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1.
Acta Trop ; 216: 105744, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33189713

RESUMEN

Environmental variables related to vegetation and weather are some of the most influential factors that impacting Aedes (Stegomya) aegypti, a mosquito vector of dengue, chikungunya and Zika viruses. In this paper, we aim to develop temporal predictive models for Ae. aegypti oviposition activity utilizing vegetation and meteorological variables as predictors in Córdoba city (Argentina). Eggs were collected using ovitraps placed throughout the city from 2009 to 2012 that were replaced weekly. Temporal generalized linear mixed models were developed with negative binomial distributions of errors that model average number of eggs collected weekly as a function of vegetation and meteorological variables with time lags. The best model included a vegetation index, vapor pressure of water, precipitation and photoperiod. With each unit of increment in vegetation index per week the average number of eggs increased by 1.71 in the third week. Furthermore, each millimeter increase of accumulated rain during 4 weeks was associated with a decrease of 0.668 in the average number of eggs found in the following week. This negative effect of precipitation could occur during abundant rainfalls that fill containers completely, thereby depriving females of oviposition sites and leading them to search for other suitable breeding sites. Furthermore, the average number of eggs increased with the photoperiod at low values of mean vapor pressure; however the average number of eggs decreased at high values of mean vapor pressure, and the positive relationship between the response variable and mean vapor pressure was stronger at low values of photoperiod. Additionally, minimum temperature was associated positively with oviposition activity and that low minimum temperatures could be a limiting factor in Ae. aegypti oviposition activity. Our results emphasize the important role that climatic variables such as temperature, precipitation, and vapor pressure play in Ae. aegypti oviposition activity and how these variables along with vegetation indices can be used to inform predictive temporal models of Ae. aegypti population dynamics that can be used for informing mosquito population control and arbovirus mitigation strategies.


Asunto(s)
Aedes/fisiología , Modelos Biológicos , Oviposición , Fotoperiodo , Animales , Argentina , Femenino , Conceptos Meteorológicos , Óvulo , Dinámica Poblacional , Lluvia , Factores de Tiempo , Presión de Vapor
2.
Heliyon ; 6(9): e04858, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32954035

RESUMEN

BACKGROUND: Argentina is located at the southern temperate range of arboviral transmission by the mosquito Aedes aegypti and has experienced a rapid increase in disease transmission in recent years. Here we present findings from an entomological surveillance study that began in Córdoba, Argentina, following the emergence of dengue in 2009. METHODS: From 2009 to 2017, larval surveys were conducted monthly, from November to May, in 600 randomly selected households distributed across the city. From 2009 to 2013, ovitraps (n = 177) were sampled weekly to monitor the oviposition activity of Ae. aegypti. We explored seasonal and interannual dynamics of entomological variables and dengue transmission. Cross correlation analysis was used to identify significant lag periods. RESULTS: Aedes aegypti were detected over the entire study period, and abundance peaked during the summer months (January to March). We identified a considerable increase in the proportion of homes with juvenile Ae. aegypti over the study period (from 5.7% of homes in 2009-10 to 15.4% of homes in 2016-17). Aedes aegypti eggs per ovitrap and larval abundance were positively associated with temperature in the same month. Autochthonous dengue transmission peaked in April, following a peak in imported dengue cases in March; autochthonous dengue was not positively associated with vector or climate variables. CONCLUSIONS: This longitudinal study provides insights into the complex dynamics of arbovirus transmission and vector populations in a temperate region of arbovirus emergence. Our findings suggest that Córdoba is well suited for arbovirus disease transmission, given the stable and abundant vector populations. Further studies are needed to better understand the role of regional human movement.

