Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 68
Filtrar
1.
J Environ Manage ; 354: 120384, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38368807

RESUMO

Urban forests as nature-based solutions (UF-NbS) play a crucial role for promoting the health and well-being of urban populations. Despite increasing recognition of their importance, knowledge gaps remain regarding UF-NbS implementation, particularly with respect to their performance, their perception, and on decision-making and governance practices for their implementation and management. Grounded in a project-as-practice approach and based on sixteen UF-NbS case histories, this paper seeks to gain insights into UF-NbS project actualities by an identification of characteristic trends as a function of a projects' scope and purpose, or challenge-orientation, respectively. A particular emphasis is on project structure and coordination, on the scope and depth of participation and stakeholder involvement, and on funding mechanisms. Identified trends reveal centrally coordinated, single-responsible public authorities as the most common project structure, but with certain feature contents, i.e., regeneration and reclamation, as being associated with more decentralised forms of governance. It is concluded that irrespective of challenge-orientation, comparatively broad participation appears to be realised within the UF-NbS framework, however, the depth of participation differs considerably. With respect to funding, a strong reliance on public capital is asserted for the UF-NbS context, however, various forms of private contributions appear reasonably common across the assessed case histories. Recommendations for policy-making and avenues of future research are identified, including the validation of identified trends, the fostering of collaboration, the dispersal of decision-making authority, the encouragement for implementing non-tokenistic modes of participation in UF-NbS governance, and the promotion of potentially under-utilised funds.


Assuntos
Florestas , Formulação de Políticas , Humanos , Europa (Continente) , População Urbana
2.
Environ Res ; 217: 114858, 2023 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-36435497

RESUMO

Recovery plans in Europe in the COVID-19 pandemic era have stimulated construction-led development, which has eclipsed nature-based agendas in terms of scale, size, and policy. One estimate is that only 0.3% of spending on urban infrastructure globally is directed towards various nature-based solutions and other ecosystem efforts supporting human well-being. In the future we will urgently need to employ nature-based approaches in crisis management for the power and potential of nature to be fully employed in pursuit of urban recovery. We strongly recommend that nature-based approaches be an explicit requirement to secure funding for future recovery plans.


Assuntos
COVID-19 , Ecossistema , Humanos , Pandemias , COVID-19/epidemiologia , Reforma Urbana , Europa (Continente)
3.
Sci Total Environ ; 864: 160949, 2023 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-36549131

RESUMO

The N losses and agronomic performances of newly developed slow-releasing fertilisers (SRFs; Epox5 and Poly5) were tested against conventional N fertilisers, urea and diammonium phosphate (DAP), in a climate-controlled lysimeter system. The dry matter (DM) yield and N losses of SRFs were not significantly different from urea and DAP. However, nitrate leaching and nitrous oxide (N2O) losses were unexpectedly low and therefore, it was inferred that nitrate underwent a chemical transformation. It was observed that a thick fibreglass wick interrupted drainage and created an anaerobic condition in the soil. The subsoil was found to have a high extractable total iron and it was postulated that iron played a role in the observed low level of N losses. An investigation was carried out with a factorial design using sand types and rates of N application as the main factors. Two types of sand; with high and low iron concentration and four levels of N applications; 0 (control), 50, 100 and 200 kg N ha-1 were employed in a leaching column and nitrate and N2O losses were measured. The nitrate leaching was significantly (P < 0.05) affected by sand types wherein a lower nitrate level was recorded for high­iron concentration sand than for low-iron concentration sand at all N application levels. The N2O emission was significantly (P < 0.05) lower for high-iron sand than for low-iron sand for the 200 N treatment, but not significantly different between sand types for other treatments. These observations provide evidence for the involvement of iron in nitrate transformation under anaerobic conditions and it was hypothesised path was dissimilar nitrate reduction (DNR). Further studies are recommended, to identify the underlying mechanism responsible for nitrate reduction with iron-rich sand.

