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Keywords = Phlebotominae

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30 pages, 2904 KiB  
Review
Checklist of Medico-Veterinary Important Biting Flies (Ceratopogonidae, Hippoboscidae, Phlebotominae, Simuliidae, Stomoxyini, and Tabanidae) and Their Associated Pathogens and Hosts in Maghreb
by Chaimaa Azzouzi, Noureddine Rabah-Sidhoum, Mehdi Boucheikhchoukh, Noureddine Mechouk, Scherazad Sedraoui and Ahmed Benakhla
Parasitologia 2025, 5(1), 1; https://doi.org/10.3390/parasitologia5010001 - 30 Dec 2024
Cited by 2 | Viewed by 1663
Abstract
Biting flies are hematophagous dipterans belonging to various taxonomic groups, such as the Hippoboscidae, Ceratopogonidae, Simuliidae, Tabanidae, Muscidae, and Psychodidae families, some of which have significant medical and veterinary importance. They can host and spread various infections to humans and livestock and cause [...] Read more.
Biting flies are hematophagous dipterans belonging to various taxonomic groups, such as the Hippoboscidae, Ceratopogonidae, Simuliidae, Tabanidae, Muscidae, and Psychodidae families, some of which have significant medical and veterinary importance. They can host and spread various infections to humans and livestock and cause allergic reactions with their saliva. Several species of different families are present in the western Mediterranean region, with new species gradually being discovered. This study focuses on the brachyceran and the nematoceran species; it provides a systematic review listing all reported taxa of biting flies in the Maghreb countries (Algeria, Morocco, and Tunisia). Additionally, the study includes a geo-historical reconstruction of distribution maps for species of epidemiological importance. The associated pathogens and hosts are also included in the checklists, alongside information on the biology and ecology of these parasitic arthropods, to offer a comprehensive overview of the state of dipteran-borne disease surveillance in North African countries. Overall, this work could serve as an exhaustive reference for entomologists and breeders participating in controlling biting fly and midge populations, whether from a technical or research perspective. Full article
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17 pages, 3699 KiB  
Article
Efficient Convolutional Neural Network Model for the Taxonomy and Sex Identification of Three Phlebotomine Sandfly Species (Diptera, Psychodidae, and Phlebotominae)
by Mohammad Fraiwan
Animals 2024, 14(24), 3712; https://doi.org/10.3390/ani14243712 - 23 Dec 2024
Cited by 1 | Viewed by 1241
Abstract
Sandflies, small insects primarily from the Psychodidae family, are commonly found in sandy, tropical, and subtropical regions. Most active during dawn and dusk, female sandflies feed on blood to facilitate egg production. In doing so, they can transmit infectious diseases that may cause [...] Read more.
Sandflies, small insects primarily from the Psychodidae family, are commonly found in sandy, tropical, and subtropical regions. Most active during dawn and dusk, female sandflies feed on blood to facilitate egg production. In doing so, they can transmit infectious diseases that may cause symptoms such as fever, headaches, muscle pain, anemia, skin rashes, and ulcers. Importantly, sandflies are species-specific in their disease transmission. Determining the gender and species of sandflies typically involves examining their morphology and internal anatomy using established identification keys. However, this process requires expert knowledge and is labor-intensive, time-consuming, and prone to misidentification. In this paper, we develop a highly accurate and efficient convolutional network model that utilizes pharyngeal and genital images of sandfly samples to classify the sex and species of three sandfly species (i.e., Phlebotomus sergenti, Ph. alexandri, and Ph. papatasi). A detailed evaluation of the model’s structure and classification performance was conducted using multiple metrics. The results demonstrate an excellent sex-species classification accuracy exceeding 95%. Hence, it is possible to develop automated artificial intelligence-based systems that serve the entomology community at large and specialized professionals. Full article
(This article belongs to the Section Animal System and Management)
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19 pages, 3273 KiB  
Article
The Impact of Climatological Factors on the Incidence of Cutaneous Leishmaniasis (CL) in Colombian Municipalities from 2017 to 2019
by Daniel Muñoz Morales, Fernanda Suarez Daza, Oliva Franco Betancur, Darly Martinez Guevara and Yamil Liscano
Pathogens 2024, 13(6), 462; https://doi.org/10.3390/pathogens13060462 - 30 May 2024
Cited by 1 | Viewed by 1732
Abstract
Cutaneous leishmaniasis (CL) is a zoonotic disease caused by protozoa of the Leishmania genus, transmitted by vectors from the Phlebotominae subfamily. The interaction between the vector, reservoir, and parasite is susceptible to climate change. This study explores how temperature and rainfall influenced the [...] Read more.
