Seasonality of Mansonia titillans during dam construction, Biritiba-Mirim, São Paulo State, Brazil / Sazonalidade de Mansonia titillans durante a construção de uma represa, Biritiba-Mirim, Estado de São Paulo, Brasil

A two and a half year survey was conducted at a dam in southeastern Brazil. Shannon Traps were used for sampling. Kruskal-Wallis test showed little relation between rainfall and abundance. The data clearly show three abundance peaks, all of them in the end of the dry season, in consonance with the scarce literature existent. Although Kruskal-Wallis Test did not find a clear preference for the dry season, Pairwise Wilcoxon Rank Test revealed a significant difference between Fall and Spring samples. Ma. titillans population had a peak on late winter/early spring, close to the begin of wet season.

Uma pesquisa de dois anos e meio foi realizada em uma represa no sudeste do Brasil. Foram utilizadas Armadilhas de Shannon para coleta. O teste Kruskal-Wallis mostrou pouca correlação entre a precipitação e abundância. Os dados mostram claramente três picos de abundância, todos eles no final da estação seca, em consonância com a escassa literatura existente. Apesar do teste de Kruskal-Wallis não ter encontrado uma clara preferência pela estação seca, o Teste de Wilcoxon par-a-par revelou uma diferença significativa entre as amostras do Outono e da Primavera. A população de Ma titillans tem um pico no fim do inverno/início da primavera, próximo ao início da estação chuvosa.

Phlebotomines in the area adjacent to the Porto Primavera dam, between São Paulo and Mato Grosso do Sul States, Brazil

A research project with the purpose of investigating the Culicidae mosquito fauna and Anopheles ecology was undertaken before, during and after the construction of Porto Primavera dam on the Paraná River, between São Paulo (SP) and Mato Grosso do Sul (MS) States, between 1997 and 2003.The objective of this article is to report on the species of sand flies that were also captured during the collections undertaken with Shannon traps and human bait. A total of 526 (430, 96) specimens, 73 (2, 71) with human bait and 453 (94, 359) with Shannon traps were captured, belonging to seven species: Bichromomyia flavisculellata (6), Brumptomyia sp. (1), Evandromyia sp. (2),Lutzomyia almerioi (1, 2), Nyssomyia neivai (92, 412), Psathyromyia punctigeniculata (2)and Psathyromyia shannoni (3, 5). Ny. neivai, a probable vector of Leishmania braziliensis, predominated (95.8percent). Bi. flaviscutellata, the main vector of Leishmania amazonensis, is reported here for the first time in the west of SP and Lu. almerioi, an anthropophilic species, was captured forthe first time in SP. Thus more studies are necessary in this region since these three species of sand flies may represent a risk for the transmission of Leishmania spp. to people frequenting the forested banks of this reservoir.

Effects of Artificial Flooding for Hydroelectric Development on the Population of Mansonia humeralis (Diptera: Culicidae) in the Paraná River, São Paulo, Brazil.

The closure of two phases of the dam at the Porto Primavera Hydroelectric Plant on the Paraná River flooded a flawed system located in the Municipality of Presidente Epitácio, São Paulo state, favoring the proliferation of aquatic weeds. This study aimed to observe the population of Mansonia humeralis in the area, monitoring the richness, diversity, and dominance of this species both before and during different phases of reservoir flooding as well as evaluate its possible consequences concerning human and animal contact. Adult mosquitoes were collected monthly in the following periods: at the original level, after the first flood, and after the maximum level had been reached between 1997 and 2002. Collection methods used were an aspirator, a Shannon trap, and the Human Attractive Technique. A total of 30,723 mosquitoes were collected, Ma. humeralis accounting for 3.1% in the preflood phase, 59.6% in the intermediate, and 53.8% at maximum level. This species is relevant to public health, since the prospect of continued contact between Ma. humeralis and the human population enhances the dam's importance in the production of nuisance mosquitoes, possibly facilitating the transmission of arboviruses. Local authorities should continue to monitor culicid activity through sustainable entomological surveillance.

