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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.
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.

4.
Urban For Urban Green ; 74: 127654, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35754930
5.
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
6.
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.

7.
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.

8.
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
9.
Emerg Infect Dis ; 16(2): 231-7, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20113552

RESUMO

On the Indian subcontinent, visceral leishmaniasis (VL) is considered an anthroponosis. To determine possible reasons for its persistence during interepidemic periods, we mapped Leishmania infections among healthy persons and animals in an area of active VL transmission in Nepal. During 4 months (September 2007-February 2008), blood was collected from persons, goats, cows, and buffaloes in 1 village. Leishmania infections were determined by using PCR. We found infections among persons (6.1%), cows (5%), buffaloes (4%), and goats (16%). Data were georeferenced and entered into a geographic information system. The bivariate K-function results indicated spatial clustering of Leishmania spp.-positive persons and domestic animals. Classification tree analysis determined that among several possible risk factors for Leishmania infection among persons, proximity of Leishmania spp.-positive goats ranked first. Although our data do not necessarily mean that goats constitute a reservoir host of L. donovani, these observations indicate the need for further investigation of goats' possible role in VL transmission.


Assuntos
Reservatórios de Doenças/parasitologia , Leishmaniose Visceral/veterinária , Animais , Búfalos , Bovinos , Análise por Conglomerados , Doenças das Cabras/epidemiologia , Cabras , Humanos , Leishmaniose Visceral/epidemiologia , Leishmaniose Visceral/transmissão , Nepal/epidemiologia , Vigilância da População , Prevalência
10.
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
11.
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
12.
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
13.
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
14.
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
15.
Sensors (Basel) ; 10(12): 10663-72, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-22163491

RESUMO

An experimental investigation was undertaken to ascertain the potential of using Helmholtz resonance for volume determination and the factors that may influence accuracy. The uses for a rapid non-interference volume measurement system range from agricultural produce and mineral sampling through to liquid fill measurements. By weighing the sample the density can also measured indirectly.


Assuntos
Físico-Química/instrumentação , Físico-Química/métodos , Acústica/instrumentação , Modelos Biológicos , Gravidade Específica , Vibração , Água/química , Pesos e Medidas/instrumentação
16.
Trop Med Int Health ; 14(4): 404-11, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19228350

RESUMO

OBJECTIVE: To compare a PCR assay and direct agglutination test (DAT) for the detection of potential markers of Leishmania infection in 231 healthy subjects living in a kala-azar endemic focus of Nepal. METHODS: The sample was composed of 184 (80%) persons without any known history of KA and not living in the same house as known kala-azar cases (HNK), 24 (10%) Healthy Household Contacts (HHC) and 23 (10%) past kala-azar cases which had been successfully treated (HPK). RESULTS: PCR and DAT positivity scores were, respectively: HNK, 17.6% and 5.6%; HHC, 12.5% and 20.8%; HPK, 26.1% and 95.7%. The ratio PCR-positives/DAT-positives was significantly higher in HNK (ratio = 3.1) than in HHC (ratio = 0.6, P = 0.036) and in HPK (ratio = 0.2, P = 0.012). The ratio PCR-positives/DAT-positives did not significantly differ between HHC (ratio = 0.6) and HPK (ratio = 0.2, P = 0.473). The positive agreement index between PCR and DAT in HNK was 5%; in HHC, 0%; in HPK, 43%. CONCLUSIONS: Our study highlights the specific character of PCR and DAT for the exploration of Leishmania asymptomatic infections. PCR is probably more informative for very recent infections among HNK, while DAT provides more information among HHC and HPK, a feature likely related to the power of serology to track less recent infections.


Assuntos
Leishmaniose Visceral/diagnóstico , Leishmaniose Visceral/epidemiologia , Testes de Aglutinação/métodos , Animais , Anticorpos Antiprotozoários/sangue , Antígenos de Protozoários , Biomarcadores/sangue , DNA de Protozoário/sangue , Humanos , Leishmania donovani/isolamento & purificação , Programas de Rastreamento/métodos , Nepal , Reação em Cadeia da Polimerase/métodos
17.
Mem Inst Oswaldo Cruz ; 104(8): 1183-6, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20140382

RESUMO

Observational studies in the Indian subcontinent have shown that untreated nets may be protective against visceral leishmaniasis (VL). In this study, we evaluated the effect of untreated nets on the blood feeding rates of Phlebotomus argentipes as well as the human blood index (HBI) in VL endemic villages in India and Nepal. The study had a 'before and after intervention' design in 58 households in six clusters. The use of untreated nets reduced the blood feeding rate by 85% (95% CI 76.5-91.1%) and the HBI by 42.2% (95% CI 11.1-62.5%). These results provide circumstantial evidence that untreated nets may provide some degree of personal protection against sand fly bites.


