risks to the population. Thus, the objective of the study was to carry out a data survey on triatomine infestation in the countryside of the city of TauaCe, in 2012. Methods: This is a descriptive/exploratory study of a quantitative nature, where the Secondary data were obtained from the Municipal Health Department (Endemic Nucleus). Results: The percentage of infestation in the 15 locations studied was 26.1%, with the most affected locations being: Sítio Central do Incra 50%, Fazenda Brôco 18.2%, Jordão 16.7%, Fazenda Bom Lugar 0%, Fazenda Riacho do Mato 40%, Fazenda Cearauai 37.5%, Sítio Riacho do Mato 30%, Fazenda Cedro 17.4%, Cachoeirinha 27%, Fazenda Várzea do Feijão 24%, Cachoeira do Júlio 41.2%, Fazenda Mutuquinha 9,4%, Sítio Várzea Grande 33.3%, Iparana 9.1% and Cachoeira do Celso 16.7%. Conclusion: The study showed that there is a significant rate of triatomine infestation in the home environment, which represents a great risk to the health of the population of Taua. Therefore, a more frequent entomological control is suggested, going beyond the period of campaigns for a better monitoring of the occurrence of these insects in the area.(AU)

Justificativa e Objetivos: Triatomíneos são vetores de Trypanosoma cruzi, agente etiológico da doença de Chagas, parasitose que atinge mamíferos e humanos. A destruição ou transformação dos ecótopos naturais tem se intensificado, resultando na invasão de triatomíneos em domicílios trazendo riscos a população. Diante do exposto, o objetivo do estudo foi realizar um levantamento de dados sobre a infestação de triatomíneos em localidades do interior do município de Tauá-Ce, em 2012. Métodos: Trata-se de um estudo descritivo/exploratório de natureza quantitativa, onde os dados secundários foram obtidos junto à Secretaria de Saúde (Núcleo de Endemias) do município. Resultados: O percentual de infestação nas 15 localidades estudadas foi de 26,1%, sendo as localidades mais afetadas: Sítio Central do Incra 50%, Fazenda Brôco 18,2%, Jordão 16,7%, Fazenda Bom Lugar 0%, Fazenda Riacho do Mato 40%, Fazenda Cearauai 37,5%, Sítio Riacho do Mato 30%, Fazenda Cedro 17,4%, Cachoeirinha 27%, Fazenda Várzea do Feijão 24%, Cachoeira do Júlio 41,2%, Fazenda Mutuquinha 9,4%, Sítio Várzea Grande 33,3%, Iparana 9,1% e Cachoeira do Celso 16,7%. Conclusão: O estudo mostrou que há um expressivo índice de infestação triatomínica em ambiente domiciliar, o que representa um grande risco a saúde da população tauaense. Sendo assim, sugere-se um controle entomológico mais frequente, ultrapassando o período de campanhas para um melhor acompanhamento da ocorrência desses insetos na região.(AU)

Justificación y Objetivos: Los triatomíneos son vectores de Trypanosoma cruzi, agente etiológico de la enfermedad de Chagas, parasitosis que afecta a mamíferos y humanos. La destrucción o transformación de los ecótopos naturales se ha intensificado, resultando en la invasión de triatomíneos en domicilios trayendo riesgos a la población. Ante lo expuesto, el objetivo del estudio fue realizar un levantamiento de datos sobre la infestación de triatomíneos en localidades del interior del municipio de Tauá-Ce, en 2012. Métodos: Se trata de un estudio descriptivo/exploratorio de naturaleza cuantitativa, donde los datos secundarios fueron obtenidos junto a la Secretaría de Salud (Núcleo de Endemias) del municipio. Resultados: El porcentaje de infestación en las 15 localidades estudiadas fue de 26,1%, siendo las localidades más afectadas: Sítio Central do Incra 50%, Fazenda Brôco 18,2%, Jordão 16,7%, Fazenda Bom Lugar 0%, Fazenda Riacho do Mato 40%, Fazenda Cearauai 37,5%, Sítio Riacho do Mato 30%, Fazenda Cedro 17,4%, Cachoeirinha 27%, Fazenda Várzea do Feijão 24%, Cachoeira do Júlio 41,2%, Fazenda Mutuquinha 9,4%, Sítio Várzea Grande 33,3%, Iparana 9,1% e Cachoeira do Celso 16,7%. Conclusión: El estudio mostró que hay un expresivo índice de infestación triatomínica en ambiente domiciliar, lo que representa un gran riesgo para la salud de la población tauaense. Siendo así, se sugiere un control entomológico más frecuente, superando el período de campañas para un mejor seguimiento de la ocurrencia de esos insectos en la región.(AU)

