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1.
Proc Natl Acad Sci U S A ; 121(15): e2310859121, 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38527214

RESUMO

Malaria is a disease of global significance. Ongoing changes to the earth's climate, antimalarial resistance, insecticide resistance, and socioeconomic decline test the resilience of malaria prevention programs. Museum insect specimens present an untapped resource for studying vector-borne pathogens, spurring the question: Do historical mosquito collections contain Plasmodium DNA, and, if so, can museum specimens be used to reconstruct the historical epidemiology of malaria? In this Perspective, we explore molecular techniques practical to pathogen prospecting, which, more broadly, we define as the science of screening entomological museum specimens for human, animal, or plant pathogens. Historical DNA and pathogen prospecting provide a means of describing the coevolution of human, vector, and parasite, informing the development of insecticides, diagnostics, therapeutics, and vaccines.


Assuntos
Anopheles , Inseticidas , Malária , Animais , Humanos , Museus , Anopheles/genética , Mosquitos Vetores , Malária/epidemiologia , Malária/prevenção & controle , Resistência a Inseticidas , Inseticidas/farmacologia , DNA , Controle de Mosquitos
2.
Emerg Infect Dis ; 30(10): 2006-2015, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39320128

RESUMO

We investigated differences in risk factors and preventive behaviors by age and sex among persons with reported Lyme disease in Ontario, Canada, during 2015-2022. Incidence rates peaked among children 5-9 and adults 50-79 years of age. Median age was higher for female than male case-patients (54 vs. 51 years). Male case-patients reported more activity in wooded and tall grass areas than did female case-patients; fewer male case-patients reported sharing living space with outdoor-exposed companion animals. As age increased, more case-patients reported activity in blacklegged tick habitats, exposure to ticks, and wearing adequate clothing, but fewer reported sharing living space with outdoor-exposed companion animals. Adoption of preventive behaviors was relatively low and did not differ by sex. Male case-patients, children 5-9 years of age and their parents or caregivers, and adults >59 years of age represent populations that would benefit from tailored public health messaging on Lyme disease prevention.


Assuntos
Doença de Lyme , Humanos , Doença de Lyme/epidemiologia , Masculino , Feminino , Pessoa de Meia-Idade , Ontário/epidemiologia , Pré-Escolar , Idoso , Adulto , Criança , Adulto Jovem , Adolescente , Fatores Etários , Fatores Sexuais , Fatores de Risco , Comportamentos Relacionados com a Saúde , Idoso de 80 Anos ou mais , Lactente , Incidência , Animais , História do Século XXI
3.
BMC Infect Dis ; 20(1): 523, 2020 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-32682398

RESUMO

BACKGROUND: Assessing the burden of rickettsial infections in Ontario, Canada, is challenging since rickettsial infections are not reportable to public health. In the absence of reportable disease data, we assessed the burden of rickettsial infections by examining patient serological data and clinical information. METHODS: Our retrospective, cross-sectional study included patients who had Rickettsia serological testing ordered by their physician, in Ontario, from 2013 to 2018. We tested sera from 2755 non-travel patients for antibodies against spotted fever group rickettsiae (SFGR) and typhus group rickettsiae (TGR) using an indirect immunofluorescence assay (IFA) (positive IgG titers ≥1:64). We classified cases using a sensitive surveillance case definition: confirmed (4-fold increase in IgG titers between acute and convalescent sera with clinical evidence of infection), possible (single positive sera with clinical evidence) and previous rickettsial infection (single positive sera without clinical evidence). We classified cases seropositive for both SFGR and TGR as unspecified Rickettsia infections (URIs). RESULTS: Less than 5% of all patients had paired acute and convalescent sera tested, and of these, we found a single, laboratory-confirmed SFGR case, with a 4-fold increase in IgG titers and evidence of fever, maculopapular rash and headache. There were 45 possible (19 SFGR, 7 TGR, 19 URI) and 580 previous rickettsial infection (183 SFGR, 89 TGR, 308 URI) cases. The rate of positive tests for SFGR, TGR and URI combined (all case classifications) were 4.4 per 100,000 population. For confirmed and possible cases, the most common signs and symptoms were fever, headache, gastrointestinal complaints and maculopapular rash. The odds of having seropositive patients increased annually by 30% (odds ratio = 1.3, 95% confidence interval: 1.23-1.39). CONCLUSIONS: The rates of rickettsial infections in Ontario are difficult to determine. Based on confirmed and possible cases, rates are low, but inclusion of previous rickettsial infection cases would indicate higher rates. We highlight the need for education regarding the importance of testing acute and convalescent sera and consistent completion of the laboratory requisition in confirming rickettsial disease. We suggest further research in Ontario to investigate rickettsial agents in potential vectors and clinical studies employing PCR testing of clinical samples.


