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Changes in the epidemiology of plague in Egypt, 1899-1951.

The author of this article discusses the epidemiology of plague in Egypt from its reintroduction in that country in 1899 until 1951. Dealing first with the period 1899-1945, before the introduction of DDT, he notes that plague was first reported in the ports and then spread rapidly inland; in contrast with previous epidemics, the prevalence was greater in Upper than in Lower Egypt. By 1937 the whole of Lower Egypt had become free of the disease, which, however, persisted in endemo-epidemic form in Upper Egypt until 1941.The reasons for the slighter severity of this third plague pandemic in Egypt compared with the previous history of the disease there are discussed, particularly in connexion with the role played by rodents. Details of the number of rats captured and of flea indices are given for the years from 1937 onwards.In 1941 a scheme was introduced for the control of rats in river and canal craft in order to prevent the spread of plague inland from the ports. The details of this scheme are given, and the significant fact is noted that no case of plague was reported inland from 1941 to 1945 despite an outbreak during that time in the Suez Canal Zone.Turning to the period 1946-51, after the introduction of DDT, the author discusses the Alexandria epidemic of 1946-47, giving rat and flea counts and describing the control methods adopted, which included the use of poison baits and DDT. Dusting both persons and rat burrows with DDT has clearly resulted in a sharp decrease in flea indices, and the periodical use of DDT and Gammexane in port areas since 1950 has been shown to yield good results.

Animals↗

Rochalimaea henselae infection. A new zoonosis with the domestic cat as reservoir.

OBJECTIVE: To determine the reservoir and vector(s) for Rochalimaea henselae, a causative agent of bacillary angiomatosis (BA) and cat scratch disease, and to estimate the percentage of domestic cats with R henselae bacteremia in the Greater San Francisco Bay Region of Northern California. DESIGN: Hospital-based survey of patients diagnosed with BA who also had significant exposure to at least one pet cat, as well as a convenience sampling of pet or impounded cats for prevalence of Rochalimaea bacteremia. SETTING: Community and university hospitals and clinics; veterinary clinics treating privately owned or impounded cats. PATIENTS: Patients with or without human immunodeficiency virus infection, with biopsy-confirmed BA, who had prolonged exposure to pet cats prior to developing BA. MAIN OUTCOME MEASURES: Cultures and laboratory studies were performed on blood drawn from pet cats associated with patients with BA. The Rochalimaea species infecting pet cats and fleas and causing the BA lesions in human contacts of these cats was identified by culture, polymerase chain reaction-restriction fragment length polymorphism analysis, and DNA sequencing. The presence of R henselae bacteremia in pet cats was documented, and predictor variables for culture positivity were evaluated. RESULTS: Four patients diagnosed with BA who had prolonged contact with seven pet cats were identified. The Rochalimaea species causing BA lesions in these patients was determined to be R henselae. The seven pet cats were found to be bacteremic with R henselae; this bacterium was also detected in fleas taken from an infected cat by both direct culture and polymerase chain reaction. Blood samples were cultured from pet and impounded cats (N = 61) in the Greater San Francisco Bay Region, and R henselae was isolated from 41% (25/61) of these cats. CONCLUSION: We have documented that the domestic cat serves as a major persistent reservoir for R henselae, with prolonged, asymptomatic bacteremia from which humans, especially the immunocompromised, may acquire potentially serious infections. Antibiotic treatment of infected cats and control of flea infestation are potential strategies for decreasing human exposure to R henselae.

Adult↗

Family pesticide use in the home, garden, orchard, and yard.

This study examined family use of pesticides in the home, garden, orchard, and yard. Data were collected from 238 families in Missouri during telephone interviews from June 1989 to March 1990. Nearly all families (97.8%) used pesticides at least one time per year and two thirds used pesticides more than five times per year. More than 80% used pesticides during pregnancy and 70% used pesticides during the first 6 months of a child's life. The most common setting for family pesticide use was in the home, where 80% of families used pesticides at least once per year. This was followed by herbicide use to control yard weeds (57% of families) and insecticide use to control fleas and ticks on pets (50% of families). A substantial number of families also used pesticides in the garden or orchard (33%). Flea collars were the most popular pest control product (50% of families). Carbaryl or Sevin was also popular, with 28.2% of families reporting use. No-pest-strips (dichlorvos) and Kwell shampoo (lindane) were used by almost 10% of participating families. Examination of study data revealed that families limited exposure to pesticides for the mother during pregnancy and for children during the first 6 months of life. Families failed to recognize and reduce pervasive exposures associated with no-pest-strips and flea collars.

