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Biomedical subjects

A Spielman

Publications and source records attributed to A Spielman.

At least 145 records · Page 8Linked to original sources
PubMed1990

Short-tailed shrews as reservoirs of the agents of Lyme disease and human babesiosis.

To determine whether short-tailed shrews (Blarina brevicauda) serve as reservoir hosts for the Lyme disease spirochete (Borrelia burgdorferi) and the agent of human babesiosis (Babesia microti), we examined nymphal ticks that had fed as larvae on shrews collected from 3 enzootic sites in coastal Massachusetts for evidence of infection by either or both of these agents. Xenodiagnosis indicated that 11 of 14 shrews were infected by B. burgdorferi. One of 3 piroplasm-infected shrews also infected ticks with B. microti. In a site where the piroplasm is endemic, 11 of 17 shrews showed patent parasitemias by thin blood smears. Of these, 4 had parasitemias exceeding 40%. Few immature ticks infested shrews, however, suggesting that B. brevicauda, although abundant in some endemic sites and serving as a competent reservoir, would contribute minimally to the population of infected nymphs.

Animals↗
PubMed1989

Rapid emergence of a focal epidemic of Lyme disease in coastal Massachusetts.

We describe a focal epidemic of Lyme disease, which spread from a nature preserve and affected an adjacent community of permanent residents in coastal Massachusetts. The attack rate from 1980 through 1987 was 35 percent among 190 residents living within 5 km of the nature preserve and was greatest (66 percent) among those living closest to the preserve. The risk of infection bore little relation to sex or age. Late Lyme disease, which clustered near the preserve, occurred mainly in residents infected early in the epidemic who did not have a history of erythema migrans and did not receive antibiotic therapy. All the residents with serologic evidence of infection had early or late clinical manifestations of Lyme disease, or both, during the period of study. The seasonal risk of infection was bimodal--greatest in June, with a secondary peak in October--and corresponded to periods of increased transmission. In the nature preserve, the density of the vector tick, Ixodes dammini, exceeded that in other New England sites. The zoonosis rapidly became endemic, and the severity of its impact correlated with the abundance of deer. This epidemic of Lyme disease demonstrated that outbreaks can be focal and can spread rapidly within a community of permanent residents.

Animals↗
PubMed1989

Modeling malaria vaccines. I: New uses for old ideas.

Starting from a modification of the model of malaria transmission developed for the Garki project, this paper develops a model containing variables relevant to the stimulation of malaria vaccination programs. Modifications include (1) integration of maintenance of immunity dependent on boosting and the possibility of loss of immunity; (2) introduction of a boosting factor distinct from susceptibility to infection; (3) reinterpretation of the epidemiological compartments of positive immunes and nonimmunes in terms of severity of disease rather than just infection; (4) interpretation of the different stage-specific levels of immunity; (5) discrimination between different susceptibilities for the immune and nonimmune classes; (6) reformulation of the expression for acquisition of immunity to be biologically more acceptable. Simulations using the Garki model, Nedelman's modification of it, and our Basic model compare the similarities and differences in the predictive behavior of the models. Simulations using the Basic model reproduce observed periodic fluctuations of malaria attributed to the interplay of transmission-blocking immunity and loss of immunity in the absence of boosting in areas of unstable malaria transmission.

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PubMed1989

Modeling malaria vaccines. II: Population effects of stage-specific malaria vaccines dependent on natural boosting.

Population effects of malaria vaccination programs will depend on the stage specificity of the vaccine, its duration of effectiveness, whether it is responsive to natural boosting, the proportion vaccinated, and the preexisting endemic conditions. This paper develops models of infection-blocking (sporozoite), disease-modifying (merozoite), and transmission-blocking (gametic) vaccines. It explores numerically their different effects on prevalence of infection and disease when utilized in different types of immunization programs at various levels of coverage. Simulations show that possible qualitative consequences of malaria vaccination programs include decreased prevalence of infection and disease and decreased prevalence of infection without a corresponding decrease in prevalence of disease. Epidemics, either one-time or cyclical, could occur. These effects could be accompanied by changes in the age distribution of disease. Finally, vaccination could contribute to elimination of transmission. The duration of effectiveness of the malaria vaccine relative to the duration of natural immunity could have important consequences for the unvaccinated. The problem of predicting a threshold for elimination of transmission is discussed.

Animals↗
PubMed1989

Competence of a rabbit-feeding Ixodes (Acari: Ixodidae) as a vector of the Lyme disease spirochete.

We compared the development of the Lyme disease spirochete, Borrelia burgdorferi Johnson, Schmid, Hyde, Steigerwalt and Brenner, in subadult rabbit-feeding Ixodes dentatus Marx with that in mouse-feeding I. dammini Spielman, Clifford, Piesman and Corwin. Rabbits were infected with spirochetes by the bites of I. dammini that had been infected naturally in a zoönotic site. Larval ticks of both species were permitted to engorge simultaneously on each of these infected hosts. Spirochetes were present in the guts of about half of the resulting nymphal I. dentatus and most of the I. dammini that developed. An experimentally infected nymphal I. dentatus, in turn, infected a rabbit. Because I. dentatus feeds solely on rabbits, and these hosts may be extraordinarily abundant in nature, this tick provides potential for a hidden enzoötic cycle of natural Lyme disease transmission.

