Black Fly (Diptera: Simuliidae) Assemblages of High Andean Rivers Respond to Environmental and Pollution Gradients.

Simuliid larvae are common inhabitants of mountain rivers throughout the world, where they can serve as ecological indicators. Black flies were sampled during three seasons in four rivers in the upper basin of the Bogotá River in the Colombian Andes, and physical, chemical, and hydrological data were recorded. Multivariate methods were used to determine the relationships between the presence and abundance of simuliid species and environmental characteristics. Fourteen species were found: eight in the genus Gigantodax (Enderlein, Diptera, Simuliidae) and six in the genus Simulium (Latreille, Diptera, Simuliidae). Dissolved oxygen, dissolved solids, redox potential, chemical oxygen demand, and nutrients contributed to an explanation of species distributions. Species in clean waters and in more polluted waters had narrow niches; those in low to moderately polluted waters had broader niches. Species in the lower reaches of the watercourses had greater turnover, perhaps because the most sensitive species had disappeared and been replaced by more tolerant species. Thus, simuliids can be used as predictors of environmental characteristics of Andean rivers and can be useful in the evaluation and management of these watersheds.

Distribution of black flies (Diptera: Simuliidae) along an elevational gradient in the Andes Mountains of Colombia during the El Niño Southern Oscillation.

Vector ecology is a key factor in understanding the transmission of disease agents, with each species having an optimal range of environmental requirements. Scarce data, however, are available for how interactions of local and broad-scale climate phenomena, such as seasonality and the El Niño Southern Oscillation (ENSO), affect simuliids. We, therefore, conducted an exploratory study to examine distribution patterns of species of Simuliidae along an elevational gradient of the Otún River in the Colombian Andes, encompassing four ecoregions. Larval and pupal simuliids were sampled at 52 sites ranging from 1800 to 4750 m above sea level in dry and wet seasons and during the La Niña phase (2011-2012) and the El Niño phase (2015-2016) of the ENSO; physicochemical measurements were taken during the El Niño phase. Twenty-seven species in two genera (Gigantodax and Simulium) were collected. Species richness and occurrence in each ecoregion were influenced by elevation, seasonality, and primarily the warm El Niño and cool La Niña phases of the ENSO. The degree of change differed among ecoregions and was related to physicochemical factors, mainly with stream discharge. Some putative simuliid vectors of Leucocytozoon, such as G. misitu and S. muiscorum, markedly changed in distribution and occurrence, potentially influencing parasite transmission.

Combination of five diagnostic tests to estimate the prevalence of hookworm infection among school-aged children from a rural area of colombia.

BACKGROUND: Public health programs for the control of soil-transmitted helminthiases require valid diagnostic tests for surveillance and parasitic control evaluation. However, there is currently no agreement about what test should be used as a gold standard for the diagnosis of hookworm infection. Still, in presence of concurrent data for multiple tests it is possible to use statistical models to estimate measures of test performance and prevalence. The aim of this study was to estimate the diagnostic accuracy of five parallel tests (direct microscopic examination, Kato-Katz, Harada-Mori, modified Ritchie-Frick, and culture in agar plate) to detect hookworm infections in a sample of school-aged children from a rural area in Colombia. METHODS AND RESULTS: We used both, a frequentist approach, and Bayesian latent class models to estimate the sensitivity and specificity of five tests for hookworm detection, and to estimate the prevalence of hookworm infection in absence of a Gold Standard. The Kato-Katz and agar plate methods had an overall agreement of 95% and kappa coefficient of 0.76. Different models estimated a sensitivity between 76% and 92% for the agar plate technique, and 52% to 87% for the Kato-Katz technique. The other tests had lower sensitivity. All tests had specificity between 95% and 98%. The prevalence estimated by the Kato-Katz and Agar plate methods for different subpopulations varied between 10% and 14%, and was consistent with the prevalence estimated from the combination of all tests. The Harada-Mori, Ritchie-Frick and direct examination techniques resulted in lower and disparate prevalence estimates. Bayesian approaches assuming imperfect specificity resulted in lower prevalence estimates than the frequentist approach.

Haemoproteus erythrogravidus n. sp. (Haemosporida, Haemoproteidae): Description and molecular characterization of a widespread blood parasite of birds in South America.