Cutaneous leishmaniasis (CL) is a zoonotic disease caused by protozoa of the Leishmania genus, transmitted by vectors from the Phlebotominae subfamily. The interaction between the vector, reservoir, and parasite is susceptible to climate change. This study explores how temperature and rainfall influenced the incidence of CL in 15 Colombian municipalities between 2017 and 2019. Epidemiological data were obtained from Colombia’s Instituto Nacional de Salud, while climatological data came from the Instituto de Hidrología, Meteorología y Estudios Ambientales. Using Spearman’s rank correlation coefficient, we examined the relationships between monthly climatic variables and the cumulative incidence of CL, considering various lag times. The data were further analyzed using Locally Weighted Scatterplot Smoothing (LOWESS). Our findings reveal both significant positive and negative correlations, depending on locality and climate variables. LOWESS analysis indicates that while rainfall-related incidence remains stable, temperature impacts incidence in a parabolic trend. This study underscores the significant yet complex influence of climatic factors on CL incidence. The insights gained could aid public health efforts by improving predictive models and crafting targeted interventions to mitigate the disease’s impact, particularly in regions vulnerable to climate variability. Full article
(This article belongs to the Special Issue Leishmaniasis: Transmission, Pathogenesis and Treatment)
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13 pages, 2630 KiB  
Article
Experimental Susceptibility of Nyssomyia antunesi and Lutzomyia longipalpis (Psychodidae: Phlebotominae) to Leishmania (Viannia) lainsoni and L. (V.) lindenbergi (Trypanosomatidae: Leishmaniinae)
by Yetsenia del Valle Sánchez Uzcátegui, Fernando Tobias Silveira, Thais Gouvea de Morais, Rodrigo Ribeiro Furtado, Thiago Vasconcelos dos Santos and Marinete Marins Póvoa
Microorganisms 2024, 12(4), 809; https://doi.org/10.3390/microorganisms12040809 - 17 Apr 2024
Cited by 1 | Viewed by 1199
Abstract
The present work assessed the experimental susceptibility of Nyssomyia antunesi and Lutzomyia longipalpis to Leishmania (Viannia) lainsoni and L. (V.) lindenbergi. A L. (Leishmania) chagasiLu. longipalpis combination was used as a susceptible control. Wild-caught [...] Read more.