4.
Plants (Basel) ; 11(23)2022 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-36501328

RESUMO

The effect of newly developed controlled-release fertilisers (CRFs); Epox5 and Ver-1 and two levels of Fe2+ applications (478 and 239 kg-FeSO4 ha−1) on controlling nitrogen (N) losses, were tested on ryegrass, in a climate-controlled lysimeter system. The Epox5 and Ver-1 effectively decreased the total N losses by 37 and 47%, respectively, compared to urea. Nitrous oxide (N2O) emissions by Ver-1 were comparable to urea. However, Epox5 showed significantly higher (p < 0.05) N2O emissions (0.5 kg-N ha−1), compared to other treatments, possibly due to the lock-off nitrogen in Epox5. The application of Fe2+ did not show a significant effect in controlling the N leaching loss and N2O emission. Therefore, a dissimilatory nitrate reduction and chemodenitrification pathways were not pronounced in this study. The total dry matter yield, N accumulation, N use efficiency and soil residual N were not significantly different among any N treatments. Nevertheless, the N accumulation of CRFs was lower in the first month, possibly due to the slow release of urea. The total root biomass was significantly (p < 0.05) lower for Epox5 (35%), compared to urea. The hierarchical clustering of all treatments revealed that Ver-1 outperformed other treatments, followed by Epox5. Further studies are merited to identify the potential of Fe2+ as a controlling agent for N losses.

5.
Urban For Urban Green ; 74: 127654, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35754930
6.
Urban For Urban Green ; 65: 127305, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35719740

RESUMO

The COVID-19 pandemic has strongly impacted our society, producing drastic changes in people's routines and daily mobility, and putting public spaces under a new light. This paper starts with the premise that the use of urban forests and green spaces - where and for who they were available and accessible - increased, when social restrictions were most stringent. It takes an explorative approach to examine changes in attitude towards urban forests and urban green spaces in terms of attraction (i.e., as the actual use behaviour), intended use (i.e., intention of going to green spaces), and civic engagement in relation to green spaces. In particular, it analyses the responses to a survey of 1987 respondents in Belgium and statistically examines the relationship between sociodemographic characteristics, urbanisation characteristics, actual and intended green space use, and changes in attitudes towards green spaces and civic engagement. The findings show that highly educated citizens experienced an increase in actual and intended use of green spaces during the pandemic, but that this increase differs among sociodemographic profiles such as impact of age or access to private green, and depends on their local built environment characteristics. In addition, the COVID-19 pandemic has strongly impacted citizens' attitudes, as well as (intended) behaviour and civil engagement with respect to the green spaces in their area.

7.
PLoS One ; 9(7): e101699, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25050703

RESUMO

Where malaria is transmitted by zoophilic vectors, two types of malaria control strategies have been proposed based on animals: using livestock to divert vector biting from people (zooprophylaxis) or as baits to attract vectors to insecticide sources (insecticide-treated livestock). Opposing findings have been obtained on malaria zooprophylaxis, and despite the success of an insecticide-treated livestock trial in Pakistan, where malaria vectors are highly zoophilic, its effectiveness is yet to be formally tested in Africa where vectors are more anthropophilic. This study aims to clarify the different effects of livestock on malaria and to understand under what circumstances livestock-based interventions could play a role in malaria control programmes. This was explored by developing a mathematical model and combining it with data from Pakistan and Ethiopia. Consistent with previous work, a zooprophylactic effect of untreated livestock is predicted in two situations: if vector population density does not increase with livestock introduction, or if livestock numbers and availability to vectors are sufficiently high such that the increase in vector density is counteracted by the diversion of bites from humans to animals. Although, as expected, insecticide-treatment of livestock is predicted to be more beneficial in settings with highly zoophilic vectors, like South Asia, we find that the intervention could also considerably decrease malaria transmission in regions with more anthropophilic vectors, like Anopheles arabiensis in Africa, under specific circumstances: high treatment coverage of the livestock population, using a product with stronger or longer lasting insecticidal effect than in the Pakistan trial, and with small (ideally null) repellency effect, or if increasing the attractiveness of treated livestock to malaria vectors. The results suggest these are the most appropriate conditions for field testing insecticide-treated livestock in an Africa region with moderately zoophilic vectors, where this intervention could contribute to the integrated control of malaria and livestock diseases.


