ABSTRACT
Introducción. El dengue es la enfermedad transmitida por mosquitos con mayor propagación mundial en los últimos años. Presenta un amplio espectro de manifestaciones clínicas y, en ocasiones, evoluciona a un estado crítico llamado dengue grave. Su tratamiento es de sostén. La información disponible acerca de las características clínicas, epidemiológicas y de laboratorio de la enfermedad en la población pediátrica es limitada. Objetivo. Describir la epidemiología y las manifestaciones clínicas y de laboratorio de la enfermedad. Población y métodos. Estudio descriptivo, observacional y retrospectivo. Incluyó pacientes entre 1 y 180 meses asistidos por dengue probable o confirmado en un hospital de niños, desde el 01 de enero de 2020 hasta el 31 de mayo de 2020. Resultados. Se incluyeron 85 pacientes por criterios microbiológicos de positividad o clínicoepidemiológicos. Veinticinco (29 %) confirmados por RT-PCR, todos serotipos DENV-1. La mediana de edad fue de 108 meses (rango intercuartílico: 84-144). Las principales manifestaciones clínicas fueron fiebre, cefalea y mialgias. Los hallazgos de laboratorio más importantes fueron leucopenia, trombocitopenia y elevación de transaminasas. Conclusión. El reconocimiento y la comprensión de las alteraciones clínicas y de laboratorio que se presentan durante la enfermedad pueden permitir un abordaje eficaz y contribuir a la reducción de cuadros clínicos más graves en los niños.
Introduction. Dengue has been the most widespread mosquito-borne disease worldwide in recent years. It develops with a broad spectrum of clinical manifestations and sometimes progresses to a critical condition known as severe dengue. It is managed with supportive treatment. Available information about its clinical, epidemiological, and laboratory characteristics in the pediatric population is limited. Objective. To describe the clinical, epidemiological, and laboratory characteristics of dengue. Population and methods. Descriptive, observational, and retrospective study. It included patients aged 1 to 180 months seen due to probable or confirmed dengue at a children's hospital between 1/1/2020 and 5/31/2020. Results. A total of 85 patients with positive microbiological or clinical-epidemiological criteria were included. Of these, 25 (29%) were confirmed by RT-PCR; all corresponded to DENV-1 serotype. Patients' median age was 108 months (interquartile range: 84144). The main clinical manifestations were fever, headache, and myalgia. The most important laboratory findings were leukopenia, thrombocytopenia, and high transaminase levels. Conclusion. The recognition and understanding of clinical and laboratory alterations that occur during dengue disease may allow an effective approach and help to reduce the more severe clinical form in children.
Subject(s)
Humans , Animals , Infant , Child, Preschool , Child , Adolescent , Thrombocytopenia , Dengue/diagnosis , Dengue/epidemiology , Leukopenia , Retrospective Studies , Fever/epidemiology , SerogroupABSTRACT
Presentación del caso. Paciente masculino de origen guatemalteco con historia de fiebre alta de tipo intermitente, mialgias, artralgias, debilidad generalizada, mareo y vómito de contenido gástrico. Fue tratado inicialmente en un hospital privado con diagnóstico de síndrome febril agudo y referido a un hospital de la red nacional con diagnóstico de dengue con signos de alarma, al tercer día de estancia hospitalaria se diagnostica como un caso de malaria importado por Plasmodium vivax. Intervención terapéutica. Se le dio tratamiento antimalárico con cloroquina y primaquina. Evolución clínica. Presentó mejoría clínica y las pruebas de laboratorio de control reportaron resultados negativos para Plasmodium vivax
Case presentation. Male patient of Guatemalan origin with history of intermittent high fever, myalgia, arthralgia, generalized weakness, dizziness, and vomiting of gastric contents. He was initially treated in a private hospital with a diagnosis of acute febrile illness and referred to a national network hospital with a diagnosis of dengue with warning signs. On the third day of hospital stay a diagnosis of an imported malaria case by Plasmodium vivax was presented. Treatment. The patient was given antimalarial treatment consisting of chloroquine and primaquine. Outcome. The patient presented clinical improvement, and control laboratory tests were negative for Plasmodium vivax.
Subject(s)
Humans , Male , Vector Borne Diseases , El SalvadorABSTRACT
Introducción. La pandemia por COVID-19 presionó los sistemas de salud para mantener alerta y activos los programas de control y prevención de las enfermedades transmitidas por vectores, y generó cambios en las estrategias de control vectorial en áreas urbanas afectadas por el dengue, el Zika y el chikunguña. Objetivo. Describir las adaptaciones del programa de vigilancia y control de vectores en Medellín durante la contingencia sanitaria por COVID-19. Materiales y métodos. Iniciada la emergencia sanitaria, se elaboraron protocolos de bioseguridad. Se fortaleció la vigilancia entomológica institucional en lugar de las viviendas. La información se recolectó en Medellín durante los años 2018 a 2021, en las actividades del programa de vigilancia y control de vectores, que incluyen la vigilancia epidemiológica y entomo-virológica, el levantamiento de los índices entomológicos, el monitoreo de ovitrampas, la movilización social y comunitaria, la búsqueda y eliminación de criaderos, y el control químico; estas acciones se adaptarons o incrementaron para favorecer, de una parte, el autocuidado de las comunidades en confinamiento total y parcial, y de desarrollar las acciones de prevención y control. Resultados. Se incrementó en un 40 % la vigilancia del mosquito mediante ovitrampas, la vigilancia entomo-virológica presentó un incremento de 34,4 % en el 2020 respecto al 2019, y se utilizaron herramientas virtuales para mantener y mejorar el contacto con la comunidad. Conclusión. La pandemia por COVID-19 causó gran impacto en los programas de prevención y control de las enfermedades transmitidas por vectores. Medellín adaptó rápidamente las actividades de vigilancia entomo-virológica, las acciones de control y la comunicación con la comunidad durante la pandemia, y esto permitió mantener activo el programa del manejo integrado de vectores en la ciudad.