The present work assessed the experimental susceptibility of Nyssomyia antunesi and Lutzomyia longipalpis to Leishmania (Viannia) lainsoni and L. (V.) lindenbergi. A L. (Leishmania) chagasiLu. longipalpis combination was used as a susceptible control. Wild-caught Ny. antunesi and laboratory-bred Lu. longipalpis were membrane-fed on blood with a 5 × 106/mL log-phase promastigote culture suspension and dissected on days 2 and 8 post-blood meal (pbm) for analysis focused on the assessment of parasitoses, as well as placement and promastigote morphotyping. Survival curves were constructed. In all combinations, promastigotes were observed on day 8 pbm. For both Leishmania species, in Lu. longipalpis, the presence of parasites was observed up to the stomodeal valve, while in Ny. antunesi, the presence of parasites was observed up to the cardia. There were no significant differences in parasitosis between L. (V.) lainsoni and L. (V.) lindenbergi in either Ny. antunesi or Lu. longipalpis. Six morphological promastigote forms were distinguished in Giemsa-stained gut smears. The survival curves of all combinations decreased and were affected differently by several Lu. longipalpis–parasite combinations, as well with Lu. longipalpis–uninfected blood. These findings stress Lu. longipalpis as experimentally susceptible to Leishmania spp. and suggest the putative susceptibility of Ny. antunesi to L. (V.) lainsoni and L. (V.) lindenbergi. Full article
(This article belongs to the Special Issue New Advancements in the Field of Leishmaniasis)
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4 pages, 187 KiB  
Editorial
Diversity, Distribution and Phylogeny of Vector Insects
by Carlos Barceló and Ignacio Ruiz-Arrondo
Diversity 2024, 16(2), 95; https://doi.org/10.3390/d16020095 - 1 Feb 2024
Viewed by 1842
Abstract
Mosquitoes (Fam. Culicidae), sand flies (Subfam. Phlebotominae), biting midges
(Fam. Ceratopogonidae), black flies (Fam. Simuliidae) and stable flies (Fam. Muscidae) are groups of insects capable to transmit pathogens of public health and veterinary importance [...] Full article
(This article belongs to the Special Issue Diversity, Distribution and Phylogeny of Vector Insects)
11 pages, 1530 KiB  
Article
Entomological Survey and Leishmania (Leishmania) mexicana Prevalence in Sand Fly Species during an Outbreak of Cutaneous Leishmaniasis in Quintana Roo State, Mexico
by Isabel C. Cañeda-Guzmán, Ana C. Montes de Oca-Aguilar, Carlos I. Miranda-Caballero, Estefania Grostieta, Fabián Correa-Morales, Raquel Romero-Pérez, Francisco E. Romero-Contreras, José A. Rodríguez-Atanacio, Karina Ruiz-Tovar, Herón Huerta, Pedro. C Mis-Avila, Marco R. Quintanilla-Cedillo, Miguel A. Lammoglia-Villagómez, Selene Blum-Domínguez, Paulino Tamay-Segovia, Rebeca Rojas-Ronquillo, Sokani Sánchez-Montes and Ingeborg Becker
Trop. Med. Infect. Dis. 2023, 8(10), 465; https://doi.org/10.3390/tropicalmed8100465 - 5 Oct 2023
Cited by 3 | Viewed by 3708
Abstract
(1) Background: Localized cutaneous leishmaniasis is a neglected vector-borne disease that has become a serious public health problem in the Yucatan Peninsula. Although more than 60% of cases originate from the state of Quintana Roo, it is one of the least explored [...] Read more.
(1) Background: Localized cutaneous leishmaniasis is a neglected vector-borne disease that has become a serious public health problem in the Yucatan Peninsula. Although more than 60% of cases originate from the state of Quintana Roo, it is one of the least explored areas in terms of incriminating vectors of the Leishmania parasite. Additionally, cases of leishmaniasis have increased substantially in that region in recent years. For this reason, we explored and provided primary evidence of Leishmania DNA in sand fly species from four localities during outbreaks of leishmaniasis in Quintana Roo. We also contributed information on the regional genetic diversity of Leishmania parasites. (2) Methods: Sand flies were collected during several periods from November 2022 to April 2023 using Mosquito Light Circle and Shannon traps, as well as an active entomological search in refuges. For Leishmania detection, we amplified a fragment of 300–350 bp of the internal transcribed spacer subunit 1 (ITS-1). (3) Results: Of the 242 females collected, we detected Leishmania DNA