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Biomedical subjects

P Carnevale

Publications and source records attributed to P Carnevale.

At least 37 records · Page 2Linked to original sources
PubMed2000

Modifications of pyrethroid effects associated with kdr mutation in Anopheles gambiae.

Effects of knockdown resistance (kdr) were investigated in three pyrethroid-resistant (RR) strains of the Afrotropical mosquito Anopheles gambiae Giles (Diptera: Culicidae): Kou from Burkina Faso, Tola and Yao from Côte d'Ivoire; compared with a standard susceptible (SS) strain from Kisumu, Kenya. The kdr factor was incompletely recessive, conferring 43-fold resistance ratio at LD50 level and 29-fold at LD95 level, as determined by topical application tests with Kou strain. When adult mosquitoes were exposed to 0.25% permethrin-impregnated papers, the 50% and 95% knockdown times (KdT) were 23 and 42 min for SS females, compared with 40 and 62 min for RS (F1 Kou x Kisumu) females. On 1% permethrin the KdT50 and KdT95 were 11 and 21 min for SS compared with 18 and 33 min for RS females. Following 1 h exposure to permethrin (0.25% or 1%), no significant knockdown of Kou RR females occurred within 24 h. Permethrin irritancy to An. gambiae was assessed by comparing 'time to first take-off' (TO) for females. The standard TO50 and TO95 values for Kisumu SS on untreated paper were 58 and 1044 s, respectively, vs. 3.7 and 16.5 s on 1% permethrin. For Kou RR females the comparable values were 27.3 s for TO50 and 294 s for TO95, with intermediate RS values of 10.1 s for TO50 and 71.9 s for TO95. Thus, TO values for RS were 2.7-4.4 times more than for SS, and those for RR were 7-18 times longer than for SS. Experiments with pyrethroid-impregnated nets were designed to induce hungry female mosquitoes to pass through holes cut in the netting. Laboratory 'tunnel tests' used a bait guinea-pig to attract mosquitoes through circular holes (5 x 1 cm) in a net screen. With untreated netting, 75-83% of laboratory-reared females passed through the holes overnight, 63-69% blood-fed successfully and 9-17% died, with no significant differences between SS and RR genotypes. When the netting was treated with permethrin 250mg ai/m2 the proportions that passed through the holes overnight were only 10% of SS vs. 40-46% of RR (Tola & Kou); mortality rates were 100% of SS compared with 59-82% of RR; bloodmeals were obtained by 9% of Kou RR and 17% of Tola RR, but none of the Kisumu SS females. When the net was treated with deltamethrin 25 mg ai/m2 the proportions of An. gambiae that went through the holes and blood-fed successfully were 3.9% of Kisumu SS and 3.5% of Yaokoffikro field population (94% R). Mortality rates were 97% of Kisumu SS vs. 47% of Yaokoffikro R. Evidently this deltamethrin treatment was sufficient to kill nearly all SS and half of the Yaokoffikro R An. gambiae population despite its high kdr frequency. Experimental huts at Yaokoffikro were used for overnight evaluation of bednets against An. gambiae females. The huts were sealed to prevent egress of mosquitoes released at 20.00 hours and collected at 05.00 hours. Each net was perforated with 225 square holes (2 x 2 cm). A man slept under the net as bait. With untreated nets, only 4-6% of mosquitoes died overnight and bloodmeals were taken by 17% of SS vs. 29% of Yaokoffikro R (P<0.05). Nets treated with permethrin 500 mg/m2 caused mortality rates of 95% Kisumu SS and 45% Yao R (P<0.001) and blood-feeding rates were reduced to 1.3% of SS vs. 8.1% of Yao R (P<0.05). Nets treated with deltamethrin 25 mg/m2 caused mortality rates of 91% Kisumu SS and 54% Yao R (P<0.001) and reduced blood-feeding rates to zero for SS vs. 2.5% for Yao R (P>0.05). (ABSTRACT TRUNCATED)

Animals↗
PubMed2000

[Impact of pyrethrin resistance on the efficacity of impregnated mosquito nets in the prevention of malaria: results of tests in experimental cases with deltamethrin SC].