Entomological survey of phlebotominae sand flies (diptera: psychodidae) and vector species in the tegumentary leishmaniasis endemic area in eastern brazilian Amazon, Amapá state / Levantamento entomológico de flebotomíneos (Diptera: Psychodidae) e espécies vetoras na área endêmica de leishmaniose tegumentar na Amazônia oriental brasileira, Estado do Amapá

American tegumentary leishmaniasis is an endemic that has increased considerably in recent decades in the Amazon region, sand flies are the vectors of the transmission of the protozoan that causes leishmaniasis, so the objective of this study was to carry out a survey of the diversity of species and the presence of Leishmania DNA in vectors circulating in three endemic counties for tegumentary leishmaniasis in the eastern Brazilian Amazon (Amapá state, Brazil). Using CDC light traps, a total of 10,773 specimens were collected between February 2019 and February 2020, representing 64 species in 15 genera. The vector specie Nyssomyia umbratilis Ward and Frahia, 1977 was the predominant species (13.20% of the total), being collected in all three counties, followed by Trichopygomyia trichopyga Floch & Abonnenc, 1945 (11.41%), Trichophoromyia ubiquitalis Mangabeira,1942 (9.47%) and Nyssomyia anduzei Rozeboom, 1942 (7.61%). For the identification of Leishmania DNA, 775 pools of unengorged females were used, of which 5 tested positive, 2 of Nyssomya umbratilis Ward & Fraiha,1977, 1 of Nyssomyia anduzei and 2 of Psychodopygus davisi Root,1934, demonstrating a natural total infection rate of 0.64%. This study increases the knowledge of vector diversity, as well as identifying Leishmania spp. in circulation in the eastern region of the Amazon.

A leishmaniose tegumentar americana é uma endemia que aumentou consideravelmente nas últimas décadas na região amazônica, os flebotomíneos são os vetores da transmissão do protozoário causador da leishmaniose, portanto o objetivo deste estudo foi realizar um levantamento da diversidade de espécies e a presença de DNA de Leishmania em vetores que circulam em três municípios endêmicos de leishmaniose tegumentar na Amazônia oriental brasileira (Amapá, Brasil). Usando armadilhas luminosas do tipo CDC, um total de 10.773 espécimes foram coletados entre fevereiro de 2019 e fevereiro de 2020, representando 64 espécies em 15 gêneros. As espécie vetoras - singular Nyssomyia umbratilis Ward e Frahia 1977 foram as espécies predominantes (13,20% do total), sendo coletadas nos três municípios, seguido por Trichopygomyia trichopyga Floch & Abonnenc, 1945 (11,41%), Trichophoromyia ubiquitalis Mangabeira, 1942 (9,47%) e Nyssomyia anduzei Rozeboom, 1942 (7,61%). Para a identificação do DNA de Leishmania, foram utilizados 775 pools de fêmeas não ingurgitadas, dos quais 5 foram positivos, 2 de Nyssomya umbratilis Ward & Fraiha, 1977, 1 de Nyssomyia anduzei e 2 de Psychodopygus davisi Root, 1934, demonstrando uma taxa de infecção total de 0,64%. Este estudo aumenta o conhecimento da diversidade de vetores, bem como a identificação das espécies de Leishmania spp. em circulação na região oriental da Amazônia.

Avaliação do conhecimento sobre a doença de Chagas em escolares das zonas rural e urbana de municípios endêmicos em Minas Gerais / Assessment of knowledge about Chagas disease in schoolchildren in rural and urban areas of endemic municipalities in Minas Gerais state, Brazil

Resumo O objetivo deste estudo foi avaliar o conhecimento de escolares do ensino médio de três escolas localizadas em municípios mineiros endêmicos para a doença de Chagas e extrair informações relativas à sua percepção em relação aos aspectos gerais, biológicos, clínicos e epidemiológicos da doença, do vetor e controle entomológico da doença de Chagas, além de comparar o conhecimento dos participantes em função da localização das escolas (zona rural ou urbana). Para isso, aplicou-se um questionário semiestruturado a 68 alunos. Todos os participantes já ouviram falar a respeito da doença de Chagas, afirmando ter adquirido esse conhecimento, sobretudo, com familiares e escola. Além disso, muitos participantes demonstraram conhecer os hábitos dos vetores, tais como hematofagia e fontes alimentares. Não houve associação clara entre o perfil de urbanização e o conhecimento dos participantes. No entanto, alunos da zona urbana apresentaram menos conhecimento prático a respeito dos triatomíneos e aspectos relativos à transmissão da doença, em relação aos alunos da zona mais "ruralizada". Sugere-se o aprofundamento do tema nos currículos escolares do ensino médio e a necessidade de elaboração de ações de educação em saúde voltadas à vigilância entomológica da doença de Chagas nesses municípios e, provavelmente, em outras regiões do Brasil.