Assuntos
Malária/prevenção & controle , África Subsaariana/epidemiologia , Algoritmos , Animais , Anopheles/parasitologia , Simulação por Computador , Doenças Endêmicas , Humanos , Insetos Vetores/parasitologia , Gado , Malária/epidemiologia , Malária/transmissão , Modelos Estatísticos , Controle de Mosquitos
8.
J Am Mosq Control Assoc ; 29(4): 337-45, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24551966

RESUMO

A recent innovation instrumented for the Dengue Prevention and Control program in Mexico is the use of the premises condition index (PCI) as an indicator of risk for the vector Aedes aegypti infestation in dengue-endemic localities of Mexico. This paper addresses whether further improvements for the dengue control program could be made if the prevalence and productivity of Ae. aegypti populations could be reliably predicted using PCI at the household level, as well as medium-sized neighborhoods. We evaluated the use of PCI to predict the infestation with Aedes aegypti (breeding sites and immature productivity) in Merida, Mexico. The study consisted of a cross-sectional survey based on a cluster-randomized sampling design. We analyzed the statistical association between Aedes infestation and PCI, the extent to which the 3 components of PCI (house maintenance, and tidiness and shading of the patio) contributed to the association between PCI and infestation and whether infestation in a given premises was also affected by the PCI of the surrounding ones. Premises with the lowest PCI had significantly lower Aedes infestation and productivity; and as PCI scores increased infestation levels also tended to increase. Household PCI was significantly associated with Ae. aegypti breeding, largely due to the effect of patio untidiness and patio shade. The mean PCI within the surroundings premises also had a significant and independent explanatory power to predict the risk for infestation, in addition to individual PCI. This is the 1st study in Mexico showing evidence that premises condition as measured by the PCI is related to Ae. aegypti breeding sites and immature productivity. Results suggest that PCI could be used to streamline surveys to inform control efforts at least where Ae. aegypti breeds outdoors, as in Merida. The effect of individual premises, neighborhood condition, and the risk of Aedes infestation imply that the risk for dengue vector infestation can only be minimized by the mass effect at the community level.


Assuntos
Aedes , Habitação/estatística & dados numéricos , Insetos Vetores , Animais , Cruzamento , Dengue/transmissão , México , Controle de Mosquitos
9.
Parasitology ; 138(14): 1878-91, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21914251

RESUMO

The domestic dog is the reservoir host of Leishmania infantum, the causative agent of zoonotic visceral leishmaniasis endemic in Mediterranean Europe. Targeted control requires predictive risk maps of canine leishmaniasis (CanL), which are now explored. We databased 2187 published and unpublished surveys of CanL in southern Europe. A total of 947 western surveys met inclusion criteria for analysis, including serological identification of infection (504, 369 dogs tested 1971-2006). Seroprevalence was 23 2% overall (median 10%). Logistic regression models within a GIS framework identified the main environmental predictors of CanL seroprevalence in Portugal, Spain, France and Italy, or in France alone. A 10-fold cross-validation approach determined model capacity to predict point-values of seroprevalence and the correct seroprevalence class (<5%, 5-20%, >20%). Both the four-country and France-only models performed reasonably well for predicting correctly the <5% and >20% seroprevalence classes (AUC >0 70). However, the France-only model performed much better for France than the four-country model. The four-country model adequately predicted regions of CanL emergence in northern Italy (<5% seroprevalence). Both models poorly predicted intermediate point seroprevalences (5-20%) within regional foci, because surveys were biased towards known rural foci and Mediterranean bioclimates. Our recommendations for standardizing surveys would permit higher-resolution risk mapping.


Assuntos
Doenças do Cão/epidemiologia , Leishmania/isolamento & purificação , Leishmaniose/veterinária , Animais , Reservatórios de Doenças , Doenças do Cão/parasitologia , Cães , Meio Ambiente , Europa (Continente)/epidemiologia , Geografia , Leishmania/imunologia , Leishmaniose/epidemiologia , Leishmaniose/parasitologia , Modelos Logísticos , Estudos Soroepidemiológicos
10.
PLoS One ; 6(8): e20817, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21857899