Animals↗
PubMed1989

Comparing the relative potential of rodents as reservoirs of the Lyme disease spirochete (Borrelia burgdorferi).

The authors compared the contribution of white-footed mice (Peromyscus leucopus), chipmunks (Tamias striatus), and meadow voles (Microtus pennsylvanicus) to infection of vector ticks with the Lyme disease spirochete, Borrelia burgddorferi. At one Massachusetts location where Lyme disease is endemic, all three species of rodents were found to be infected. Prevalence of infection, however, varied from 90% for mice, and 75% for chipmunks to just 5.5% for meadow voles. Infectivity of these hosts for larval Ixodes dammini also varied, but mice were found to be the most infective, followed by chipmunks and meadow voles. Density estimates of these three hosts, collected between 1981 and 1986 in three coastal Massachusetts locations, revealed that mice were more abundant than the other two rodents in areas in which ticks were abundant. In addition, mice were infested more abundantly with larval I. dammini than the other two host species. Integrating these results, we determined each species' "reservoir potential," a novel term which describes the relative contribution made by a host species to the horizontal infection of a vector population. The authors' findings demonstrate that, at least in coastal Massachusetts, P. leucopus is the most important small mammal reservoir for B. burgdorferi.

Animals↗
PubMed1989

Enzootic transmission of the agent of Lyme disease in rabbits.

To determine whether cottontail rabbits (Sylvilagus floridanus) maintain an enzootic cycle of transmission of the Lyme disease spirochete (Borrelia burgdorferi), we examined the prevalence of infection in ticks and rabbits in a location in which rabbits were abundant. Of 72 unfed nymphal Ixodes dentatus swept from vegetation, 32% were infected by this spirochete, as determined by darkfield microscopy and indirect immunofluorescence using monoclonal antibody H5332. Infected ticks were reared from larvae feeding on each of 11 rabbits taken from the same site. Of 50 rabbits sampled there over a period of 2 years, sera of greater than 90% reacted with B. burgdorferi antigen by ELISA and by immunoblotting. Deer ticks (I. dammini) comprised less than 10% of ticks found on rabbits. We conclude that rabbits perpetuate the agent of Lyme disease in an enzootic cycle where rabbit-feeding Ixodes are abundant, that intensity of transmission is independent of the zoonotic cycle in mice, but that infection may occasionally be exchanged between these cycles.

Animals↗
PubMed1989

Incompetence of catbirds as reservoirs for the Lyme disease spirochete (Borrelia burgdorferi).

We compared the relative infectivity to vector ticks of gray catbirds (Dumetella carolinensis) and white-footed mice (Peromyscus leucopus) for the Lyme disease spirochete (Borrelia burgdorferi). Of 28 catbirds captured in a site enzootic for this agent, 18 were infested by immature Ixodes dammini, the tick vector. By comparison, each of 32 mice sampled concurrently from the same site was infested, and by about 10 times as many ticks as were found infesting the 3 most commonly netted bird species. Although 76% of noninfected larval ticks placed on these mice in a xenodiagnosis became infected, none of the ticks similarly placed on 12 catbirds did so. Spirochetes were detected in ticks derived from 2 Carolina wrens (Thryothorus ludovicianus) and a common yellowthroat (Geothlypis trichas), but these species' potential contribution to infecting ticks does not compare with that of mice. Thus, although birds may help establish new foci of ticks, catbirds, at least, do not appear to contribute as reservoirs of infection.

Animals↗
PubMed1988

Time and site of assembly of the peritrophic membrane of the mosquito Aedes aegypti.

We determined the time and site of secretion of the precursors of the peritrophic membrane (PM) in Aedes aegypti and when the structure is assembled. The fine structure of the developing membrane of blood-feed females was described, and the pattern of secretion of injected tritiated glucosamine analyzed autoradiographically. Immediately following blood feeding, ingested red cells rapidly become compressed, such that the surrounding plasma is extruded to the margin of the midgut contents. Thereby, ingested fluids form a narrow margin separating the blood mass from the midgut epithelium. By electron microscopy, the PM first becomes evident at about 4 to 8 h after blood is ingested, and the membrane attains mature texture by 12 h. The compacted mass of ingested erythrocytes seems to serve as a template for the forming structure. In contrast, tritiated glucosamine, injected into freshly engorged mosquitoes, begins to concentrate on the midgut microvilli by 2 h after feeding. By 8 h the label assumes the layered appearance that characterizes the fine structure of the mature membrane. In contrast to the prevailing concept that the PM of mosquitoes first assumes texture anteriorly immediately after blood is ingested, we find that this potential barrier to pathogen development forms no earlier than 4 h after feeding and that it is formed from precursors secreted along the entire length of the epithelium overlying the food mass.

Aedes↗
PubMed1988

Physiological characteristics of Culex pipiens populations in the Middle East.