Animals↗

Investigations on the biology, epidemiology, pathology and control of Tunga penetrans in Brazil: IV. Clinical and histopathology.

Tungiasis is a parasitic skin disease caused by the sand flea Tunga penetrans. This ectoparasitosis is endemic in South America, the Caribbean and sub-Saharan Africa, where it is an important but neglected health problem in resource-poor communities. As part of a study of tungiasis-related morbidity in a typical slum in Fortaleza, Brazil, we identified 86 individuals with tungiasis. Lesions were counted, classified according to the stage of development, and clinical pathology was documented. One hundred and nine lesions were biopsied and examined by histological sectioning. The patients had between 1 and 145 lesions (median 14.5), the majority occurring in clusters. In all, 77% of patients reported severe pain at the site of the lesion, and 52% had one or more nails lost or severely deformed. Intense inflammation and/or fissures hindered 45% of the patients from walking normally. Signs of superinfection were observed in 29%, and signs of generalized inflammation in 2% of patients. Clinical pathology was significantly related to the number of lesions, and the total number of parasites present correlated with the number of fleas occurring in clusters. Clinical pathology was frequently accompanied by a pathological alteration of the epidermis (predominantly hyperplasia, parakeratosis, hyperkeratosis, and spongiosis) and the dermis. Tungiasis causes a broad spectrum of clinical histopathological alterations, and is a serious health threat in a typical, impoverished community in northeast Brazil. The clinical pathology is closely related to the parasite burden of an individual and the clustering of embedded fleas at certain predilection sites.

Adolescent↗

The first outbreak of human plague in Lushoto district, north-east Tanzania.

A one-week investigation was performed at Mkunki and Mavumo (ward of Shume, Lushoto district, Tanzania) at the time of outbreak (June, 1980). Rodents, people, domestic dogs and fleas were examined, 36 rats, mostly Rattus rattus, were caught and used in serological and bacteriological analysis for plague. 48 fleas, mostly Xenopsylla brasiliensis, were collected from the captured rodents. 413 people and 11 dogs were examined. All rodent, carnivorous and human sera were tested for plague antibodies, using the Passive Haemagglutination (PHA) test. Similarly protein extracts from rodent organs were tested for Yersinia pestis fraction I. Impression smears prepared from these organs were stained with methylene blue and examined for presence of bipolar bacteria. Bacteriological isolation of Y. pestis was performed on bubo aspirates and/or blood samples of ten patients. Over-all total and infested flea indices of rodents were 1.3 and 3.7, respectively. Bipolar organisms were demonstrated in 13.3% of the rodent smears while specific agglutinating plague antibodies were detected in 3.3% of the tested rodent sera. Y. pestis fraction I antigen was detected in 8.3% of the rodents. Of all the human sera tested, 1.4% contained specific plague antibodies. Y. Pestis was bacteriologically isolated and biochemically confirmed in 16.7% of the cultured specimens. All the dog sera were negative for plague. It was generally concluded that the causative agent of the outbreak was Yersinia pestis and that the disease probably spread from Rongai (Rombo district).

Adolescent↗

18S rDNA sequences and the holometabolous insects.

The Holometabola (insects with complete metamorphosis: beetles, wasps, flies, fleas, butterflies, lacewings, and others) is a monophyletic group that includes the majority of the world's animal species. Holometabolous orders are well defined by morphological characters, but relationships among orders are unclear. In a search for a region of DNA that will clarify the interordinal relationships we sequenced approximately 1080 nucleotides of the 5' end of the 18S ribosomal RNA gene from representatives of 14 families of insects in the orders Hymenoptera (sawflies and wasps), Neuroptera (lacewing and antlion), Siphonaptera (flea), and Mecoptera (scorpionfly). We aligned the sequences with the published sequences of insects from the orders Coleoptera (beetle) and Diptera (mosquito and Drosophila), and the outgroups aphid, shrimp, and spider. Unlike the other insects examined in this study, the neuropterans have A-T rich insertions or expansion regions: one in the antlion was approximately 260 bp long. The dipteran 18S rDNA evolved rapidly, with over 3 times as many substitutions among the aligned sequences, and 2-3 times more unalignable nucleotides than other Holometabola, in violation of an insect-wide molecular clock. When we excluded the long-branched taxa (Diptera, shrimp, and spider) from the analysis, the most parsimonious (minimum-length) trees placed the beetle basal to other holometabolous orders, and supported a morphologically monophyletic clade including the fleas+scorpionflies (96% bootstrap support). However, most interordinal relationships were not significantly supported when tested by maximum likelihood or bootstrapping and were sensitive to the taxa included in the analysis. The most parsimonious and maximum-likelihood trees both separated the Coleoptera and Neuroptera, but this separation was not statistically significant.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Molecular and physiological insights into plague transmission, virulence and etiology.