The effects of impregnated bednets treated with deltamethrin at a dosage of 25 mg a.i./m2 were evaluated at two testing stations in Côte d'Ivoire. The first one was located in Yaokoffikro, where Anopheles gambiae s.s. are resistant to pyrethroids (including deltamethrin), and the second in M'be, close to a large rice-growing area where An. gambiae s.s. are susceptible pyrethroids. In both situations, treating bednets with deltamethrin was very effective in limiting contact between man and vector. 72% fewer female An. gambiae entered the huts in the susceptible area, whereas a decrease of 43% was recorded in the resistant area, indicating that deltamethrin still has a certain repellent effect on resistant populations of An. gambiae s.s. Overall mortality induced by bednets treated with insecticide was significantly higher in the resistant area (56.4% as versus 44.3%). An explanation for this apparent paradox is that the mosquitoes being less repelled by the insecticide remain on the treated material for longer periods of time and most of them eventually die. The results of this study indicate that bednets treated with deltamethrin are an effective prophylactic measure even in areas where An. gambiae s.s. are resistant to pyrethroids and should still be considered as a practical means of personal protection against malaria even in pyrethroid resistance areas with high frequency of kdr resistance genes.

Animals↗
PubMed1999

Imaging Trypanosoma cruzi within tissues from chagasic patients using confocal microscopy with monoclonal antibodies.

Confocal fluorescence microscopy combined with differential interference contrast imaging of tissues from chagasic patients enabled the unequivocal identification of the parasite Trypanosoma cruzi. Using different monoclonal antibodies that indicate the parasite form and replication stage in conjunction with DNA labelling, specimens derived from distinct clinical forms of the disease were examined. Intracellular amastigote forms of the parasite were clearly detected in heart, brain, skin, lung, and kidney. Dividing amastigotes as well as trypomastigote forms were recognized in samples obtained from patients undergoing either acute-phase or some form of reactivation caused by immunosuppression.

Adult↗
PubMed1999

[Laboratory evaluation of alpha-cypermethrin insecticide efficacy on Anopheles gambiae populations of Côte d'Ivoire resistant to permethrin and deltamethrin].

Susceptibility tests were carried out in laboratory conditions to evaluate the efficacy of alpha-cypermethrin (a synthetic pyrethroid never used in Côte d'Ivoire) for malaria vector control. Five wild populations of Anopheles gambiae originating from M'bé, Yaokoffikro, Korhogo, Kafiné and Daola and two laboratory reared strains (Kisumu susceptible and Kou permethrin resistant selected strain) were tested. The diagnostic dosage of alpha-cypermethrin for the sensitive strain Kisumu was 2.5 x 10(-3)%. A comparative study of the susceptibility of samples of wild populations of An. gambiae was carried out according to the WHO standard susceptibility test. Impregnated papers with 4% DDT, 0.25% permethrin, 0.025% deltamethrin and 0.0025% alpha-cypermethrin were used. The results showed that except for mosquitoes from M'bé, all the other populations were resistant to these insecticides. Bioassays were carried out with alpha-cypermethrin at the operational dosage of 20 mg a.i./m2 on the same population and laboratory reared strains. The results showed the efficacy of this insecticide on both the Kisumu strain and the population from M'bé, a maintained efficacy for the Daloa, Kafiné and Korhogo mosquito populations, but the wild anopheline population from Yaokoffikro clearly appeared fully resistant.

Animals↗
PubMed1999

Pyrethroid cross resistance spectrum among populations of Anopheles gambiae s.s. from Côte d'Ivoire.

Field samples of Anopheles gambiae s.s. from Côte d'Ivoire were tested with 5 pyrethroids (cyfluthrin, lambda-cyhalothrin, alpha-cypermethrin, deltamethrin, permethrin), 1 pseudo-pyrethroid (etofenprox), and an organochlorine (DDT). With the use of World Health Organization diagnostic tests, 5 out of 6 samples were found cross-resistant to these insecticides. A strong decrease in knockdown effect and mortality was also observed when testing deltamethrin-impregnated nettings. With a polymerase chain reaction amplification of specific alleles diagnostic test, resistance was found associated with the presence of a kdr mutation. The strong correlation between kdr allelic frequency and resistance to DDT or etofenprox indicated that kdr was the main resistance factor for these 2 insecticides. On the contrary, a lower correlation was observed between kdr frequency and resistance to 4 of the 5 pyrethroids tested, suggesting that another mechanism was also involved, likely a metabolic detoxification. These results point out the necessity to monitor pyrethroid resistance and the presence of kdr before implementation of any impregnated bed-net programs for malaria control.