The great diversity of birds and ecosystems in the Andean mountains has been understudied in terms of their parasite species. We describe a new Haemoproteus parasite, H. (Parahaemoproteus) erythrogravidus infecting Zonotrichia capensis (Rufous-Collared Sparrow) in South America. The description of this blood parasite species is supported by morphological and molecular data based on a fragment of cytochrome b gene (cyt b) and complete mitochondrial genome sequences. The new species is closely related to H. (Parahaemoproteus) coatneyi, and it can be readily distinguished from the latter parasite due to morphology of its blood stages, particularly 1) the formation of a marked protrusion on envelope of infected erythrocytes by the majority of developing gametocytes, a feature which is unique for this Haemoproteus species and 2) the extremely attenuated width of the growing dumbbell-shaped macro- and microgametocytes. Additionally, Haemoproteus erythrogravidus is shown to be a monophyletic taxon that diverges from Haemoproteus coatneyi at the molecular level. We provide the complete mitochondrial DNA genome for both H. coatneyi and H. erythrogravidus. Molecular and morphological evidences indicate that H. erythrogravidus is present in Ecuador and Colombia, and genetic lineages with 100% of identity for the cyt b gene were reported in Chile, Perú, and Venezuela. Our study also indicates that H. erythrogravidus and H. coatneyi are sympatric sister taxa sharing Z. capensis as a host species across its distribution, which could be the result of sympatric speciation or complex biogeographic processes. Further studies on the distribution and evolutionary history of Z. capensis and its parasites H. erythrogravidus and H. coatneyi insight for our better understanding of the factors and dynamics driving parasite speciation.

Leucocytozoon Diversity and Possible Vectors in the Neotropical highlands of Colombia.

Studies of the lowland avifauna in the Neotropical Region have shown a paucity of Leucocytozoon species. However, surveys conducted in the Colombian highlands revealed a great diversity of these parasites infecting resident birds. To further investigate the relationship between Leucocytozoon diversity, the potential vectors, and altitudinal distribution, birds from 41 families were sampled at low and high elevations in Colombia. Blood samples were screened by microscopy, and a fragment of cytochrome b was amplified from Leucocytozoon-positive samples. The complete mitochondrial genome was also obtained for each morphospecies of Leucocytozoon. Leucocytozoon species were detected in resident birds, with various degrees of host specificity, at elevations from 2,400 to 3,950 meters above sea level, where five new host-parasite associations were discovered. Phylogenetic analysis based on the cytochrome b fragment suggested that two nominal taxa, L. fringillinarum and L. majoris, are species complexes. Blood sources of Simuliidae revealed generalist-feeding habits that included avian and mammalian hosts. Molecular analysis of parasites in black flies indicated a close relationship with the parasites found in birds. Our investigation provides further evidence that the distribution and transmission of Leucocytozoon species in the Neotropics are influenced by elevation, with the highest prevalence between 2,400 and 3,200 m asl.

Implementación y evaluación de una estrategia combinada de educación en salud y quimioterapia masiva para el control de las geohelmintiasis, en una zona rural de Colombia / Implementation and evaluation of a combined strategy using health education and massive chemotherapy to control geohelminthiasis in a rural zone in Colombia

Introducción: Las geohelmintiasis son infecciones prevalentes en los países en vía de desarrollo, que afectan principalmente a la población escolar. Las estrategias de control que combinan quimioterapia masiva con educación en salud, pueden producir reducciones significativas de estas infecciones, sostenibles en el tiempo. En este estudio se implementó y evaluó, una intervención integral basada en una estrategia lúdica de educación en salud, más quimioterapia masiva en una zona rural de Colombia. Metodología: Diseño cuasi-experimental, realizado en La Virgen, Cundinamarca (Colombia). Toda la población escolar fue sometida a la estrategia educativa en salud, acompañada de tratamiento semestral con albendazol, entre finales del 2010 y mediados del 2013. La muestra analítica fue constituida por 119 niños (mediana= 11; Rango Intercuartílico = 8-13 años). Se evaluaron los cambios anuales en la presencia de geohelmintos usando pruebas no paramétricas para muestras relacionadas y modelos de regresión logística de efectos fijos. Resultados: En la medición basal, las prevalencias de los geohelmintos fueron: 22,28% (IC 95% 16,36%-28,20%) para Ascaris lumbricoides; 37,31% (IC 95% 30,42%-44,19%) para Trichuris trichiura y 13,47% (IC 95% 8,61%-18,33%) para Uncinaria sp. Para la medición final, estas prevalencias cayeron significativamente a 5,30% (IC 95% 1,68%-8,91%) para A. lumbricoides; 16,55% (IC 95% 10,56%-22,55%) para T. trichiura y 4,64% (IC95% 1,42%-8,03%) para Uncinaria sp. Conclusión: El presente estudio, pese a que no constituye una evaluación real de impacto, provee una experiencia aparentemente exitosa de implementación de una estrategia integral para el control de las geohelmintiasis, que podría servir como modelo para otras intervenciones en áreas rurales del país.