Plague is caused by Yersinia pestis, which evolved from the enteric pathogen Y. pseudotuberculosis, which normally causes a chronic and relatively mild disease. Y. pestis is not only able to parasitize the flea but also highly virulent to rodents and humans, causing epidemics of a systemic and often fatal disease. Y. pestis could be used as a bio-weapon and for bio-terrorism. It uses a number of strategies that allow the pathogen to change its lifestyle rapidly to survive in fleas and to grow in the mammalian hosts. Extensive studies reviewed here give an overall picture of the determinants responsible for plague pathogenesis in mammalians and the transmission by fleas. The availability of multiple genomic sequences and more extensive use of genomics and proteomics technologies should allow a comprehensive dissection of the complex of host-adaptation and virulence in Y. pestis.

Animals↗

Identifying risk factors for tungiasis and heavy infestation in a resource-poor community in northeast Brazil.

Tungiasis is a neglected parasitic skin disease caused by penetration of female sand fleas into the epidermis. The ectoparasitosis is widespread in resource-poor communities in South America, the Caribbean and sub-Saharan Africa. To identify risk factors for the presence of sand fleas and severe infestation in an endemic community, we examined the entire population of a traditional fishing village for the presence of embedded sand fleas and determined the number and type of lesions. Demographic, behavioural and environmental characteristics of the population were assessed using a structured questionnaire. Multivariable analysis showed that both occurrence of tungiasis and heavy infestation were significantly related to poor housing conditions (odds ratio [OR]=4.7, 95% CI 1.4-15.8), lack of health education (OR=4.1, 95% CI 2.0-8.6) and presence of animals on the compound (OR=1.9, 95% CI 1.1-3.4). Contrary to common belief, a protective effect of frequent use of closed footwear could not be demonstrated. Based on the population attributable fractions calculated for the major risk factors identified, we conclude that several low-cost interventions would have a considerable impact on the occurrence of tungiasis and heavy infestation.

Adolescent↗

Comparative speed of kill between nitenpyram, fipronil, imidacloprid, selamectin and cythioate against adult Ctenocephalides felis (Bouché) on cats and dogs.

Speed of kill and percentage kill of nitenpyram (CAPSTAR) was compared to fipronil (Frontline) spot-on), imidacloprid (Bayvantage/Advantage), selamectin (Stronghold/Revolution) and cythioate (Cyflee) against adult fleas on cats and dogs 3 and 8h post-treatment. Selamectin was used on dogs only; cythioate was used on cats only. Groups of eight cats and eight dogs (four males and four females each) were experimentally infested with 100 unfed fleas 1 day prior to treatment with the test products. One group of cats and one group of dogs served as control. Fleas were collected from four cats and four dogs in each group (two males and two females) by combing 3h after treatment, the remaining four cats or dogs were combed 8h after treatment. In cats cythioate treatment resulted in a mean efficacy of 62.4 and 97.4% at 3 and 8h post-treatment, respectively. Imidacloprid efficacy at the same times was 26.9 and 82.8%, whereas fipronil efficacy was 24.3 and 62.6% efficacy, respectively. In dogs mean efficacy 3 and 8h after treatment with selamectin was 39.7 and 74.4%; with imidacloprid efficacy was 22.2 and 95.7%, respectively and 35.9 and 46.5%, respectively after treatment with fipronil. Nitenpyram was 100% effective in cats and 99.1% effective in dogs within 3h of treatment and 100% effective in cats and dogs within 8h.

Animals↗

Ectoparasite infestations of red foxes (Vulpes vulpes) in Hungary.