We determined whether exposure to a short day-light regime of 14 h 15 min induces ovarian diapause in Culex pipiens L. mosquitoes from Israel and whether differences occur in certain morphological, physiological and behavioural traits. Samples from nineteen localities in Israel, from 33 degrees 05' N to 29 degrees 35' N latitude, conformed to the morphological criteria of Cx pipiens, sensu stricto (i.e. wider spread of dorsal than of ventral arms of the aedeagus) as determined by negative DV/D ratios of the male. Autogenous females occurred at frequencies of 4-55% in all areas of Israel throughout the breeding season. No mating barriers were detected between individuals of autogenous and anautogenous genotypes. Autogenous females were no more prevalent from polluted or enclosed breeding sites than from others with various degrees of openness. In general, Cx pipiens females fed equally well on human (35% engorgement) and avian (22% engorgement) hosts (P less than 0.01). Although females from the southern part of the study region appeared to be incapable of ovarian diapause, at least some of those from the north experienced diel-mediated diapause. We conclude that, in the Middle East, the 33rd parallel provides a southern limit to the range of Cx pipiens with capability for diel-mediated ovarian diapause, but that non-diapausing Cx pipiens s.l. are present at least as far south as Elat (20 degrees 25' N) on the coast of the Gulf of Aquaba.

Animals↗
PubMed1988

Prospects for suppressing transmission of Lyme disease.

A variety of methods have been developed to prevent human infection by the Lyme disease spirochete in the northeastern United States, mainly based on the observations that nymphal Ixodes dammini serve as vector, that deer serve as hosts for the reproductive stage of this tick, that white-footed mice serve as the reservoir of infection, and that nymphs are most abundant in early summer and must attach for 2 days before infection is transmitted. Methods for personal protection included seasonal avoidance of infested sites, the use of repellants, and prompt removal of attached ticks. Destruction of mouse habitat, but not of mice, was locally effective. Nondestructive acaricidal treatment of deer proved ineffective, but the elimination of these hosts resulted in reduced transmission after several years. Treatment of mice by means of acaricide-impregnated bedding material effectively reduced transmission.

Animals↗
PubMed1988

Incompetence of deer as reservoirs of the Lyme disease spirochete.

To determine whether deer may serve as reservoir hosts for the Lyme disease spirochete, we sought evidence of infection in nymphal Ixodes dammini derived from larvae that had engorged on white-tailed deer. A total of 19 deer were shot in two Lyme disease foci in Massachusetts during September 1986, the season in which larvae were most abundant. An average of 342 larval ticks of this species were collected from each deer. Of those that developed to the nymphal stage, the gut contents of 185 were examined for Borrelia burgdorferi by a direct fluorescent antibody test. Spirochetes were detected in about 1% of these nymphs, a rate of infection attributable to transovarial transmission. In contrast, infection was detected in 23% of 39 field-swept nymphal ticks of the same cohort that were collected during the following season. Although deer may be infested by numerous larval I. dammini, such ticks appear not to become infected by Lyme disease spirochetes.

Animals↗
PubMed1988

Malaria diagnosis by direct observation of centrifuged samples of blood.

We compared the effectiveness of malaria diagnosis by means of direct observation of centrifuged blood with that by conventional examination of Giemsa stained blood-films in a malaria clinic in Ethiopia. A commercially available, modified hematological apparatus (the QBC tube) was used for centrifugation. Red blood cells infected with diverse stages of Plasmodium falciparum and P. vivax are lighter than noninfected cells and somewhat heavier than granulocytes; thus they can readily be detected by direct inspection of UV-illuminated tubes. About 10% of infections diagnosed by direct centrifugal microscopy in a clinical setting were not detected by conventional examination of stained thick films. Diagnosis by direct centrifugation appears to be at least 8 times as sensitive as conventional microscopy when applied to serially diluted samples of malaria-infected blood. Superior sensitivity, together with the one step, solid state nature of the direct centrifugal procedure, provides important advantages for malaria diagnosis.

Acridine Orange↗
PubMed1987

Babesia microti: prolonged survival of salavarian piroplasms in nymphal Ixodes dammini.

We determined how long Babesia microti survive in the salivary glands of nymphal Ixodes dammini. Of those ticks held at 21 C, the proportion with demonstrable piroplasms decreased from 95%, prior to 20 weeks post-larval-feeding (p-l-f), to less than 80% at 42 weeks p-l-f. Similarly, the number of infected acini decreased significantly. Nymphal I. dammini were kept alive for as long as 1 year, by transferring them to 4 C, at 20 weeks p-l-f. The proportion of infected ticks at 52 weeks p-l-f was less than half of the proportion of infected nymphs examined prior to 20 weeks p-l-f, and only 1/6 as many acini were infected. Ultrastructural observations of salivary glands from ticks at 44 weeks p-l-f revealed that B. microti parasites in older ticks remain in the sporoblast meshwork phase; such parasites rarely differentiated into sporozoites. Degenerating parasites containing autophagic vacuoles were also observed in older ticks.

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