Acceptability of short message service (SMS) as a tool for malaria treatment adherence in the Brazilian Amazon: a qualitative study

ABSTRACT Background: Malaria is one of the leading causes of morbidity worldwide, and patient adherence to prescribed antimalarials is essential for effective treatment. Methods: This cross-sectional study, with in-depth telephone interviews, analyzed participants' perceptions of short message service (SMS) in adherence to treatment. Results: Five thematic categories emerged: decreased forgetfulness, the novelty of the tool, easy-to-understand language, the impact of SMS messages during treatment, and suggestions for improvement and complaints. Conclusions: SMS could assist patients in adhering to prescribed antimalarials.

Current vector control challenges in the fight against malaria in Brazil

Abstract In Brazil, malaria is an important public health problem first reported in 1560. Historically, fluctuations in malaria cases in Brazil are attributed to waves of economic development; construction of railroads, highways, and hydroelectric dams; and population displacement and land occupation policies. Vector control measures have been widely used with an important role in reducing malaria cases. In this review article, we reviewed the vector control measures established in the Brazilian territory and aspects associated with such measures for malaria. Although some vector control measures are routinely used in Brazil, many entomological and effectiveness information still need better evidence in endemic areas where Plasmodium vivax predominates. Herein, we outlined some of the needs and priorities for future research: a) update of the cartography of malaria vectors in Brazil, adding molecular techniques for the correct identification of species and complexes of species; b) evaluation of vector competence of anophelines in Brazil; c) strengthening of local entomology teams to perform vector control measures and interpret results; d) evaluation of vector control measures, especially use of insecticide-treated nets and long-lasting insecticidal nets, estimating their effectiveness, cost-benefit, and population acceptance; e) establishment of colonies of malaria vectors in Brazil, i.e., Anopheles darlingi, to understand parasite-vector interactions better; f) study of new vector control strategies with impacts on non-endophilic vectors; g) estimation of the impact of insecticide resistance in different geographical areas; and h) identification of the relative contribution of natural and artificial breeding sites in different epidemiological contexts for transmission.

Biology and occurrence of Inga Busk species (Lepidoptera: Oecophoridae) on Cerrado host plants

We sampled Inga Busk species caterpillars weekly in the cerrado on 15 plants of Diospyros burchellii Hern. (Ebenaceae) from January 2002 to December 2003, on 30 plants of Caryocar brasiliense (Caryocaraceae) from July 2003 to June 2004, and since 1991 on several other plant species. In total we found 15 species of Inga on cerrado host plants. Nine species were very rare, with only one to five adults reared. The other six species occurred throughout the year, with higher abundance during the dry season, from May to July, coinciding with overall peaks of caterpillar abundance in the cerrado. Caterpillars of the genus Inga build shelters by tying and lining two mature or old leaves with silk and frass, where they rest and develop (a common habit found in Oecophorinae). The final instar builds a special envelope inside the leaf shelter, where it will complete the larval stage and pupate. The species are very difficult to distinguish in the immature stages. External features were useful in identifying only four species: I. haemataula (Meyrick), I. phaecrossa (Meyrick), I. ancorata (Walsingham), and I. corystes (Meyrick). These four species are polyphagous and have wide geographical distributions. In this paper we provide information on the natural history and host plants of six Inga species common on cerrado host plants, for which there are no reports in the literature.