A survey was carried out to investigate the ectoparasite infestations of 100 red foxes (Vulpes vulpes) in Hungary. The overall prevalence of flea and tick infestation was high (62 and 86% with the dominance of the anthropophil Pulex irritans and Ixodes ricinus), but the number of parasites was low to moderate. Felicola vulpis was not found in the present study, and the prevalence of Otodectes cynotis was only 2%. Based on prevalence (21%), mange lesion scores, and the negative correlation between lesion scores and condition of foxes, Sarcoptes infestation should be considered as the most important parasitosis of foxes in Hungary. Besides the ecological significance of these parasites, the high overall prevalence of mange and anthropophil flea and tick infestations of foxes and the appearance of these animals in the synanthropic environment as a result of the increasing population size, may result in the increasing incidence of flea, tick and accidental mite infestation of man and domestic animals, and may enhance the transmission rate of some vector-borne diseases.

Animals↗

Transposon-dependent mutant phenotypes at the Notch locus of Drosophila.

Many mutations at complex genetic loci in the fruitfly Drosophila melanogaster are associated with insertions of transposable elements. At the Notch locus, members of one class of insertion-associated mutations, termed glossy-like, produce a recessive viable, smooth-eye phenotype with mottled pigmentation. Members of a second class, facet, produce a recessive viable, rough-eye phenotype with homogeneous pigmentation. Both classes of mutations fail to complement Notch lethal mutations, so they behave as Notch alleles. Here we report that each glossy-like mutation is associated with an insertion of the same transposable element (flea). Each flea insertion occurs in the same orientation, but at different locations within intervening sequences of the Notch locus. In contrast, each facet mutation is associated with insertion of a unique, non-flea, transposable element. Insertions producing a facet phenotype and insertions causing a glossy-like phenotype can break Notch intervening sequences at precisely the same location. This suggests that the type of insertion element rather than its position within an affected gene is the primary determinant of the phenotype observed.

Animals↗

Caenorhabditis elegans: plague bacteria biofilm blocks food intake.

Bubonic plague is transmitted to mammals, including humans, by the bites of fleas whose digestive tracts are blocked by a mass of the bacterium Yersinia pestis. In these fleas, the plague-causing bacteria are surrounded by an extracellular matrix of unknown composition, and the blockage depends on a group of bacterial genes known as the hmsHFRS operon. Here we show that Y. pestis creates an hmsHFRS-dependent extracellular biofilm to inhibit feeding by the nematode Caenorhabditis elegans. Our results suggest that feeding obstruction in fleas is a biofilm-mediated process and that biofilms may be a bacterial defence against predation by invertebrates.

Animals↗

Zoonotic skin diseases of dogs and cats.

Although there are over 250 zoonotic diseases, only 30-40 of them involve dogs and cats. Transmission of zoonotic infections occurs via bites, scratches or touch; exposure to saliva, urine or feces; inhalation of particles or infectious aerosols; contact with a transport or intermediate host (e.g. ticks, fleas); or exposure to contaminated water, soil or vegetation. This paper summarizes the most important common zoonotic dermatological diseases of dogs and cats. The most common dermatological zoonoses are flea and tick infestations and the diseases they transmit; dermatophytosis; and mite infestations (Sarcoptes and Cheyletiella). Prevention of zoonotic infestations or infections can be accomplished easily by the use of routine flea and tick control, screening of new pets for dermatophytosis, and routine hand-washing.

Animals↗

Various hosts of Ctenocephalides felis strongylus.

Infestation of exotic and indigenous breeds of cattle, sheep and goats with Ctenocephalides felis strongylus in a dairy farm is reported. Many of the fleas were engorged with fresh blood. Traps set up in the pens caught two bush rats which were heavily infested with the same flea species, most of which were also engorged with fresh blood. It was suggested that the fleas might have been introduced into the pens by rodents such as bush rats.

Animals↗

Parasitic arthropods of sympatric meadow voles and white-footed mice at Fort Detrick, Maryland.