Assuntos
Rickettsia typhi/imunologia , Rickettsiose do Grupo da Febre Maculosa/diagnóstico , Rickettsiose do Grupo da Febre Maculosa/epidemiologia , Tifo Endêmico Transmitido por Pulgas/diagnóstico , Tifo Endêmico Transmitido por Pulgas/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antibacterianos/sangue , Criança , Pré-Escolar , Estudos Transversais , Feminino , Técnica Indireta de Fluorescência para Anticorpo , Humanos , Imunoglobulina G/sangue , Lactente , Masculino , Pessoa de Meia-Idade , Ontário/epidemiologia , Estudos Retrospectivos , Rickettsiose do Grupo da Febre Maculosa/sangue , Rickettsiose do Grupo da Febre Maculosa/microbiologia , Tifo Endêmico Transmitido por Pulgas/sangue , Tifo Endêmico Transmitido por Pulgas/microbiologia , Adulto Jovem
4.
BMC Infect Dis ; 19(1): 1059, 2019 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-31847823

RESUMO

BACKGROUND: West Nile virus (WNV) is a mosquito-borne flavivirus, first detected in the Western Hemisphere in 1999 and spread across North America over the next decade. Though endemic in the most populous areas of North America, few studies have estimated the healthcare costs associated with WNV. The objective of this study was to determine direct healthcare costs attributable to WNV illness in Ontario, Canada. METHODS: We conducted a cost-of-illness study on incident laboratory confirmed and probable WNV infected subjects identified from the provincial laboratory database from Jan 1, 2002 through Dec 31, 2012. Infected subjects were linked to health administrative data and matched to uninfected subjects. We used phase-of-care methods to calculate costs for 3 phases of illness: acute infection, continuing care, and final care prior to death. Mean 10-day attributable costs were reported in 2014 Canadian dollars, per capita. Sensitivity analysis was conducted to test the impact of WNV neurologic syndromes on healthcare costs. RESULTS: One thousand five hundred fifty-one laboratory confirmed and probable WNV infected subjects were ascertained; 1540 (99.3%) were matched to uninfected subjects. Mean age of WNV infected subjects was 49.1 ± 18.4 years, 50.5% were female. Mean costs attributable to WNV were $1177 (95% CI: $1001, $1352) for acute infection, $180 (95% CI: $122, $238) for continuing care, $11,614 (95% CI: $5916, $17,313) for final care - acute death, and $3199 (95% CI: $1770, $4627) for final care - late death. Expected 1-year costs were $13,648, adjusted for survival. Three hundred seventeen infected subjects were diagnosed with at least one neurologic syndrome and greatest healthcare costs in acute infection were associated with encephalitis ($4710, 95% CI: $3770, $5650). CONCLUSIONS: WNV is associated with increased healthcare resource utilization across all phases of care. High-quality studies are needed to understand the health system impact of vector-borne diseases and evaluate the cost effectiveness of novel WNV interventions.


Assuntos
Custos de Cuidados de Saúde , Laboratórios , Febre do Nilo Ocidental/economia , Febre do Nilo Ocidental/epidemiologia , Vírus do Nilo Ocidental/isolamento & purificação , Adolescente , Adulto , Assistência ao Convalescente/economia , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Análise Custo-Benefício , Bases de Dados Factuais , Feminino , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Ontário/epidemiologia , Projetos de Pesquisa , Febre do Nilo Ocidental/prevenção & controle , Adulto Jovem
5.
BMC Infect Dis ; 17(1): 609, 2017 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-28877682