in 25 specimens represented by Bichromomyia olmeca (1), Psathyromyia shannoni (17), Lutzomyia cruciata (4), Psathyromyia undulata (2), and Dampfomyia deleoni (1). The detection of Leishmania in these last two species represents new records for the Yucatan Peninsula and for Mexico. Leishmania (Leishmania) mexicana was the only species detected in the Phlebotominae species, with prevalence values that ranked between 7.41% and 33.33% from specimens collected in the sylvatic areas of Cozumel Island and Petcacab. (4) Conclusions: This study provides the first evidence of infection of Da. deleoni and Pa. undulata by L. (L.) Mexicana. In addition, the presence of three dominant haplotypes in all the evaluated localities was evidenced using the analysis of genetic diversity, and the locality of Petcacab was the one with the circulation of two new haplotypes not previously described in Mexico or neighboring countries. These results highlight the importance of intensive epidemiological surveillance due to the dynamics of transmission of Leishmania between different species. Full article
(This article belongs to the Special Issue Emerging Topics in Leishmaniasis Research)
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12 pages, 1027 KiB  
Article
First Detection and Molecular Analysis of Leishmania infantum DNA in Sand Flies of Kosovo
by Betim Xhekaj, Ina Hoxha, Katharina Platzgummer, Edwin Kniha, Julia Walochnik, Kurtesh Sherifi, Agim Rexhepi, Behlul Behluli, Vit Dvořák, Hans-Peter Fuehrer, Adelheid G. Obwaller, Wolfgang Poeppl, Jovana Stefanovska and Aleksandar Cvetkovikj
Pathogens 2023, 12(10), 1190; https://doi.org/10.3390/pathogens12101190 - 24 Sep 2023
Cited by 6 | Viewed by 2285
Abstract
Phlebotomine sand flies (Diptera: Psychodidae) are the principal vectors of phleboviruses and Leishmania spp., the causative agents of leishmaniases. The Mediterranean sand fly fauna is diverse, and leishmaniasis, mainly caused by Leishmania infantum, is endemic in the Balkan countries. Despite recent entomological surveys, [...] Read more.
Phlebotomine sand flies (Diptera: Psychodidae) are the principal vectors of phleboviruses and Leishmania spp., the causative agents of leishmaniases. The Mediterranean sand fly fauna is diverse, and leishmaniasis, mainly caused by Leishmania infantum, is endemic in the Balkan countries. Despite recent entomological surveys, only some districts of Kosovo have been sampled for sand flies, with no proof/confirmation of L. infantum. This study aimed to gain further insights into the species composition of natural sand fly populations in previously unsampled districts and areas in Kosovo without reports of leishmaniasis and to detect Leishmania DNA in sand flies. A sand fly survey was conducted in 2022 in all seven districts of Kosovo. Collected females were screened for Leishmania DNA by PCR. Positive samples were sequenced and subjected to maximum likelihood analysis with reference sequences for further molecular characterization. The trapping activities at 114 different localities resulted in 3272 caught specimens, comprising seven sand fly species of two genera, namely Phlebotomus neglectus, Ph. perfiliewi, Ph. tobbi, Ph. papatasi, Ph. simici, Ph. balcanicus and Sergentomyia minuta. Leishmania infantum DNA was detected in three individual sand flies of Ph. neglectus and Ph. perfiliewi. This study provides the most extensive sand fly survey in Kosovo and reports the first record of L. infantum DNA in sand flies, indicating autochthonous circulation of L. infantum. Full article
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9 pages, 8376 KiB  
Communication
First Record of Phlebotomus (Larroussius) perfiliewi (Diptera: Psychodidae), Vector of Leishmania infantum and Phleboviruses, in Spain
by Mikel A. González, Ignacio Ruiz-Arrondo, Rafael Gutiérrez-López, Carlos Barceló and Miguel Á. Miranda
Diversity 2023, 15(3), 400; https://doi.org/10.3390/d15030400 - 10 Mar 2023
Cited by 2 | Viewed by 2899
Abstract
Phlebotomine sand flies are vectors of several diseases of importance for public health, including leishmaniosis, bartonellosis, and sand fly fevers. An entomological survey on blood-feeding Diptera was conducted in June–November 2020–2021 to know the diversity of insect vectors in Mallorca (Balearic Islands, Spain). [...] Read more.