Alleles↗
PubMed1999

[ The aggressive cycle of Anopheles gambiae s.s. inside houses and malaria transmission in the Bouake region (Côte d'Ivoire). Value of using impregnated mosquito nets].

The biting indoor cycle of Anopheles gambiae s.s. was studied in a rural zone near Bouaké from 6 pm to 6 am. The cycle was characterized by a peak between midnight and 1 am (n = 19,181). The parturity rate of biting females regularly increased from 6 pm until 3 am, then remained at a high level up to 6 am (n = 14,239). Infected bites were observed from 7 pm to 6 am with a maximum between 0 and 3 am, and 96.7% of them were obtained between 11 pm and 4 am (n = 219). It appears that malaria transmission occurs essentially at the moment when villagers are in bed. The correct use of impregnated bed nets may thus greatly reduce malaria transmission.

Animals↗
PubMed1999

Diversity of malaria in rice growing areas of the Afrotropical region.

It is well known that 'in many instances the rice agrosystem perfectly fits the ecological requirements of pathogens or vectors' and in fact 'malaria, schistosomiasis and Japanese encephalitis are important vector-borne diseases associated with rice production in developing countries' (IRRI, 1987). In spite of these fears, rice cultivation has been on the increase in the African region in response to demographic and economic pressures. However, although rice fields provide suitable breeding places for Anopheles mosquitoes and rice cultivation leads to an increase in the biting rates, the species which are adapted to these sites are not the same in all parts of Africa. Several examples illustrate this phenomenon: An. funestus in the rice fields of Madagascar, An. pharoensis in saline water rice fields in the delta of the Senegal river, An. arabiensis in northern Cameroon and Burundi, An. gambiae Mopti form in the Kou Valley (Burkina Faso) and An. gambiae Savanna form in the rice fields of Kafine near Bouaké (Côte d'Ivoire). The vectorial capacities of these species are not the same and malaria inoculation rates are not necessarily increased in the riceland agroecosystem. The consequences for malaria of introducing rice cultivation depend on the situation before its introduction: it could be worsened in unstable malaria areas but not in stable malaria areas. Therefore, sound epidemiological and entomological knowledge are needed before causing any environmental modifications for agricultural purposes and there should be regular monitoring to avoid any outbreak.

Burkina Faso↗
PubMed1999

Current distribution of a pyrethroid resistance gene (kdr) in Anopheles gambiae complex from west Africa and further evidence for reproductive isolation of the Mopti form.

In the field, the kdr mutation, involved in pyrethroid resistance, has been found widely distributed in the Savanna form of Anopheles gambiae s.s., but never in wild populations of the Mopti form or An. arabiensis, even in areas where both occur in sympatry with resistant Savanna populations. Under laboratory conditions, Mopti and Savanna forms were fully able to interbreed and the kdr mutation was transmissible from one form to the other. Both forms appeared to be exposed to pyrethroid selection pressure in the field. The absence of the kdr mutation in the Mopti form and the total lack of Mopti-Savanna heterozygotes in field populations provides further evidence of a pre-copulatory barrier to gene flow between these two forms. Molecular markers, including kdr, are powerful tools for studying population genetics and circulation of resistance genes, and should be used through an integrated approach for a better understanding of the speciation process.

Africa, Western↗
PubMed1999

The kdr pyrethroid resistance gene in Anopheles gambiae: tests of non-pyrethroid insecticides and a new detection method for the gene.