RESUMO

BACKGROUND: Clinical syndromes associated with West Nile virus (WNV) infection range from fever to neuroinvasive disease. Understanding WNV epidemiology and disease history is important for guiding patient care and healthcare decision-making. The objective of this review was to characterize the existing body of peer-reviewed and surveillance literature on WNV syndromes and summarize epidemiologic and clinical parameters. METHODS: We followed scoping review methodology described by the Joanna Briggs Institute. Terms related to WNV epidemiology, hospitalization, and surveillance were searched in four bibliographic databases (MEDLINE, EMBASE, Scopus, and CINAHL) for literature published from January 1999 to December 2015. RESULTS: In total, 2334 non-duplicated titles and abstracts were screened; 92 primary studies were included in the review. Publications included one randomized controlled trial and 91 observational studies. Sample sizes ranged from under 25 patients (n = 19) to over 400 patients (n = 28). Eight studies were from Canada, seven from Israel, and the remaining (n = 77) from the United States. N = 17 studies were classified as outbreak case investigations following epidemics; n = 37 with results of regional/national surveillance and monitoring programs. Mean patient ages were > 40 years old; three studies (3%) focused on the pediatric population. Patients with encephalitis fared worse than patients with meningitis and fever, considering hospitalization, length of stay, discharge, recovery, and case-fatality. Several studies examined risk factors; however, age was the only risk factor for neuroinvasive disease/death consistently identified. Overall, patients with acute flaccid paralysis or encephalitis fared worse than patients with meningitis and West Nile fever in terms of hospitalization and mortality. Among the included studies, proportion hospitalized, length of stay, proportion discharged home and case-fatality ranged considerably. CONCLUSION: Our review highlights the heterogeneity among reporting clinical WNV syndromes and epidemiologic parameters of WNV-related illness. Presently, there is potential for further synthesis of the risk factors of WNV-illness and mortality; undertaking further analysis through a systematic review and meta-analysis may benefit our understanding of risk factors for emerging mosquito-borne diseases. Future research on the burden of WNV can build on existing evidence summarized in this review, not only to support our understanding of endemic WNV, but also to strengthen research on emerging arboviruses with similar clinical manifestations.


Assuntos
Febre do Nilo Ocidental/epidemiologia , Febre do Nilo Ocidental/etiologia , Animais , Canadá/epidemiologia , Culicidae/virologia , Surtos de Doenças , Hospitalização , Humanos , Israel/epidemiologia , Alta do Paciente/estatística & dados numéricos , Vigilância da População , Fatores de Risco , Estados Unidos/epidemiologia , Febre do Nilo Ocidental/mortalidade
6.
Emerg Infect Dis ; 18(1): 1-6, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22257757

RESUMO

Five cases of intestinal toxemia botulism in adults were identified within an 18-month period in or near Toronto, Ontario, Canada. We describe findings for 3 of the 5 case-patients. Clinical samples contained Clostridium botulinum spores and botulinum neurotoxins (types A and B) for extended periods (range 41-61 days), indicative of intestinal toxemia botulism. Patients' clinical signs improved with supportive care and administration of botulinum antitoxin. Peanut butter from the residence of 1 case-patient yielded C. botulinum type A, which corresponded with type A spores found in the patient's feces. The food and clinical isolates from this case-patient could not be distinguished by pulsed-field gel electrophoresis. Two of the case-patients had Crohn disease and had undergone previous bowel surgery, which may have contributed to infection with C. botulinum. These cases reinforce the view that an underlying gastrointestinal condition is a risk factor for adult intestinal toxemia botulism.


Assuntos
Botulismo/patologia , Antitoxina Botulínica/uso terapêutico , Botulismo/tratamento farmacológico , Botulismo/epidemiologia , Clostridium botulinum/isolamento & purificação , Fezes/microbiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ontário
7.
Annu Rev Entomol ; 56: 123-42, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-20731604

RESUMO

Zoos present a unique assemblage of arthropods, captive vertebrates, free-roaming wildlife, humans, and plants, each with its own biota of symbiotic organisms. Arthropods of medicoveterinary importance are well represented in zoos, and an ample literature documents their influence in these animal-rich environments. Mosquitoes are of greatest significance because of the animal and human pathogens they transmit, followed by ectoparasites, many of which are exotic and present health risks to captive and native animals. Biting flies, cockroaches, filth flies, and triatomid bugs represent additional concerns. Integrated management programs for arthropods in zoos are commonplace. Zoos can play a role in biosurveillance, serving as an advanced guard for detecting exotic arthropods and vector-borne diseases. We provide the first review of arthropods of medicoveterinary importance in zoos. A case is made for the value of collaborations between entomologists and zoo personnel as a means of enhancing research and public education while safeguarding the health of captive animals and the public.