Introduction: Geohelminthiasis is an infection which is prevalent in developing countries, and primarily affects schoolchildren. Control strategies that combine massive chemotherapy with health education can produce significant reductions in this infection that are sustainable over time. This study implemented and evaluated a comprehensive intervention combining a health education strategy and massive chemotherapy in a rural zone in Colombia. Methodology: Quasi-experimental design performed in La Virgen, Cundinamarca (Colombia). The entire school population participated in the health education strategy, in conjunction with biannual treatments with albendazole, between late 2010 and the middle of 2013. The analytical sample consisted of 119 children (median = 11, interquartile range = 8-13 years of age). Yearly changes in the presence of geohelminthes were evaluated using non-parametric tests for related samples and fixed-effect logistic regression models. Results: Prevalences of geohelminthes at baseline were: 22,28% (CI 95% 16,36%-28,20%) for Ascaris lumbricoides; 37,31%( CI 95% 30,42%-44,19%) for Trichuris trichiura and 13,47% (CI 95% 8,61%-18,33%) for Uncinaria sp. The final measurements of these prevalences decreased to 5,30%(CI 95% 1,68%-8,91%) for A. lumbricoides; 16,55% (CI 95% 10,56%-22,55%) for T. trichiura and 4,64% (CI 95% 1,42%-8,03%) for Uncinaria sp. Conclusions: Although the present study does not constitute an actual impact evaluation, it provides an apparently successful experience with implementing a comprehensive strategy to control geohelminthiasis, which could serve as a model for other interventions in rural areas in the country.

Integrated taxonomy of a new species of black fly in the subgenus Trichodagmia (Diptera: Simuliidae) from the Páramo Region of Colombia.

A new species of simuliid from the Andean Mountains of Colombia is described on the basis of females, males, pupae, larvae, polytene chromosomes, and COI and ITS2 DNA sequences. Simulium (Trichodagmia) chimguazaense new species is structurally, chromosomally, and molecularly distinct from its nearest relatives, S. muiscorum Bueno, Moncada & Muñoz de Hoyos and S. sumapazense Coscarón & Py-Daniel. 

Avian haemosporidians from Neotropical highlands: Evidence from morphological and molecular data.

Avian haemosporidian parasites have been scarcely studied in the Neotropical highlands despite the high avian diversity reported and the uniqueness of these ecosystems. The aims of this study were to examine Haemoproteus and Plasmodium diversity based on morphological and molecular data, as well as to explore the concordance between these two approaches, when identifying species. We sampled 1487 birds belonging to 166 species, in localities of the Colombian Andean region at elevations ranging from 2100 to 4000 m above sea level. Here, we report twelve morphological parasite species, of which five are undescribed. Thirty parasite cytochrome b lineages are reported, 17 of which for the first time. We provide morphological information and illustrations, as well as, cytochrome b lineages for six morphospecies: Haemoproteus columbae, Haemoproteus witti, Haemoproteus coatneyi, Haemoproteus vireonis, Plasmodium lutzi, and Plasmodium unalis. This is the first report to provide a linkage between morphology and a molecular lineage for H. witti. Cytochrome b gene proved to be useful for species determination as DNA barcoding. Differences in parasite composition between lowlands and highlands in Colombia suggest a replacement of avian Plasmodium fauna. Parasite lineages restricted to either Colombian resident or Nearctic migratory birds were found; but a single lineage common in both has not been recorded in Nearctic non-migratory birds. We generated valuable information by using both morphological and molecular data representing competent host-parasite relationships which are based on observation of gametocytes in circulation; and increased the taxon sampling of avian haemosporidian.