The organophosphate pirimiphos-methyl and the carbamate carbosulfan were evaluated in comparison to the pyrethroid alphacypermethrin and the 'near-pyrethroid' etofenprox against pyrethroid resistant Anopheles gambiae and Culex spp. in an experimental hut station located in central Côte d'Ivoire. Bednets were impregnated with the above mentioned compounds and randomly allocated to the huts. On 40 consecutive mornings, after sleepers had occupied the huts overnight, mosquitoes were collected from the huts, identified and scored as live or dead (including delayed mortality). An. gambiae s.l. that had been collected were tested for the presence of the kdr allele in heterozygous or homozygous form. Both non-pyrethroid treatments caused very high mortality, whereas mortality with alpha-cypermethrin and etofenprox generally did not differ from the levels observed with untreated control nets in this experiment. The nets had holes cut in them and there was considerable bloodfeeding on the sleepers, which was only significantly reduced for An. gambiae by carbosulfan and alpha-cypermethrin. PCR genotyping suggested that there was selection for the kdr resistance allele by the pyrethroid treated nets. Organophosphates and carbamates may therefore present an alternative to be used on bednets especially in areas of pyrethroid resistance, but the safety of these insecticides will have to be carefully considered.

Alleles↗
PubMed1999

[Efficacy of permethrin-impregnated Olyset Net mosquito nets in a zone with pyrethroid resistant vectors. I--Entomologic evaluation].

The efficacy of permethrin-treated Olyset Net mosquito nets on malaria transmission and morbidity was studied in Kafine, a village located in the savanna region of the Cote d'Ivoire in Africa. After collecting sociodemographic, entomological, and parasitological data, bednets were distributed first in the southern half of the village and then in the whole village. Throughout the study period, mosquito specimens were captured on the skin of inhabitants at four points in the village between 6 PM and 6 AM both inside (but outside bednets) and outside houses. Prior to distribution of bednets, the mean biting rate (MBR) by Anopheles gambiae was 77.4 bites per man per night (b/m/n). The mean parturity rate (MPR) was 40.6 p. 100, the sporozootic index (SI) was 0.99 p. 100, and the mean entomological inoculation rate (MEIR) was 0.7 infectious bites per man per night (b+/m/n). Six months after distribution of bednets in the southern half of the village, MBR was 80.2 b/m/n, MPR was 32 p. 100, SI was 1.8 p. 100, and MEIR was 0.83 b+/m/n. After extending distribution to the whole village, data from November 1996 to July 1997 were as follows: MBR, 67.8 b/m/n; MPR, 20.1 p. 100; SI, 0.65 p. 100; and MEIR, 0.66 p. 100. From August 1977 to July 1998, data were as follows: MBR, 102.6 b/m/n; MPR, 26.2 p. 100; SI, 1.15 p. 100; and MEIR, 0.74 b+/m/n. Comparative analysis of these data showed that use of bednets had no effect on the bite or entomological inoculation rate. This is in agreement with the documented resistance of vectors in the study zone to permethrin. Despite the known stimulation/repulsion effect of permethrin, use of treated bednets had no real impact on transmission. This inefficacy could be related to the high prevalence (80 p. 100) of the Kdr gene (responsible for resistance) in the savanna form of Anopheles gambiae.

Adolescent↗
PubMed1999

[Efficacy of permethrin-impregnated Olyset Net mosquito nets in a zone with pyrethroid resistance vectors. II. Parasitic and clinical evaluation].

The efficacy of permethrin-treated Olyset Net mosquito nets in preventing transmission and morbidity of malaria was studied in Kafine, a village in the rice-growing region of the Cote d'Ivoire. Entomological data demonstrated that permethrin-treated mosquito nets failed to reduce transmission of malaria. Laboratory tests showed that Anopheles gambiae s.s. in Kafine were resistant to permethrin and other pyrethroids. Study included a cohort of 163 children under five years of age who did or did not use mosquito nets. The number of patients seeking treatment for malaria attacks with fever was recorded weekly. No difference was found between the user and non-user groups with regard to the percentage of children exhibiting Plasmodium flaciparum trophozoites or gametocytes or to the mean parasite load. However the rate of high density parasitemia and malaria attacks was twice as high in the non-user group. This difference between users and non-users of mosquito nets cannot be explained only as the result of a physical barrier against bites. In areas where mosquitoes are resistant to pyrethroids, tests conducted in experimental huts have shown that impregnated mosquito nets reduce host/vector contact. However further study will be need to evaluate the overall impact of impregnated nets on malaria in the areas where mosquitoes are resistant to insecticides.

