Residual Efficacy of Insecticides Sprayed on Different Types of Surfaces Against Leishmaniasis and Filariasis Vectors in Egypt.

Determination of the residual activity of insecticides is an essential component in the selection of an appropriate insecticide for indoor residual spraying operations. This report presents the results of a laboratory study to evaluate the residual bio-efficacy of four insecticides sprayed on the most common house-wall surfaces that occur in Egypt (wood, mud, and cement) against Phlebotomus papatasi (Scopoli, 1786) (Diptera: Psychodidae) and Culex pipiens Linnaeus, 1758 (Diptera: Culicidae). In total, 28,050 P. papatasi females and 31,275 Cx. pipiens females were subjected to the WHO cone bioassay. Effective and extended control (≥80% mortality) was produced by lambda-cyhalothrin on indoor wood and cement surfaces. Lambda-cyhalothrin effectively controlled (>80% mortality) P. papatasi and Cx. pipiens for 10 and 12 wk postspray on wood surfaces, respectively. Deltamethrin effectively controlled Cx. pipiens for 8 wk on indoor wood, mud, and cement surfaces. Indoor and outdoor-kept surfaces treated with permethrin and malathion provided negligible efficacy against P. papatasi and Cx. pipiens. Phlebotomus papatasi was better able to survive bioassay exposure than Cx. pipiens against all insecticides investigated. The role surfaces might play in inhibiting IRS-based vector control endeavors in rural areas in developing countries was highlighted in this study. The current insecticide labeling system that includes both sand flies with mosquitoes under the same dosage category should be revised periodically.

Historical overview of infantile visceral leishmaniasis in El Agamy, Alexandria, Egypt.

Infantile visceral leishmaniasis (IVL) is considered a rare and neglected disease in Egypt. An outbreak of the disease in El Agamy, Alexandria occurred in 1982 although the disease was previously reported 80 years before. Epidemiological and entomological studies were conducted ever since the 1982 outbreak to identify human cases, the parasite, reservoir host and the sand fly vector. Leishmania infantum MON-98, a new and unique zymodeme, was responsible of the disease. Stray dogs acted as the reservoir host and Phlebotomus langeroni was the proven vector. The parasite isolates from human cases were identical to the parasite isolates from the reservoir host and the sand fly vector. The El Agamy focus in 1982 was basically a rural Bedouin setting of recently built cement houses surrounded by lime stone fences. The numbers of human cases of IVL in this area have been declining, with the last reported case in 2005. This coincides with the completion of irregular urbanization of El Agamy which resulted in the disappearance of P. langeroni. In this review, we characterize the old focus of IVL in El Agamy based on published literature to identify factors underlying the appearance and disappearance of the disease.

Clinicoepidemiologic pattern of cutaneous leishmaniasis and molecular characterization of its causative agent in Hajjah governorate, northwest of Yemen.

The clinicoepidemiologic profile of 143 cases (93 males and 50 females) with cutaneous leishmaniasis from 18 villages of Hajjah governorate, Yemen was studied. Dry-type lesions were seen in 98.6% and wet-type lesions in 1.4% of patients. Lesions were localized in all cases with different morphological patterns. Microscopic examination of Giemsa-stained slit smears revealed amastigotes in 74.1% of patients with dry-type lesions and 0% in patients with wet-type lesions. The burden of the parasites in the lesions was high indicating active transmission of the disease. Most cases were from villages with moderate altitude range (8001-1600m). All age groups were affected, but most cases were seen in ages from 5 to 15 years. Leishmania species identification was done for all cases by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). The biopsic material was scraped from both Giemsa-stained and methanol-fixed smears. The molecular characterization of Leishmania species revealed Leishmania tropica as the causative agent of cutaneous leishmaniasis in Hajjah, Yemen. The risk factors associated with the transmission of the disease and recommendations for improving case detection were discussed.

Current knowledge of sand fly fauna (Diptera: Psychodidae) of northwestern Yemen and how it relates to leishmaniasis transmission.