Phlebotomine sand flies are vectors of several diseases of importance for public health, including leishmaniosis, bartonellosis, and sand fly fevers. An entomological survey on blood-feeding Diptera was conducted in June–November 2020–2021 to know the diversity of insect vectors in Mallorca (Balearic Islands, Spain). Among the vectors collected, Phlebotomus (Larroussius) perfiliewi Parrot, 1930 was found being the first record of this species in Spain. Phlebotomus perfiliewi s.l. is one of the main vectors of Leishmania infantum in the Mediterranean Basin and Central Asia. The identification of this species was confirmed by both morphological features and DNA barcoding. Phylogenetic analyses showed that the specimens captured were Ph. perfiliewi s.s. (99.85–100% homologues from Italy and Algeria specimens), with a sequence divergence of 0.17%. The cytochrome c oxidase subunit I gene clearly separates the three species that make up the Ph. perfiliewi species complex. In addition, we also provide a brief discussion about their identification remarks, phylogenetic relationships, and vector status. Full article
(This article belongs to the Special Issue Diversity, Distribution and Phylogeny of Vector Insects)
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10 pages, 690 KiB  
Review
Cutaneous Leishmaniasis Emergence in Southeastern Mexico: The Case of the State of Yucatan
by Elsy B. Canché-Pool, Jesús A. Panti-May, Hugo A. Ruiz-Piña, Marco Torres-Castro, Francisco J. Escobedo-Ortegón, Paulino Tamay-Segovia, Selene Blum-Domínguez, Jimmy R. Torres-Castro and Enrique Reyes-Novelo
Trop. Med. Infect. Dis. 2022, 7(12), 444; https://doi.org/10.3390/tropicalmed7120444 - 17 Dec 2022
Cited by 10 | Viewed by 3505
Abstract
Environmental changes triggered by deforestation, urban expansion and climate change are present-day drivers of the emergence and reemergence of leishmaniasis. This review describes the current epidemiological scenario and the feasible influence of environmental changes on disease occurrence in the state of Yucatan, Mexico. [...] Read more.
Environmental changes triggered by deforestation, urban expansion and climate change are present-day drivers of the emergence and reemergence of leishmaniasis. This review describes the current epidemiological scenario and the feasible influence of environmental changes on disease occurrence in the state of Yucatan, Mexico. Relevant literature was accessed through different databases, including PubMed, Scopus, Google, and Mexican official morbidity databases. Recent LCL autochthonous cases, potential vector sandflies and mammal hosts/reservoirs also have been reported in several localities of Yucatan without previous historical records of the disease. The impact of deforestation, urban expansion and projections on climate change have been documented. The current evidence of the relationships between the components of the transmission cycle, the disease occurrence, and the environmental changes on the leishmaniasis emergence in the state shows the need for strength and an update to the intervention and control strategies through a One Health perspective. Full article
(This article belongs to the Special Issue Feature Papers in One Health)
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13 pages, 1536 KiB  
Article
Ecological Aspects of the Phlebotominae Fauna (Diptera: Psychodidae) among Forest Fragments and Built Areas in an Endemic Area of American Visceral Leishmaniasis in João Pessoa, Paraíba, Brazil
by Bruna Queiroz da Silva, Margarete Martins dos Santos Afonso, Lucas José Macêdo Freire, Antônio Luís Ferreira de Santana, Alessandre Pereira-Colavite and Elizabeth Ferreira Rangel
Insects 2022, 13(12), 1156; https://doi.org/10.3390/insects13121156 - 14 Dec 2022
Cited by 5 | Viewed by 2541
Abstract
Sand flies are dipterans of medical importance, as some species are vectors of American visceral leishmaniasis (AVL). The municipality of João Pessoa (Paraíba, northeastern Brazil), is an endemic region for AVL, having high rates of human and canine cases. The main objective was [...] Read more.