Introduction: The COVID-19 pandemic pressured health care systems to remain alert and active in their vector-borne disease control and prevention programs, leading to changes in vector control strategies in urban areas affected by dengue, Zika and chikungunya. Objective: To describe the adaptations made to the vector control and surveillance program in Medellín during the COVID-19 health emergency. Materials and methods: Once the health emergency started, biosecurity protocols were developed. Entomological surveillance was strengthened from the institutional environment instead of homes. Data was collected in Medellín from 2018 to 2021 during the vector control and surveillance program activities, which included epidemiological and entomo- virological surveillance, entomological index survey, ovitrap monitoring, community mobilization, search and elimination of mosquito breading sites, and chemical control. These actions were adapted and/or increased to promote self-care among communities in total and partial confinement, and to develop prevention and control measures. Results: Mosquito monitoring was increased by 40% using ovitraps, entomological- virological surveillance showed an increase in 2020 of 34,4% compared to 2019 and virtual media was used to keep and improve contact with the community. Conclusion: The COVID-19 pandemic had a significant impact on arbovirus prevention and control programs. The city of Medellín quickly adapted its entomo-virological surveillance activities, control measures, and the contact with the community during the pandemic, which allow the Integrated Vector Management program to remain active in the city.
Subject(s)
Vector Borne Diseases , COVID-19 , Arboviruses , Aedes , DengueABSTRACT
Background & objectives: The role of mosquitoes is instrumental in the transmission of various diseases. Mosquitoeborne diseases account for a significant share of the global burden of total infectious diseases. Vector control is the principal method for the control of these mosquito-borne diseases. Plant-derived insecticides serve as an effective alternative to chemical insecticides. The present study has been undertaken to assess the larvicidal potential of methanol and petroleum ether extracts of leaves of Solanum xanthocarpum, Parthenium hysterophorus, Manihot esculenta, and Chamaecyparis obtusa. Methods: Larvicidal activity was tested against the early four-stage instar larvae of laboratory-reared susceptible strains of the malaria vector, Anopheles stephensi, dengue fever vector, Aedes aegypti, and the lymphatic filariasis vector, Culex quinquefasciatus at 20 to 120 ppm concentrations. Further, liquid chromatography-mass spectrometry (LC-MS) and gas chromatography-mass spectroscopy (GC-MS) analyses were carried out to identify the bioactive compounds present in the methanolic leaf extracts of Solanum xanthocarpum for designing a larvicidal product in future. Results: After 72 h of exposure high larvicidal activities were observed in methanolic and petroleum ether leaves extract of S. xanthocarpum against An. stephensi, Ae. aegypti and Cx. quinquefasciatus. The larvicidal activities for methanol and petroleum ether leaf extract of S. xanthocarpum with LC50 = 09.201 and 12.435 ppm and LC90 = 21.578 and 27.418 ppm for An. stephensi; LC50 = 11.450 and 10.026 ppm and LC90 = 26.328 and 22.632 ppm for Ae. aegypti and LC50 = 12.962 and 13.325 ppm and LC90 = 26.731 and 30.409 ppm for Cx. quinquefasciatus, respectively, were found to be most effective. GC-MS analysis revealed 43 compounds, amongst these phytol (13.09%), 3-allyl-2- methoxy phenol (9.55%), (9Z, 12Z)-9, 12-octadecadienoyl chloride (7.93%), linoleic acid (5.45%), alpha-tocospiro B (5.08%) and hexadecanoic acid (4.35%) were identified as major compounds. Interpretation & conclusion: Present work showed that leaf extracts of S. xanthocarpum are a source of potential natural candidate that possess several phytochemicals which can be explored further for the development of ecologically safer mosquito control products.
ABSTRACT
Several agents can cause hemoparasitic diseases in dogs, and blood-sucking arthropods transmit these diseases. These agents can cause several clinical manifestations and, in some cases, can kill the host. Because these agents are essential in animal health, this study aims to detect the frequency of Ehrlichia canis, Rickettsia rickettsii, Anaplasma platys, and Rangelia vitalii by real-time PCR and Babesia vogeli in dogs in the southern region of the city of São Paulo, São Paulo. Of the 98 dog samples, 18 (18.4%) tested positive with real-time polymerase chain reaction for at least one studied agent. Of these 18 samples, 17 tested positive for a single agent (11.2% for B. canis vogeli, 1.02% for R. vitalii, and 5.1% for E. canis), and one showed co-infection with B. canis vogeli and R. vitalii. The results demonstrate the presence of hemoparasites in the studied animals, which can influence the quality and life expectancy of these animals. The Rangeliadetection warns small animal clinicians to include it as a differential diagnosis for hemoparasitosis.(AU)
As hemoparasitoses em cães podem ser causadas por diversos agentes, sendo essas doenças transmitidas por artrópodes hematófagos. Esses agentes podem causar diversas manifestações clínicas e, em alguns casos, podem matar o hospedeiro. Este estudo teve como objetivo detectar por PCR em tempo real a frequência de Ehrlichia canis, Rickettsia rickettsii, Anaplasma platys, Rangelia vitalii e Babesia canis vogeli em amostras de cães da zona sul da cidade de São Paulo, Brasil. Das 98 amostras de cães, 18 (18,4%) testaram positivo com reação em cadeia da polimerase em tempo real para pelo menos um agente estudado. Destas 18 amostras, 17 testaram positivo para um único agente (11,2% para B. canis vogeli, 1,02% para R. vitalii e 5,1% para E. canis), e uma apresentou coinfecção com B. canis vogeli e R. vitalii. Os resultados demonstram a presença de hemoparasitas nos animais estudados, o que pode influenciar a qualidade e a expectativa de vida desses animais. Além disso, é o primeiro relato da detecção de R. vitalli na zona sul de São Paulo e serve de alerta para os clínicos de pequenos animais incluírem esse agente como diagnóstico diferencial para as hemoparasitoses.(AU)
Subject(s)
Animals , Protozoan Infections/diagnosis , Babesiosis/diagnosis , Ehrlichiosis/diagnosis , Dogs/microbiology , Brazil , Polymerase Chain Reaction/veterinary , Piroplasmida , Molecular Diagnostic Techniques/veterinary , Ehrlichia canisABSTRACT
ABSTRACT Objective. To assess how relevant the flow of people between communities is, compared to vaccination and type of vector, on the spread and potential outbreaks of yellow fever in a disease-free host community. Methods. Using a SEIRV-SEI model for humans and vectors, we applied numerical simulations to the scenarios: (1) migration from an endemic community to a disease-free host community, comparing the performance of Haemagogus janthinomys and Aedes aegypti as vectors; (2) migration through a transit community located on a migratory route, where the disease is endemic, to a disease-free one; and (3) effects of different vaccination rates in the host community, considering the vaccination of migrants upon arrival. Results. Results show no remarkable differences between scenarios 1 and 2. The type of vector and vaccination coverage in the host community are more relevant for the occurrence of outbreaks than migration rates, with H. janthinomys being more effective than A. aegypti. Conclusions. With vaccination being more determinant for a potential outbreak than migration rates, vaccinating migrants on arrival may be one of the most effective measures against yellow fever. Furthermore, H. janthinomys is a more competent vector than A. aegypti at similar densities, but the presence of A. aegypti is a warning to maintain vaccination above recommended levels.