Infecção natural de Haemagogus janthinomys e Haemagogus leucocelaenus pelo vírus da febre amarela no Distrito Federal, Brasil, 2007-2008 / Haemagogus janthinomys and Haemagogus leucocelaenus naturally infected with yellow fever virus in Federal District, Brazil, 2007-2008

Objetivo: investigar a infectividade natural de Haemagogus janthinomys e Haemagogus leucocelaenus pelo vírus da febre amarela em áreas com notificação de casos humanos e epizootia em primatas não humanos no Distrito Federal (DF), Brasil. Métodos:realizaram-se capturas de Culicidae utilizando capturador de Castro e puçá, no período de dezembro de 2007 a fevereiro de 2008; a identificação taxonômica e o isolamento viral foram realizados no Instituto Evandro Chagas/ Ministério da Saúde; a inoculação em camundongo e o teste de imunofluorescência indireta foram realizados para identificar o agente viral. Resultados: amostras deHg. janthinomys e Hg. leucocelaenus procedentes da Região Administrativa de São Sebastião/DF apresentaram positividade para o vírus amarílico. Conclusão: a confirmação de infectividade natural por Hg. janthinomys e Hg. leucocelaenus sugere que as áreas pesquisadas são receptivas e vulneráveis ao vírus da febre amarela, tornando imprescindível aprimorar as estratégias de sua vigilância epidemiológica no Distrito Federal.

Objective: to investigate the natural infectivity of Haemagogus janthinomys and Haemagogus leucocelaenus for yellow fever virus in areas with reported human cases and epizootics in non-human primates, in the Federal District (DF), Brazil. Methods: Culicidae specimens were captured using hand net and oral aspirator, in the period since December 2007 to February 2008; taxonomic identification and virus research were performed at the Evandro Chagas Institute/ Ministry of Health; mouse inoculation and indirect immunofluorescence tests were performed to isolate the viral agent. Results: pools of Hg. janthinomys and Hg. leucocelaenus proceeding from the Administrative Region of São Sebastião/ DF were positive for yellow fever virus. Conclusion: confirmation of natural infectivity by Hg. janthinomys and Hg. leucocelaenus suggests that the area surveyed is receptive and vulnerable to yellow fever virus; therefore, it is essential to improve the strategies for epidemiological surveillance of yellow fever in the Federal District.

QUADAS e STARD: avaliação da qualidade de estudos de acurácia de testes diagnósticos / QUADAS y STARD: evaluación de la calidad de estudios de precisión de pruebas diagnósticas / QUADAS and STARD: evaluating the quality of diagnostic accuracy studies

OBJETIVO: Comparar duas abordagens baseadas em critérios do Quality Assessment of Diagnostic Accuracy Studies (QUADAS) e do Standards for Reporting Studies of Diagnostic Accuracy (STARD) na avaliação de qualidade de estudos de validação do teste rápido OptiMal®, para diagnóstico de malária. MÉTODOS: Foi realizada busca de artigos de validação do teste rápido na base bibliográfica Medline acessada pelo PubMed, no ano de 2007. Treze artigos foram recuperados na busca. Foram combinados 12 critérios do QUADAS e três do STARD para comparação com os critérios do QUADAS isoladamente. Foi considerado que artigos de regular a boa qualidade atenderiam pelo menos 50 por cento dos critérios do QUADAS. RESULTADOS: Dos 13 artigos recuperados, 12 cumpriram pelo menos 50 por cento dos critérios do QUADAS, e apenas dois atenderam à combinação dos critérios. Considerando-se a combinação dos dois critérios (> 6 QUADAS e > 3STARD), dois estudos (15,4 por cento) apresentaram boa qualidade metodológica. A seleção de artigos usando a combinação proposta variou de dois a oito artigos, dependendo do número de itens considerados como ponto de corte. CONCLUSÕES: A combinação do QUADAS com o STARD tem o potencial de conferir maior rigor nas avaliações da qualidade de artigos publicados sobre validação de testes diagnósticos em malária, por incorporar a checagem de informações relevantes não alcançáveis pelo uso do QUADAS isoladamente.

OBJETIVO: Comparar dos abordajes basados en criterios del Quality Assessment of Diagnostic Accuracy Studies (QUADAS) y del Standards for Reporting Studies of Diagnostic Accuracy (STARD) en la evaluación de calidad de estudios de validación de la prueba rápida OptiMal®, para diagnóstico de malaria.MÉTODOS: Se realizó búsqueda de artículos de validación de la prueba rápida en la base bibliográfica Medline accedida por el PubMed, en el año de 2007. Trece artículos fueron recuperados en la búsqueda. Se combinaron 12 criterios del QUADAS y tres del STARD para comparación con los criterios del QUADAS aisladamente. Se consideró que artículos de regular a buena calidad atenderían al menos 50% de los criterios del QUADAS.RESULTADOS: De los 13 artículos recuperados, 12 cumplieron con al menos 50% de los criterios del QUADAS, y sólo dos atendieron la combinación de los criterios. Considerándose la combinación de los dos criterios (> 6 QUADAS e > 3STARD), dos estudios (15,4%) presentaron buena calidad metodológica. La decisión cuanto a la selección de artículos utilizando la combinación utilizada varió de dos a ocho artículos, dependiendo del ponto de corte considerado. CONCLUSIONES: La combinación del QUADAS con el STARD tiene el potencial de conferir mayor rigor en las evaluaciones de la calidad de artículos publicados sobre validación de pruebas diagnósticas en malaria, por incorporar el chequeo de informaciones relevantes no alcanzables por el uso del QUADAS aisladamente.

