Natural infection in anopheline species and its implications for autochthonous malaria in the Atlantic forest in Brazil

Abstract\ud \ud \ud \ud Background\ud \ud A descriptive study was carried out in an area of the Atlantic Forest with autochthonous malaria in the Parelheiros subdistrict on the periphery of the municipality of São Paulo to identify anopheline fauna and anophelines naturally infected with Plasmodium as well as to discuss their role in this peculiar epidemiological context.\ud \ud \ud \ud Methods\ud \ud Entomological captures were made from May 2009 to April 2011 using Shannon traps and automatic CDC traps in four areas chosen for their different patterns of human presence and incidences of malaria (anthropic zone 1, anthropic zone 2, transition zone and sylvatic zone). Natural Plasmodium infection was detected by nested PCR based on amplification of the 18S rRNA gene.\ud \ud \ud \ud Results\ud \ud In total, 6,073 anophelines were collected from May 2009 to April 2011, and six species were identified in the four zones. Anopheles cruzii was the predominant species in the three environments but was more abundant in the sylvatic zone.\ud Anopheles (Kerteszia) cruzii specimens from the anthropic and sylvatic zones were positive for P. vivax and P. malariae. An. (Ker.) bellator, An. (Nys.) triannulatus, An. (Nys.) strodei, An. (Nys.) lutzi and An. (Ano) maculipes were found in small numbers. Of these, An. (Nys.) triannulatus and An. (Nys.) lutzi, which were collected in the anthropic zone, were naturally infected with P. vivax while An. (Nys.) triannulatus from the anthropic zones and An. (Nys.) strodei from the transition zone were positive for P. malariae.\ud \ud \ud \ud Conclusion\ud \ud These results confirm that Anopheles (Kerteszia) cruzii plays an important role as a major Plasmodium vector. However, the finding of other naturally infected species may indicate that secondary vectors are also involved in the transmission of malaria in the study areas. These findings can be expected to help in the implementation of new measures to control autochthonous malaria in areas of the Atlantic Forest.We would like to thank the Health Surveillance Supervision Sector in the São Paulo Municipal Department of Health, the Pedro Matajs Institute and the São Paulo Metropolitan Police, the Marsilac Heath Center (UBS Marsilac) and the Embura Helth Center (UBS Embura).This project was supported by the Fundação de Amparo à Pesquisa (FAPESP) (n°. 2008/52016-0) and SUCEN

Molecular characterization of Giardia isolates in water and sewage samples from São Paulo State

Introdução - Giardia é um protozoário que parasita o intestino de quase todas as classes de vertebrados, podendo causar giardíase. Dentre os sete agrupamentos da espécie G. duodenalis, nomeados de A a G, apenas A e B foram encontrados no homem. Por se tratar de um patógeno de veiculação hídrica, a pesquisa de cistos desse microorganismo em água e esgoto é de interesse para a saúde pública. Uma vez que os métodos convencionais utilizados para a detecção desse protozoário em amostras ambientais não permitem diferenciar os isolados de Giardia potencialmente patogênicos para o homem dos demais, o emprego de técnicas que possibilitam a caracterização molecular do parasita em questão se torna necessário, principalmente no Brasil, onde as informações sobre os genótipos de Giardia do ambiente são escassas. Objetivos - Detectar a presença e identificar os genótipos de Giardia sp. em amostras de água e esgoto provenientes do estado de São Paulo, discutindo a importância dos achados para a saúde pública, bem como elaborar uma estratégia que possibilite a realização de tal proposta. Método - Amostras de esgoto bruto (5) e tratado (6), de águas superficiais (11), de poço (3) e de nascente (1) foram coletadas e concentradas pela técnica de membrana filtrante modificada ou por centrifugação. O DNA genômico foi extraído pelo método de fenol/clorofórmio/álcool-isoamílico. A amplificação do fragmento de 890pb do gene gdh, que codifica a produção de glutamato desidrogenase, foi realizada por nested PCR, seguida por clonagem e seqüenciamento de nucleotídeos. Resultados - Onze dentre as vinte e seis amostras analisadas (42,3por cento) foram confirmadas como sendo positivas para a presença de Giardia duodenalis. Os agrupamentos A, genótipo AII, e B foram encontrados. Conclusão - Esses achados indicam que, no estado de São Paulo, isolados de Giardia associados a giardíase humana estão presentes em esgoto tratado e em água superficial e de poço, de modo que o contato com esse tipo de matriz pode representar risco para a saúde pública. Além disso, a estratégia proposta possibilita a caracterização molecular de isolados de Giardia de amostras de água e esgoto.Introduction - Giardia is a protozoan that parasitizes almost all classes of vertebrates, causing giardiasis. Among the seven assemblages of G. duodenalis, named A to G, only A and B have been found in humans by this moment. As considered a waterborne pathogen, the detection of cysts in water and sewage samples is of interest for public health. Once conventional methods are not able to distinguish Assemblages A and B of G. duodenalis from others, the application of techniques that allow a molecular characterization of Giardia isolates is an important issue, especially in Brazil, where there is scarce information about the genotypes of this parasite in the environment. Objective - To detect and identify Giardia genotypes in water and sewage samples from São Paulo state, discussing the importance of findings for public health, as well as develop a strategy that makes it possible. Method - Raw (5) and treated (6) sewage, surface (11), well (3) and spring (1) water samples were collected and concentrated by modified membrane filtration technique or centrifugation. Genomic DNA was extracted using phenol/chloroform/isoamilic alcohol method. A 890bp fragment of gdh gene, that codes the glutamate dehydrogenase production, was amplified by nested PCR. Cloning and sequencing were subsequently done. Results - 11 out of 26 (42,3 per cent) samples were confirmed to be positive for the presence of G. duodenalis. Assemblages A, genotype AII, and B were found. Conclusions - These findings indicate that, in São Paulo state, Giardia isolates associated to human giardiasis are present in treated sewage and in surface and well water. Thereby, the contact with these matrices can offer risk for public health. Besides, the approach described here allows the molecular characterization of Giardia isolates from water and sewage samples