RESUMEN Objetivo. Evaluar la importancia del flujo de personas entre comunidades, en comparación con la vacunación y el tipo de vector, para la propagación y los posibles brotes de fiebre amarilla en una comunidad de acogida libre de la enfermedad. Métodos. Con el empleo de un modelo SEIRV—SEI para personas y vectores, aplicamos simulaciones numéricas a las siguientes situaciones hipotéticas: 1) migración desde una comunidad con endemicidad a una comunidad de acogida libre de la enfermedad, en la que se compararon los resultados producidos por Haemagogus janthinomys y Aedes aegypti como vectores; 2) migración a través de una comunidad de tránsito situada en una ruta migratoria, donde la enfermedad es endémica, hacia otra comunidad libre de la enfermedad; y 3) efectos de tasas de vacunación diferentes en la comunidad de acogida, tomando en consideración la vacunación de las personas migrantes a su llegada. Resultados. Los resultados no muestran diferencias notables entre las situaciones 1 y 2. En cuanto a la aparición de brotes, tanto la cobertura vacunal en la comunidad de acogida como el tipo de vector tienen más importancia que las tasas de migración; y H. janthinomys muestra mayor eficacia que A. aegypti. Conclusiones. Dado que, para determinar la aparición de un posible brote, la vacunación tiene mayor importancia que las tasas de migración, la vacunación de las personas migrantes a su llegada puede ser una de las medidas más eficaces contra la fiebre amarilla. Además, a densidades similares, H. janthinomys es un vector más competente que A. aegypti, por lo que la presencia de A. aegypti constituye una señal de alerta para mantener la vacunación por encima de los niveles recomendados.
RESUMO Objetivo. Avaliar a relevância do fluxo de pessoas entre comunidades em comparação com a vacinação e tipo de vetor para a propagação e potenciais surtos de febre amarela em uma comunidade de destino livre da doença. Métodos. Usando um modelo SEIRV-SEI para humanos e vetores, foram aplicadas simulações numéricas aos seguintes cenários: (1) migração de uma comunidade endêmica para uma comunidade de destino livre da doença, comparando o desempenho de Haemagogus janthinomys e de Aedes aegypti como vetores; (2) migração através de uma comunidade de trânsito localizada em uma rota migratória, onde a doença é endêmica, para uma comunidade de destino livre da doença; e (3) efeitos de diferentes taxas de vacinação na comunidade de destino, considerando-se a vacinação dos migrantes ao chegarem. Resultados. Os resultados não revelaram diferenças marcantes entre os cenários 1 e 2. O tipo de vetor e a cobertura vacinal na comunidade de destino são mais relevantes para a ocorrência de surtos do que as taxas de migração; o vetor H. janthinomys é mais efetivo do que A. aegypti. Conclusões. Na medida em que a vacinação é mais determinante para um potencial surto que as taxas de migração, a vacinação de migrantes na chegada pode ser uma das medidas mais efetivas contra a febre amarela. Além disso, o H. janthinomys é um vetor mais competente do que o A. aegypti em densidades similares, mas a presença de A. aegypti é um alerta para manter a vacinação acima dos níveis recomendados.
ABSTRACT
Introduction: In Colombia, malaria affects people in vulnerable conditions. In urban areas, disease control measures have decreased the incidence of malaria in the past 5 years. However, there is some government abandonment in areas with armed conflict. Objective: To determine the knowledges, attitudes and practice regarding malaria in Piñalito, a town located in the municipality of Vista Hermosa in the Meta department (Colombia), in the period 2016-2017. Methods: We conducted a mixed-methods study using a survey consisting of 45 questions on knowledge, attitudes, and practices and semistructured interviews with medical personnel and government workers. Results: Of the respondents, 89.13% said that malaria is a health problem, 63.04% said the disease is transmitted by a mosquito bite, main symptoms were reported to be high fever (78.26%) and headache (60.87%). A total of 73.91% of respondents affirmed using mosquito nets to avoid the disease. The community affirmed that they do not receive good medical attention (65.22%) and did not identify the active participation of the local health secretary to prevent malaria. Conclusions: The inhabitants of Piñalito demonstrated adequate knowledge about the disease and positive attitudes toward preventing malaria. However, they had negative perceptions about the actions of the secretary of health and the government for control and prevention of the disease.