QUADAS and STARD: evaluating the quality of diagnostic accuracy studies.

OBJECTIVE: To compare the performance of two approaches, one based on the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) and another on the Standards for Reporting Studies of Diagnostic Accuracy (STARD), in evaluating the quality of studies validating the OptiMal® rapid malaria diagnostic test. METHODS: Articles validating the rapid test published until 2007 were searched in the Medline/PubMed database. This search retrieved 13 articles. A combination of 12 QUADAS criteria and three STARD criteria were compared with the 12 QUADAS criteria alone. Articles that fulfilled at least 50% of QUADAS criteria were considered as regular to good quality. RESULTS: Of the 13 articles retrieved, 12 fulfilled at least 50% of QUADAS criteria, and only two fulfilled the STARD/QUADAS criteria combined. Considering the two criteria combination (> 6 QUADAS and > 3 STARD), two studies (15.4%) showed good methodological quality. The articles selection using the proposed combination resulted in two to eight articles, depending on the number of items assumed as cutoff point. CONCLUSIONS: The STARD/QUADAS combination has the potential to provide greater rigor when evaluating the quality of studies validating malaria diagnostic tests, given that it incorporates relevant information not contemplated in the QUADAS criteria alone.

Effects of flooding of the River Paraná on the temporal activity of Anopheles (Nyssorhynchus) darlingi Root (Diptera: Culicidae), at the border state of Mato Grosso do Sul and São Paulo, Brazil.

INTRODUCTION: Study of the temporal activity of malaria vectors during the implantation of a hydroelectric power station on the River Paraná, intended to generate electrical energy. The river separates the States of São Paulo and Mato Grosso do Sul, in Brazil. The objective was to verify whether alterations occurred in the wealth and diversity indices of Anopheles, following two successive floods, extended to the temporal activity and nycthemeral rhythm followed over a five year period. METHODS: Mosquito capture was performed monthly using the Human Attraction Technique and Shannon Traps. The first, executed for 24h, provided the nycthemeral rhythm and the second, lasting 15 h, permitted the tracking of Anopheles during the two floods. RESULTS: The bimodal pattern of Anopheles darlingi defined before these floods was modified throughout the environment interventions. The same effect had repercussions on the populations of An albitarsis s.l., An triannulatus and An galvaoi. Activity prior to twilight was less affected by the environment alterations. CONCLUSIONS: The dam construction provoked changes in Anopheles temporal activity patterns, permitting classification of the area as an ecologically steady and unstable situation. Differences observed in Anopheles behavior due to the capture methods revealed the influence of solo and multiple attractiveness inside the populations studied.

Effects of flooding of the River Paraná on the temporal activity of Anopheles (Nyssorhynchus) darlingi Root (Diptera: Culicidae), at the border state of Mato Grosso do Sul and São Paulo, Brazil / Efeitos do alagamento do Rio Paraná na atividade horária de Anopheles (Nyssorhynchus) darlingi Root (Diptera: Culicidae), na divisa dos estados do Mato Grosso do Sul e São Paulo, Brasil

INTRODUCTION: Study of the temporal activity of malaria vectors during the implantation of a hydroelectric power station on the River Paraná, intended to generate electrical energy. The river separates the States of São Paulo and Mato Grosso do Sul, in Brazil. The objective was to verify whether alterations occurred in the wealth and diversity indices of Anopheles, following two successive floods, extended to the temporal activity and nycthemeral rhythm followed over a five year period. METHODS: Mosquito capture was performed monthly using the Human Attraction Technique and Shannon Traps. The first, executed for 24h, provided the nycthemeral rhythm and the second, lasting 15h, permitted the tracking of Anopheles during the two floods. RESULTS: The bimodal pattern of Anopheles darlingi defined before these floods was modified throughout the environment interventions. The same effect had repercussions on the populations of An albitarsis s.l., An triannulatus and An galvaoi. Activity prior to twilight was less affected by the environment alterations. CONCLUSIONS: The dam construction provoked changes in Anopheles temporal activity patterns, permitting classification of the area as an ecologically steady and unstable situation. Differences observed in Anopheles behavior due to the capture methods revealed the influence of solo and multiple attractiveness inside the populations studied.