Assuntos
Doenças dos Animais/prevenção & controle , Animais de Zoológico , Vetores Artrópodes , Controle de Doenças Transmissíveis , Doenças dos Animais/transmissão , Animais , Humanos
8.
IEEE J Transl Eng Health Med ; 10: 4900308, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35492508

RESUMO

Background: Lyme disease (caused by Borrelia burgdorferi) is an infectious disease transmitted to humans by a bite from infected blacklegged ticks (Ixodes scapularis) in eastern North America. Lyme disease can be prevented if antibiotic prophylaxis is given to a patient within 72 hours of a blacklegged tick bite. Therefore, recognizing a blacklegged tick could facilitate the management of Lyme disease. Methods: In this work, we build an automated detection tool that can differentiate blacklegged ticks from other tick species using advanced computer vision approaches in real-time. Specially, we use convolution neural network models, trained end-to-end, to classify tick species. Also, advanced knowledge transfer techniques are adopted to improve the performance of convolution neural network models. Results: Our best convolution neural network model achieves 92% accuracy on unseen tick species. Conclusion: Our proposed vision-based approach simplifies tick identification and contributes to the emerging work on public health surveillance of ticks and tick-borne diseases. In addition, it can be integrated with the geography of exposure and potentially be leveraged to inform the risk of Lyme disease infection. This is the first report of using deep learning technologies to classify ticks, providing the basis for automation of tick surveillance, and advancing tick-borne disease ecology and risk management.


Assuntos
Borrelia burgdorferi , Ixodes , Doença de Lyme , Doenças Transmitidas por Carrapatos , Animais , Computadores , Humanos , Doença de Lyme/diagnóstico , Doenças Transmitidas por Carrapatos/diagnóstico
9.
Vector Borne Zoonotic Dis ; 22(12): 572-581, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36378243

RESUMO

Background: Lyme disease (LD) is the most common tick-borne illness in North America. LD is acquired through exposure to the tick vector, Ixodes scapularis, known as the blacklegged tick. In Canada, LD is rapidly emerging, with the establishment of I. scapularis in many newly endemic regions posing a growing risk to local communities. In the Canadian context, many environmental and socioeconomic risk factors for human LD infection are yet to be ascertained and the degree of risk associated with residential and community exposure to ticks is not well known. Methods: We conducted a matched case-control study in southeastern Ontario, using LD patient data from provincial laboratory databases and uninfected population controls from 2014 to 2018. We aimed to identify area-level risk factors for LD and associations with residence in environmental risk areas, defined as areas with high model-predicted probability of I. scapularis occurrence, using the neighborhood dissemination area as the unit of analysis. Results: Using multivariable conditional logistic regression analysis, we identified that patients with LD had higher odds (odds ratio, OR; 95% confidence interval, CI) of living in neighborhoods with high probability of tick occurrence in the environment (OR = 2.2; 95% CI: 2.0-2.5), low walkability (OR = 1.6; 95% CI: 1.2-2.1), low material deprivation (OR = 1.4; 95% CI: 1.2-1.7), and low ethnic concentration (OR = 8.1; 95% CI: 6.7-9.9). We also found that the odds of LD infection for individuals residing in environmental risk areas was highest for those living in public health units (PHUs) with <250,000 population (OR = 3.0; 95% CI: 2.4-3.9) compared to those living in PHUs with >1,000,000 population (OR = 1.5; 95% CI: 1.1-2.1). Conclusion: This study shows that odds of human LD infection in Ontario, Canada is higher in less urbanized areas with higher socioeconomic status and indicates that exposure to ticks around the home residence or neighborhood is linked to increased odds of LD.