RESUMO

BACKGROUND: Zoonotic visceral leishmaniasis is endemic in the Mediterranean Basin, where the dog is the main reservoir host. The disease's causative agent, Leishmania infantum, is transmitted by blood-feeding female sandflies. This paper reports an integrative study of canine leishmaniasis in a region of France spanning the southwest Massif Central and the northeast Pyrenees, where the vectors are the sandflies Phlebotomus ariasi and P. perniciosus. METHODS: Sandflies were sampled in 2005 using sticky traps placed uniformly over an area of approximately 100 by 150 km. High- and low-resolution satellite data for the area were combined to construct a model of the sandfly data, which was then used to predict sandfly abundance throughout the area on a pixel by pixel basis (resolution of c. 1 km). Using literature- and expert-derived estimates of other variables and parameters, a spatially explicit R(0) map for leishmaniasis was constructed within a Geographical Information System. R(0) is a measure of the risk of establishment of a disease in an area, and it also correlates with the amount of control needed to stop transmission. CONCLUSIONS: To our knowledge, this is the first analysis that combines a vector abundance prediction model, based on remotely-sensed variables measured at different levels of spatial resolution, with a fully mechanistic process-based temperature-dependent R(0) model. The resulting maps should be considered as proofs-of-principle rather than as ready-to-use risk maps, since validation is currently not possible. The described approach, based on integrating several modeling methods, provides a useful new set of tools for the study of the risk of outbreaks of vector-borne diseases.


Assuntos
Doenças do Cão/parasitologia , Insetos Vetores/parasitologia , Leishmaniose Visceral/veterinária , Phlebotomus/parasitologia , Algoritmos , Animais , Surtos de Doenças/prevenção & controle , Doenças do Cão/epidemiologia , Doenças do Cão/prevenção & controle , Cães , Feminino , França/epidemiologia , Sistemas de Informação Geográfica , Geografia , Humanos , Leishmania infantum/isolamento & purificação , Leishmaniose Visceral/parasitologia , Leishmaniose Visceral/transmissão , Modelos Biológicos , Phlebotomus/classificação , Medição de Risco , Fatores de Risco , Especificidade da Espécie , Temperatura , Zoonoses/epidemiologia , Zoonoses/parasitologia
11.
PLoS Negl Trop Dis ; 5(4): e1035, 2011 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-21532742

RESUMO

BACKGROUND: Guatemala is presently engaged in the Central America Initiative to interrupt Chagas disease transmission by reducing intradomiciliary prevalence of Triatoma dimidiata, using targeted cross-sectional surveys to direct control measures to villages exceeding the 5% control threshold. The use of targeted surveys to guide disease control programs has not been evaluated. Here, we compare the findings from the targeted surveys to concurrent random cross-sectional surveys in two primary foci of Chagas disease transmission in central and southeastern Guatemala. METHODOLOGY/PRINCIPAL FINDINGS: Survey prevalences of T. dimidiata intradomiciliary infestation by village and region were compared. Univariate logistic regression was used to assess the use of risk factors to target surveys and to evaluate indicators associated with village level intradomiciliary prevalences >5% by survey and region. Multivariate logistic regression models were developed to assess the ability of random and targeted surveys to target villages with intradomiciliary prevalence exceeding the control threshold within each region. Regional prevalences did not vary by survey; however, village prevalences were significantly greater in random surveys in central (13.0% versus 8.7%) and southeastern (22.7% versus 6.9%) Guatemala. The number of significant risk factors detected did not vary by survey in central Guatemala but differed considerably in the southeast with a greater number of significant risk factors in the random survey (e.g. land surface temperature, relative humidity, cropland, grassland, tile flooring, and stick and mud and palm and straw walls). Differences in the direction of risk factor associations were observed between regions in both survey types. The overall discriminative capacity was significantly greater in the random surveys in central and southeastern Guatemala, with an area under the receiver-operator curve (AUC) of 0.84 in the random surveys and approximately 0.64 in the targeted surveys in both regions. Sensitivity did not differ between surveys, but the positive predictive value was significantly greater in the random surveys. CONCLUSIONS/SIGNIFICANCE: Surprisingly, targeted surveys were not more effective at determining T. dimidiata prevalence or at directing control to high risk villages in comparison to random surveys. We recommend that random surveys should be selected over targeted surveys whenever possible, particularly when the focus is on directing disease control and elimination and when risk factor association has not been evaluated for all regions under investigation.