INTRODUÇÃO: Estudo da atividade horária de vetores da malária durante a implantação de uma represa no Rio Paraná, destinada à geração de energia elétrica. O rio separa os Estados de São Paulo e Mato Grosso do Sul, no Brasil. O objetivo foi verificar se as alterações na riqueza e diversidades de Anopheles diante de duas inundações sucessivas se estendiam à atividade horária e ritmo nictimeral numa série temporal de cinco anos. MÉTODOS: A captura de mosquito foi mensal, por meio dos métodos Técnica Atrativa Humana e Armadilha de Shannon. A primeira, executada durante 24 horas, forneceu o ritmo nictimeral e a segunda, com duração de 15 horas, para acompanhar os anofelinos durante as duas inundações. RESULTADOS: O padrão bimodal de Anopheles darlingi definido antes dessas inundações foi alterado ao longo das intervenções ambientais. O mesmo efeito repercutiu nas populações de An albitarsis s.l., An triannulatus e An galvaoi. A atividade pré-crepuscular foi a menos afetada pelas alterações ambientais. CONCLUSÕES: As barragens provocam mudanças no padrão de atividade horária dos anofelinos permitindo classificar a área em situação ecologicamente estável e instável. Diferenças observadas no comportamento dos anofelinos pelos métodos de captura mostram a influência da uni e múltipla atratividade dentro das populações estudadas.

[Ecology of Anopheles (Nyssorhynchus) darlingi Root in the installation area of a hydroelectric scheme on the border between the States of Mato Grosso do Sul and São Paulo]. / Ecologia de Anopheles (Nyssorhynchus) darlingi Root em área de implantação de empreendimento hidrelétrico, na divisa dos Estados do Mato Grosso do Sul e São Paulo.

INTRODUCTION: Hydroelectric schemes modify the water flow and cause an impact on mosquito composition, thus justifying investigations. The aim of this study was to study anophelines in the area under the influence of a new lake and to evaluate their relative vulnerability to malaria. METHODS: Anopheles specimens were collected from the edges of the Porto Primavera reservoir, during the phases of reservoir filling until its maximum level was reached. The techniques used were attraction to humans, Shannon traps and entomological scoops. The richness and diversity indexes were used to measure the impact. The temporal distribution analysis was performed using the Mann-Whitney test, taking the site, level and capture method as independent variables (alpha = 0.05). RESULTS: The density of Anopheles darlingi oscillated among the sites A, B and C, and the biggest peaks were located at B and C. After the lake reached its stable maximum level, there was a tendency for the density to decrease. CONCLUSIONS: It is suggested that the risk of autochthonous malaria in the vicinity of the lake remained unchanged, but it is necessary to remain alert regarding sporadic human infections.

Ecologia de Anopheles (Nyssorhynchus) darlingi Root em área de implantação de empreendimento hidrelétrico, na divisa dos Estados do Mato Grosso do Sul e São Paulo / Ecology of Anopheles (Nyssorhynchus) darlingi Root in the installation area of a hydroelectric scheme on the border between the States of Mato Grosso do Sul and São Paulo

INTRODUÇÃO: Hidrelétricas alteram o fluxo das águas e provocam impactos sobre a composição de mosquitos, justificando-se essa pesquisa. O objetivo da pesquisa foi estudar anofelinos de área sob a influência de um novo lago e avaliar a vulnerabilidade relativa à malária. MÉTODOS: Foram feitas coletas de Anopheles nas margens da Represa Porto Primavera, durante as fases do alagamento até sua cota máxima. Utilizaram-se as técnicas: atrativa humana, de armadilha de Shannon e concha entomológica. Os indicadores Riqueza e Diversidade foram utilizados para medir o impacto. A análise das distribuições temporais foi realizada pelo teste Mann-Whitney, considerando localidade, cota e método de captura como variáveis independentes (α=0,05). RESULTADOS: A densidade de Anopheles darlingi oscilou entre as localidades A, B e C, sendo que os maiores picos foram para B e C. Com a estabilidade do lago, no último nível, evidenciou-se a tendência de redução da densidade de Anopheles darlingi. CONCLUSÕES: Sugere-se que o risco de autoctonia de malária nas proximidades do lago permanece inalterado, ficando o alerta para esporádicas infecções humanas.