3.
Parasit Vectors ; 12(1): 214, 2019 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-31064397

RESUMEN

BACKGROUND: Knowledge of immature habitats is an important focus for investigations of mosquito community ecology, and may improve our understanding of how environmental variables increase risk of mosquito-borne diseases by influencing the distributions and abundances of species. In Patagonia region, where climatic and ecological factors could be only borderline suitable for mosquito development, relatively little is known about larval ecology. The present study focuses on associations of environmental conditions in natural aquatic habitats with abundances of mosquito species that have colonized such habitats in Patagonia. METHODS: We described the mosquito community composition within 26 natural temporary pools, and assessed the general relationships between environmental variables (pH, water temperature, conductivity, salinity, dissolved oxygen, aquatic plant cover and main nutrients) and larval abundances using redundancy analysis (RDA). Additionally, we compiled monthly climate data and vegetation indices for each larval habitat, and estimated the probability of presence for two of the most abundant species, describing through generalized linear models (GLM) the environmental, climatic and landscape variables-probability of occurrence relationships. RESULTS: Seven species belonging to the genera Culex and Aedes were identified, with Culex apicinus, Cx. acharistus and Aedes albifasciatus being the most abundant. Mean larval densities were low (6.8 ± 2.8 larvae/dip), and the highest species richness and larval densities were recorded in northern and central areas. Aedes albifasciatus, a species of sanitary importance, was widely distributed, being the only one collected south of the 45th parallel of S latitude. RDA indicated that aquatic conductivity, pH, water depth, dissolved oxygen, ammonia and soluble reactive phosphorous accounted for the main part of the variation in the species composition. According to GLMs, wind speed was the variable that best described the presence of Ae. albifasciatus, and the probability of finding this species was positively associated with high wind speed values. On the other hand, the EVI vegetation index was the only variable included in the Cx. apicinus model, whereby there was a great probability of presence in arid areas with lower EVI values. CONCLUSIONS: Our results enhance our knowledge of larval habitat ecology under the extreme environmental conditions of Patagonia and will guide future efforts to understand how multiple effects can affect mosquito ecology and public health at higher latitudes.


Asunto(s)
Culicidae/embriología , Ecosistema , Animales , Argentina , Frío , Culicidae/clasificación , Femenino , Larva/crecimiento & desarrollo , Masculino
4.
Sci Data ; 6(1): 276, 2019 11 21.
Artículo en Inglés | MEDLINE | ID: mdl-31754110

RESUMEN

The distribution of arbovirus disease transmission is expanding from the tropics and subtropics into temperate regions worldwide. The temperate city of Córdoba, Argentina has been experiencing the emergence of dengue virus, transmitted by the mosquito Aedes aegypti, since 2009, when autochthonous transmission of the virus was first recorded in the city. The aim of this work is to characterize the emergence of dengue and related arboviruses (Zika and chikungunya) in Córdoba since 2009. Herein, we present a data set with all known information about transmission of dengue, Zika, and chikungunya viruses in Córdoba, Argentina from 2009-2018, including what information is known of dengue virus (DENV) serotypes in circulation and origins of imported cases. The data presented in this work will assist researchers in investigating drivers of arbovirus emergence and transmission in Córdoba, Argentina and contribute to a better understanding of the global problem of the expanding distribution of arbovirus disease transmission.


Asunto(s)
Fiebre Chikungunya/transmisión , Dengue/transmisión , Infección por el Virus Zika/transmisión , Aedes/virología , Animales , Arbovirus , Argentina/epidemiología , Fiebre Chikungunya/epidemiología , Virus Chikungunya , Ciudades , Dengue/epidemiología , Virus del Dengue , Humanos , Virus Zika , Infección por el Virus Zika/epidemiología
5.
Acta Trop ; 178: 81-85, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29100812

RESUMEN

Thirty-seven sandfly species are listed for Argentina distributed in 14 provinces and Leishmaniasis cases extend from the north of the country to Unquillo City (Córdoba Province), but potential vectors are found further to the south. This is the first study on diversity, spatial and temporal distribution of sandflies on the outskirts of the temperate Córdoba City, and the factors that influence their presence. Migonemyia migonei, record here for Córdoba City for the first time, and the Evandromyia cortelezzii-sallesi Complex was found, also Ev. cortelezzii males were captured for the first time, these sandflies being more abundant during the warm months due to meteorological factors and the presence of blood meal sources. At least the eastern outskirts of Córdoba City, the second most important city of the country, are at risk of Leishmaniasis transmission if Leishmania spp. enters into the area due to the presence of competent vectors and adequate vertebrate hosts, in a favorable socio-economic context.