Introducción: En Colombia, la malaria afecta a personas en condiciones de vulnerabilidad. En áreas urbanas, las medidas de control de enfermedades han disminuido la incidencia de malaria en los últimos 5 años. Sin embargo, existe cierto abandono del gobierno en áreas con conflicto armado. Objetivo: Determinar los conocimientos, actitudes y prácticas sobre la malaria en la población del municipio de Piñalito (Meta, Colombia), en el periodo 2016-2017. Métodos: Realizamos un estudio de métodos mixtos utilizando una encuesta de 45 preguntas sobre conocimientos, actitudes y prácticas de la población y entrevistas semiestructuradas con personal médico y trabajadores del gobierno. Resultados: De los encuestados, el 89,13 % dijo que la malaria es un problema de salud, el 63,04 % considera que la enfermedad se transmite por la picadura de un mosquito. Los síntomas principales fueron fiebre alta (78,26 %) y dolor de cabeza (60,87 %). El 73,91 % de los encuestados afirmó utilizar mosquiteros para evitar la enfermedad. La comunidad manifestó que no recibe buena atención médica (65,22 %) y no identificó la participación activa de la secretaría de salud local para prevenir la malaria. Conclusiones: Los habitantes de Piñalito demostraron un adecuado conocimiento sobre la enfermedad y actitudes positivas hacia la prevención de la malaria. Sin embargo, tenían percepciones negativas sobre las acciones de la secretaría de salud y del gobierno para el control y prevención de la enfermedad.
Subject(s)
Humans , Retrospective Studies , Longitudinal StudiesABSTRACT
Los cambios ecológicos influyen fuertemente en los patrones de enfermedad. En la presente centuria, la inestabilidad climática y el calentamiento progresivo están desempeñando un papel creciente en la emergencia de nuevas enfermedades infecciosas, así como en la reaparición y redistribución de olvidadas infecciones. El objetivo del presente trabajo es analizar y contrastar la interrelación del clima, lluvias y temperatura, con las epidemias de dengue, arbovirosis que se ha convertido en un azote terrible en nuestro país. Metodología: Estudio descriptivo, observacional, done el número de casos de dengue durante los años 2012, 2013 y 2014, fueron contrarrestados con el promedio mensual de lluvia caída y la temperatura media mensual en el mismo periodo de tiempo. Tanto los datos de número de casos de dengue por mes, así como los datos promedios de lluvia y temperatura en cada mes se correlacionaron, estimándose la significancia estadística mediante el cálculo del coeficiente de correlación de Pearson. Resultados: Durante los 3 años del estudio, se constató un patrón característico de ocurrencia presentándose c el incremento de casos de dengue entre los meses de diciembre y mayo con un pico máximo entre febrero y abril. La media de lluvia caída predominó globalmente en el primer semestre de cada año, aunque presentó algunas diferencias anuales. El incremento del número de casos de dengue fue claramente influenciado por variaciones climáticas tanto de temperatura, con un incremento de los casos de dengue con temperaturas entre 20 y 25ºC y de lluvia caída. Al analizar en forma separada la influencia de ambas variables climáticas, pudo observarse que el principal factor que se correlacionó con los casos de dengue fue la magnitud de las precipitaciones (r de Pearson de 0.6214), y en menor grado la temperatura (r de Pearson 0,4082). Conclusión: Se observa una correlación de los casos de dengue en el Paraguay con variables climáticas, principalmente el ritmo de las precipitaciones, muestra el gran impacto del clima en la ocurrencia de epidemias de dengue.
Ecological changes strongly influence disease patterns. In this century, climatic instability and progressive warming are playing an increasing role in the emergence of new infectious diseases, as well as in the reappearance and redistribution of neglected infections. The objective was to analyze and contrast the interrelation of climate, rainfall and temperature, with dengue epidemics, an arbovirosis that has become a terrible scourge in our country. Methodology: Descriptive, observational study, where the number of dengue cases during the years 2012, 2013 and 2014, were counteracted with the monthly average rainfall and the average monthly temperature in the same period of time. Both the data on the number of dengue cases per month, as well as the average data on rainfall and temperature in each month were correlated, estimating the statistical significance by calculating the Pearson correlation coefficient. Results: During the 3 years of the study, a characteristic pattern of occurrence was found, presenting an increase in dengue cases between the months of December and May with a maximum peak between February and April. The mean rainfall predominated globally in the first semester of each year, although it presented some annual differences. The increase in the number of dengue cases was clearly influenced by climatic variations in both temperature, with an increase in dengue cases with temperatures between 20 and 25ºC and rain fall. When analyzing the influence of both climatic variables separately, it was possible to observe that the main factor that was correlated with dengue cases was the amount of rainfall (Pearson's r of 0.6214), and to a lesser extent temperature (Pearson's r of 0.6214). 0.4082). Conclusion: A correlation of dengue cases in Paraguay with climatic variables is observed, mainly the rate of rainfall, showing the great impact of climate on the occurrence of dengue epidemics.
ABSTRACT
Abstract Introduction: Tropical Andean and Amazonian ecosystems shape the great biodiversity found in Peru. However, studies on mosquitoes (Diptera: Culicidae) in the country are scarce, resulting in an information gap regarding their diversity, ecology, distribution, and abundance. Objective: To search for documented evidence on the diversity and distribution of mosquitoes (Diptera: Culicidae) in Peru, and to establish -in relation to species of medical relevance- their potential link with the epidemiological cycle of some metaxenic diseases. Materials and methods: A literature review was conducted in Google Scholar, ScienceDirect, PubMed, and SciELO, as well as in 7 databases specialized in insect taxonomy, using specific terms and their combinations by means of Boolean operators ("AND" and "OR"). Search strategy: study types: original research articles, review articles, books, and book chapters; publication period: no initial date - June 2020; languages: English, Spanish, and Portuguese. Results: A total of 99 studies were retrieved after the initial search, 84 in the 4 electronic databases and 15 in the specialized databases, of which 41 met the inclusion criteria. One additional record was included due to its relevance to the objective of the review. The studies included were original articles (n=28), review articles (n=6), books (n=5), book chapters (n=2), and undergraduate theses (n=1). Regarding the language of publication, 25 (59.52%) were published in English and 17 (40.48%) in Spanish. Conclusions: In Peru, the greatest diversity of mosquito genera is found in the departments of Loreto, Huánuco, and Madre de Dios. Knowledge of the diversity of mosquitoes in Peru that have the potential to cause health issues is relatively scarce and is focused on Aedes aegypti and some species of the Anopheles and Culex genera, thus overlooking a rich diversity distributed in the Amazonian forests, high jungle, and inter-Andean valleys.