Abstract This study aimed to evaluate the knowledge of high school students from three schools located in endemic municipalities of Minas Gerais to Chagas disease and to extract information related to their perception regarding the general, biological, clinical and epidemiological aspects of the disease, vector and entomological control of Chagas disease, in addition to comparing the knowledge of participants according to the location of schools (rural or urban area). For this, a semi-structured questionnaire was applied to 68 students. All participants have heard about Chagas disease, stating that they have acquired this knowledge, especially with family members and school. In addition, many participants demonstrated to know the habits of vectors, such as hematophagy and dietary sources. There was no clear association between the urbanization profile and the participants' knowledge. However, students from the urban area presented less practical knowledge about triatoins and aspects related to the transmission of the disease, in relation to students in the most "ruralized" area. It is suggested the deepening of the theme in high school curricula and the need to develop health education actions aimed at entomological surveillance of Chagas disease in these municipalities and, probably, in other Brazilian regions.

Entomological surveillance of Chagas disease in the East of Minas Gerais region, Brazil

ABSTRACT Background: After decentralizing the actions of the Chagas Disease Control Program (CDCP) in Brazil, municipalities were now responsible for control measures against this endemic, supervised by the Regional Health Superintendencies (RHS). We aimed to evaluate the recent entomological surveillance of Chagas disease in the Regional Health Superintendence of Governador Valadares (RHS/GV) from 2014 to 2019. Methods: Triatomines captured by residents during entomological surveillance were sent to the reference laboratory, where the species and evolutionary stages were identified, place of capture, and presence of Trypanosoma cruzi. A database was created, and the following were calculated: the rate of infection by T. cruzi (overall rate and rate by species), monthly seasonality, spatial distribution of species, number of captures, and infected triatomines/health microregions. Results: We identified 1,708 insects; 1,506 (88.2%) were triatomines, most were adult instars (n=1,469), and few were nymphs (n=37). The identified species were Triatoma vitticeps, Panstrongylus megistus, Panstrongylus diasi, Rhodnius neglectus, and Panstrongylus geniculatus. The first three were most frequently captured and distributed throughout the study area. Most bugs were captured intradomicile (72.5%), mainly in the second semester, between September and November, with an average infection rate of 41.5% (predominantly T. vitticeps, 49.2%). All municipalities sent triatomines, especially in the microregions of Governador Valadares. Conclusions: These data reinforce the need and importance of improving Chagas disease control measures in the region to establish active and participatory entomological surveillance.

First report of Rhodnius montenegrensis (Hemiptera: Reduviidae: Triatominae) in Bolivia

ABSTRACT Background: The subfamily Triatominae, which comprises 157 species, carries the protozoan Trypanosoma cruzi, the etiological agent of Chagas disease. This short communication reports for the first time the occurrence of Rhodnius montenegrensis in Bolivia. Methods: Active searches were carried out on palm trees of the genus Oenocarpus in Beni district, Bolivia. Results: Fifteen R. montenegrensis specimens were collected from a rural area of the Beni district, Bolivia, and tested positive for T. cruzi. Conclusions: This new report expands the geographic distribution of the species in Latin America. Due to their ability to transmit trypanosomatids, the species deserves the attention of vector control programs.

Aportes científicos del Instituto de Medicina Tropical "Pedro Kouri" a la vigilancia de Aedes aegypti (Díptera: Culicidae) en Cuba, 1982-2020

RESUMEN Entre las enfermedades de mayor incidencia en el mundo transmitidas por los culícidos o mosquitos se encuentran las arbovirosis como dengue, chikungunya, zika y fiebre amarilla, las cuales el humano las adquiere a través de la picadura de Aedes aegypti (Linnaeus, 1762) y Aedes albopictus (Skuse, 1894). Los programas de vigilancia entomológica de Ae. aegypti en el mundo tienen en común determinar cambios en la distribución geográfica del mosquito, obtener medidas relativas de sus poblaciones a lo largo del tiempo, evaluar la cobertura y el impacto de las intervenciones antivectoriales, así como monitorear la susceptibilidad y la resistencia de sus poblaciones a los principales insecticidas usados en el control vectorial. En este trabajo se resume los principales resultados de las investigaciones desarrolladas por el departamento de control de vectores del Instituto de Medicina Tropical ¨Pedro Kouri¨ (IPK) como Laboratorio Nacional de Referencia (LNR) para contribuir al fortalecimiento de la vigilancia entomológica de Ae. aegypti desde 1981 hasta el 2020. Con este artículo se destaca el trabajo realizado al cumplirse en el 2021, 40 años del inicio de la llamada campaña de erradicación de Ae. aegypti implementada a raíz de la epidemia de dengue hemorrágico (en la nueva clasificación denominada dengue severo) registrada en Cuba en 1981.