IINTRODUCTION: Hydroelectric schemes modify the water flow and cause an impact on mosquito composition, thus justifying investigations. The aim of this study was to study anophelines in the area under the influence of a new lake and to evaluate their relative vulnerability to malaria. METHODS: Anopheles specimens were collected from the edges of the Porto Primavera reservoir, during the phases of reservoir filling until its maximum level was reached. The techniques used were attraction to humans, Shannon traps and entomological scoops. The richness and diversity indexes were used to measure the impact. The temporal distribution analysis was performed using the Mann-Whitney test, taking the site, level and capture method as independent variables (α = 0.05). RESULTS: The density of Anopheles darlingi oscillated among the sites A, B and C, and the biggest peaks were located at B and C. After the lake reached its stable maximum level, there was a tendency for the density to decrease. CONCLUSIONS: It is suggested that the risk of autochthonous malaria in the vicinity of the lake remained unchanged, but it is necessary to remain alert regarding sporadic human infections.

Ecologia de Haemagogus e Sabethes (Diptera: Culicidae) em áreas epizoóticas do vírus da febre amarela, Rio Grande do Sul, Brasil / Ecology of Haemagogus and Sabethes (Diptera: Culicidae) Mosquitoes in epizootic yellow regions of Rio Grande do Sul State, Brazil

Objetivou-se com este estudo investigar característica ecológica e o hábito alimentar de Haemagogus e Sabethes em área epizoótica da febre amarela silvestre em duas localidades do Rio Grande do Sul, capturados com aspirador, armadilha de Shannon e puçá. Para identificação do sangue ingerido pelas fêmeas foi utilizada a técnica imunoenzimática ELISA de captura. Obteve-se maior atividade de Hg. leucocelaenus na primavera e outono, entre 12 e 17 horas, enquanto Sabethes albiprivus e Sa. quasycianus durante todo o ano. Para fêmeas de Hg. leucocelaenus em Santo Antônio das Missões, houve predomínio de sangue humano e para as demais espécies destaca-se a atratividade para bovinos nos dois municípios. A capacidade vetorial do Hg. leucocelaenus fundamenta vigilância entomológica em seu papel de estratificar áreas problemas ou a sustentabilidade do programa de imunização da população.

The study was conducted in epizootic areas of sylvatic yellow fever in two municipalities in Rio Grande do Sul State, with the objective to investigate ecological characteristics of Haemagogus and Sabethes mosquitoes. Mosquitoes were collected using Shannon traps and insect nets. The host-feeding pattern was tested by an enzyme-linked immunosorbent assay. The highest activity levels were observed for Hg. leucocelaenus during spring and autumn, between 12 and17 hours, while Sabethes albiprivus and Sa. quasycianus were common throughout the year. The blood of females of Hg. leucocelaenus at one municipality, Santo Antonio das Missoes, was of human origin. Considering the other species, inboth municipalities of the study, bovine blood was predominant. The vectorial capacity of Hg. leucocelaenus justifies the entomological surveillance in order to stratify problematic areas or the sustainability of an immunization program.

Análise TG-ROC de testes de imunofluorescência no diagnóstico de leishmaniose visceral canina / TG-ROC analysis of immunofluorescence assays in canine visceral leishmaniasis diagnosis

OBJETIVO: Analisar a acurácia do diagnóstico de dois protocolos de imunofluorescência indireta para leishmaniose visceral canina. MÉTODOS: Cães provenientes de inquérito soroepidemiológico realizado em área endêmica nos municípios de Araçatuba e de Andradina, na região noroeste do estado de São Paulo, em 2003, e área não endêmica da região metropolitana de São Paulo, foram utilizados para avaliar comparativamente dois protocolos da reação de imunofluorescência indireta (RIFI) para leishmaniose: um utilizando antígeno heterólogo Leishmania major (RIFI-BM) e outro utilizando antígeno homólogo Leishmania chagasi (RIFI-CH). Para estimar acurácia utilizou-se a análise two-graph receiver operating characteristic (TG-ROC). A análise TG-ROC comparou as leituras da diluição 1:20 do antígeno homólogo (RIFI-CH), consideradas como teste referência, com as diluições da RIFI-BM (antígeno heterólogo). RESULTADOS: A diluição 1:20 do teste RIFI-CH apresentou o melhor coeficiente de contingência (0,755) e a maior força de associação entre as duas variáveis estudadas (qui-quadrado=124,3), sendo considerada a diluição-referência do teste nas comparações com as diferentes diluições do teste RIFI-BM. Os melhores resultados do RIFI-BM foram obtidos na diluição 1:40, com melhor coeficiente de contingência (0,680) e maior força de associação (qui-quadrado=80,8). Com a mudança do ponto de corte sugerido nesta análise para a diluição 1:40 da RIFI-BM, o valor do parâmetro especificidade aumentou de 57,5 por cento para 97,7 por cento, embora a diluição 1:80 tivesse apresentado a melhor estimativa para sensibilidade (80,2 por cento) com o novo ponto de corte. CONCLUSÕES: A análise TG-ROC pode fornecer importantes informações sobre os testes de diagnósticos, além de apresentar sugestões sobre pontos de cortes que podem melhorar as estimativas de sensibilidade e especificidade do teste, e avaliá-los a luz do melhor custo-benefício.