COMPORTAMIENTO DE OVIPOSICIÓN Y CARACTERIZACIÓN DE LA MICROESTRUCTURA CORIONICA DE LOS HUEVOS DE Simulium dinelliii (Joan) (Diptera: Simuliidae) / Oviposition Behavior and Microstructure of the Eggs of Simulium dinellii (Joan) (Diptera: Simuliidae)

Little is known about the oviposition habits and egg structure of Neotropical members of the Simuliidae family. The oviposition behavior of Simulium dinellii (Joan) was observed near at Otún Quimbaya, Colombia. Small groups of females hovered about 2 cm above the water surface to oviposit. Some of these females had been capture and the eggs were obtained. These eggs were counted, measured and processed by scanning electron microscopy. Subtriangular eggs had a latticework of polygons on the endochorionic surface. Chorionic differences between the eggs of S. dinellii and the few previously studied species suggest potential taxonomic value of egg microstructure.

El conocimiento sobre los hábitos de oviposición y estructura de los huevos de la familia Simuliidae es muy escaso. En este estudio se observó el comportamiento de oviposición de Simulium dinellii (Joan) en quebradas cercanas al Santuario de fauna y flora Otún Quimbaya, Colombia. El cual consistió en la formación de pequeños grupos de hembras que sobrevolaban a 2 cm de la superficie del agua para ovipositar, algunas de estas hembras fueron colectadas, obteniendo así los huevos, los cuales fueron contados, medidos y procesados por Microscopia Electrónica de Barrido con el fin de caracterizar la estructura endocoriónica. Los huevos presentaron una forma subtriangular, con una entramado poligonal sobre la superficie. Las características morfológicas observadas en los huevos de S. dinellii fueron diferentes a las previamente reportadas en otras especies de la familia Simuliidae, sugiriendo un posible valor taxonómico de la microestructura del huevo.

Leucocytozoon pterotenuis sp. nov. (Haemosporida, Leucocytozoidae): description of the morphologically unique species from the Grallariidae birds, with remarks on the distribution of Leucocytozoon parasites in the Neotropics.

We describe morphologically unique Leucocytozoon pterotenuis sp. nov. (Haemosporida, Leucocytozoidae), the first reported leucocytozoid species developing in fusiform host cell found in a Neotropical passeriform bird. The type host of this parasite is the Chestnut-crowned Antpitta (Grallaria ruficapilla, Grallariidae), an elusive native passerine bird whose natural history remains, to a large degree, unexplored. This bird was captured in Palacio forest in the damping zone of Chingaza National Natural Park, Cundinamarca, Colombia, at 2900 m above sea level (asl). Gametocytes of the new species develop both in roundish and fusiform host cells. This parasite is readily morphologically distinguishable from the described Leucocytozoon species because its host cells possess the narrow (needle-like) spindle-shaped processes, which length markedly exceeds their width. Additionally, the host cell nucleus markedly extends into the processes. Phylogenetic relationships were constructed based on a fragment of the mitochondrial cytochrome b gene and the complete mitochondrial genome. Phylogenetic analysis placed the lineage of L. pterotenuis in different positions depending on the length of the sequence analyzed that is likely due to poor sampling of Leucocytozoon species, especially from rare or non-passerine hosts, as well as a paucity of complete mitochondrial sequences of these parasites. Available data indicate that Leucocytozoon parasites are distributed mainly in mountain regions of the Neotropics where unique morphological forms have been recently discovered. To a better knowledge of the diversity of Leucocytozoon spp. and their host-vector-parasite interactions in Neotropical countries, additional deep and intensive samplings are needed, particularly in orders different to Passeriformes.

Description of Leucocytozoon quynzae sp. nov. (Haemosporida, Leucocytozoidae) from hummingbirds, with remarks on distribution and possible vectors of leucocytozoids in South America.