ABSTRACT Arbovirus infections such as dengue, chikungunya, zika and yellow fever are among the mosquito-borne diseases with the highest incidence worldwide. These conditions are transmitted by the bite of Aedes aegypti (Linnaeus, 1762) and Aedes albopictus (Skuse, 1894) mosquitoes. Common goals of entomological surveillance programs for Ae. aegypti in the world are to determine changes in the geographic distribution of the mosquito, obtain data concerning their populations throughout time, evaluate the coverage and impact of antivector interventions, and monitor the susceptibility and resistance of mosquito populations to the main insecticides used for vector control. The paper summarizes the main results of studies conducted from 1981 to 2020 by the Vector Control Department at Pedro Kourí Tropical Medicine Institute (IPK) as a National Reference Laboratory (NRL), to contribute to the strengthening of entomological surveillance of Ae. aegypti. Recognition is also made of the work done for forty years as part of the so-called Ae. aegypti eradication campaign implemented in response to the dengue hemorrhagic fever epidemic (severe dengue in the new classification) occurring in Cuba in 1981.

Residual foci of Triatoma infestans infestation: Surveillance and control in Rio Grande do Sul, Brazil, 2001-2018

Abstract INTRODUCTION: This retrospective study conducted from 2001 to 2018 investigated the residual foci of Triatoma infestans infestation in Rio Grande do Sul, Brazil. METHODS: The data were obtained via entomological surveillance and the distribution of vector occurrence. The coverage of active research was mapped. RESULTS: The largest coverage rate for active research was observed in the northwest region of the total of 515,081 domiciles researched. Most T. infestans specimens were captured in the peridomicile. CONCLUSIONS: Infestation has decreased significantly since 2008, and T. infestans has not been captured since 2015.

El mosquito del dengue en la Ciudad de México. Invasión incipiente de Aedes aegypti y sus potenciales riesgos / Aedes aegypti, the dengue fever mosquito in Mexico City. Early invasion and its potential risks

Resumen Introducción: La Ciudad de México no tiene presencia endémica de Aedes aegypti, por lo que está libre de enfermedades transmitidas por vector como dengue, Zika y chikunguña. Sin embargo, existe evidencia de la presencia de huevecillos en la urbe desde 2015. Objetivo: Reportar la presencia constante y en aumento de huevecillos de Aedes aegypti en la Ciudad de México de 2015 a 2018. Método: Se realizó vigilancia a través de ovitrampas; se contabilizaron y eclosionaron huevecillos para determinar la especie. Resultados: De 2015 a 2018 fueron identificados 378 organismos como Aedes aegypti. En total fueron colectadas 76 ovitrampas positivas a Aedes aegypti en 50 sitios distintos de 11 alcaldías. El noreste de la Ciudad de México fue el área con mayor positividad. Conclusiones: Los resultados pueden estar indicando un periodo de colonización incipiente y la probable la existencia de colonias crípticas del mosquito, por lo que la Ciudad de México podría estar en riesgo de presentar epidemias de enfermedades transmitidas por vector.

Abstract Introduction: Mexico City has no endemic presence of Aedes aegypti, and it is therefore free of vector-borne diseases, such as dengue fever, Zika and chikungunya. However, evidence has shown the presence of Aedes aegypti eggs in the city since 2015. Objective: To report the constant and increasing presence of Aedes aegypti eggs in Mexico City from 2015 to 2018. Methods: Surveillance was carried out using ovitraps. Eggs were counted and hatched in order to determine the species. Results: From 2015 to 2018, 378 organisms were identified as Ae. aegypti. In total, 76 Aedes aegypti-positive ovitraps were collected at 50 different places in 11 boroughs of the city. Northeastern Mexico City was the area with the highest number of positive traps. Conclusions: The results may be indicating a period of early colonization and the probable existence of cryptic colonies of the mosquito, and Mexico City could be therefore at risk of experiencing vector-borne epidemics.