Assuntos
Doença de Lyme , Classe Social , Animais , Humanos , Estudos de Casos e Controles , Ontário/epidemiologia , Fatores Socioeconômicos , Doença de Lyme/epidemiologia , Doença de Lyme/veterinária
10.
Sci Rep ; 12(1): 11063, 2022 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-35773456

RESUMO

The American dog tick, Dermacentor variabilis, is a tick of public and veterinary health importance in North America. Using passive tick surveillance data, we document distribution changes for the American dog tick in Ontario, Canada, from 2010 through 2018. Dermacentor variabilis submissions from the public were geocoded and aggregated-from large to small administrative geographies-by health region, public health unit (PHU) and Forward Sortation Area (FSA). PHU hot spots with high rates of D. variabilis submissions were (1) Brant County, Haldimand-Norfolk and Niagara Regional in the Central West region and (2) Lambton and Winsor-Essex County in the South West region. The number of established D. variabilis populations with ≥ 6 submissions per year increased significantly during the study at regional (PHUs: 22 to 31) and local (FSAs: 27 to 91) scales. The range of D. variabilis increased similarly to the positive control (Ixodes scapularis) during the study and in contrast to the static range of the negative control (Ixodes cookei). Submission hot spots were in warmer, low elevation areas with poorly drained soils, compared to the province's low submission areas. Dermacentor variabilis is spreading in Ontario and continued research into their vector ecology is required to assess medicoveterinary health risks.


Assuntos
Ixodes , Rhipicephalus sanguineus , Animais , Coleta de Dados , Cães , New Jersey , Ontário/epidemiologia
11.
Can Commun Dis Rep ; 48(5): 219-227, 2022 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-38105769

RESUMO

Background: Lyme disease (LD) is a multisystem infection that can affect the skin, heart, joints and nervous system. In Canada, the incidence of LD cases has increased over the past decade making this a disease of public health concern. The objective of this study is to summarize the epidemiology of LD cases reported in Canada from 2009 through 2019. Methods: Incidence over time, case classification (confirmed and probable), seasonal and geographic distribution, demographic and clinical characteristics of reported LD cases were determined. Logistic regression was used to explore potential demographic risk factors for the occurrence of LD. Results: During 2009-2019, a total of 10,150 LD cases were reported by the provinces to the Public Health Agency of Canada, of which 7,242 (71.3%) were confirmed and 2,908 (28.7%) were probable cases. The annual count increased from 144 in 2009 to 2,634 in 2019, mainly due to an increase in locally acquired infections, from 65.3% to 93.6%, respectively. The majority of cases (92.1%) were reported from three provinces: Ontario (46.0%); Nova Scotia (28.0%); and Québec (18.1%). Most of the locally acquired cases (74.0%) were reported in the summer months of June (20.0%), July (35.4%) and August (18.6%). The highest incidence rates (cases per 100,000 population) were in children aged 5-9 years (45.0) and in adults aged 65-69 years (74.3), with 57.3% of all reported cases occurring among males. The most common presenting symptoms were single erythema migrans rash (75.1%) and arthritis (34.1%). The frequency of reported clinical manifestations varied among age groups and seasons with erythema migrans and arthritis at presentation reported more frequently in children than older patients. Conclusion: The results of this report highlight the continued emergence of LD in Canada and the need for further development and implementation of targeted awareness campaigns designed to minimize the burden of LD.