We describe Leucocytozoon quynzae sp. nov. (Haemosporida, Leucocytozoidae), which is the first Leucocytozoon parasite identified to species level in hummingbirds. It was found in the Amethyst-throated Sunangel (Heliangelus amethysticollis, Trochilidae, Apodiformes) captured in the Palacio Forest, which belongs to the damping zone of Chingaza National Natural Park, Cundinamarca, Colombia, at 2,900 m above sea level where the transmission occurs; the new species were found both in the high Andean forest and Paramo ecosystem. This parasite is described based on the morphology of its blood stages, a fragment of the mitochondrial cytochrome b gene, and the complete mitochondrial genome. Illustrations of blood stages of the new species are given, and the phylogenetic analysis places this lineage in a well-supported clade with other lineages of unidentified to species level leucocytozoids reported in the Trochilidae birds elsewhere. The new species possess gametocytes in roundish host cells; it can be readily distinguished from other similar leucocytozoids, primarily due to (1) a comma-like shape of the host cell nucleus, which extended one half or less of the circumference of the gametocyte and (2) a large number of prominent volutin granules in the cytoplasm. Identical mitochondrial cytochrome b sequence of Leucocytozoon quynzae was found in different hummingbird species at the type locality and also was reported in one passerine bird at the highlands of Peru. Leucocytozoon quynzae is the first leucocytozoid parasite described from South American birds; its transmission occurs both at low temperatures and high elevations. We discuss some patterns of distribution of avian leucocytozoids in South America and the role of Gigantodax spp. (Diptera, Simuliidae) as potential vectors of Leucocytozoon parasites in the Andean Region.

Description and molecular characterization of Plasmodium (Novyella) unalis sp. nov. from the Great Thrush (Turdus fuscater) in highland of Colombia.

Plasmodium (Novyella) unalis sp. nov. was found in the Great Thrush, Turdus fuscater (Passeriformes, Turdidae) in Bogotá, Colombia, at 2,560 m above sea level where the active transmission occurs. This parasite is described based on the morphology of its blood stages and a fragment of the mitochondrial cytochrome b gene (lineage UN227). Illustrations of blood stages of new species are given, and the phylogenetic analysis identifies closely related species and lineages of avian malaria parasites. The new species is most similar to Plasmodium (Novyella) vaughani (lineage SYAT05), a cosmopolitan avian malaria parasite; these parasites are also closely related genetically, with a genetic difference of 3.2% between them. P. unalis can be readily distinguished from the latter species morphologically, primarily due to the (1) presence of a single large, circular shaped pigment granule in the erythrocytic trophozoites and meronts; (2) presence of prominent vacuoles in trophozoites and growing meronts; and (3) presence of predominantly fan-like shaped erythrocytic meronts. Cytochrome b lineages with high similarity to the new species have been reported in Costa Rica, Brazil, Chile, and USA. It is probable that the new species of malaria parasite is widely distributed in the New World. This parasite has been reported only in the Great Thrush at the study site and might have a narrow range of avian hosts. Records of P. unalis are of particular theoretical interest due to its active transmission at highlands in Andes. Possible influence of urbanization on transmission of this malaria parasite in Bogotá is discussed.

Effect of households' social networks on lice infestation among vulnerable Mexican children: a qualitative comparative analysis.

The prevalence of pediculosis is high among elementary and secondary school children, which favors the belief that infestation occurs more often in schools than in homes. This study explored the role of households' social networks in the transmission of head lice. Seventeen school children and their social networks (n = 22) from Acatlipa (Morelos, Mexico) participated in a prospective observational study during school vacation. The hair of all the school children was washed with shampoo containing permethrin at the beginning of the study and the incidence of pediculosis (O) was evaluated at the beginning of the school term (follow-up at 1.5 months). The sets included in the qualitative comparative analysis were sex (S), length of hair (H), baseline diagnostic of pediculosis (I) and degree (D) and infestation index (N) obtained through the analysis of social networks. The prevalence of pediculosis was the same at the beginning and the end of follow-up (17.6%). The degree of the school children's networks ranged between 2 and 14. There were 8 configurations, the most frequent being F*i*d*n*h. The most parsimonious configuration associated with the incidence of pediculosis was F*I*d*H (female, previous infestation, low degree and long hair), with a coverage of 0.344 and a consistency of 0.941. Indicators of social networks made it possible to identify the role of households' social networks in the transmission of lice. Individual actions such as the use of shampoo containing insecticides are temporary and, therefore, structural actions should be favored.

Identification of Plasmodium (Haemamoeba) lutzi (Lucena, 1939) from Turdus fuscater (Great Thrush) in Colombia.