Conhecimentos sobre a doença de Chagas e seus vetores em habitantes de área endêmica do Rio Grande do Sul, Brasil / Knowledge about Chagas disease and its vectors of individuals from the endemic area of Rio Grande do Sul, Brazil

Resumo Introdução A doença de Chagas (DC) é uma endemia relevante na América Latina, contudo poucas pesquisas são realizadas sobre os conhecimentos que a população possui sobre o tema. Objetivo Verificar o conhecimento que uma população de origem rural do sul do Rio Grande do Sul possui acerca da DC e seus vetores. Método O estudo foi realizado com a população atendida em um Hospital-Escola de Pelotas, a partir de questionário semiestruturado, no qual foi verificado se as pessoas conseguiam identificar os triatomíneos, se já encontraram "barbeiros" na residência, quais órgãos a DC acomete, entre outras questões. As associações entre as variáveis foram analisadas pelos testes do qui-quadrado e odds ratio (OR). Resultados Dos 132 participantes, 58,3% identificaram os vetores, e as variáveis que se mostraram significativas foram morar ou ter morado no município de Canguçu e possuir galinheiro ou chiqueiro no peridomicílio. Já as variáveis residir ou ter residido em casa de pau a pique/torrão/barro (p = 0,0038; OR = 3,18) e ser proveniente de Canguçu (p = 0,004; OR = 3,4) foram significativamente associadas ao ato de já ter encontrado vetores na residência. Sobre os órgãos que a DC acomete, somente 25 pessoas reportaram o coração (18,9%). Conclusão Esta investigação ressalta a necessidade de campanhas educativas, pois foi realizada em região com importantes índices de DC em estudos recentes.

Abstract Background Chagas disease (CD) is a relevant endemic in Latin America, however, few researches is carried out about the knowledge that the population has on the subject. Objective Verify the knowledge that the population of rural origin, in the southern region of Rio Grande do Sul, has about the CD and its vectors. Method The study was carried out with individuals attended at the School Hospital of Pelotas, from a semi-structured questionnaire, through which it was verified if people could identify the vectors; if individuals found "kissing-bugs" in your residence; which organs the CD affects; among other issues. The associations between the variables were analyzed by the χ2 and odds ratio (OR) tests. Results Of the 132 individuals interviewed, 58.3% identified the significant vectors linked to the variables as to reside or had resided in the municipality of Canguçu and had a chicken coop or pigsty in the peridomicile. The variables residing or having resided in a stick house (p = 0.0038, OR = 3.18) and coming from Canguçu (p = 0.004, OR = 3.4) were significant to have already found vectors in the residence. Regarding the organs that CD affects, only 25 people reported heart issues (18.9%). Conclusion This research highlights the need for educational campaigns, being carried out in a region with important CD indexes in recent studies.

Sandfly fauna and behavior (Diptera: Psychodidae) in municipalities of the Mesoregion North Pioneer of Paraná, Brazil

Abstract The occurrence of cutaneous leishmaniasis (CL) in the municipalities of Jaboti, Japira, Pinhalão, and Tomazina in the North Pioneer of the State of Paraná, where this disease is endemic, prompted the investigation of sandfly fauna, their population changes throughout the year, and their behavior in and around human accommodation. In these municipalities, the collection of sandflies was conducted using Falcão traps from 7 pm to 6 am once a month. 32,994 sandflies, 18,442 males and 14,552 females, were collected and represented by the species Brumptomyia brumpti, Brumptomyia cunhai, Evandromyia correalimai, Evandromyia cortelezzii, Expapillata firmatoi, Micropygomyia ferreirana, Migonemyia migonei, Nyssomyia neivai, Nyssomyia whitmani, Pintomyia fischeri, Pintomyia monticola, Pintomyia pessoai, and Psathyromyia bigeniculata. Ny. neivai (SISA = 0.9808) predominated in Japira (46.9%), Pinhalão (53.1%), and Tomazina (38.9%), while Ny. whitmani (SISA = 0.9423) predominated in Jaboti (53.8%). Most sandflies were captured in domestic animal shelters, with a peak in September. The high number of sandflies collected in domestic animal shelters, species richness, and presence of species involved in the epidemiology of CL reveal the need for permanent entomological surveillance in the municipalities mentioned. The use of phlebotomine control measures in these municipalities should be considered in conjunction with the anthropogenic actions that have resulted in changes to sandfly fauna and behavior.

