Abstract

INTRODUCTION: Leishmaniasis constitutes a serious but neglected tropical disease. Recently, socio-environmental, biological and physical changes have altered the range of leishmaniasis, causing it to spread into urban areas. In Minas Gerais, the disease is endemic, exhibiting regional differences and reaching urban centers. The purpose of this study was to evaluate entomological aspects related to the ecoepidemiology of leishmaniasis in Itaúna. METHODS: Monthly catches with HP traps were carried out from June 2017 to May 2018, in three ecological areas (urban, rural, and forest). The adaptability of the species to anthropic environments was assessed using the synanthropy index (SI). RESULTS: We collected 1306 specimens of phlebotomine sand flies. Of the species of medical importance, Lutzomyia longipalpis, the vector of Leishmania infantum, represented 90.4% of the specimens identified at species level (n=1260). Nyssomyia whitmani, the vector of Leishmania braziliensis, represented 1.6% of the total. Lu. longipalpis displayed an SI of +95.8, a value that denotes a marked preference for human environments. For Ny. whitmani, the SI was -25, expressing the tendency of this species to occupy uninhabited areas. The population of the three most numerous species captured increased with rain, high temperatures, and high relative humidity. Although captured at low numbers, Ny. whitmani showed a different profile concerning the climate variables analyzed. CONCLUSIONS: Understanding the epidemiology of the disease may assist the health services in formulating effective control measures for improving community health and contributing to the establishment of a dynamic relationship and a global awareness of the health/disease process.

Highlights

  • Leishmaniasis constitutes a serious but neglected tropical disease

  • The sand flies captured belonged to six genera (Lutzomyia, Evandromyia, Pintomyia, Nyssomyia, Psathyromyia and Brumptomyia), and included 11 species: Brumptomyia brumpti (Larrousse, 1920), Evandromyia cortelezzii (Brèthes, 1923), Evandromyia evandroi (Costa Lima & Antunes, 1936), Evandromyia lenti (Mangabeira, 1938), Evandromyia sallesi (Galvão & Coutinho, 1940), Evandromyia termitophila (Martins, Falcão & Silva, 1964), Lu. longipalpis (Lutz & Neiva, 1912), Nyssomyia whitmani (Antunes & Coutinho, 1939), Pintomyia pessoai (Coutinho & Barreto, 1940), Psathyromyia brasiliensis (Costa Lima, 1932), and Psathyromyia lutziana (Costa Lima, 1932) (Table 1)

  • The geographical distribution of leishmaniases in the country indicates that its epidemiology is influenced by a great range of environmental, climatic and socioeconomic aspects[7,14,15,16]

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Summary

Introduction

Leishmaniasis constitutes a serious but neglected tropical disease. Recently, socio-environmental, biological and physical changes have altered the range of leishmaniasis, causing it to spread into urban areas. Leishmaniases were associated with rural and nonanthropic areas, where human beings could accidentally get infected by passing through or colonizing infected areas[2] Over the years, this pattern has changed, and currently the transmission cycle occurs in urban centers[3]. Epidemiological studies have shown that changes in the transmission profile and increasing urbanization of leishmaniases can be due to deforestation and the haphazard growth of cities, which reduces and modifies the natural habitats of these insects, restricting their environment and causing species adaptation[4,5]. The synanthropy index (SI) measures the degree of adaptability of species to urbanized environments and has been studied from an ecological perspective to evaluate the results of human influence on the original fauna of an environment

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