This study reports a broadening of the altitudinal range and a new host for Plasmodium (Haemamoeba) lutzi in Colombia. The study was conducted in the city of Bogotá, located in the Eastern Cordillera of Colombia at 2,560 m asl (meters above sea level) with an average annual temperature of 15 C. In total, 156 specimens of birds belonging to 25 species and 14 families were captured using mist nets. The blood samples were collected through venipuncture and analyzed by light microscopy. Plasmodium (H.) lutzi was only found in 2 individuals of Turdus fuscater (Great Thrush). This parasite has previously been reported in Aramides cajaneus (before: Aramides cajanea) (Grey-Necked Wood Rail), a bird found in the lowlands of Brazil, Venezuela, and Colombia. This finding provides evidence for a broad host range for P. lutzi that include 2 different orders, Gruiformes and Passeriformes, and also altitudinal expansion of its distribution. The blood stages were compared with the parasite's original descriptions, and the sequence of the parasite's mitochondrial genome (mtDNA) confirms that P. lutzi is a sister taxa of Plasmodium relictum, as previously proposed.

Two New Species of Black Flies (Diptera: Simuliidae) from the High Andes of Colombia.

The females, males, pupae, and larvae of two new species of Simulium are described and illustrated from a small stream 3950 m above sea level in the Lake Otún area of the Colombian Andes Mountains. Simulium (Pternaspatha) quimbayium n. sp. represents a 630-km northeastern extension of the distributional range of previously known members of the subgenus Pternaspatha, and Simulium (Psilopelmia) machetorum n. sp. represents the highest altitude recorded for a species of the subgenus Psilopelmia. These species illustrate the unique simuliid biodiversity in the páramo ecosystem of the high northern Andes.

Leucocytozoon fringillinarum and Leucocytozoon dubreuili in Turdus fuscater from a Colombian Páramo ecosystem.

Leucocytozoon spp. infections have been rarely studied in Neotropical countries. The apparently low prevalence of these parasites compared to the Nearctic regions suggests the absence of competent vectors; however, a 21.3% overall prevalence has recently been reported in non-migratory birds from the páramo region of Chingaza National Natural Park (NNP), where Turdus fuscater (Great Thrush) is the species most frequently infected by these parasites. The present study provides the descriptions of the Leucocytozoon spp. detected in Great Thrushes trapped in Chingaza NNP. The parasites were confirmed by microscopic examination and PCR of blood, histopathology was also done. Leucocytozoon dubreuili and L. fringillinarum gametocytes were observed in blood smears. The corresponding cytochrome b (cyt b) lineages obtained of L. fringillinarum were closely related to lineages previously found in individuals infecting turdiid species sampled elsewhere. This is one of the few reports analyzing Leucocytozoon spp. infections in resident birds from a Neotropical country.

Paradoxical associations between soil-transmitted helminths and Plasmodium falciparum infection.

Evidence on the comorbidity between soil-transmitted helminth infections and malaria is scarce and divergent. This study explored the interactions between soil-transmitted helminth infections and uncomplicated falciparum malaria in an endemic area of Colombia. A paired case-control study matched by sex, age and location in Tierralta, Cordoba, was done between January and September 2010. The incident cases were 68 patients with falciparum malaria and 178 asymptomatic controls. A questionnaire was used to gather information on sociodemographic variables. Additionally physical examinations were carried out, stool samples were analysed for intestinal parasites and blood samples for Ig E concentrations. We found associations between infection with hookworm (OR: 4.21; 95% CI: 1.68-11.31) and Ascaris lumbricoides (OR 0.43; 95% CI: 0.18-1.04) and the occurrence of falciparum malaria. The effects of soil-transmitted helminths on the occurrence of malaria were found to be paradoxical. While hookworm is a risk factor, A. lumbricoides has a protective effect. The findings suggest that, in addition to the comorbidity, the presence of common determinants of soil-transmitted helminth infections and malaria could also exist. While the biological mechanisms involved are not clear, public health policies aimed at the control of their common social and environmental determinants are suggested.