Synanthropic triatomines (hemiptera: reduviidae): infestation, colonization, and natural infection by trypanosomatids in the state of Rio Grande do Norte, Brazil

Abstract INTRODUCTION The ecoepidemiological situation in the State of Rio Grande do Norte, Brazil is characterized by frequent invasion and colonization of domiciliary units (DUs) by several triatomine species, with high rates of natural infection by Trypanosoma cruzi. METHODS: We evaluated the possibility of vector transmission of T. cruzi based on records of the occurrence of domiciled triatomines collected by the Secretariat of State for Public Health from 2005 to 2015. During this period, 67.7% (113/167) of municipalities conducted at least one active search and 110 recorded the presence of insects in DUs. These activities were more frequent in municipalities considered to have a high and medium-level risk of T. cruzi transmission. RESULTS Of 51,569 captured triatomines, the most common species were Triatoma brasiliensis (47.2%) and T. pseudomaculata (40.2%). Colonies of T. brasiliensis, T. pseudomaculata, T. petrocchiae, Panstrongylus lutzi, and Rhodnius nasutus were also recorded in the intradomicile and peridomicile. Natural infection by trypanosomatids was detected in 1,153 specimens; the highest rate was found in R. nasutus (3.5%), followed by T. brasiliensis (2.5%) and T. pseudomaculata (2.4%). There have been high levels of colonization over the years; however, not all infested DUs have been sprayed. CONCLUSIONS: This is the first report of intradomicile and peridomicile colonization by P. lutzi. These results demonstrate the risk of new cases of infection by T. cruzi and reinforce the need for continuous entomological surveillance in the State of Rio Grande do Norte.

Occurrence of triatomines (Hemiptera: Reduviidae) in domestic and natural environments in Novo Remanso, Itacoatiara, Amazonas, Brazil

Abstract INTRODUCTION The present study reports the presence of triatomines in natural, peridomestic, and intradomicile environments in Itacoatiara municipality, state of Amazonas, a non-endemic region for Chagas disease. METHODS Active search was performed inside tree trunks, and palm trees, residences, and peridomiciles localized near the forest area. RESULTS: Twenty adults and ten triatomines nymphs were collected, fifteen of which were from natural forests, thirteen from intradomiciles, and two from peridomicile areas. CONCLUSIONS: The new records of adults and nymphs of triatomines in the intra- and peridomiciles suggest the adoption of prophylactic measures for vector surveillance in the study area.

Field evaluation of sticky BR-OVT traps to collect culicids eggs and adult mosquitoes inside houses

Abstract INTRODUCTION: Culex quinquefasciatus is a mosquito of importance to public health, as it represents a real and/or potential risk for the transmission of pathogens to humans, such as some arthropod-borne viruses and nematodes that cause filariasis. In Brazil, three municipalities in the Metropolitan Region of Recife (RMR) that are endemic for lymphatic filariasis conducted control actions targeting this vector. With the goal of contributing novel C. quinquefasciatus collection strategies, a sticky trap capable of collecting eggs and imprisoning mosquitoes was investigated. METHODS: To evaluate the performance of the sticky BR-OVT trap, tests were carried out in the neighborhoods of Caixa d'Água and Passarinho (Olinda-PE-Brasil) between August 2011 and June 2012. Sixty traps were installed in the indoor areas of residences in the two districts. RESULTS: During the 11-month study, 0.52 [standard deviation (SD) = 1.52] Culex egg rafts, 2.16 (SD = 4.78) C. quinquefasciatus/trap/month, and 0.55 (SD = 1.28) Aedes/trap/month were caught. Female specimens predominated the traps (59% of C. quinquefasciatus and 96% of Aedes spp.). CONCLUSIONS The results demonstrated that the sticky BR-OVT trap is a useful tool for the collection of adult culicids of medical importance and offers an innovative way to collect C. quinquefasciatus eggs and adults in a single trap.

Reflexões sobre cenários, vigilância epidemiológica e controle da transmissão de leishmaniose visceral no estado de São Paulo / Analysis of epidemiological scenarios and the relationship with surveillance and control of visceral leishmaniasis transmission in the state of São Paulo

Diferenças regionais nos padrões de transmissão da leishmaniose visceral tem se constituído ao longo do tempo em diferentes cenários para enfrentamento da doença no estado de São Paulo. Entre 1999 a 2016, Lutzomyia longipalpis foi detectado em 95,8% (137/143) dos municípios com transmissão humana, canina ou ambas. Todavia, a ocorrência de casos humanos em município do litoral e aumento de casos caninos na região metropolitana de São Paulo sem detecção do vetor, sugere novos desafios à vigilância e ao controle da doença. No oeste do estado, prevalece à forma clássica de transmissão com 19,70% (13/66) dos municípios prioritários, acumulando 63,8% (245/384) dos casos no triênio 2015-2016-2017. Esse padrão epidemiológico é compatível com a regra empírica 80/20. Alguns destes municípios houve remissão da transmissão, porem com posterior aumento no decorrer dos anos. Desse modo conclui-se que a vigilância e o controle da leishmaniose visceral terá como desafio a busca por novas ferramentas para o enfrentamento da transmissão nos diversos cenários e para o efetivo controle da doença.