12.
Parasit Vectors ; 14(1): 260, 2021 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-34001256

RESUMO

BACKGROUND: The universal nature of the human-companion animal relationship and their shared ticks and tick-borne pathogens offers an opportunity for improving public and veterinary health surveillance. With this in mind, we describe the spatiotemporal trends for blacklegged tick (Ixodes scapularis) submissions from humans and companion animals in Ontario, along with pathogen prevalence. METHODS: We tested tick samples submitted through passive surveillance (2011-2017) from humans and companion animals for Borrelia burgdorferi, Borrelia miyamotoi, Anaplasma phagocytophilum and Babesia microti. We describe pathogen prevalence in ticks from humans and from companion animals and constructed univariable Poisson and negative binomial regression models to explore the spatiotemporal relationship between the rates of tick submissions by host type. RESULTS: During the study, there were 17,230 blacklegged tick samples submitted from humans and 4375 from companion animals. Tick submission rates from companion animals were higher than expected in several public health units (PHUs) lacking established tick populations, potentially indicating newly emerging populations. Pathogen prevalence in ticks was higher in PHUs where established blacklegged tick populations exist. Borrelia burgdorferi prevalence was higher in ticks collected from humans (maximum likelihood estimate, MLE = 17.5%; 95% confidence interval, CI 16.97-18.09%) than from companion animals (9.9%, 95% CI 9.15-10.78%). There was no difference in pathogen prevalence in ticks by host type for the remaining pathogens, which were found in less than 1% of tested ticks. The most common co-infection B. burgdorferi + B. miyamotoi occurred in 0.11% of blacklegged ticks from humans and animals combined. Borrelia burgdorferi prevalence was higher in unengorged (21.9%, 95% CI 21.12-22.65%) than engorged ticks (10.0%, 95% CI 9.45-10.56%). There were no consistent and significant spatiotemporal relationships detected via regression models between the annual rates of submission of each host type. CONCLUSIONS: While B. burgdorferi has been present in blacklegged ticks in Ontario for several decades, other tick-borne pathogens are also present at low prevalence. Blacklegged tick and pathogen surveillance data can be used to monitor risk in human and companion animal populations, and efforts are under consideration to unite surveillance efforts for the different target populations.


Assuntos
Ixodes/microbiologia , Ixodes/parasitologia , Animais de Estimação/microbiologia , Animais de Estimação/parasitologia , Anaplasma phagocytophilum/isolamento & purificação , Anaplasma phagocytophilum/patogenicidade , Animais , Babesia microti/isolamento & purificação , Babesia microti/patogenicidade , Borrelia/isolamento & purificação , Borrelia/patogenicidade , Borrelia burgdorferi/isolamento & purificação , Borrelia burgdorferi/patogenicidade , Coinfecção/microbiologia , Coinfecção/parasitologia , Feminino , Humanos , Masculino , Ontário , Análise Espaço-Temporal
13.
J Insect Sci ; 10: 55, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20569132

RESUMO

Biting midges of the genus Culicoides (Diptera: Ceratopogonidae) were collected during the summer of 2007 at the Greenville and Riverbanks Zoos in South Carolina with Centers for Disease Control and Prevention (CDC) traps equipped with ultraviolet or incandescent lights and baited with carbon dioxide. Sixteen species of Culicoides were collected, four of which represented more than 80%. They were Culicoides guttipennis (Coquillett), Culicoides mulrenanni Beck, Culicoides obsoletus (Meigen), and Culicoides sanguisuga (Coquillett). C. guttipennis was found on a dead colobus monkey and a dead golden-headed lion tamarin; Culicoides husseyi Wirth & Blanton was collected from an unidentified, abandoned bird's nest. Ultraviolet light-equipped traps captured significantly more Culicoides specimens than traps with incandescent light. Half of the collected species previously have been associated with vertebrate pathogens, indicating a potential risk to captive animals.


Assuntos
Ceratopogonidae/classificação , Ceratopogonidae/fisiologia , Doenças dos Animais/imunologia , Doenças dos Animais/transmissão , Animais , Animais de Zoológico , Aves , Insetos Vetores , Mamíferos , South Carolina , Viroses/transmissão
14.
J Assoc Med Microbiol Infect Dis Can ; 5(2): 115-119, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36338184

RESUMO

Rickettsialpox, caused by Rickettsia akari, is a spotted fever group rickettsiae transmitted to humans through the bite of the house mouse mite (Liponyssoides sanguineus). Worldwide, rickettsialpox is most commonly associated with exposure to rodents in urban environments. Here, we present the case of a 47-year-old woman from Brantford, Ontario, with fever, eschar on the right leg, expanding erythema, and right groin lymphadenopathy. Early in infection, R. akari serology was negative (IgG <1:64), but convalescent titre increased to 1:1,024. The patient did not travel outside of Ontario in the previous year. She denied any rodent or arthropod exposures in her home, but recently visited a friend's home infested with bats and mice. The patient was afebrile after treatment with doxycycline, with resolution of most clinical and laboratory findings in 5 days. This is the first rickettsialpox case reported in Canada and highlights the importance of obtaining convalescent serology to assist in the diagnosis of rickettsial infection.


