Abstract

BackgroundAlthough the Mediterranean island of Majorca is an endemic area of leishmaniosis, there is a lack of up-to-date data on its sand fly fauna, the last report dating from 1989. The aim of the present study was to provide information on the current sand fly distribution, the potential environmental factors favoring the presence of Phlebotomus perniciosus and which areas are at risk of leishmaniosis.MethodsIn July 2008 sand fly captures were carried out in Majorca with sticky castor oil interception traps. The capture stations were distributed in 77 grids (5x5 km2) covering the entire island. A total of 1,882 sticky traps were set among 111 stations. The characteristics of the stations were recorded and maps were designed using ArcGIS 9.2 software. The statistical analysis was carried out using a bivariate and multivariate logistic regression model.ResultsThe sand fly fauna of Majorca is composed of 4 species: Phlebotomus perniciosus, P sergenti, P. papatasi and Sergentomyia minuta. P. perniciosus, responsible for Leishmania infantum transmission, was captured throughout the island (frequency 69.4 %), from 6 to 772 m above sea level. Through logistic regression we estimated the probability of P. perniciosus presence at each sampling site as a function of environmental and meteorological factors. Although in the initial univariate analyses the probability of P. perniciosus presence appeared to be associated with a wide variety of factors, in the multivariate logistic regression model only altitude, settlement, aspect, drainage hole construction, adjacent flora and the proximity of a sheep farm were retained as positive predictors of the distribution of this species.ConclusionsP. perniciosus was present throughout the island, and thereby the risk of leishmaniosis transmission. The probability of finding P. perniciosus was higher at altitudes ranging from 51 to 150 m.a.s.l., with adjacent garrigue shrub vegetation, at the edge of or between settlements, and in proximity to a sheep farm.

Highlights

  • The Mediterranean island of Majorca is an endemic area of leishmaniosis, there is a lack of up-to-date data on its sand fly fauna, the last report dating from 1989

  • The Balearic Islands in the Mediterranean region are considered endemic for both human and canine leishmaniosis, the presence and prevalence of the diseases varies among the islands [1]

  • Four out of the five species previously reported for the island of Majorca (P. perniciosus, P. ariasi, P. sergenti, P. papatasi and S. minuta) [4,12,13,14,25] were captured

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Summary

Introduction

The Mediterranean island of Majorca is an endemic area of leishmaniosis, there is a lack of up-to-date data on its sand fly fauna, the last report dating from 1989. The Balearic Islands in the Mediterranean region are considered endemic for both human and canine leishmaniosis, the presence and prevalence of the diseases varies among the islands [1]. The first data on human leishmaniosis in the Balearic Islands date from 1925 [2], while canine leishmaniosis was first reported in 1989 [3], in both cases in the island of Majorca, where most studies have been conducted. In certain regions of Spain, human leishmaniosis is an endemic and notifiable disease, including in the Balearic Islands, which in some years have seen the highest registered incidence in Spain (4.72 and 4.59/100,000 in 2005 and 2006 respectively) [4]. Little information is available on the origin of cases [6,8]

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