Sand flies are dipterans of medical importance, as some species are vectors of American visceral leishmaniasis (AVL). The municipality of João Pessoa (Paraíba, northeastern Brazil), is an endemic region for AVL, having high rates of human and canine cases. The main objective was to evaluate the sand fly fauna among forest fragments and built areas, and its relationship with environmental conditions. HP light traps were placed in the studied areas from March 2019 to July 2021. A total of 2141 specimens of phlebotomines were captured, comprising nine genera and ten species. Temperature and humidity were significant and positive only in built areas. The diversity composition among forest fragments and built areas was different and the AVL vector, Lutzomyia longipalpis, was the most prevalent species in built areas. The study showed that the built areas present differences in their richness and diversity of sand flies in relation to forest fragments, concluding that the conservation of forest areas, even if urban fragments, favors the diversity of phlebotomine species. Full article
(This article belongs to the Topic Arthropod Biodiversity: Ecological and Functional Aspects)
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17 pages, 3850 KiB  
Article
Integrative Approach to Phlebotomus mascittii Grassi, 1908: First Record in Vienna with New Morphological and Molecular Insights
by Edwin Kniha, Vít Dvořák, Petr Halada, Markus Milchram, Adelheid G. Obwaller, Katrin Kuhls, Susanne Schlegel, Martina Köhsler, Wolfgang Poeppl, Karin Bakran-Lebl, Hans-Peter Fuehrer, Věra Volfová, Gerhard Mooseder, Vladimir Ivovic, Petr Volf and Julia Walochnik
Pathogens 2020, 9(12), 1032; https://doi.org/10.3390/pathogens9121032 - 9 Dec 2020
Cited by 14 | Viewed by 3893
Abstract
Sand flies (Diptera: Psychodidae: Phlebotominae) are blood-feeding insects that transmit the protozoan parasites Leishmania spp. and various arthropod-borne (arbo) viruses. While in Mediterranean parts of Europe the sand fly fauna is diverse, in Central European countries including Austria mainly Phlebotomus mascittii is found, [...] Read more.
Sand flies (Diptera: Psychodidae: Phlebotominae) are blood-feeding insects that transmit the protozoan parasites Leishmania spp. and various arthropod-borne (arbo) viruses. While in Mediterranean parts of Europe the sand fly fauna is diverse, in Central European countries including Austria mainly Phlebotomus mascittii is found, an assumed but unproven vector of Leishmania infantum. To update the currently understudied sand fly distribution in Austria, a sand fly survey was performed and other entomological catches were screened for sand flies. Seven new trapping locations of Ph. mascittii are reported including the first record in Vienna, representing also one of the first findings of this species in a city. Morphological identification, supported by fluorescence microscopy, was confirmed by two molecular approaches, including sequencing and matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) protein profiling. Sand fly occurrence and activity were evaluated based on surveyed locations, habitat requirements and climatic parameters. Moreover, a first comparison of European Ph. mascittii populations was made by two marker genes, cytochrome c oxidase subunit 1 (COI), and cytochrome b (cytb), as well as MALDI-TOF mass spectra. Our study provides new important records of Ph. mascittii in Austria and valuable data for prospective entomological surveys. MALDI-TOF MS protein profiling was shown to be a reliable tool for differentiation between sand fly species. Rising temperatures and globalization demand for regular entomological surveys to monitor changes in species distribution and composition. This is also important with respect to the possible vector competence of Ph. mascittii. Full article
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29 pages, 2012 KiB  
Article
Cost-Effective Analysis of Control Strategies to Reduce the Prevalence of Cutaneous Leishmaniasis, Based on a Mathematical Model
by Dibyendu Biswas, Suman Dolai, Jahangir Chowdhury, Priti K. Roy and Ellina V. Grigorieva
Math. Comput. Appl. 2018, 23(3), 38; https://doi.org/10.3390/mca23030038 - 25 Jul 2018
Cited by 4 | Viewed by 4673
Abstract
Leishmaniasis is a neglected tropical vector-borne epidemic disease, and its transmission is a complex process. Zoonotic transmission to humans or animals occurs through the bites of female Phlebotominae sand flies. Here, reservoir is considered as a major source of endemic pathogen pool for [...] Read more.