La rickettsiose varicelliforme, causée par le Rickettsia akari, est une infection à rickettsie du groupe des fièvres pourprées qui est transmise aux humains par la piqûre d'acariens de la souris domestique (Liponyssoides sanguineus). Dans le monde, la rickettsiose varicelliforme est surtout associée à l'exposition à des rongeurs en milieu urbain. Les auteurs présentent le cas d'une femme de 47 ans de Brantford, en Ontario, qui faisait de la fièvre et avait des escarres sur la jambe droite, un érythème en expansion et une lymphadénopathie de l'aine droite. Au début de l'infection, la sérologie du R. akari était négative (IgG <1:64), mais pendant la convalescence, le titrage est passé à 1:1 024. La patiente n'avait pas fait de voyage hors de l'Ontario au cours de l'année précédente. Elle disait ne pas avoir été exposée à des rongeurs ou des arthropodes chez elle, mais avait récemment rendu visite à une amie dont la maison était infestée par des chauves-souris et des souris. La patiente était afébrile après le traitement à la doxycycline, et la plupart des observations cliniques et de laboratoire avaient disparu au bout de cinq jours. C'est le premier cas de rickettsiose varicelliforme signalé au Canada, ce qui fait ressortir l'importance d'obtenir la sérologie en phase de convalescence pour contribuer au diagnostic d'infection à rickettsie.

15.
Can Commun Dis Rep ; 46(10): 354-361, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-33315999

RESUMO

BACKGROUND: Lyme disease is an emerging vector-borne zoonotic disease of increasing public health importance in Canada. As part of its mandate, the Canadian Lyme Disease Research Network (CLyDRN) launched a pan-Canadian sentinel surveillance initiative, the Canadian Lyme Sentinel Network (CaLSeN), in 2019. OBJECTIVES: To create a standardized, national sentinel surveillance network providing a real-time portrait of the evolving environmental risk of Lyme disease in each province. METHODS: A multicriteria decision analysis (MCDA) approach was used in the selection of sentinel regions. Within each sentinel region, a systematic drag sampling protocol was performed in selected sampling sites. Ticks collected during these active surveillance visits were identified to species, and Ixodes spp. ticks were tested for infection with Borrelia burgdorferi, Borrelia miyamotoi, Anaplasma phagocytophilum, Babesia microti and Powassan virus. RESULTS: In 2019, a total of 567 Ixodes spp. ticks (I. scapularis [n=550]; I. pacificus [n=10]; and I. angustus [n=7]) were collected in seven provinces: British Columbia, Manitoba, Ontario, Québec, New Brunswick, Nova Scotia and Prince Edward Island. The highest mean tick densities (nymphs/100 m2) were found in sentinel regions of Lunenburg (0.45), Montréal (0.43) and Granby (0.38). Overall, the Borrelia burgdorferi prevalence in ticks was 25.2% (0%-45.0%). One I. angustus nymph from British Columbia was positive for Babesia microti, a first for the province. The deer tick lineage of Powassan virus was detected in one adult I. scapularis in Nova Scotia. CONCLUSION: CaLSeN provides the first coordinated national active surveillance initiative for tick-borne disease in Canada. Through multidisciplinary collaborations between experts in each province, the pilot year was successful in establishing a baseline for Lyme disease risk across the country, allowing future trends to be detected and studied.

16.
J Med Entomol ; 46(5): 1220-4, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19769057

RESUMO

The Asian tiger mosquito Aedes albopictus (Skuse) was first detected in New Jersey in 1995 during mosquito surveillance operations in Monmouth County. We tracked statewide changes in populations of the Asian tiger mosquito and its association with West Nile virus from 2003 to 2007. Ae. albopictus population abundance has increased in New Jersey since 2003, primarily along the urban corridor between New York City and Philadelphia, and they are now expanding their range further into suburban and rural areas of the state. Ae. albopictus has invaded all counties of New Jersey except for two northwest rural counties (Sussex and Warren). West Nile virus was detected in Ae. albopictus throughout several foci in New Jersey during the study, underscoring the public health significance of this mosquito.