OBJECTIVE: To analyze the accuracy of the diagnosis of two protocols of indirect immunofluorescence assays for canine visceral leishmaniasis. METHODS: Dogs from the seroepidemiological survey conducted in an endemic area of the cities of Araçatuba and Andradina, in Northwestern São Paulo state, in 2003, and in a non-endemic area of the metropolitan region of São Paulo, were used to assess two protocols of indirect immunofluorescence assay (IFA) for leishmaniasis: one using a Leishmania major heterologous antigen (IFA-BM) and another using a Leishmania chagasi homologous antigen (IFA-CH). Two-graph receiver operating characteristic (TG-ROC) analysis was used to estimate accuracy. TG-ROC analysis compared 1:20 dilution readings of the homologous antigen (IFA-CH), considered as reference test, with IFA-BM dilutions (heterologous antigen). RESULTS: The 1:20 dilution used in the IFA-CH test showed the best contingency coefficient (0.755) and the highest strength of association between the two variables studied (chi-square=124.3). Thus, it was considered the test reference dilution in comparisons with different IFA-BM test dilutions. The best IFA-BM results were obtained from 1:40 dilutions with the best contingency coefficient (0.680) and highest strength of association (chi-square=80.8). With the change in the cut-off point, recommended for the IFA-BM 1:40 dilution in this analysis, the specificity parameter value rose from 57.5 percent to 97.7 percent, even though the 1:80 dilution showed the best sensitivity estimate (80.2 percent), with the new cut-off point. CONCLUSIONS: TG-ROC analysis can provide important information about diagnostic tests, in addition to offering suggestions on cut-off points that can improve test sensitivity and specificity estimates and assessing these tests in terms of the best cost-benefit ratio.

TG-ROC analysis of immunofluorescence assays in canine visceral leishmaniasis diagnosis.

OBJECTIVE: To analyze the accuracy of the diagnosis of two protocols of indirect immunofluorescence assays for canine visceral leishmaniasis. METHODS: Dogs from the seroepidemiological survey conducted in an endemic area of the cities of Araçatuba and Andradina, in Northwestern São Paulo state, in 2003, and in a non-endemic area of the metropolitan region of São Paulo, were used to assess two protocols of indirect immunofluorescence assay (IFA) for leishmaniasis: one using a Leishmania major heterologous antigen (IFA-BM) and another using a Leishmania chagasi homologous antigen (IFA-CH). Two-graph receiver operating characteristic (TG-ROC) analysis was used to estimate accuracy. TG-ROC analysis compared 1:20 dilution readings of the homologous antigen (IFA-CH), considered as reference test, with IFA-BM dilutions (heterologous antigen). RESULTS: The 1:20 dilution used in the IFA-CH test showed the best contingency coefficient (0.755) and the highest strength of association between the two variables studied (chi-square=124.3). Thus, it was considered the test reference dilution in comparisons with different IFA-BM test dilutions. The best IFA-BM results were obtained from 1:40 dilutions with the best contingency coefficient (0.680) and highest strength of association (chi-square=80.8). With the change in the cut-off point, recommended for the IFA-BM 1:40 dilution in this analysis, the specificity parameter value rose from 57.5% to 97.7%, even though the 1:80 dilution showed the best sensitivity estimate (80.2%), with the new cut-off point. CONCLUSIONS: TG-ROC analysis can provide important information about diagnostic tests, in addition to offering suggestions on cut-off points that can improve test sensitivity and specificity estimates and assessing these tests in terms of the best cost-benefit ratio.

Controle de vetores utilizando mosquitos geneticamente modificados / Control of vector populations using genetically modified mosquitoes

Formas químicas de controle de mosquitos vetores são ineficazes, levando ao desenvolvimento de novas estratégias. Assim, foi realizada revisão das estratégias de controle genético de populações de mosquitos vetores baseada na técnica do inseto estéril. Uma delas consiste na liberação de machos esterilizados por radiação, a outra, na integração de um gene letal dominante associado a um promotor específico de fêmeas imaturas. Entre as vantagens sobre outras técnicas biológicas e químicas de controle de vetores estão: alta especificidade, não prejudicial ao meio ambiente, baixo custo de produção e alta eficácia. O uso desta técnica de modificação genética pode vir a ser uma importante ferramenta do manejo integrado de vetores.