Assuntos
Doença de Chagas/epidemiologia , Doenças Endêmicas , Infestações por Ácaros/epidemiologia , Triatoma/crescimento & desenvolvimento , Animais , Doença de Chagas/prevenção & controle , Estudos Transversais , Características da Família , Guatemala/epidemiologia , Pesquisa sobre Serviços de Saúde , Humanos , Controle de Insetos , Infestações por Ácaros/prevenção & controle , Prevalência
12.
BMJ ; 341: c6760, 2010 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-21190965

RESUMO

OBJECTIVE: To test the effectiveness of large scale distribution of longlasting nets treated with insecticide in reducing the incidence of visceral leishmaniasis in India and Nepal. DESIGN: Paired cluster randomised controlled trial designed to detect a 50% reduction in incidence of Leishmania donovani infection. SETTING: Villages in Muzaffarpur district in India and Saptari, Sunsari, and Morang districts in Nepal. PARTICIPANTS: 13 intervention and 13 control clusters. 12 691 people were included in the analysis of the main outcome (infection), and 19 810 were enrolled for the secondary (disease) end point. INTERVENTION: Longlasting insecticidal nets (treated with deltamethrin) were distributed in the intervention clusters in December 2006. MAIN OUTCOME MEASURES: Infection was determined by direct agglutination test at 12 and 24 months after the intervention in those who had negative results (titre <1:1600) at baseline. The effect estimate was computed as the geometric mean of the risk ratios for seroconversion for each cluster pair (net/no net), with its 95% confidence interval. Formal tests of effect of no intervention were obtained with a paired t test. RESULTS: There was no significant difference in the risk of seroconversion over 24 months in intervention (5.4%; 347/6372) compared with control (5.5%; 345/6319 people) clusters (risk ratio 0.90, 95% confidence interval 0.49 to 1.65) nor in the risk of clinical visceral leishmaniasis (0.99, 0.46 to 1.40). Adjustment for covariates did not alter these conclusions. CONCLUSIONS: There is no evidence that large scale distribution of longlasting insecticidal nets provides additional protection against visceral leishmaniasis compared with existing control practice in the Indian subcontinent. The observed effect was small and not significant, though the confidence intervals did not exclude a 50% change in either direction. TRIAL REGISTRATION: Clinical Trials NCT 2005-015374.


Assuntos
Mosquiteiros Tratados com Inseticida , Inseticidas , Leishmania donovani , Leishmaniose Visceral/prevenção & controle , Nitrilas , Piretrinas , Animais , Análise por Conglomerados , Feminino , Humanos , Índia/epidemiologia , Controle de Insetos/métodos , Insetos Vetores , Leishmaniose Visceral/epidemiologia , Masculino , Nepal/epidemiologia , Phlebotomus , Prognóstico , Adulto Jovem
14.
J Med Entomol ; 47(5): 902-6, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20939388

RESUMO

Anthroponotic visceral leishmaniasis, transmitted by Phlebotomus argentipes Annandale & Brunetti (Diptera: Psychodidae) sand flies, is regarded as a major problem of public health importance in the Indian subcontinent. Understanding the feeding behavior of the vector can be used to investigate changes in human-vector contact during intervention programs. An enzyme-linked immunosorbent assay (ELISA) was modified to make it suitable to identify the origin of P. argentipes and Phlebotomus papatasi Scopoli (Diptera: Psychodidae) blood meals. The sensitivity and specificity of the precipitin ring test and ELISA were compared, as well as the stability of the tests across different stages of blood meal digestion. The ELISA was more sensitive and specific than the precipitin test for identifying the sources of blood meals. When using the ELISA method with a plate reader, it was possible to obtain 100% sensitivity and specificity. When comparing the techniques across digestion stages, it was found that there was a drop in sensitivity, 48 and 72 h postblood meal for precipitin and visually read ELISA, respectively. However, the sensitivity of the ELISA using a plate reader was not altered by the digestion time. The feeding habits of P. argentipes and P. papatasi from the Terai region of Nepal, determined by the ELISA developed, showed P. papatasi to be highly anthropophilic, and P. argentipes appeared to feed both on humans and animals, in particular bovines.