Resumen Introducción. Los ecosistemas tropicales andinos y amazónicos determinan la gran biodiversidad presente en Perú. Sin embargo, los estudios sobre mosquitos (Diptera: Culicidae) en el país son escasos, lo que resulta en un vacío de información en cuanto a su diversidad, ecología, distribución y abundancia. Objetivos. Buscar evidencia documentada sobre la diversidad y la distribución de mosquitos en el Perú, y establecer -con relación a las especies de importancia médica- su potencial vínculo con el ciclo epidemiológico de algunas enfermedades metaxénicas. Materiales y métodos. Se realizó una revisión de la literatura en Google Académico, ScienceDirect, PubMed y Scielo, así como en siete bases de datos especializadas en taxonomía de insectos, usando términos específicos y diferentes combinaciones con operadores booleanos ("AND" y "OR"). Estrategia de búsqueda: tipos de estudios: artículos originales de investigación, artículos de revisión, libros y capítulos de libros; periodo de publicación: sin límite inicial a junio del 2020; idiomas: inglés, español y portugués. Resultados. La búsqueda inicial arrojó 99 estudios, 84 en las 4 bases de datos electrónicas y 15 en las bases de datos especializadas, de los cuales 41 cumplieron los criterios de inclusión. También se incluyó un registro adicional debido a su relevancia con el objetivo de la revisión. Los estudios incluidos fueron artículos originales (n=28), artículos de revisión (n=6), libros (n=5), capítulos de libro (n=2) y tesis de pregrado (n=1). Respecto al idioma de publicación, 25 (59.52%) estaban en inglés y 17 (40.48%), en español. Conclusiones. En Perú, la mayor diversidad de géneros de mosquitos se encuentra presente en los departamentos de Loreto, Huánuco y Madre de Dios. El conocimiento sobre la diversidad de mosquitos en Perú que tienen el potencial de generar problemas de salud es relativamente escaso y se centra en el Aedes aegypti y algunas especies de los géneros Anopheles y Culex, dejando de lado una rica diversidad distribuida en los bosques amazónicos, la selva alta y los valles interandinos.
ABSTRACT
Vector borne diseases (VBDs) remain one of the greatest dangers to global health. At least seven VBDs of public health concern are prevalent in Egypt, including schistosomiasis, fascioliasis, lymphatic filariasis, leishmaniasis, malaria, dengue, and Rift Valley fever. Although many of these diseases are preventable by using evidence-based protective measures, VBD expansion patterns over the past few decades pose a significant challenge for modern parasitology and tropical medicine. In their action plan, Egypt did not identify populations at risk of VBDs. Egypt intends to improve its regional and international communication to identify pathogens and infections and develop “One Health”- compliant preparedness and prevention strategies. However, cross-border collaborations are required for the control of VBDs. In this context, we provide a situational analysis and comprehensive review of the epidemiological data on Egypt’s most prevalent VBDs based on an exhaustive search of the major electronic databases and literature from 1950 to 2019. We identified the gaps in Egypt’s preparedness for vector-borne disease threats, including adaptation documents, surveillance and monitoring, environmental management, and preparations for the health system. There is a lack of implementation of an integrated vector management strategy that integrates chemical, environmental, and biological control as well as health education. This necessitates cross-sectoral coordination and community involvement to improve vector control activities and the use, storage, and disposal of pesticides.
ABSTRACT
Background & objectives: Weather and climate are directly linked to human health including the distribution and occurrence of vector-borne diseases which are of significant concern for public health. Methods: In this review, studies on spatiotemporal distribution of dengue, Barmah Forest Virus (BFV) and Ross River Virus (RRV) in Australia and malaria in Papua New Guinea (PNG) under the influence of climate change and/ or human society conducted in the past two decades were analysed and summarised. Environmental factors such as temperature, rainfall, relative humidity and tides were the main contributors from climate. Results: The Socio-Economic Indexes for Areas (SEIFA) index (a product from the Australian Bureau of Statistics that ranks areas in Australia according to relative socio-economic advantage and disadvantage) was important in evaluating contribution from human society. Interpretation & conclusion: For future studies, more emphasis on evaluation of impact of the El Niño-Southern Oscillation (ENSO) and human society on spatio-temporal distribution of vector borne diseases is recommended to highlight importance of the environmental factors in spreading mosquito-borne diseases in Australia and PNG.
ABSTRACT
Dengue is an emerging illness in India, where it is endemic in some areas and sometimes causes yearly epidemics. Each dengue outbreak starts with high death and morbidity, which has a significant socioeconomic impact. As of September 30, 2022, India had 63,280 dengue cases, according to information provided by the National Centre for Vector Borne Diseases Control. North India is most severely impacted by each outbreak. In Uttar Pradesh, the state with the most population in India, there have been 2060 confirmed cases of dengue and 1 mortality till September 2022 reported. Patients are being reported from semi-urban, rural, and urban areas. It is essential to properly monitor disease cases through disease surveillance in order to ensure prompt case management if dengue outbreak control is to be achieved. An efficient diagnostic approach for early diagnosis is urgently required to reduce the severity of the sickness, the length of the hospital stay, and clinical consequences.