Leishmaniasis is a neglected tropical vector-borne epidemic disease, and its transmission is a complex process. Zoonotic transmission to humans or animals occurs through the bites of female Phlebotominae sand flies. Here, reservoir is considered as a major source of endemic pathogen pool for disease outbreak, and the role of more than one reservoir animal becomes indispensable. To study the role of the reservoir animals on disease dynamics, a mathematical model was constructed consisting of susceptible and infected populations of humans and two types of reservoir (animal) and vector populations, respectively. Our aim is to prevent the disease by applying a control theoretic approach, when more than one type of reservoir animal exists in the region. We use drugs like sodium stibogluconate and meglumine antimoniate to control the disease for humans and spray insecticide to control the sand fly population. Similarly, drugs are applied for infected reservoir animals of Types A and B. We calculated the cost-effectiveness of all possible combinations of the intervention and control policies. One of our findings is that the most cost-effective case for Leishmania control is the spray of insecticides for infected sand fly vector. Alternate strategic cases were compared to address the critical shortcomings of single strategic cases, and a range of control strategies were estimated for effective control and economical benefit of the overall control strategy. Our findings provide the most innovative techniques available for application to the successful eradication of cutaneous leishmaniasis in the future. Full article
(This article belongs to the Special Issue Optimization in Control Applications)
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22 pages, 4312 KiB  
Article
A Comparative Assessment of Epidemiologically Different Cutaneous Leishmaniasis Outbreaks in Madrid, Spain and Tolima, Colombia: An Estimation of the Reproduction Number via a Mathematical Model
by Anuj Mubayi, Marlio Paredes and Juan Ospina
Trop. Med. Infect. Dis. 2018, 3(2), 43; https://doi.org/10.3390/tropicalmed3020043 - 19 Apr 2018
Cited by 11 | Viewed by 5349
Abstract
Leishmaniasis is a neglected tropical disease caused by the Leishmania parasite and transmitted by the Phlebotominae subfamily of sandflies, which infects humans and other mammals. Clinical manifestations of the disease include cutaneous leishmaniasis (CL), mucocutaneous leishmaniasis (MCL) and visceral leishmaniasis (VL) with a [...] Read more.
Leishmaniasis is a neglected tropical disease caused by the Leishmania parasite and transmitted by the Phlebotominae subfamily of sandflies, which infects humans and other mammals. Clinical manifestations of the disease include cutaneous leishmaniasis (CL), mucocutaneous leishmaniasis (MCL) and visceral leishmaniasis (VL) with a majority (more than three-quarters) of worldwide cases being CL. There are a number of risk factors for CL, such as the presence of multiple reservoirs, the movement of individuals, inequality, and social determinants of health. However, studies related to the role of these factors in the dynamics of CL have been limited. In this work, we (i) develop and analyze a vector-borne epidemic model to study the dynamics of CL in two ecologically distinct CL-affected regions—Madrid, Spain and Tolima, Colombia; (ii) derived three different methods for the estimation of model parameters by reducing the dimension of the systems; (iii) estimated reproduction numbers for the 2010 outbreak in Madrid and the 2016 outbreak in Tolima; and (iv) compared the transmission potential of the two economically-different regions and provided different epidemiological metrics that can be derived (and used for evaluating an outbreak), once R0 is known and additional data are available. On average, Spain has reported only a few hundred CL cases annually, but in the course of the outbreak during 2009–2012, a much higher number of cases than expected were reported and that too in the single city of Madrid. Cases in humans were accompanied by sharp increase in infections among domestic dogs, the natural reservoir of CL. On the other hand, CL has reemerged in Colombia primarily during the last decade, because of the frequent movement of military personnel to domestic regions from forested areas, where they have increased exposure to vectors. In 2016, Tolima saw an unexpectedly high number of cases leading to two successive outbreaks. On comparing, we estimated reproduction number of the Madrid outbreak to be 3.1 (with range of 2.8–3.9), which was much higher than reproduction number estimates of the Tolima first outbreak 1.2 (with range of 1.1–1.3), and the estimate for the second outbreak in Tolima of 1.019 (with range of 1.018–1.021). This suggests that the epidemic outbreak in Madrid was much more severe than the Tolima outbreak, even though Madrid was economically better-off compared to Tolima. It indicates a potential relationship between urban development and increasing health disparities. Full article
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