Impacto de la ivermectina sobre las geohelmintiasis en el foco de oncocercosis en Colombia / The effect of ivermectin on geohelminth frequency (i.e. as used in the onchocerciasis control program in Colombia)

Objetivo: Evaluar el efecto de la ivermectina sobre la frecuencia de infección por geohelmintos en una población colombiana incluida en el Programa para la Eliminación de la Oncocercosis en las Américas. Métodos: Estudio de evaluación de impacto con enfoque longitudinal como punto referente inicial, la población de Naicioná (1996) y como control, sujetos de la misma población (2008). Para el enfoque transversal se usó como referente la población de Naicioná en 2008 y como control, sujetos de Dos Quebradas en 2008. El procesamiento de las muestras de materia fecal se hizo por Ritchie-Frick modificado. Resultados: Ascaris lumbricoides fue el parásito más frecuente 49,6 % (60/121; IC 95 %:37,8-63,8) en Naicioná y 47,4 % (36/76; IC 95 %: 33,2-65,6) en Dos Quebradas. El mayor efecto de la ivermectina en mayores de 5 años fue la disminución del riesgo de infección, para Trichiuris trichiura, de 86 % (IC95 %:74-93) en la evaluación longitudinal y 63 % (IC 95 %:24-82) en la evaluación transversal. La disminución en la frecuencia de Strongyloides stercoralis fue 93 % (IC 95 %: 45-99), en la evaluación longitudinal y 85 % (IC95 %:-031 - 99) en la evaluación transversal. Conclusiones: El uso de la ivermectina en el contexto del Programa para la Eliminación de la Oncocercosis en las Américas no es suficiente para el control de la morbilidad de todas las geohelmintiasis, se requiere de programas integrales que incluyan los componentes de educación y saneamiento básico.

Objective: Evaluating the effect of ivermectin on soil-transmitted helminthes (STH) infection frequency in a Colombian population included in the Onchocerciasis Elimination Program for the Americas (OEPA). Methods: This was an impact evaluation study which adopted a longitudinal approach using the population of Naicioná (1996) as baseline for comparison to people from the same population as controls (2008). The cross-sectional approach involved comparing the reference population of Naicioná (2008) to the population of Dos Quebradas (2008) used as controls. Fecal samples were processed by a modified Ritchie-Frick method. Results: Ascaris lumbricoides was the most frequently found parasite in Naicioná (60/121; 49.6 %: 37.8-63.895%CI) and in Dos Quebradas (36/76; 47.4 %: 33.2-65.6 95 % CI). Ivermectin’s main effect on the population aged over 5 years was a decreased risk of Trichiuris trichiura infection in both longitudinal assessment (86 % reduction: 74-93 95 % CI) and cross-sectional assessment (63 %:24-82 95 % CI). A 93 % reduction (45-99 95 % CI) in Strongyloides stercoralis frequency was found in longitudinal assessment, compared to 85 % in cross-sectional assessment (-031-99 95 % CI). Conclusions: Ivermectin use in the OEPA is not sufficient for STH morbidity control. Integrated programs including education and basic sanitation are required.

[The effect of ivermectin on geohelminth frequency (i.e. as used in the onchocerciasis control program in Colombia)]. / Impacto de la ivermectina sobre las geohelmintiasis en el foco de oncocercosis en Colombia.

OBJECTIVE: Evaluating the effect of ivermectin on soil-transmitted helminthes (STH) infection frequency in a Colombian population included in the Onchocerciasis Elimination Program for the Americas (OEPA). METHODS: This was an impact evaluation study which adopted a longitudinal approach using the population of Naicioná (1996) as baseline for comparison to people from the same population as controls (2008). The cross-sectional approach involved comparing the reference population of Naicioná (2008) to the population of Dos Quebradas (2008) used as controls. Fecal samples were processed by a modified Ritchie-Frick method. RESULTS: Ascaris lumbricoides was the most frequently found parasite in Naicioná (60/121; 49.6 %: 37.8-63.895%CI) and in Dos Quebradas (36/76; 47.4 %: 33.2-65.6 95 % CI). Ivermectin's main effect on the population aged over 5 years was a decreased risk of Trichiuris trichiura infection in both longitudinal assessment (86 % reduction: 74-93 95 % CI) and cross-sectional assessment (63 %:24-82 95 % CI). A 93 % reduction (45-99 95 % CI) in Strongyloides stercoralis frequency was found in longitudinal assessment, compared to 85 % in cross-sectional assessment (-031-99 95 % CI). CONCLUSIONS: Ivermectin use in the OEPA is not sufficient for STH morbidity control. Integrated programs including education and basic sanitation are required.