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Aedes (Ochlerotatus) melanimon Dyar 1924 has been considered an important pest in agricultural and rural communities. Aedes melanimon is a vector of WEEV and CEV and is a competent laboratory vector of WNV. The known range of Ae. melanimon extends throughout Southwest Canada, part of Central and most of Western USA. Here we report the first record of Ae. melanimon in Mexico, at Ciudad Juárez, Chihuahua. The collect represents the southernmost distributional record for this species. Its indigenous presence in a highly urbanized and dry area was not expected. A permanent surveillance program to detect and determine the species in border-crossing cities is encouraged.
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ABSTRACT Objective. To summarize the results of research conducted in Costa Rica in which mathematical and statistical methods were implemented to study the transmission dynamics of mosquito-borne diseases. Methods. Three articles with mathematical and statistical analysis on vector-borne diseases in Costa Rica were selected and reviewed. These papers show the value and relevance of using different quantitative methods to understand disease dynamics and support decision-making. Results. The results of these investigations: 1) show the impact on dengue case reports when a second pathogen emerges, such as chikungunya; 2) recover key parameters in Zika dynamics using Bayesian inference; and 3) show the use of machine learning algorithms and climatic variables to forecast the dengue relative risk in five different locations. Conclusions. Mathematical and statistical modeling enables the description of mosquito-borne disease transmission dynamics, providing quantitative information to support prevention/control methods and resource allocation planning.
RESUMEN Objetivo. Resumir los resultados de las investigaciones realizadas en Costa Rica en las que se aplicaron métodos matemáticos y estadísticos para estudiar la dinámica de transmisión de las enfermedades transmitidas por mosquitos. Métodos. Se seleccionaron y analizaron tres artículos con análisis matemáticos y estadísticos sobre enfermedades transmitidas por vectores en Costa Rica. En estos artículos se muestra el valor y la pertinencia de emplear diferentes métodos cuantitativos para comprender la dinámica de la enfermedad y brindar apoyo a la toma de decisiones. Resultados. Los resultados de estas investigaciones: 1) muestran la repercusión en los informes de casos de dengue cuando surge un segundo agente patógeno, como el chikunguña; 2) recuperan parámetros clave en la dinámica del Zika mediante la inferencia bayesiana; y 3) muestran el uso de los algoritmos de aprendizaje automático y las variables climáticas para pronosticar el riesgo relativo de dengue en cinco lugares diferentes. Conclusiones. Los modelos matemáticos y estadísticos permiten describir la dinámica de transmisión de las enfermedades transmitidas por mosquitos, mediante la provisión de información cuantitativa para brindar apoyo a los métodos de prevención y control y a la planificación de la asignación de recursos.
RESUMO Objetivo. Resumir os resultados de estudos realizados na Costa Rica em que foram aplicados métodos matemáticos e estatísticos para estudar a dinâmica de transmissão de doenças transmitidas por mosquitos. Métodos. Foram selecionados e revisados três artigos com análises matemáticas e estatísticas sobre doenças transmitidas por vetores na Costa Rica. Esses artigos mostram o valor e a pertinência do uso de diferentes métodos quantitativos para compreender a dinâmica das doenças e apoiar a tomada de decisões. Resultados. Os resultados dessas investigações: 1) mostram o impacto nas notificações de casos de dengue quando surge um segundo patógeno, como o chikungunya; 2) recuperam parâmetros-chave na dinâmica do zika, usando a inferência bayesiana; e 3) mostram o uso de algoritmos de aprendizagem por máquina e variáveis climáticas para prever o risco relativo da dengue em cinco locais diferentes. Conclusões. A modelagem matemática e estatística permite a descrição da dinâmica de transmissão de doenças transmitidas por mosquitos ao oferecer informações quantitativas para apoiar métodos de prevenção e/ou controle e o planejamento da alocação de recursos.
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ABSTRACT The municipality of Paracambi (Rio de Janeiro, Brazil) reports sporadic cases of American cutaneous leishmaniasis (ACL). Previous studies detected Nyssomyia intermedia (Diptera: Psychodidae) as the main vector in the region, but its spatial distribution and the presence of other vector species have not been evaluated. This study aims at filling this knowledge gap, by studying the ecology of sand flies, their spatiotemporal distribution, and correlation with land use/cover. Two campaigns of monthly sand fly collections using light traps and manual captures were conducted in 1992-1994 and 2001-2003. Females were dissected to detect natural Leishmania infections. The spatial distribution of sand flies was assessed using kernel density maps. Correlations with land use/cover were evaluated by extracting satellite imagery data around the capture points. A total of 17,232 sand flies from 13 species were captured. Medically important species included Ny. intermedia, Migonemyia migonei, Pintomyia fischeri and Ny. whitmani. No Leishmania-infected females were detected. Highest densities were detected in the peri-urban areas Cascata and Sabugo, and in rural areas São José and Mutirão. Ny. intermedia had statistically significant correlations with pasture and agricultural areas. Present results strengthened that Ny. intermedia and Mg. migonei are the main local ACL vectors. Correlations with land use evidence the association between ACL and anthropic environmental change.