Assuntos
Mordeduras e Picadas/prevenção & controle , Comportamento Alimentar/fisiologia , Controle de Insetos/instrumentação , Insetos Vetores/fisiologia , Phlebotomus/fisiologia , Animais , Feminino , Índia/epidemiologia , Leishmaniose Visceral/epidemiologia , Leishmaniose Visceral/prevenção & controle , Leishmaniose Visceral/transmissão , Masculino , Nepal/epidemiologia
18.
Bull World Health Organ ; 86(3): 187-96, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18368205

RESUMO

OBJECTIVE: To reconstruct the historical changes in force of dengue infection in Singapore, and to better understand the relationship between control of Aedes mosquitoes and incidence of classic dengue fever. METHODS: Seroprevalence data were abstracted from surveys performed in Singapore from 1982 to 2002. These data were used to develop two mathematical models of age seroprevalence. In the first model, force of infection was allowed to vary independently each year, while in the second it was described by a polynomial function. Model-predicted temporal trends were analysed using linear regression. Time series techniques were employed to investigate periodicity in predicted forces of infection, dengue fever incidence and mosquito breeding. FINDINGS: Force of infection estimates showed a significant downward trend from 1966, when vector control was instigated. Force of infection estimates from both models reproduced significant increases in the percentage and average age of the population susceptible to dengue infections. Importantly, the year-on-year model independently predicted a five to six year periodicity that was also displayed by clinical incidence but absent from the Aedes household index. CONCLUSION: We propose that the rise in disease incidence was due in part to a vector-control-driven reduction in herd immunity in older age groups that are more susceptible to developing clinical dengue.


Assuntos
Dengue/epidemiologia , Vigilância da População , Adolescente , Adulto , Animais , Criança , Pré-Escolar , Estudos Transversais , Dengue/parasitologia , Dengue/prevenção & controle , Dengue/transmissão , Humanos , Lactente , Pessoa de Meia-Idade , Controle de Mosquitos , Estudos Soroepidemiológicos , Singapura/epidemiologia
19.
Trop Med Int Health ; 13(7): 953-8, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18482197

RESUMO

OBJECTIVE: To determine whether the use of long-lasting insecticidal nets (LLINS) at household level are effective in reducing the abundance of Phlebotomus argentipes, vector of anthroponotic visceral leishmaniasis in India, Nepal and Bangladesh. METHODS: The impact of two long-lasting nets (Olyset and PermaNet) on indoor sandfly abundance was evaluated in selected houses of three endemic hamlets in Bihar (India). It was assumed that most sandflies breed inside the houses and that LLINs would progressively reduce the indoor density during the reproduction season. A campaign of indoor spraying with dichloro-diphenyl-trichloroethane (DDT) interfered with the trial but did not affect the sandfly population. Results Only the density of males of P. argentipes was significantly reduced by both the LLINs but not the females. CONCLUSIONS: These findings suggest that most female sandflies are coming from outside and that LLINs do not reduce their entry rate.


Assuntos
Roupas de Cama, Mesa e Banho , Controle de Insetos/métodos , Insetos Vetores , Inseticidas , Nitrilas , Permetrina , Phlebotomus , Piretrinas , Animais , Feminino , Habitação , Índia , Leishmaniose Visceral/prevenção & controle , Masculino , Phlebotomus/fisiologia
20.
Trop Med Int Health ; 13(8): 1073-85, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18564350

RESUMO

Visceral leishmaniasis (VL) is a deadly vector-borne disease that causes an estimated 500 000 new cases a year. In India, Nepal and Bangladesh, VL is caused by Leishmania donovani, which is transmitted from man to man by the sandfly Phlebotomus argentipes. In 2005, these three countries signed a memorandum of understanding to eliminate VL from the region. Integrated vector management is one of the pillars of this elimination strategy, alongside early case detection and treatment. We reviewed the evidence of effectiveness of different vector control methods, to examine the potential role of insecticide treated bednets (ITNs). Indoor residual spraying has shown poor impact for various reasons and resistance to DDT is emerging in Bihar. Environmental management performed poorly compared to insecticide based methods. ITNs could give individual protection but this still needs to be proven in randomized trials. Given the constraints of indoor residual spraying, it is worthwhile to further explore the use of ITNs, in particular long lasting ITNs, as an additional tool in the VL elimination initiative.


Assuntos
Roupas de Cama, Mesa e Banho , Controle de Insetos/métodos , Insetos Vetores/parasitologia , Inseticidas , Leishmaniose Visceral/prevenção & controle , Phlebotomus/parasitologia , Animais , Bangladesh , Humanos , Índia , Repelentes de Insetos , Leishmania donovani/isolamento & purificação , Leishmaniose Visceral/transmissão , Nepal
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