Asunto(s)
Insectos Vectores/parasitología , Leishmania/aislamiento & purificación , Leishmaniasis/transmisión , Phlebotomus/parasitología , Animales , Argentina/epidemiología , Masculino , Estaciones del Año
6.
Acta Trop ; 146: 1-6, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25733491

RESUMEN

We investigated how ambient temperature under fluctuating conditions affects the larval-pupal immature traits of Aedes aegypti and Culex quinquefasciatus mosquitoes from Córdoba city, Argentina, and established each species development threshold and physiological time. Based on life tables, three cohorts of each mosquito species were reared in the laboratory under small fluctuating temperatures conditions of 15.2±1.7°C, 17.9±1.6°C, 21.6±0.7°C and 25.3±0.4°C for Ae. aegypti, and 16.6±1.7°C, 18.7±1.7°C and 25.2±0.3°C for Cx. quinquefasciatus. Immature development time and survival values, and also thermal development threshold and physiological time were estimated. Development times of all larval and pupal stages of Ae. aegypti and Cx. quinquefasciatus were significantly affected by the rearing temperatures, decreasing when temperature increased. Mean Ae. aegypti total (larva+pupa) development time ranged from 21.9 to 8.6 days, at 15.2 and 25.3°C, whereas, for Cx. quinquefasciatus varied between 23.5 to 9.2 days at 16.6 and 25.2°C, respectively. Larval and pupal survival of both species was affected by different rearing temperatures, increasing in general as temperature increased. For Ae. aegypti the total immature survival ranged from 26% at 15.2°C to 92% at 21.6°C; however, temperature did not have significant effect on this variable. The total immature survival of Cx. quinquefasciatus was significantly and positively affected by temperatures, ranging from 32 to 88%, at 16.6 and 25.2°C. The temperature development threshold and the physiological time estimated for Ae. aegypti and Cx. quinquefasciatus were 11.11°C and 93.74 degree-days, and 10.96°C and 136.87 degree-days, respectively. The results of the present study showed that temperature significantly affects the larval-pupal immature traits of these mosquito species of sanitary importance, from the central region of Argentina. All the parameters recorded are useful for the development of mosquito management models.


Asunto(s)
Aedes/crecimiento & desarrollo , Culex/crecimiento & desarrollo , Larva/crecimiento & desarrollo , Pupa/crecimiento & desarrollo , Animales , Argentina , Estudios de Cohortes , Temperatura
7.
PLoS One ; 10(5): e0127820, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25993415

RESUMEN

This study aims to develop a forecasting model by assessing the weather variability associated with seasonal fluctuation of Aedes aegypti oviposition dynamic at a city level in Orán, in northwestern Argentina. Oviposition dynamics were assessed by weekly monitoring of 90 ovitraps in the urban area during 2005-2007. Correlations were performed between the number of eggs collected weekly and weather variables (rainfall, photoperiod, vapor pressure of water, temperature, and relative humidity) with and without time lags (1 to 6 weeks). A stepwise multiple linear regression analysis was performed with the set of meteorological variables from the first year of study with the variables in the time lags that best correlated with the oviposition. Model validation was conducted using the data from the second year of study (October 2006- 2007). Minimum temperature and rainfall were the most important variables. No eggs were found at temperatures below 10 °C. The most significant time lags were 3 weeks for minimum temperature and rains, 3 weeks for water vapor pressure, and 6 weeks for maximum temperature. Aedes aegypti could be expected in Orán three weeks after rains with adequate min temperatures. The best-fit forecasting model for the combined meteorological variables explained 70 % of the variance (adj. R(2)). The correlation between Ae. aegypti oviposition observed and estimated by the forecasting model resulted in rs = 0.80 (P < 0.05). The forecasting model developed would allow prediction of increases and decreases in the Ae. aegypti oviposition activity based on meteorological data for Orán city and, according to the meteorological variables, vector activity can be predicted three or four weeks in advance.