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Resumen Las enfermedades transmitidas por vectores (ETVs) continúan siendo un desafío para los esfuerzos de agencias de salud pública, ya que mantienen o están aumentando su impacto sobre la salud de las comunidades afectadas. La característica común de las ETVs es que la única manera de prevenir exito samente nuevas infecciones es evitar el contacto entre vectores y humanos. No existen vacunas y no existirán en un futuro previsible para las principales ETVs que afectan la salud pública en Argentina. Aunque las epide mias de dengue desde 2009 atrajeron la atención mediática, otras ETVs, tales como Chagas o leishmaniasis, afectan la salud pública en Argentina desde hace décadas. Sobre ellas, y otras que potencialmente podrían instalarse en el territorio nacional (West Nile, Lyme, etc) hay repetidas referencias mediáticas que explican su recrudecimiento por el cambio climático. El argumento se basa en que la "tropicalización" del clima en regiones templadas promueve la instalación de ETVs en áreas previamente no favorables para ellas. Aunque existen muchas evidencias de que el clima está cambiando, son pocas las evidencias de que sea el clima el principal factor que promueve el recrudecimiento de las ETVs en Argentina. En este artículo, se discute la situación de los vectores de enfermedades en Argentina (con énfasis en triatominos), su vinculación con el llamado cambio climático y las actividades de control de vectores implementados por agencias gubernamentales de salud pública.
Abstract Vector-borne diseases (VBDs) continue to pose a challenge to the efforts of public health agencies by increasing their impact on the health of the affected communities. The common feature of VBDs is that the only way of preventing them is by avoid ing the contact between vectors and humans. There are no vaccines, and they will not be available shortly as tools for prevention and control in Argentina. Although dengue outbreaks attracted the attention of mass media from 2009, other VBDs have been affecting public health in Argentina for many decades, as Chagas disease and leishmaniasis. Over these, and others that could potentially settle in the national territory (West Nile, Lyme, etc.), there are repeated mass media claims and political declarations justifying their increase because of climate changes. The argument asserts that the "tropicalization" of the climate in temperate regions promotes the instal lation of VBDs in areas previously unfavorable for them. Although much evidence exists showing that the climate is changing, there is very little evidence that the climate is the main factor promoting the increase of VBDs. In this article, the influence of the so-called climate change on the situation of disease vectors in Argentina (with emphasis on triatomines) and vector control activities implemented by governmental public health agencies are discussed.
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Humans , Climate Change , Vector Borne Diseases , Argentina/epidemiology , Public Health , Disease VectorsABSTRACT
Resumen | Introducción. La malaria representa uno de los mayores desafíos de salud pública, principalmente en los países pobres. Ciertas características sociales de Colombia, como la migración, el trabajo informal y la escasez económica, favorecen la minería ilegal. El análisis de la situación de la malaria en estas áreas permite establecer una guía para la prevención, el control y el tratamiento de la enfermedad en los programas de salud pública existentes. Objetivo. Describir la situación de la malaria en las poblaciones mineras colombianas entre el 2012 y el 2018. Materiales y métodos. Se hizo un estudio descriptivo y retrospectivo que incluyó la creación de gráficos y mapas. Para el análisis estadístico se utilizaron la correlación de Pearson y el índice de Moran. Resultados. Entre el 2012 y el 2018, se notificaron 44.032 casos de malaria en la población minera, 43.900 de malaria no complicada y 132 de malaria complicada, así como tres muertes, dos por Plasmodium vivax y una por infección mixta. Hubo una disminución del 44,7 % de los casos en el período evaluado. La tasa de riesgo en el 2012 fue de 2,5 casos por 1.000 habitantes; el 87,3 % de los casos se presentó en hombres y el 37,9 % en personas entre los 20 y los 29 años, en tanto que el 46,7 % de la población estudiada estaba conformada por afrocolombianos. Se encontró una posible correlación lineal positiva moderada entre mayor la actividad minera, mayor el número de casos de malaria en mineros. El índice de Moran global evidenció una agrupación espacial significativa de los casos de malaria en zonas con industria minera en los municipios del Pacífico colombiano. Conclusiones. La disminución en la notificación de casos durante el período evaluado podría atribuirse a un subregistro del Sistema de Vigilancia en Salud Pública (Sivigila), ya que la mayoría de los mineros no tienen trabajos formales, lo que dificulta su acceso a los servicios de salud. Se recomienda un estudio de cohorte en áreas endémicas para establecer una relación directa entre la explotación minera y la presencia de casos de malaria.
Abstract | Introduction: Malaria represents one of the biggest public health challenges, mainly in poor countries. Colombia has social characteristics such as migration, informal work, and economic shortages that favor illegal mining activities. The study of the malaria situation in these areas would allow establishing the bases for its prevention, control, and treatment in the existing public health programs. Objective: To describe the malaria situation in Colombian mining populations between 2012 and 2018. Materials and methods. We conducted a retrospective descriptive study with graphs and maps. For the statistical analysis, we used Pearson's correlation and Moran's index. Results. From 2012 to 2018, 44,032 cases of malaria were reported in the mining population, 43,900 of uncomplicated malaria and 132 of complicated malaria, and three deaths, two due to Plasmodium vivax and one due to mixed infection. During this period, there was a decrease of 44.7% in cases. The risk rate in 2012 was 2.5 cases x 1000 inhabitants; 87.3% of cases were in men, and 37.9% corresponded to the 20 to 29-year-old age group while 46.7% were AfroColombians. We found a possible moderate positive linear correlation: The greater the mining activity, the greater the number of malaria cases. The global Moran index indicated a significant spatial grouping of cases in mining activities in Colombian Pacific municipalities. Conclusions. The case notification decrease during this period could be attributed to an underreporting of the public health surveillance system (Sivigila) system, as most miners do not have formal jobs, which prevents them from accessing health services. A cohort study is recommended in endemic areas to establish a direct relationship between mining exploitation and the occurrence of malaria cases.