Flavivirus infecting mosquitoes (Diptera: Culicidae) collected in green spaces from the city of São Paulo

Introdução: Dos arbovírus transmitidos no Brasil, os Flavivirus apresentam destaque por causarem o maior número de infecções e doenças no homem e pela gravidade das doenças que provocam. A cidade de São Paulo possui áreas verdes, representadas por parques municipais em que existem lagos, aves e mamíferos. Esses locais são frequentados pela população e podem servir de refúgio para mosquitos que infestam a área urbana. Alguns trabalhos revelam a ocorrência de espécies de mosquitos conhecidas como vetoras de Flavivirus em tal cidade, o que pode favorecer o aparecimento de casos e transmissão de doenças causadas por este tipo de vírus. No entanto, a presença de Flavivirus infectando tais artrópodes não é conhecida. Objetivo: Identificar presença de Flavivirus em mosquitos (Diptera: Culicidae) provenientes de áreas verdes da cidade de São Paulo. Método: Sete parques municipais localizados em diferentes regiões da cidade foram selecionados para o estudo. Foram realizadas coletas de mosquitos mensais em cada parque no período de março de 2011 e fevereiro de 2012. As armadilhas utilizadas foram: aspirador, Shannon e CDC-CO2. Os mosquitos foram transportados para o laboratório em gelo seco, identificados em mesa fria e agrupados em \"pools\" de até 10 fêmeas não ingurgitadas, segundo espécie, data e local de coleta. Fêmeas ingurgitadas foram armazenadas individualmente. As amostras foram submetidas à extração de ácidos nucleicos, seguida de RT-PCR em tempo real para amplificação de fragmento de aproximadamente 200pb do gene NS5 de Flavivirus. Amostras positivas foram encaminhadas para sequenciamento e análises filogenéticas. Resultados: Dentre as 5.213 fêmeas não ingurgitadas (818 pools) e as 778 fêmeas ingurgitadas coletadas, ocorreu presença de onze gêneros de Culicídeos, sendo mais frequentes Culex e Aedes. Dezenove pools de fêmeas não ingurgitadas obtiveram resultado positivo para Flavivirus. Análises filogenéticas mostraram presença de RNA relacionado à Aedes flavivirus (AEFV) em dois pools de Aedes e à Culex flavivirus (CxFV) nos demais pools, todos de Culex. Conclusões: CxFV e AEFV estão presentes em mosquitos dos gêneros Culex e Aedes, respectivamente, coletados em parques municipais da cidade de São Paulo. Embora flavivírus patogênicos ao homem não tenham sido encontrados no presente trabalho, recomenda-se vigilância de flavivírus nas áreas estudas, visto que elas possuem presença de mosquitos vetores e hospedeiros vertebrados, ou seja, elementos necessários para a transmissão destes vírus.Introduction: Among the arboviruses transmitted in Brazil, Flavivirus are noteworthy once they cause the largest number of infections and diseases in humans and also because they can cause serious illnesses. In the city of São Paulo there are green spaces, represented by city parks in which lakes, birds and mammals are found. The population visits those places, which can also be a refuge for mosquitoes that infect the urban area. Some studies reveal the occurrence of mosquitoes species known to be vectors of Flavivirus in this city, what can contribute to the emergence of cases and transmission of diseases caused by this kind of virus. However, the presence of Flavivirus infecting those arthropods is not known. Objective: To Identify infection by Flavivirus in mosquitoes (Diptera: Culicidae) collected in São Paulo\'s city parks. Method: Seven city parks located in different places of the city were selected for the study. Monthly mosquito collections were carried out in each park from March 2011 to February 2012. The traps employed were aspirator, Shannon and CDC-CO2. The mosquitoes were transported to the laboratory on dry ice. Identification was performed in a chill table. Up to 10 non-engorged females were pooled according to specie, date and place of collection. Engorged females were stored individually. Nucleic acids were extracted and submitted to real time RT-PCR that amplifies a 200pb fragment of NS5 gene of Flavivirus. Positive samples were sequenced and phylogenetic analyses were performed. Results: Eleven genus of Culicidae were found among the 5,213 non engorged females (818 pools) and the 778 engorged females. Culex and Aedes were the most frequent collected genus. Nineteen non engorged female pools had positive results for the presence of Flavivirus RNA. Phylogenetic analyses showed the RNA found was related to Aedes flavivirus (AEFV) in two pools of Aedes and to Culex flavivirus (CxFV) in the other pools, all of them consisting of Culex. Conclusion: CxFV and AEFV are present in mosquitoes Culex and Aedes, respectively, collected in São Paulo\'s city parks. Flavivirus of medical importance were not detected. Although, once there are species of mosquitoes that can act as vectors of pathogenic Flavivirus and vertebrate hosts, which are required for the transmission cycle of those virus, surveillance is recommended in the studied areas