Asunto(s)
Aedes/fisiología , Insectos Vectores/fisiología , Oviposición/fisiología , Tiempo (Meteorología) , Animales , Argentina , Ciudades , Dengue/transmisión , Geografía , Estaciones del Año , Estadísticas no Paramétricas , Factores de Tiempo
8.
J Am Mosq Control Assoc ; 20(4): 357-64, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15669375

RESUMEN

Seasonal differences in the number and length of gonotrophic cycles of Ochlerotatus albifasciatus were determined in a temperate area of Argentina, in addition to analysis on number of eggs laid by females corresponding to the number of bloodfeedings per gonotrophic cycle throughout the year. Landing females were collected by using human bait and mechanical aspirators along the southwestern coast of Mar Chiquita Lake (in northeastern Córdoba Province) from February to November 2000. Collected females were kept in captivity under natural weather conditions, fed on a sugar solution (10%), and provided blood via a human host by different methods (treatment A: 1 bloodfeeding/gonotrophic cycle and treatment B: 2 or 3 bloodfeedings/gonotrophic cycle). A maximum of 5 gonotrophic cycles (average 2.24 +/- 1.11) were determined by dissecting ovarioles. The gonotrophic cycles were longer in females of treatment B (11.23 +/- 4.06 days) than those of treatment A (9.02 +/- 5 days). Females that completed the highest number of cycles were collected in winter and during the beginning of spring. The average number of eggs laid in each cycle was 90 (SD = 37.85) for treatment B females and 80 (SD = 29.99) for those of treatment A, with significant differences between treatments. Considering both treatments, the number of eggs laid was significantly higher after 3 blood meals than with 1 or 2 feedings. These results suggest that an increase in the number of feedings would lengthen the cycle and increase the production of eggs. No correlation was found relating to temperature and the length of the cycles, which suggests that the number of blood meals may be the determining factor in seasonal variations in egg production.


Asunto(s)
Ochlerotatus/fisiología , Animales , Argentina , Conducta Alimentaria/fisiología , Femenino , Fertilidad/fisiología , Oviposición/fisiología , Estaciones del Año
9.
Artículo en Español | MEDLINE | ID: mdl-14763432

RESUMEN

BACKGROUND: Approximately 80% of Argentine children have pediculosis, making it imperious to detect the defects in the prevention and control actions for this parasitosis. OBJECTIVES: To study the infestation level by P. h. capitis, its temporal variation, and the association between infestation and host characteristics. MATERIALS AND METHODS: A monthly census in children of 6-8 years old from 2 primary schools (state and private) was carried out, recording the parasite stages found, children characteristics (sex, colour and length of hair), and infestation level. Data were analysed by means of contingency tables, difference of proportions, quotient of chances, and rank correlation coefficient. The independence of variables was analysed by c' test. RESULTS: The prevalence and chances of becoming infested were higher at the state school, where also all infestation levels were recorded, which did not occur at the private institute. The frequency of children infested was significantly lower when they had short hair. The correlation among infestation degree and hair length (short-long) was only significant for boys. Pediculosis cases were recorded at the beginning of the school year in both educative institutions, which demonstrated that infestation was acquired not only at school but also at home. CONCLUSIONS: Pediculosis is a social problems and the whole community must participate in preventive and control actions, for which sanitary education is essential, and the myth that the school is the only place of contagion must be eradicated.


Asunto(s)
Infestaciones por Piojos/epidemiología , Pediculus , Dermatosis del Cuero Cabelludo/epidemiología , Animales , Argentina/epidemiología , Niño , Femenino , Humanos , Masculino , Prevalencia , Factores de Riesgo , Dermatosis del Cuero Cabelludo/parasitología , Estaciones del Año , Índice de Severidad de la Enfermedad , Factores Socioeconómicos
10.
Vector Borne Zoonotic Dis ; 11(5): 543-9, 2011 May.
Artículo en Inglés | MEDLINE | ID: mdl-20925528

RESUMEN

Dengue has affected the north provinces of Argentina, mainly Salta province. The 2009 outbreak, with 5 deaths and >27,000 infected, was the most important, and the first to extend into the central area of the country. This article includes research on seasonal Aedes aegypti abundance variation in Orán City (Salta province), and determination of the date of mosquito population increase and an estimation of the date of maximum rate of increase as well as the intrinsic rate of natural increase (r), to detect the optimal time to apply vector control measures. Between September 2005 and March 2007, ovitraps were randomly distributed in the city to collect Ae. aegypti eggs. The variation observed in the number of collected eggs was described by fitting a third-degree polynomial by the least square method, allowing to determine the time when population increase began (week 1), after the temperate and dry season. Eggs were collected throughout the year, with the highest variation in abundance during the warm and rainy season, and the maximum value registered in February 2007. The rate of increase of the number of eggs laid per week peaked between weeks 9 and 10 after the beginning of the population increase (week 1). Week 1 depends on temperature, it occurs after getting over the thermal threshold and the needed accumulation of 160 degree-day is reached. Consequently, week 1 changes depending on temperature. Peak abundance of eggs during 2005-2006 was recorded on week 15 (after week 1); during 2006-2007, the peak was observed on week 22. Estimation of the intrinsic rate of natural increase (r) of Ae. aegypti is useful not only to determine optimal time to apply vector control measures with better cost-benefit, but also to add an insecticide control strategy against the vector to diminish the possibility of resistance.