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Malaria , Mining , Colombia , Public Health Surveillance , Vector Borne DiseasesABSTRACT
Resumen | Introducción. El programa de enfermedades transmitidas por vectores en México tiene una red establecida de ovitrampas para la vigilancia entomológica de Aedes spp. Los servicios de salud del estado de Yucatán, en respuesta a reportes de Aedes albopictus en la periferia de Mérida, capital del estado, incrementaron la especificidad de dicha vigilancia. Objetivo. Describir la presencia y distribución de Ae. albopictus en Mérida y su abundancia relativa comparada con Aedes aegypti, en ovitrampas del programa de control de vectores. Materiales y métodos. Durante octubre de 2019, se seleccionaron al azar 91 ovitrampas en 31 barrios de Mérida. Los mosquitos adultos se obtuvieron del insectario de la Unidad Colaborativa para Bioensayos Entomológicos de la Universidad Autónoma de Yucatán a partir de huevos recolectados en campo. Se determinó la abundancia relativa de individuos adultos de cada especie identificada y por barrios evaluados. Resultados. En el 32 % de los barrios muestreados, se detectó Ae. albopictus y, en todos ellos, Ae. aegypti. Se recolectaron 28 adultos de Ae. albopictus (10 hembras y 18 machos) en las ovitrampas. No se observó correlación entre la abundancia de adultos ni de hembras Ae. aegypti y Ae. albopictus por barrio (p>0,05). Conclusiones. Los resultados confirmaron que Ae. albopictus estaba coexistiendo con Ae.aegypti en Mérida en el momento del estudio. La baja abundancia relativa sugiere que Ae.albopictus se encontraba en la fase inicial de invasión.
Abstract | Introduction:The vector-borne diseases program in México has an established network of ovitraps for entomological surveillance of Aedes spp. In response to reports of Aedes albopictus in the periphery of Mérida, the state capital of Yucatán, the Ministry of Health increased the specificity of this surveillance. Objective: To describe the presence and distribution of Ae. albopictus in Mérida and its relative abundance compared to Aedesaegypti in ovitraps of the vector control program. Materials and methods: During October, 2019, 91 ovitraps were randomly selected from 31 neighborhoods of Mérida. Mosquitoes were reared at the insectary of the Collaborative Unit for Entomological Bioassays of the Autonomous University of Yucatán from eggs collected in the field. Relative abundance was determined for adult individuals of each identified species and neighborhood. Results: 32 % of the neighborhoods were positive for Ae. albopictus and 100 % for Ae. aegypti. A total of 28 adults of Ae. albopictus (10 females and 18 males) were obtained from ovitraps. No correlation was observed between the abundance of Ae. aegypti and Ae. albopictus for both adults and females (p>0.05) at the neighborhood level. Conclusions: The results confirm that Ae. albopictus coexisted with Ae. aegypti in Mérida at the time of the study. The low relative abundance suggests that Ae. albopictus was in the initial phase of invasion.
Subject(s)
Aedes , Mexico , Vector Control of Diseases , Mosquito Vectors , Vector Borne DiseasesABSTRACT
RESUMEN Los casos de la enfermedad de Chagas aguda (ECA) se reportan en forma esporádica en el Perú. En este artículo se describe las características clínicas y epidemiológicas de ocho nuevos casos de ECA detectados por el sistema de vigilancia en la cuenca amazónica, entre 2009 y 2016. La media de la edad fue 12,7 ± 13,7 años, rango de 1 a 44 años y 4/8 casos fueron varones. Un caso se asoció a enfermedad diarreica aguda, otro a leptospirosis y dos a infección del tracto urinario. La tasa de letalidad global fue 12,5% (1/8). La detección tardía es una característica frecuente relacionada a una escasa sospecha diagnóstica en pacientes con historial de fiebre. Se identificó el linaje TcI y TcIV del agente etiológico de la enfermedad de Chagas. Se reporta ocho nuevos casos de ECA, de los cuales siete fueron menores de edad.
ABSTRACT Acute Chagas disease (ACD) cases are reported sporadically in Peru. In this report we describe the clinical and epidemiological characteristics of eight new ACD cases detected by the surveillance system in the Amazon basin, between 2009 and 2016. The average age was 12,7 ±13.7 years, range between 1 to 44 years and 4/8 cases were men. One case was associated with acute diarrheal disease, another with Leptospirosis, and two with urinary tract infection. The global case fatality-rate was 12.5% (1/8). Late detection is a frequent characteristic related with low diagnostic suspicion in patients with a history of fever. The TcI and TcIV lineage was identified as the etiological agent of Chagas disease. Eight new cases of ACDs are reported, of which seven were children.
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Humans , Male , Female , Chagas Disease , Vector Borne Diseases , Leptospirosis , Peru , Case Reports , Mortality , Neglected Diseases , Fever , CoinfectionABSTRACT
RESUMEN Los casos de la enfermedad de Chagas aguda (ECA) se reportan en forma esporádica en el Perú. En este artículo se describe las características clínicas y epidemiológicas de ocho nuevos casos de ECA detectados por el sistema de vigilancia en la cuenca amazónica, entre 2009 y 2016. La media de la edad fue 12,7 ± 13,7 años, rango de 1 a 44 años y 4/8 casos fueron varones. Un caso se asoció a enfermedad diarreica aguda, otro a leptospirosis y dos a infección del tracto urinario. La tasa de letalidad global fue 12,5% (1/8). La detección tardía es una característica frecuente relacionada a una escasa sospecha diagnóstica en pacientes con historial de fiebre. Se identificó el linaje TcI y TcIV del agente etiológico de la enfermedad de Chagas. Se reporta ocho nuevos casos de ECA, de los cuales siete fueron menores de edad.
ABSTRACT Acute Chagas disease (ACD) cases are reported sporadically in Peru. In this report we describe the clinical and epidemiological characteristics of eight new ACD cases detected by the surveillance system in the Amazon basin, between 2009 and 2016. The average age was 12,7 ±13.7 years, range between 1 to 44 years and 4/8 cases were men. One case was associated with acute diarrheal disease, another with Leptospirosis, and two with urinary tract infection. The global case fatality-rate was 12.5% (1/8). Late detection is a frequent characteristic related with low diagnostic suspicion in patients with a history of fever. The TcI and TcIV lineage was identified as the etiological agent of Chagas disease. Eight new cases of ACDs are reported, of which seven were children.