Assuntos
Aedes/virologia , Insetos Vetores/virologia , Febre do Nilo Ocidental/transmissão , Vírus do Nilo Ocidental/isolamento & purificação , Animais , New Jersey , Dinâmica Populacional , Febre do Nilo Ocidental/virologia
17.
J Med Entomol ; 46(4): 919-25, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19645298

RESUMO

Standard surveillance traps in North America for adult Aedes albopictus (Skuse) (Diptera: Culicidae), an invasive mosquito with public health implications, are currently ineffective. We compared the efficacy of the BG-Sentinel trap (BGS) with and without lures (BG-lure, octenol, and CO2), the Centers for Disease Control and Prevention light trap (CDC) with and without lures, and the gravid trap (GT) for Ae. albopictus collection in two urban sites in New Jersey. The BGS with or without lures collected more Ae. albopictus compared with other trap configurations and was more specific for Ae. albopictus. In Camden County, the BGS with lures collected three times more Ae. albopictus than the CDC (with CO2 only) and five times more than the GT. In Mercer County, BGS with lures collected the most mosquitoes, with 3 times more Ae. albopictus than the CDC with all lures and 50 times more than the GT. The BGS collected more male Ae. albopictus than other traps in both counties, providing further population monitoring. The GT and BGS provided a relative measure of the enzootic activity of West Nile virus in Culex spp. and the potential epidemic activity of WNV in Ae. albopictus. The BGS provides effective chemical and visual cues for host-seeking Ae. albopictus and should be used as a part of existing surveillance programs and new initiatives targeting this mosquito.


Assuntos
Aedes/virologia , Insetos Vetores/virologia , Controle de Mosquitos/métodos , Vírus do Nilo Ocidental/isolamento & purificação , Animais , Controle de Mosquitos/instrumentação , Febre do Nilo Ocidental/prevenção & controle , Febre do Nilo Ocidental/transmissão
18.
J Invertebr Pathol ; 102(1): 1-5, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19500586

RESUMO

The environmental conditions governing symbioses are poorly known in aquatic systems. Stream conditions associated with the distribution of the black fly (Simuliidae) midgut symbiote Harpella were investigated in southern Alabama and Mississippi streams. Stream conditions that were most useful in predicting the distribution of Harpella spp. in the study area were dissolved oxygen and water temperature. Presence of Harpella species in streams was associated with higher dissolved oxygen and decreased water temperature compared to streams where Harpella spp. was absent. Stream conditions associated with the distribution of Harpella spp. in other regions of the world vary according to conditions other than those elucidated here, indicating that geography, host species, and stream conditions play important roles in the spatial distribution of Harpella species.


Assuntos
Fungos , Rios/microbiologia , Simuliidae/microbiologia , Microbiologia da Água , Alabama , Animais , Larva/microbiologia , Mississippi , Micoses/epidemiologia , Simbiose , Temperatura
19.
J Am Mosq Control Assoc ; 25(3): 370-3, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19852230

RESUMO

From a discarded heavy-equipment tire (ca. 57 liter) at an industrial construction site, we collected 655 (86.0%) Orthopodomyia signifera, 23 (3.0%) Toxorhynchites rutilus septentrionalis, 17 (2.2%) Aedes japonicus japonicus, and 67 (8.8%) Culex pipiens pipiens. Although larvae of Aedes albopictus and Aedes triseriatus were not collected from this container, both species were prevalent as host-seeking adults and readily collected as larvae from other containers at this site. Laboratory trials to test the survival of prey (Ae. albopictus, Cx. p. pipiens, or Or. signifera) in the presence of Tx. rut. septentrionalis showed that survival of prey larvae differed among species. Multiple comparisons revealed that Ae. albopictus had the lowest and Or. signifera the highest survival in the presence of Tx. rut. septentrionalis. Survival of Or. signifera and Cx. p. pipiens was not significantly different from one another, but both were different from Ae. albopictus. Further testing is warranted to test other factors responsible for differences in the interspecific relationship between Or. signifera and other species in tree hole communities.


Assuntos
Dípteros/fisiologia , Animais , Ecossistema , Larva , Comportamento Predatório
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