Regional characteristics influence the patterns of transmission of visceral leishmaniasis revealing over time different scenarios for the control of the disease in the state of São Paulo. Between 1999 and 2016, Lutzomyia longipalpis was detected in 95.8% (137/143) of the municipalities with human, canine or both transmissions. However, the occurrence of human cases in a new municipality and an increase in canine cases in the metropolitan region of São Paulo without detection of the vector suggest new challenges to surveillance and control of the disease. In the western part of the state, the classic form of transmission prevails with 19.70% (13/66) of the priority municipalities, accumulating 63.8% (245/384) of cases in the triennium 2015-2016-2017. This epidemiological pattern is compatible with the 80/20 empirical rule. Some of these municipalities had remission of the transmission with a subsequent increase in the number of cases over the years. Thus, it is concluded that the surveillance and control system of visceral leishmaniasis should seek new tools for coping with transmission in the various scenarios and for effective control of the disease.

Vigilancia entomológica de culícidos en la provincia de Matanzas durante el año 2015 / Entomological surveillance of culicids in the province of Matanzas during 2015

Introducción: la vigilancia entomológica es la recolección de información sobre los vectores de enfermedades y su entorno. Es un componente de la vigilancia epidemiológica, que consiste en una actividad del control de los vectores que se realiza durante todo el año, para conocer la presencia de estos en un área geográfica, la densidad de sus poblaciones, así como identificar los principales criaderos y los más productivos. Objetivo: identificación de las especies de culícidos que circularon en la provincia de Matanzas, durante el año 2015, así como la definición de la especie que predominó y tipificación de los depósitos más colonizados por estos en su fase de vida inmadura. Materiales y Métodos: se realizó un análisis de las estadísticas de la vigilancia entomológica durante el año 2015. Según la metodología descrita en el Programa Nacional de Vigilancia y Lucha Antivectorial se clasificó los depósitos, se colectaron y diagnosticaron las muestras. Resultados: las muestras larvarias aportaron la mayor cantidad de datos. Los depósitos de agua situados en el exterior de las viviendas, y dentro de estos las larvitrampas fueron los más utilizados por los mosquitos. La especie predominante en fase inmadura fue Aedes albopictus, mientras que en fase adulta Culex quinquefasciatus. Conclusiones: se identificaron 5 géneros con 25 especies de culícidos, el 36,8 % de la fauna cubana. Como especie predominante se define al A. albopictus. Los depósitos más explotados por estos organismos según su ubicación, fueron los del exterior, y según su tipo, fueron las larvitrampas (grupo E) (AU).

Introduction: the entomological surveillance is the recollection of information on diseases´ vectors and their environment. It is part of the epidemiologic surveillance, and it is an activity of vectors controlling carried out around the year to determine their presence in a geographical area, the density of their populations, and to identify their main breeding places and the most productive ones. Objectives: to identify the culicids species living in the province of Matanzas during 2015, and also to define the predominating specie and to typify the deposits more colonized by them in the in-mature life stage. Materials and Methods: it was carried out an analysis of the entomological surveillance statistics during 2015. The reservoirs were classified, and the samples were collected and diagnosed according to the methodology described in the National Program of Antivectorial Surveillance and Struggle. Results: the larval samples gave the biggest quantity of data. The water reservoirs located outside the living accommodations, and among them the larval traps were the most used by mosquitoes. The predominant specie found in in-mature stage was Aedes albopictus, while Culex quinquefasciatus predominated in adult stage. Conclusions: 5 genus with 25 species of culicids were found, 36.8 of them part of the Cuban fauna. The Aedes albopictus was defined as the predominant specie. The reservoirs most used by these organisms were, according to their location, those located outside, and according to their type, the larval traps (group E) (AU).

Blackfly control from a health education perspective: the individual, the organization, and sustainability of the process

Abstract INTRODUCTION: This study analyzed blackfly awareness and perceptions of health education practices for blackfly control among vulnerable populations in Brazil. METHODS: An exploratory descriptive quantitative research analysis was performed to investigate and analyze the awareness of and potential participation in blackfly control measures by vulnerable populations. RESULTS: Countryside resident participants (n = 24/38; 63.2% of the total sample) reported that blackflies were an obstacle to the performance of their work activities. CONCLUSIONS: Blackflies are a public health problem, and actions for blackfly control have been carried out without social participation or educational health practices that involve proper community knowledge.