Animals↗
PubMed1998

Effect of chloroquine prophylaxis during pregnancy on maternal haematocrit.

Two controlled trials of chloroquine prophylaxis during pregnancy were performed, one in Burkina Faso in 1987, on all pregnant women, and the other in Cameroon in 1992, on primigravidae only. Maternal haematocrit at delivery was found to be significantly higher in those women who had received chloroquine than in those who had not, both in Burkina Faso (37.4% v. 36.5%; P = 0.01) and in Cameroon (34.8% v. 32.8%; P = 0.02). Anaemia, defined as an haematocrit of < 30%, was also less common in those treated with chloroquine (6.3% v. 8.5% in Burkina Faso and 8.3% v. 18.4% in Cameroon) but this difference was not significant in either country. A slight improvement in haematological status when prophylaxis is given has also been observed in similar studies performed in other tropical countries. The present results confirm the usefulness of targeting antimalarial prophylaxis at pregnant women. Such prophylaxis during the first pregnancy also increases birthweight.

Anemia↗
PubMed1998

[Protection of travellers against biting arthropod vectors].

Several diseases are transmitted by hematophageous insect/arthropod and, except for yellow fever and Japanese B encephalitis, there are still no vaccines. Personal protection therefore remains the choice method for disease prevention and can usefully complete chemoprophylaxis if available (such as for malaria). Personal protection can be ensured by three main methods: avoiding risky areas; using repellents on skin and/or garments; using pyrethroids insecticide on garments (permethrin), mosquito nets (several Pyr. available) and any other materials (curtains etc.) including camping tents, plasting "UN sheeting" used in refugees camps etc. Repellent gave some protection for few hours (# 6 hours) and new formulations have been developed to extend their duration. Great care must be taken when using DEET which is not recommended for children and pregnant women. Coils and mats can be used but care must also be taken when using some coils available on local market and which can often be irritating and useless. Mosquito nets impregnated with an insecticide remains the choice method of protection against night-biting insects such as anopheles and is a good way of preventing malaria. Insecticide must be used according to safety measures clearly indicated (or which must be clearly indicated) by companies. All these measures are efficient and must be selected according to local conditions and human behaviour. Travelling is not "risky" but 3 points must be kept in mind: accurate advice must be sought before travelling; this advice must be followed while persuing a "normal life"; a physician must be consulted in case of any trouble during and after the trip.

Animals↗
PubMed1998

[Impact of resistance of Anopheles gambiae s.s. to permethrin and deltamethrin on the efficacy of impregnated mosquito nets].

Trials to assess the impact of resistance of Anopheles gambiae s.s. to permethrin and deltamethrin on the efficacy of insecticide-treated bednets were carried out from October 1997 to April 1998 in six experimental huts at the Yaokoffikro testing station in Côte d'Ivoire. Six polyester bednets were used. Two bednets were treated with permethrin at a dose of 500 mg/m2 and two with deltamethrin at 25 mg/m2. The remaining two untreated bednets served as controls. The number of Anopheles gambiae s.s. entering the hut was reduced 18% with permethrin-treated bednets and 43% with deltamethrin-treated bednets. Threefold fewer female mosquitoes were found under insecticide-treated bednets than under untreated nets (controls). The number of mosquitoes passing through the treated net was threefold lower. The number of mosquitoes exiting from the treated bednets increased twofold. The blood-feeding rate dropped by 55%. Forty percent of mosquitoes entering the permethrin-treated bednets and 56% entering the deltamethrin-treated bednets died. Immediate mortality was always greater (> 85%) than delayed mortality (< 15%). Bioassays confirmed the results from hut experiments. A lower knockdown effect was recorded with permethrin in the resistant strain. Conversely deltamethrin showed the same knockdown effects in the susceptible (Kisumu) and resistant (Yaokoffikro) strain. Mortality rates were low with both permethrin and deltamethrin. This study shows that, even in areas where Anopheles gambiae s.s. is resistant to permethrin and deltamethrin, bednets treated with these insecticides remain effective and can still be considered as an excellent method of personal protection.

