ABSTRACT
Abstract Leishmaniasis is a disease caused by the protozoan Leishmania parasite that is disseminated by some species of sandflies and hosted by a variety of reservoirs. The objective of the present study was to evaluate the epidemiological situation of leishmaniasis in the municipalities of the Mato Grosso Pantanal. Human data were obtained from the Information System of Notifiable Diseases, and the canine and vector results from the State Department of Health of Mato Grosso. Between 2007 and 2016, 10 cases of visceral leishmaniasis and 499 cases of tegumentary leishmaniasis were identified in the Pantanal region. The surveillance studies regarding the canine reservoir demonstrated that the parasite was present in six of the seven municipalities. Vectors of visceral leishmaniasis were present in five municipalities and vectors of tegumentary leishmaniasis in six. Enhancement of services aimed at controlling this disease is fundamental to prevent an increase in the number of cases in the region.
Resumo As leishmanioses são doenças causadas por protozoários do gênero Leishmania disseminadas por algumas espécies de flebotomíneos e participação de uma variedade de reservatórios. O objetivo do presente estudo foi avaliar a situação epidemiológica das leishmanioses nos municípios abrangentes do Pantanal de Mato Grosso. Os dados humanos foram obtidos do Sistema de Informações de Agravos de Notificação e os resultados caninos e vetoriais junto à Secretaria de Estado de Saúde de Mato Grosso. A região do Pantanal registrou no período de 2007 a 2016, dez casos da forma visceral e 499 casos da forma tegumentar. As ações de vigilância para o reservatório canino demonstraram a circulação do parasito em seis dos sete municípios. A presença dos vetores de leishmaniose visceral ocorreu em cinco municípios e os da leishmaniose tegumentar em seis. O fortalecimento dos serviços voltados para controle desse agravo é fundamental para evitar o aumento no número de casos da região.
Subject(s)
Humans , Animals , Dogs , Leishmaniasis, Cutaneous/epidemiology , Dog Diseases/epidemiology , Leishmaniasis, Visceral/epidemiology , Psychodidae/classification , Brazil/epidemiology , Incidence , Leishmaniasis, Cutaneous/veterinary , Insect Vectors/classification , Leishmaniasis, Visceral/veterinaryABSTRACT
ABSTRACT: The aim of this study was to identify the Leishmania species in Jaciara dogs; visceral leishmaniasis (VL) is endemic in the county of Jaciara. A comparison among the PCR results for the spleen, bone marrow, skin and blood of 101 dogs with VL-reactive serum were evaluated. Spleen tissue showed the highest detection percentage, followed by bone marrow. In 97 (96.04%) dogs, the Leishmania DNA detected was confirmed as L. chagasi, emphasizing the importance of aetiological identifications in sympatric areas with other trypanosomatids.
RESUMO: Com o objetivo de identificar a espécie de Leishmania circulante em cães de Jaciara, município endêmico para leishmaniose visceral (LV), e comparar pela PCR a detecção em baço, medula óssea, pele e sangue, foram avaliados 101 cães sororreagentes para LV. O baço foi o tecido que apresentou melhor percentual de detecção, seguido da medula óssea. Em 97 (96,04%) cães, foi detectado DNA de Leishmania, confirmada como L. chagasi, ressaltando a relevância da identificação etiológica em área de simpatria com outros tripanosomatídeos.
ABSTRACT
Visceral leishmaniasis (VL) in Brazil is transmitted by the phlebotomine Lutzomyia longipalpis and in some midwestern regions by Lutzomyia cruzi. Studies of the phlebotomine fauna, feeding habits and natural infection rate by Leishmania contribute to increased understanding of the epidemiological chain of leishmaniases and their vectorial capacity. Collections were performed in Jaciara, state of Mato Grosso from 2010-2013, during which time 2,011 phlebotomines (23 species) were captured (68.70% Lu. cruzi and 20.52% Lutzomyia whitmani). Lu. cruzi females were identified by observing the shapes of the cibarium (a portion of the mouthpart) and spermatheca, from which samples were obtained for polymerase chain reaction to determine the rates of natural infection. Engorged phlebotomines were assessed to identify the blood-meal host by ELISA. A moderate correlation was discovered between the number of Lu. cruzi and the temperature and the minimum rate of infection was 6.10%. Twenty-two females were reactive to the antisera of bird (28%), dog (3.30%) and skunk (1.60%). We conclude that Lu. cruzi and Lu. whitmani have adapted to the urban environment in this region and that Lu. cruzi is the most likely vector of VL in Jaciara. Moreover, maintenance of Leishmania in the environment is likely aided by the presence of birds and domestic and synanthropic animals.
Subject(s)
Animals , Dogs , Humans , DNA, Protozoan/isolation & purification , Insect Vectors/parasitology , Leishmania/genetics , Leishmaniasis, Visceral/transmission , Psychodidae/classification , Biodiversity , Brazil , Birds/blood , Enzyme-Linked Immunosorbent Assay , Feeding Behavior/physiology , Grassland , Immune Sera , Insect Vectors/pathogenicity , Leishmaniasis, Visceral/parasitology , Mephitidae/blood , Polymerase Chain Reaction , Psychodidae/parasitology , Psychodidae/pathogenicity , Rodentia/blood , WeatherABSTRACT
Visceral leishmaniasis (VL) is caused by Leishmania (L.) infantum chagasi in the Americas. In Brazil, it is transmitted by sandflies of the species Lutzomyia longipalpis and L. cruzi, and dogs are the main domestic reservoirs. The aim of this study was to analyze data relating to VL transmission in Jaciara, state of Mato Grosso, and discuss vector distribution, domestic reservoirs, and human cases that occurred between 2003 and 2012. The data for analysis were obtained from the Notifiable Diseases Information System (human), the State Health Department's Environmental Monitoring Agency (canine data) and the State Health Department's Entomology Laboratory (sandfly data). Over this period, Jaciara had 19 autochthonous human cases (12 males and seven females), with one death 2,273. Out of the 7,545 dogs tested by enzyme immunoassay and indirect immunofluorescence were positive. The sandflies collected comprised 5,015 individuals belonging to 24 species, with a predominance of L. whitmani followed by L. cruzi. The results showed that the parasite has frequent circulation and that the vector L. cruzi is widely distributed over all months, thus suggesting that transmission may occur at any time of the year.
A leishmaniose visceral (LV), causada nas Américas pelo protozoário Leishmania (L.) infantum chagasi, transmitida no Brasil por flebotomíneos das espécies Lutzomyia longipalpis e L. cruzi, tem os cães como principais reservatórios domésticos. O objetivo deste trabalho foi analisar os dados relacionados à transmissão da LV, em Jaciara (MT), e discutir a respeito da distribuição do vetor, reservatório doméstico e os casos humanos ocorridos no período de 2003 a 2012. Os dados para análise foram obtidos do Sistema de Informações de Agravos de Notificação (humanos), da Vigilância Ambiental da Secretaria Estadual de Saúde (caninos) e do Laboratório de Entomologia da Secretaria Estadual de Saúde (flebotomíneos). Jaciara apresentou 19 casos autóctones, 12 do sexo masculino e sete do sexo feminino, com um óbito. Dos 7.545 cães testados por imunoensaio enzimático e reação de imunofluorescência indireta, 2.273 foram reagentes. Os flebotomíneos coletados totalizaram 5.015 indivíduos pertencentes a 24 espécies com predomínio de L. whitmani seguido por L. cruzi. Os resultados demonstraram circulação frequente do parasito e a ampla distribuição do vetor L. cruzi com frequência em todos os meses, sugerindo que a transmissão possa ocorrer em qualquer época do ano.