Spatial distribution of Culicidae (Diptera) larvae, and its implications for Public Health, in five areas of the Atlantic Forest biome, State of São Paulo, Brazil

ABSTRACT In view of the adaptive ability of mosquitoes and their role in the transport of infective agents, entomological surveys undertaken in transitional environments are very important for the determination of the risk they represent for Public Health. Among the principal vectors of the infectious agents involved in the occurrence of important arboviruses, such as dengue, for example, are the Culicidae-insects capable of installing themselves in the urban nuclei, which exist within areas containing vestigial forests. This present study conducted a survey of mosquito species by means of traps to catch their larvae installed in five rural areas within the Atlantic Forest domain and containing its vestigial vegetation in the municipality of Santa Bárbara D'Oeste, São Paulo, Brazil. A total of 13,241 larvae belonging to six mosquito species were collected on 920 occasions (32.52% of positive collections). Aedes albopictus (64.23%) and Aedes aegypti (32.75%) were the most frequent, followed by Culex quinquefasciatus (1.32%), Aedes fluviatilis (1.04%), Culex Complex Coronator (0.40%) and Toxorhynchites theobaldi (0.22%). Three areas were analyzed by means of Simpson's diversity index and the spatial analysis showed that the sites with the greatest abundance of Ae. aegypti presented lower diversity values and were associated with more highly consolidated urban nuclei. The vector of dengue, chikungunya and zika has great infesting ability in urban areas, which means that the early implementation of entomological surveillance and control activities in specific areas - such as transitional ones - is highly important.

Anofelismo en humedales representativos de la provincia de Teruel (Noreste de España) / Anophelism in representative wetlands of Teruel province (Northern Spain)

Se analiza parte de la palúdica de un territorio endémico de malaria en el pasado en España, como es la provincia de Teruel. Los humedales más representativos del área de estudio, con datos históricos de morbi-mortalidad palúdica, fueron muestreados entre los meses de junio y octubre de 2014 para profundizar en el conocimiento de las especies de anofelinos vectores allí presentes. Un total de 5 especies del género Anopheles fueron capturadas, entre las que destacan transmisores constatados de la parasitosis como Anopheles atroparvus o Anopheles claviger. Otro notable vector de plasmodios humanos, la especie Anopheles plumbeus, fue también recolectada por primera vez para la provincia de Teruel. Pese a que el contexto eco-epidemiológico de la malaria en España hace poco probable su resurgencia, la diversidad y densidad de los vectores de la enfermedad en ciertos territorios obliga a mantener sistemas de vigilancia entomológica para minimizar posibles complicaciones sanitarias.

Malaria receptivity of a formerendemic disease area in the past in Spain (Teruel Province) has been analyzed. The most representative wetlands in the study area were sampled between June and October 2014 to deep into the knowledge of anopheline vector species present. A total of 5 species of Anopheles were collected. Among these mosquitoes, some species are efficient malaria transmitters like Anopheles atroparvus or Anopheles claviger. Another capable vector, Anopheles plumbeus, was also identified forf irst time in the province of Teruel. Although the eco-epidemiological context of malaria in Spain makes it unlikely the disease resurgence, diversity and density of vectors incertain territories should for ceto maintain entomological surveillances y stems to minimize possible health complications.

Mayaro virus and dengue virus 1 and 4 natural infection in culicids from Cuiabá, state of Mato Grosso, Brazil

This study aimed to verify the diversity of Culicidae species and their frequency of infection with flaviviruses and alphaviruses in Cuiabá, state of Mato Grosso, Brazil. Mosquitoes were captured with Nasci aspirators and hand net in 200 census tracts, identified alive at species level and pooled in one-20 (11,090 mosquitoes, 14 species). Female pools (n = 610) were subjected to multiplex seminested-reverse transcription-polymerase chain reaction (RT-PCR) for 11 flavivirus and five alphavirus. Positive pools were tested by single RT-PCR followed by nucleotide sequencing, by RT-PCR for E1 gene [Mayaro virus (MAYV)] and by inoculation in Vero cells (MAYV) or C6/36 cells (flaviviruses). One/171 Aedes aegypti was positive for dengue virus (DENV)-1, 12/403 Culex quinquefasciatus, and four/171Ae. aegypti for MAYV, which was isolated from two pools containing two nonengorged females of Ae. aegypti and two ofCx. quinquefasciatus. DENV-4 was detected in 58/171 pools of Ae. aegytpi, 105/403 Cx. quinquefasciatus, two/five Psorophora sp., two/11 Psorophora varipes/Psorophora albigenu, one/one Sabethes chloropterus, two/five Culex bidens/Culex interfor, and one/one Aedes sp. DENV-4 was isolated from two pools containing three and 16 nonengorged Cx. quinquefasciatus females. Phylogenetic analysis revealed MAYV belongs to genotype L, clustering with human samples of the virus previously identified in the city. Cuiabá has biodiversity and ecosystem favourable for vector proliferation, representing a risk for arbovirus outbreaks.