The ineffectiveness of current strategies for chemical control of mosquito vectors raises the need for developing novel approaches. Thus, we carried out a literature review of strategies for genetic control of mosquito populations based on the sterile insect technique. One of these strategies consists of releasing radiation-sterilized males into the population; another, of integrating a dominant lethal gene under the control of a specific promoter into immature females. Advantages of these approaches over other biological and chemical control strategies include: highly species-specific, environmentally safety, low production cost, and high efficacy. The use of this genetic modification technique will constitute an important tool for integrated vector management.

Control of vector populations using genetically modified mosquitoes.

The ineffectiveness of current strategies for chemical control of mosquito vectors raises the need for developing novel approaches. Thus, we carried out a literature review of strategies for genetic control of mosquito populations based on the sterile insect technique. One of these strategies consists of releasing radiation-sterilized males into the population; another, of integrating a dominant lethal gene under the control of a specific promoter into immature females. Advantages of these approaches over other biological and chemical control strategies include: highly species-specific, environmentally safety, low production cost, and high efficacy. The use of this genetic modification technique will constitute an important tool for integrated vector management.

Natural Plasmodium infections in Brazilian wild monkeys: reservoirs for human infections?

Four hundred and forty-eight samples of total blood from wild monkeys living in areas where human autochthonous malaria cases have been reported were screened for the presence of Plasmodium using microscopy and PCR analysis. Samples came from the following distinct ecological areas of Brazil: Atlantic forest (N=140), semideciduous Atlantic forest (N=257) and Cerrado (a savannah-like habitat) (N=51). Thick and thin blood smears of each specimen were examined and Plasmodium infection was screened by multiplex polymerase chain reaction (multiplex PCR). The frequency of Plasmodium infections detected by PCR in Alouatta guariba clamitans in the São Paulo Atlantic forest was 11.3% or 8/71 (5.6% for Plasmodium malariae and 5.6% for Plasmodium vivax) and one specimen was positive for Plasmodium falciparum (1.4%); Callithrix sp. (N=30) and Cebus apella (N=39) specimens were negative by PCR tests. Microscopy analysis was negative for all specimens from the Atlantic forest. The positivity rate for Alouatta caraya from semideciduous Atlantic forest was 6.8% (16/235) in the PCR tests (5.5, 0.8 and 0.4% for P. malariae, P. falciparum and P. vivax, respectively), while C. apella specimens were negative. Parasitological examination of the samples using thick smears revealed Plasmodium sp. infections in only seven specimens, which had few parasites (3.0%). Monkeys from the Cerrado (a savannah-like habitat) (42 specimens of A. caraya, 5 of Callithrix jacchus and 4 of C. apella) were negative in both tests. The parasitological prevalence of P. vivax and P. malariae in wild monkeys from Atlantic forest and semideciduous Atlantic forest and the finding of a positive result for P. falciparum in Alouatta from both types of forest support the hypothesis that monkeys belonging to this genus could be a potential reservoir. Furthermore, these findings raise the question of the relationship between simian and autochthonous human malaria in extra-Amazonian regions.

Natural Plasmodium infections in Brazilian wild monkeys: Reservoirs for human infections?

Four hundred and forty-eight samples of total blood from wild monkeys living in areas where human autochthonous malaria cases have been reported were screened for the presence of Plasmodium using microscopy and PCR analysis. Samples came from the following distinct ecological areas of Brazil: Atlantic forest (N = 140), semideciduous Atlantic forest (N = 257) and Cerrado (a savannah-like habitat) (N = 51). Thick and thin blood smears of each specimen were examined and Plasmodium infection was screened by multiplex polymerase chain reaction (multiplex PCR). The frequency of Plasmodium infections detected by PCR in Alouatta guariba clamitans in the São Paulo Atlantic forest was 11.3% or 8/71 (5.6% for Plasmodium malariae and 5.6% for Plasmodium vivax) and one specimen was positive for Plasmodium falciparum (1.4%); Callithrix sp. (N = 30) and Cebus apella (N = 39) specimens were negative by PCR tests. Microscopy analysis was negative for all specimens from the Atlantic forest. The positivity rate for Alouatta caraya from semideciduous Atlantic forest was 6.8% (16/235) in the PCR tests (5.5, 0.8 and 0.4% for P. malariae, P. falciparum and P. vivax, respectively), while C. apella specimens were negative. Parasitological examination of the samples using thick smears revealed Plasmodium sp. infections in only seven specimens, which had few parasites (3.0%). Monkeys from the Cerrado (a savannah-like habitat) (42 specimens of A. caraya, 5 of Callithrix jacchus and 4 of C. apella) were negative in both tests. The parasitological prevalence of P. vivax and P. malariae in wild monkeys from Atlantic forest and semideciduous Atlantic forest and the finding of a positive result for P. falciparum in Alouatta from both types of forest support the hypothesis that monkeys belonging to this genus could be a potential reservoir. Furthermore, these findings raise the question of the relationship between simian and autochthonous human malaria in extra-Amazonian regions.