Dada a ausência de informações sobre a biologia de lagartas que ocorrem em plantas de cerrado, apresentamos aqui algumas informações sobre larvas do gênero Inga Busk. Lagartas foram coletadas, semanalmente, em 15 indivíduos de Diospyros burchelli Hern. (Ebenaceae), de janeiro de 2002 a dezembro de 2003, em 30 indivíduos de Caryocar brasiliense Camb. (Caryocaraceae), de julho de 2003 a junho de 2004 e, em várias outras espécies de plantas desde 1991. No total foram encontradas 15 espécies de Inga em plantas de cerrado, no DF. Nove espécies foram raras com até cinco adultos obtidos em criação no laboratório. As outras seis espécies ocorreram durante o ano sendo mais abundantes entre maio e julho (estação seca), o que coincide com a época de maior abundância de lagartas no cerrado. As lagartas do gênero Inga constroem abrigos, juntando duas folhas maduras ou velhas com fios de seda, onde se alimentam e desenvolvem (um hábito comum entre os Oecophorinae). Larvas de último instar constroem, dentro do abrigo, um tipo de envelope onde completam seu desenvolvimento e empupam. A separação das espécies das lagartas é muito difícil. Características externas permitem o reconhecimento de apenas quatro espécies de Inga: I. haemataula (Meyrick), I. phaecrossa (Meyrick), I. ancorata (Walsingham), and I. corystes (Meyrick). Essas quatro espécies têm ampla distribuição geográfica e são polífagas. Neste artigo, apresentamos informações não encontradas na literatura sobre a história natural de seis espécies de Inga comuns em plantas hospedeiras de cerrado.

Ecological aspects of lepidopteran caterpillar parasitoids from Caryocar brasiliense Camb. (Caryocaraceae) in a cerrado sensu stricto of Central Brazil / Aspectos ecológicos de parasitóides em lagartas de Lepidoptera em Caryocar brasiliense Camb. (Caryocaraceae) em um cerrado sensu stricto do Brasil Centra

This study quantified parasitoid occurrence on five lepidopteran caterpillars species that use Caryocar brasiliense as host plant, trying to verify if there was a direct relationship between host abundance and the proportion of parasitism; if leaf shelters served as cues or protection from parasitoids; if host size influenced the proportion of parasitism, and if attacks by Diptera were more frequent than by Hymenoptera. Searches for external folivorous caterpillars were carried out in an area of cerrado sensu stricto, from July/2003 to June/2004. Caterpillars were more parasitized when occurred on mature leaves. Nola sp. (Noctuiidae) had the highest proportion of parasitism and a negative correlation between their body size and parasitoid attack. Caterpillars that constructed shelters suffered lower parasitism than those exposed. Hymenopteran parasitoids were more abundant than Dipteran parasitoids attacking caterpillars on C. brasiliense leaves. In general, parasitoid species richness and the proportion of parasitism in lepidopteran caterpillar on C. brasiliense showed associations with host population density, their life strategy, diet and leaf nutritional quality.

Este estudo quantificou a ocorrência de parasitóides em cinco espécies de lagartas de Lepidoptera que possuem Caryocar brasiliense como planta hospedeira, verificando se existe uma relação direta e positiva entre a abundância do hospedeiro e a proporção de parasitismo; se os abrigos utilizados pelas espécies de Lepidoptera atuam como pistas ou proteção contra os parasitóides; se o tamanho do hospedeiro influencia as taxas de parasitismo e se existe uma maior ocorrência de ataques de Diptera em comparação com Hymenoptera nas lagartas de Lepidoptera no cerrado do Distrito Federal, Brasil. O estudo foi realizado em uma área de cerrado sensu stricto da Fazenda Água Limpa no período de julho de 2003 a junho de 2004, à procura de lagartas folívoras externas. As lagartas foram mais parasitadas quando ocorreram em folhas maduras. Nola sp. (Noctuidae) apresentou a maior proporção de parasitismo em comparação com as outras espécies e foi a única espécie em que se verificou uma correlação negativa entre as taxas de parasitismo e o tamanho de seus indivíduos. As espécies de lagartas que constroem abrigos apresentaram menores porcentagens de parasitismo em comparação com as que vivem expostas. Os parasitóides da ordem Hymenoptera foram mais freqüentes que os Diptera. No geral, para as espécies de Lepidoptera em C. brasiliense, a riqueza de espécies de parasitóides e a porcentagem de parasitismo apresentaram associações com a densidade, a estratégia de vida, a dieta do hospedeiro e a qualidade nutricional da folha de C. brasiliense.