Asunto(s)
Aedes/fisiología , Dengue/prevención & control , Brotes de Enfermedades/prevención & control , Insectos Vectores/fisiología , Control de Mosquitos/métodos , Oviposición/fisiología , Animales , Argentina , Dengue/epidemiología , Predicción/métodos , Humanos , Modelos Biológicos , Densidad de Población , Estaciones del Año
11.
Mem. Inst. Oswaldo Cruz ; 90(5): 639-44, set.-oct. 1995. tab
Artículo en Inglés | LILACS | ID: lil-157284

RESUMEN

Aedes albifasciatus is an important common mosquito in Central Argentina. Its a confirmed vector of the Western Equine Encephalitis and is responsible for loss of milk production in dairy cattle during peak populations. This paper reports the flight activity pattern of Ae. albifasciatus for different seasons, in the southern coast of the Mar Chiquita Lake (Central Argentina). Data were collected by sampling two sites between 1992 and 1993 with CDC traps and human-bait captures. Adult mosquito population density, estimated by CDC trapping and human-bait, were highly correlated. However, when compared to other species, the proportion of Ae. albifasciatus was higher in human-bait collections. Adult female populations were active only when temperature were higher than 6§C. Two daily biting peaks were observed (dusk and dawn) during the spring, summer and autumn, and only one peak during winter (around 15:00 pm). Adult abundance was significantly correlated (R²= 0.71; p<0.01) with temperature and illumination.


Asunto(s)
Animales , Conducta Animal , Culicidae , Vectores de Enfermedades , Encefalomielitis Equina , Iluminación , Temperatura
12.
Mem. Inst. Oswaldo Cruz ; 90(4): 463-8, jul.-ago. 1995. ilus, tab
Artículo en Inglés | LILACS | ID: lil-157294

RESUMEN

Aedes albifasciatus is a flood water mosquito ocurring in the southern countries of South America. It is a competent vector of the Western Equine Encephalitis (WEE) and causes important losses on milk and beef production in central Argentina. Field work was carried out from December 1990 to March 1993, on a monthly basis during the dry season and biweekly during the rainy season. Larvae were collected using the 'dipping' technique and females with CDC traps baited with CO2. Field collected larvae were used to build laboratory cohorts, from which basic population parameters were estimated. Eggs survived up to six months on dry soil, although there was a linear decrease of viability with time. At 23§C, larval development time was around nine days, and all adults emerged within one week. The estimation of larval development in the laboratory seems to be very near the development on the field, as larvae have been collected on average eight days after a rainfall. Egg to adult survival was 83 por cento, with the highest mortality on fourth larval instar (6 por cento). In the laboratory studies, sex proportion among the adults was 1:1, females lived longer than males (median 13 and five days, respectively), and adult survival pattern showed a constant number of individuals dying per unit time. Field collected females layed an average of 84 eggs per batch, and completing up to five gonotrophic cycles, suggesting an estimated survival of up to 35-50 days.