Assuntos
Sangue , Ensaio de Imunoadsorção Enzimática/métodos , Comportamento Alimentar , Leishmaniose Visceral/epidemiologia , Phlebotomus/fisiologia , Animais , Doenças Endêmicas , Leishmaniose Visceral/transmissão , Nepal/epidemiologia
16.
Trop Med Int Health ; 15 Suppl 2: 12-20, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20487420

RESUMO

OBJECTIVE: Visceral Leishmaniasis (VL) is highly prevalent in Bihar, India. India and its neighbours aim at eliminating VL, but several knowledge gaps in the epidemiology of VL may hamper that effort. The prevalence of asymptomatic infections with Leishmania donovani and their role in transmission dynamics are not well understood. We report data from a sero-survey in Bihar. METHODS: Demographic and immunological surveys were carried out in July and November 2006, respectively in 16 highly VL endemic foci in Muzaffarpur district in Bihar. Household and individual information was gathered and capillary blood samples were collected on filter papers. Direct agglutination test (DAT) was used to determine infected individuals (cut-off titre 1:1600). DAT results were tabulated against individual and household variables. A multivariate generalized estimating equation (GEE) model was used to study the prevalence of serologically positive individuals taking into account the clustering at household and cluster levels. RESULTS: Of study subjects 18% were DAT positive, and this proportion increased with age. Women had a significantly lower prevalence than men >14 years old. Owning domestic animals (cows, buffaloes or goats) was associated with a higher risk of being DAT positive [OR 1.16 (95% CI 1.01-1.32)], but socio-economic status was not. CONCLUSIONS: Prevalence of leishmanial antibodies was high in these communities, but variable. Demographic factors (i.e. marriage) may explain the lower DAT positivity in women >14 years of age. Within these homogeneously poor communities, socio-economic status was not linked to L. donovani infection risk at the individual level, but ownership of domestic animals was.


Assuntos
Leishmania donovani , Leishmaniose Visceral/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Criação de Animais Domésticos/estatística & dados numéricos , Animais , Criança , Pré-Escolar , Análise por Conglomerados , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Leishmaniose Visceral/transmissão , Masculino , Pessoa de Meia-Idade , Distribuição por Sexo , Classe Social , Adulto Jovem
17.
Trop Med Int Health ; 15 Suppl 2: 21-8, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20487421

RESUMO

OBJECTIVE: Nepal reports a visceral leishmaniasis (VL) incidence of 5 per 10 000 per year on the basis of notification by health facilities, but little community-based epidemiological information exists. We report data on prevalence rates of Leishmania donovani infection in ten communities in East Nepal. METHODS: Ten clusters with highest VL incidence rates were purposefully selected in Nepal. All households were mapped and socio-demographic data and data on past VL incidence were collected. An exhaustive serological survey was performed of individuals aged >2 years, by collecting finger prick blood on filter paper in November-December 2006. The samples were tested by direct agglutination, and a titre >or=1:1600 was taken as marker of infection. A generalized estimating equation (GEE) model was used to assess risk factors for Direct Agglutination Test (DAT) positivity taking into account the clustering at household and village level. RESULTS: The sero-survey (n = 5397) showed an infection prevalence rate of 9%, (range 5-15% per cluster) with higher prevalence in men (9.9%) than in women (8.3%) (P = 0.049). Male gender, increasing age and poverty were significant risk factors in the final GEE model. CONCLUSION: Leishmania infection rate in high-transmission areas in Nepal is associated with gender, age and socio-economic status.


Assuntos
Leishmania donovani , Leishmaniose Visceral/epidemiologia , Adolescente , Adulto , Fatores Etários , Criança , Pré-Escolar , Métodos Epidemiológicos , Características da Família , Feminino , Humanos , Leishmaniose Visceral/transmissão , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Estado Nutricional , Fatores Sexuais , Classe Social , Adulto Jovem
18.
Parasitology ; 137(11): 1597-603, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20459877

RESUMO

SUMMARY: Visceral leishmaniasis (VL) is a major public health problem in the Indian subcontinent where the Leishmania donovani transmission cycle is described as anthroponotic. However, the role of animals (in particular domestic animals) in the persistence and expansion of VL is still a matter of debate. We combined Direct Agglutination Test (DAT) results in humans and domestic animals with Geographic Information System technology (i.e. extraction maps and scan statistic) to evaluate the exposure to L. donovani on these 2 populations in a recent VL focus in Nepal. A Poisson regression model was used to assess the risk of infection in humans associated with, among other factors, the proportion of DAT-positive animals in the proximities of the household. The serological results showed that both humans and domestic animals were exposed to L. donovani. DAT-positive animals and humans were spatially clustered. The presence of serologically positive goats (IRR=9.71), past VL cases (IRR=2.62) and the proximity to a forest island dividing the study area (IRR=3.67) increased the risk of being DAT-positive in humans. Even if they are not a reservoir, domestic animals, and specially goats, may play a role in the distribution of L. donovani, in particular in this new VL focus.