Proteção de bromeliaceae para evitar a formação de criadouros de Aedes aegypti (Diptera: Culicidae) / Bromeliacae protection against Aedes aegypti breeding (diptera: culicidae)

As plantas da família Bromeliaceae constituem criadouros de Aedes aegypti. O presente estudo de campo mostrou que medidas mecânicas podem ser uma solução para o controle do mosquito nessas plantas. Na região norte do estado do Paraná, área de infestação por Ae. aegypti, 15 bromélias foram monitoradas durante um ano após receberem tratamento com palha de madeira e cascas de árvore. Nesse período não foram observadas formas imaturas de mosquitos, o que sugere que o uso deste material natural pode servir como medida complementar aos programas de controle vetorial.

Registro de Aedes albopictus em áreas epizoóticas de Febre Amarela das Regiões Sudeste e Sul do Brasil (Diptera: Culicidae) / Aedes albopictus appearence in epizootic areas of jungle Yellow Fever in South-Eatern and Soutern Regions of Brazil (Diptera: Culicidae)

Durante estudo biológico e ecológico sobre mosquitos levado a cabo em área com registro de epidemia de febre amarela silvestre e epizootia em macacos, foram encontrados adultos de Aedes albopictus. A tendência da espécie para invadir ambiente extradomiciliar potencializada a chance de infecção natural, ao tempo em que evolui para formar um elo entre focos naturais dos vírus e o ambiente urbano. Esta nota técnica representa um alerta aos gestores dos três poderes públicos sobre perspectivas de mudanças no perfil epidemiológico atual da Febre Amarela no Brasil...

During biological and ecological study on mosquitoes carried out on area with registers of epidemic of jungle yellow fever and monkey epizootic were found some adults of Aedes albopictus. The tendency of this species to invade the extra-domicile environment brings out the possibility of natural infection, and at the same time evolving to form a link between natural focus of the virus and the urban environment. This Technical Note represents an alert to the three government levels about the perspectives of changes in the actual epidemiological profile of yellow fever in Brazil.

Estimação da infestação predial por Aedes aegypti (Díptera: Culicidae) por meio da armadilha Adultrap / Estimation of House Infestation by Aedes aegypti (Diptera: Culicidae) Using Adultrap

Foi utilizada a armadilha Adultrap® em uma amostra de domicílio preconizada pelo levantamento de índice rápido de infestação por Aedes aegypti (LIRAa) para mensuração do número de adulto de Aedes aegypti no domicílio. Foi vistoriada uma média de 555 imóveis/mês: 15 unidades continham criadouros da espécie; e 53, a presença de fêmeas. O índice de infestação para larva/pupa (IPL) variou de zero ao máximo de 4,97 por cento, enquanto o índice de infestação para adulto (IPA), de 2,21 a 17,32 por cento. O teste de MacNemar mostrou diferenças significativas entre a positividade de IPL e IPA em todos os meses do ano. Além disso, detectaram-se fêmeas de Ae. aegypti em período de baixa densidade populacional, sem o caráter invasivo e incômodo da pesquisa de recipientes para o IPL. A Adultrap® mostrou-se útil para revelar situações propícias à transmissão da dengue, bem como de fácil operacionalidade.

It was analyzed the application of the Adultrap® in a same sample of the reading of the fast house index for measuring the number of adults of Aedes aegypti (LIRAa) in a domicile or premise. From the average of 555 premise/month, 15 units had breeding sites for the species and 53 showed the presence of females. The house index for larva/pupa (IPL) varied from zero to the maximum of 4.97 per cent, while the house index for adult (IPA) was from 2.21 to 17.32 per cent. The MacNemar test showed significant differences between the positivity of IPL and IPA in every month of the year. Moreover, it detected females of Ae. aegypti in period of low population density, without the invasive and nuisance character of container researching for the IPL. The Adultrap® revealed to be useful to identify situations of dengue transmission, as well easiness in operational use.