This report presents the results of the first entomological survey of the sand fly fauna in northwestern Yemen. Sand flies were collected using sticky paper traps and CDC light traps from Hajjah governorate, a cutaneous leishmaniasis focus due to Leishmania tropica. Six Phlebotomus species: P. alexandri, P. arabicus. P. bergeroti, P. orientalis, P. papatasi, P. sergenti and ten Sergentomyia species: S. africana, S. antennata, S. christophersi, S. dolichopa, S. dreyfussi, S. fallax, S. multidens, S. taizi, S. tiberiadis, S. yusafi were identified. P. alexandri was the most predominant Phlebotomus species and P. papatasi was a scarce species. S. fallax was the principal Sergentomyia species and S. dolichopa was the least species encountered. The diversity of the sand fly fauna within and among three altitudinal ranges using Simpson index and Jaccard's diversity coefficient respectively were measured. High species diversity was found in all altitude ranges. There seemed to be more association between sand fly fauna in higher altitudes with fauna from moderate altitudes. Sand fly seasonal activity showed a mono-modal trend in the lowland and a confluent bimodal trend in the highlands. Leishmania DNA could not be detected from 150 Phlebotomus females using PCR-RFLP. A possible zoonotic cutaneous transmission cycle due to Leishmania tropica in northwestern Yemen would involve P. arabicus as the sand fly vector and the rock hyrax as the reservoir host. The vector competence for P. alexandri as a vector of visceral leishmaniasis in Hajjah governorate is discussed.

Environmental factors underlying spatial patterns of sand flies (Diptera: Psychodidae) associated with leishmaniasis in southern Sinai, Egypt.

Although Leishmania major is endemic in parts of the Sinai of Egypt, the ecology and distribution of Leishmania sand fly vectors in southern Sinai has not been well characterized. Accordingly, additional sand fly samples were obtained at 41 sites in the southern Sinai region during 1996-1997, and analyzed to improve the characterization of risk of sand fly-borne pathogens. Using a Geographic Information System (GIS), species-specific spatial distributions that might suggest zoonotic cutaneous leishmaniasis (ZCL) risk areas were determined in relation to contextual environmental factors, including geology, hydrogeology, climate variables and elevation. Southern Sinai was characterized by a diverse sand fly fauna (eight Phlebotomus species), probably attributable to highly variable landscape and environmental factors. Phlebotomus alexandri, Phlebotomus kazeruni and Phlebotomus sergenti were widespread and abundant, Phlebotomus papatasi and Phlebotomus bergeroti were less frequent, and Phlebotomus arabicus, Phlebotomus major and Phlebotomus orientalis had highly restricted distributions. Logistic regression models indicated that elevation and climatic conditions were limiting determinants for the distributions of sand flies in southern Sinai. Based on the predicted distribution of P. papatasi, a recognized vector of L. major, about one-quarter of southern Sinai may be at high risk of ZCL. Risk areas for the suspected ZCL vector P. bergeroti had a more patchy distribution. Results suggest that future studies should include other factors related to vector abundance, vector competence, human population, and parasite and reservoir host(s) to produce more comprehensive ZCL transmission risk maps, thus helping in planning effective prevention and control strategies.

Impact of urbanization on the sand fly Phlebotomus langeroni nitzulescu in an old focus of visceral leishmaniasis in Egypt.

Changes in the environment often cause changes in disease transmission. Land use change especially urbanization can have a huge impact on transmission of vector-borne diseases. This study investigated the effect of urban development on the abundance of sand flies, in an old endemic focus of infantile visceral leishmaniasis in the north coast of Egypt. Sand fly abundance obtained in this study was compared to those obtained in 1984. In context remote sensing techniques are used to identify landscape features that might have influenced the spatial distribution of the sand fly vector in the area. In 2005, sand flies were completely absent from El Agamy. Sand fly habitat in El Agamy entirely changed and was replaced by urban settlements. Through the analysis of satellite imagery taken before and after, land use/land cover modification together with entomological data, the factors underlying the bionomics of sand flies are discussed.

Climatic factors influencing the abundance of Phlebotomus papatasi (Scopoli) (Diptera: Psychodidae) in the Nile Delta.

Ecological studies on sand flies were carried out in two villages of the Nile Delta Governorates namely; Kafr Tahla (Qalyubiya) and el Quantara el Beida (Kafr el-Sheikh) from September 2003 to August 2005. Sand flies were collected weekly from around houses, stables and near rodent burrows using sticky paper traps. A total of 9529 sand flies were collected from the two villages, all of which were identified as Phlebotomus papatasi. Sand fly activity started from April to December with a bimodal annual pattern. The sex ratio of collected sand flies was significantly male biased. Data analyses revealed that sand fly densities were strongly correlated to temperature but not to relative humidity or wind velocity. Variation in the densities of P. papatasi in both villages did not show a significant effect due to lunar phases. However, sand fly activity was highly positively correlated to fraction illumination.