Asunto(s)
Animales , Aedes/fisiología , Conducta Animal , Vectores de Enfermedades , Encefalomielitis Equina
13.
Rev. Fac. Cienc. Méd. [Córdoba] ; 60(2): 44-53, 2003. tab, gra
Artículo en Español | BINACIS | ID: bin-4832

RESUMEN

BACKGROUND: Approximately 80 per cent of Argentine children have pediculosis, making it imperious to detect the defects in the prevention and control actions for this parasitosis. OBJECTIVES: To study the infestation level by P. h. capitis, its temporal variation, and the association between infestation and host characteristics. MATERIALS AND METHODS: A monthly census in children of 6-8 years old from 2 primary schools (state and private) was carried out, recording the parasite stages found, children characteristics (sex, colour and length of hair), and infestation level. Data were analysed by means of contingency tables, difference of proportions, quotient of chances, and rank correlation coefficient. The independence of variables was analysed by c test. RESULTS: The prevalence and chances of becoming infested were higher at the state school, where also all infestation levels were recorded, which did not occur at the private institute. The frequency of children infested was significantly lower when they had short hair. The correlation among infestation degree and hair length (short-long) was only significant for boys. Pediculosis cases were recorded at the beginning of the school year in both educative institutions, which demonstrated that infestation was acquired not only at school but also at home. CONCLUSIONS: Pediculosis is a social problems and the whole community must participate in preventive and control actions, for which sanitary education is essential, and the myth that the school is the only place of contagion must be eradicated. (AU)


Asunto(s)
Humanos , Masculino , Femenino , Niño , Pediculus , Dermatosis del Cuero Cabelludo/epidemiología , Infestaciones por Piojos/epidemiología , Dermatosis del Cuero Cabelludo/parasitología , Índice de Severidad de la Enfermedad , Factores Socioeconómicos , Factores de Riesgo , Prevalencia , Estaciones del Año , Argentina/epidemiología
14.
Artículo en Español | BINACIS | ID: bin-38770

RESUMEN

BACKGROUND: Approximately 80


of Argentine children have pediculosis, making it imperious to detect the defects in the prevention and control actions for this parasitosis. OBJECTIVES: To study the infestation level by P. h. capitis, its temporal variation, and the association between infestation and host characteristics. MATERIALS AND METHODS: A monthly census in children of 6-8 years old from 2 primary schools (state and private) was carried out, recording the parasite stages found, children characteristics (sex, colour and length of hair), and infestation level. Data were analysed by means of contingency tables, difference of proportions, quotient of chances, and rank correlation coefficient. The independence of variables was analysed by c test. RESULTS: The prevalence and chances of becoming infested were higher at the state school, where also all infestation levels were recorded, which did not occur at the private institute. The frequency of children infested was significantly lower when they had short hair. The correlation among infestation degree and hair length (short-long) was only significant for boys. Pediculosis cases were recorded at the beginning of the school year in both educative institutions, which demonstrated that infestation was acquired not only at school but also at home. CONCLUSIONS: Pediculosis is a social problems and the whole community must participate in preventive and control actions, for which sanitary education is essential, and the myth that the school is the only place of contagion must be eradicated.

15.
Rev. Fac. Cienc. Méd. (Córdoba) ; 60(2): 44-53, 2003. tab, graf
Artículo en Español | LILACS | ID: lil-356904

RESUMEN

BACKGROUND: Approximately 80 per cent of Argentine children have pediculosis, making it imperious to detect the defects in the prevention and control actions for this parasitosis. OBJECTIVES: To study the infestation level by P. h. capitis, its temporal variation, and the association between infestation and host characteristics. MATERIALS AND METHODS: A monthly census in children of 6-8 years old from 2 primary schools (state and private) was carried out, recording the parasite stages found, children characteristics (sex, colour and length of hair), and infestation level. Data were analysed by means of contingency tables, difference of proportions, quotient of chances, and rank correlation coefficient. The independence of variables was analysed by c' test. RESULTS: The prevalence and chances of becoming infested were higher at the state school, where also all infestation levels were recorded, which did not occur at the private institute. The frequency of children infested was significantly lower when they had short hair. The correlation among infestation degree and hair length (short-long) was only significant for boys. Pediculosis cases were recorded at the beginning of the school year in both educative institutions, which demonstrated that infestation was acquired not only at school but also at home. CONCLUSIONS: Pediculosis is a social problems and the whole community must participate in preventive and control actions, for which sanitary education is essential, and the myth that the school is the only place of contagion must be eradicated.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Infestaciones por Piojos , Pediculus , Dermatosis del Cuero Cabelludo , Argentina , Prevalencia , Factores de Riesgo , Dermatosis del Cuero Cabelludo , Estaciones del Año , Índice de Severidad de la Enfermedad , Factores Socioeconómicos
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