Factors affecting variations in exposure to infections by Leishmania donovani in eastern Sudan

A cross-sectional survey was carried out in Gedaref state, eastern Sudan to investigate the prevalence of positive leishmanin skin tests and environmental factors related to Leishmania donovani infection. A total of 3835 people living in 11 villages in 3 regions were screened. Soil types and tree densities were determined in 33 villages inhabited by 44 different tribes. The highest rates of positive skin tests were in Rahad region [33.9%], Atbara [21.6%] and Gedaref [10.6%], with an average of 21.1% for the state. Risk of infection by L. donovani varied significantly between different tribes. Higher densities of Acacia and Balanites spp. trees were in Masaleet villages, suggesting that the relatively high risk of L. donovani exposure in this tribe is due to environmental factors

Enhanced sandfly attraction to Leishmania-infected hosts.

We report that hamsters infected with Leishmania infantum are more attractive to female sandflies in bioassays. Entrained odours from infected animals were shown by gas chromatography to contain peaks absent from uninfected individuals. Implications of enhanced transmission, potential for developing novel diagnoses and the significance to epidemiological models are discussed.

Sugars in the gut of the sandfly Phlebotomus orientalis from Dinder National Park, Eastern Sudan.

The sandfly Phlebotomus orientalis Parrot (Diptera: Psychodidae) is the vector of visceral leishmaniasis in eastern and Upper Nile regions of Sudan, where vector infection rates of over 7% have been reported. Sugars are known to be important for development of the parasite and for increasing the survival and oviposition rates of several species of sandflies. In the present study we have analysed the sugars present in the guts of individuals and groups of male and female P. orientalis and compared these with sugars from several potential local plant sources: Acacia seyal, Balanites aegyptiaca and Combretum kordofanum. The distribution of these trees in Sudan is closely correlated with that of P. orientalis. Only 20% of individually analysed female sandflies had significant amounts of sugars present suggesting that P. orientalis either digest their sugar meal quickly or do not require regular sugar meals. Interestingly, the sugars present in the males were significantly different to those found in the females, indicating that they had fed on different sugar sources. There was evidence that fruit sugars from Balanites aegyptiaca, Combretum kordofanum and aphid or coccid honeydew are utilized by male and female P. orientalis. There was evidence to indicate that female P. orientalis feeds directly on honeydew. There was no evidence to indicate that direct feeding on leaves is a typical source for the sugar meal. There was no melizitose and only a very small amount of turanose present in the male, suggesting that honeydew was not an important sugar source for males.