Reassessment of asymptomatic carriers of Plasmodium spp. in an endemic area with a very low incidence of malaria in extra-Amazonian Brazil

Abstract Background Regions with residual transmission are potential obstacles to the elimination of malaria. It is, therefore, essential to understand the factors associated with the maintenance of endemic malaria in these areas. The objective was to investigate whether the status of asymptomatic carriers of Plasmodium spp. DNA is maintained in the long term in an extra-Amazonian region of Brazil with low incidence, residual malaria transmission. Methods Asymptomatic carriers of Plasmodium DNA detected in a survey carried out between 2001 and 2004 were reassessed between 2010 and 2011 using questionnaires, PCR and thick and thin blood smear tests three times at 3-month intervals. Results Of the 48 carriers detected between 2001 and 2004, 37 were located. Of these, only two had positive PCR results and, as in the first survey, Plasmodium malariae DNA was detected. Conclusion The findings suggest that untreated dwellers from this extra-Amazonian region, who initially harbour malaria parasites, may become negative without ever developing apparent symptoms of the disease. Although the possibility of re-infection cannot be ruled out, the finding of two individuals harbouring P. malariae, both in the first and in the second survey, may be compatible with a long-term carrier state for this parasite. Since most clinical cases of malaria in the region are a consequence of infection by Plasmodium vivax, the epidemiological impact of such long-term carriage would be limited

Natural infection in anopheline species and its implications for autochthonous malaria in the Atlantic forest in Brazil

Abstract Background A descriptive study was carried out in an area of the Atlantic Forest with autochthonous malaria in the Parelheiros subdistrict on the periphery of the municipality of São Paulo to identify anopheline fauna and anophelines naturally infected with Plasmodium as well as to discuss their role in this peculiar epidemiological context. Methods Entomological captures were made from May 2009 to April 2011 using Shannon traps and automatic CDC traps in four areas chosen for their different patterns of human presence and incidences of malaria (anthropic zone 1, anthropic zone 2, transition zone and sylvatic zone). Natural Plasmodium infection was detected by nested PCR based on amplification of the 18S rRNA gene. Results In total, 6,073 anophelines were collected from May 2009 to April 2011, and six species were identified in the four zones. Anopheles cruzii was the predominant species in the three environments but was more abundant in the sylvatic zone. Anopheles (Kerteszia) cruzii specimens from the anthropic and sylvatic zones were positive for P. vivax and P. malariae. An. (Ker.) bellator, An. (Nys.) triannulatus, An. (Nys.) strodei, An. (Nys.) lutzi and An. (Ano) maculipes were found in small numbers. Of these, An. (Nys.) triannulatus and An. (Nys.) lutzi, which were collected in the anthropic zone, were naturally infected with P. vivax while An. (Nys.) triannulatus from the anthropic zones and An. (Nys.) strodei from the transition zone were positive for P. malariae. Conclusion These results confirm that Anopheles (Kerteszia) cruzii plays an important role as a major Plasmodium vector. However, the finding of other naturally infected species may indicate that secondary vectors are also involved in the transmission of malaria in the study areas. These findings can be expected to help in the implementation of new measures to control autochthonous malaria in areas of the Atlantic Forest