Animals↗
PubMed1998

Evolution of malaria in Africa for the past 40 years: impact of climatic and human factors.

Different malarial situations in Africa within the past 40 years are discussed in order to evaluate the impact of climatic and human factors on the disease. North of the equator, more droughts and lower rainfall have been recorded since 1972; and in eastern and southern Africa, there have been alternating dry and wet periods in relation to El Niño. Since 1955, the increase in human population from 125 to 450 million has resulted in both expansion of land cultivation and urbanization. In stable malaria areas of West and Central Africa and on the Madagascar coasts, the endemic situation has not changed since 1955. However, in unstable malaria areas such as the highlands and Sahel significant changes have occurred. In Madagascar, cessation of malaria control programs resulted in the deadly epidemic of 1987-88. The same situation was observed in Swaziland in 1984-85. In Uganda, malaria incidence has increased more than 30 times in the highlands (1,500-1,800 m), but its altitudinal limit has not overcome that of the beginning of the century. Cultivation of valley bottoms and extension of settlements are in large part responsible for this increase, along with abnormally heavy rainfall that favored the severe epidemic of 1994. A similar increase in malaria was observed in neighboring highlands of Rwanda and Burundi, and epidemics have been recorded in Ethiopia since 1958. In contrast, in the Sahel (Niayes region, Senegal), stricken by droughts since 1972, endemic malaria decreased drastically after the disappearance of the main vector, Anopheles funestus, due to the destruction of its larval sites by cultivation. Even during the very wet year of 1995. An funestus did not reinvade the region and malaria did not increase. The same situation was observed in the Sahelian zone of Niger. Therefore, the temperature increase of 0.5 degree C during the last 2 decades cannot be incriminated as a major cause for these malaria changes, which are mainly due to the combination of climatic, human, and operational factors.

Africa South of the Sahara↗
PubMed1997

Comparison of three sampling methods of man-biting anophelines in order to estimate the malaria transmission in a village of south Cameroon.

In order to get an accurate measure of malaria transmission by mean of human bait attraction, three methods of catches for human-bail mosquitoes were compared in a Cameroonian village of high anopheline density. These three methods were 1) the classical human landing catches where the man was in the same time bait and catcher, 2) the single-nets which acted as a trap and 3) the double-nets where the outer net acted as a trap and the inner avoided mosquito bites. The anopheline densities per man with human landings were 1.6 time higher than those obtained with single-nets, these later being 4.7 times higher than those obtained with double-nets. In the three methods, the results were similar for the anophelines species catched and for their respective proportions. The samples of Anopheles nili and An. gambiae had comparative parity rates and sporozoitic indexes. From these results, in order to estimate the malaria transmission it can be envisaged to change the standard human-bait catch for the human-baited single bed-net catch; on the contrary the double-net have to be discarded because of their poor results.

Animals↗
PubMed1997

[Individual protection against insect vectors].

Many diseases for which no vaccine is available are transmitted by insect and arthropod vectors, the main exceptions being yellow fever and Japanese encephalitis B. Treatment is less and less effective due to the development of chemoresistance to therapeutic and prophylactic drugs as is well-illustrated by malaria. One of the best methods of preventing these diseases is personal protection against insect bites. Personal protection measures can be divided into three categories which can be used separately or in combination : application of repellents to the skin, wearing clothes impregnated with insecticides, and use of bed nets and other barriers impregnated with insecticides. The choice of method depends on the type of insect vector involved. For insects that are active during the day or at dusk, application of repellents to the skin gives good short-term protection and wearing impregnated clothes is useful. Bed nets that have been properly impregnated with pyrethroids are highly effective for night-time protection. Since personal protection methods are not 100% effective, they must be used in association with chemoprophylaxis according to medical guidelines. Medical advice should be sought if fever should occur especially after returning from a trip in the tropics.

Animals↗