Assuntos
Animais Domésticos/parasitologia , Doenças dos Bovinos/epidemiologia , Sistemas de Informação Geográfica , Doenças das Cabras/epidemiologia , Leishmania donovani/imunologia , Leishmaniose Visceral/epidemiologia , Adolescente , Adulto , Idoso , Testes de Aglutinação/métodos , Animais , Anticorpos Antiprotozoários/sangue , Antígenos de Protozoários/imunologia , Búfalos/parasitologia , Bovinos/parasitologia , Doenças dos Bovinos/parasitologia , Doenças dos Bovinos/transmissão , Criança , Pré-Escolar , Análise por Conglomerados , Feminino , Doenças das Cabras/parasitologia , Doenças das Cabras/transmissão , Cabras/parasitologia , Humanos , Leishmaniose Visceral/parasitologia , Leishmaniose Visceral/transmissão , Leishmaniose Visceral/veterinária , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Adulto Jovem
19.
Am J Trop Med Hyg ; 82(5): 801-7, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20439958

RESUMO

Antibody (IgG) responses to the saliva of Phlebotomus argentipes were investigated using serum samples from regions of India endemic and non-endemic for visceral leishmaniasis (VL). By pre-adsorbing the sera against the saliva of the competing human-biting but non-VL vector P. papatasi, we significantly improved the specificity of a P. argentipes saliva enzyme-linked immunosorbent assay. Using this method, we observed a statistically significant correlation between antibodies to P. argenitpes saliva and the average indoor density of female sand flies. Additionally, the method was able to detect recent changes in vector exposure when sera from VL patients were assayed before, during, and after hospitalization and protected from sand fly bites under untreated bed nets. Collectively, these results highlight the utility of antibodies to P. argentipes saliva as an important tool to evaluate VL vector control programs.


Assuntos
Imunoglobulina G/biossíntese , Insetos Vetores/imunologia , Leishmaniose Visceral/transmissão , Phlebotomus/imunologia , Adolescente , Adulto , Animais , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Imunoglobulina G/sangue , Índia/epidemiologia , Pessoa de Meia-Idade , Saliva/imunologia , Adulto Jovem
20.
J Med Entomol ; 47(2): 283-6, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20380311

RESUMO

The current control of Phebotomus argentipes (Annandale and Brunetti), the vector of Leishmania donovani (Laveran and Mesnil), on the Indian subcontinent is base on indoor residual spraying. The efficacy of this method depends, among other factors, on the timing and number of spraying rounds, which depend on the P. argentipes seasonality. To describe P. argentipes' seasonal patterns, six visceral leishmaniasis (VL) endemic villages, three in Muzaffarpur and three in Sunsari districts in India and Nepal, respectively, were selected based on accessibility and VL incidence. Ten houses per cluster with the highest P. argentipes density were monitored monthly for 15-16 mo using Center for Disease Control and Prevention light traps. Minimum and maximum temperature and rainfall data for the months January 2006 through December 2007 were collected from the nearest available weather stations. Backwards stepwise regression was used to generate the minimal adequate model for explaining the monthly variation in P. argentipes populations. The seasonality of P. argentipes is similar in India and Nepal, with two annual density peaks around May and October. Monthly P. argentipes density is positively associated with temperature and negatively associated with rainfall in both study sites. The multivariate climate model explained 57% of the monthly vectorial abundance. Vector control programs against P. argentipes (i.e., indoor residual spraying) should take into account the seasonal described here when implementing and monitoring interventions. Monitoring simple meteorological variables (i.e., temperature, rainfall) may allow prediction of VL epidemics on the Indian subcontinent.


Assuntos
Phlebotomus/fisiologia , Estações do Ano , Animais , Índia/epidemiologia , Leishmania donovani , Leishmaniose/epidemiologia , Leishmaniose/transmissão , Nepal/epidemiologia , Dinâmica Populacional , Fatores de Tempo
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...