Twelve species of parasitic arthropods (one sucking louse, two fleas, one tick, and eight mites) were recovered from 51 meadow voles, Microtus pennsylvanicus (Ord); whereas nine species (one sucking louse, one bot, three fleas, one tick, and three mites) were collected from 48 white-footed mice, Peromyscus leucopus (Rafinesque), live-trapped on the grounds of Fort Detrick, Frederick County, MD., during 1990 and 1991. The most commonly collected arthropods from M. pennsylvanicus were the fur mite, Listrophorus mexicanus Fain (approximately 2,720 specimens); the tropical rat mite, Ornithonyssus bacoti (Hirst) (987); the laelapid mites, Laelaps kochi Oudemans (733) and Androlaelaps fahrenholzi (Berlese (322); the sucking louse, Hoplopleura acanthopus (Burmeister) (121); the tick, Dermacentor variabilis (Say) (47); and the chigger mite, Neotrombicula whartoni (Ewing) (45). Arthropod densities were lower on P. leucopus, from which the most frequently recorded species were the sucking louse, Hoplopleura hesperomydis (Osborn) (98 specimens); the fleas, Epitedia wenmanni (Rothschild) (85) and Orchopeas leucopus (Baker) (61); and the mite, A. fahrenholzi (83). Although six species of arthropods parasitized both species of rodents, only two of these, A. fahrenholzi and D. variabilis, were relatively common on both hosts. Therefore, although the habitats of both host species partially overlap, their associated parasitic arthropods remain principally host specific. The potential significance of these findings with respect to vector-borne disease transmission is discussed.

Animals↗

Some ectoparasites of commensal rodents from Huambo, Angola.

Eight species of ectoparasites were collected from 166 commensal rodents, including Rattus rattus (L.), Rattus norvegicus (Berkenhout), and Mus musculus (L.), from January to December 1986, in Huambo, Angola. The oriental rat flea, Xenopsylla cheopis (Rothschild), was the predominant species with respect to mean intensity and prevalence. Other fleas collected were Ctenophthalmus (Ethioctenophthalmus) machadoi Ribeiro, Dinopsyllus (Dinopsyllus) smiti Ribeiro, and Echidnophaga gallinacea (Westwood). The mite Laelaps (Echinolaelaps) muricola Trägärdh, the louse Polyplax spinulosa (Burmeister), one species of Ixodes Latreille, and one species of Ornithonyssus Sambon were also recorded. The following represent new host records: C. machadoi from R. rattus and R. norvegicus, D. smiti from M. musculus, and L. muricola from R. rattus and M. musculus. For the first time, the monthly flea indices throughout the year are presented for Angola.

Acari↗

Evidence for the extinction of plague in Hawaii.

Plague (infection by Yersinia pestis) was present in Hawaii for the period 1899-1957 and caused at least 370 fatalities. The first infections came from immigrant commensal rats, probably Rattus rattus and Rattus norvegicus, on ships from the Orient. Both species were already established in Hawaii and became the widespread local carriers of plague, supplemented by Rattus exulans which had colonized the islands in ancient Polynesian times. The flea Xenopsylla vexabilis arrived with R. exulans, and its near relative Xenopsylla cheopis accompanied the ship rats. Following each introduction to port cities, plague subsided after a few years but remained active in rural areas of two islands for nearly 50 years. In Hamakua District on Hawaii, the demise of plague was characterized by its repeated terminal migrations from persistent foci, a rapid decline in expected numbers of infected rats and fleas, and negative serologic evidence from rodent reservoirs and mongooses in massive surveys. The simple biotic system--bacterium, three rodents, and two fleas--appeared unable to maintain the disease over time. Improved sanitation, mechanized agriculture, gradients in rainfall and temperature, and the collapse of reservoir and vector populations during drought are cited as probable factors in the extinction of plague.

Animals↗

Bubonic plague: a metapopulation model of a zoonosis.

Bubonic plague (Yersinia pestis) is generally thought of as a historical disease; however, it is still responsible for around 1000-3000 deaths each year worldwide. This paper expands the analysis of a model for bubonic plague that encompasses the disease dynamics in rat, flea and human populations. Some key variables of the deterministic model, including the force of infection to humans, are shown to be robust to changes in the basic parameters, although variation in the flea searching efficiency, and the movement rates of rats and fleas will be considered throughout the paper. The stochastic behaviour of the corresponding metapopulation model is discussed, with attention focused on the dynamics of rats and the force of infection at the local spatial scale. Short-lived local epidemics in rats govern the invasion of the disease and produce an irregular pattern of human cases similar to those observed. However, the endemic behaviour in a few rat subpopulations allows the disease to persist for many years. This spatial stochastic model is also used to identify the criteria for the spread to human populations in terms of the rat density. Finally, the full stochastic model is reduced to the form of a probabilistic cellular automaton, which allows the analysis of a large number of replicated epidemics in large populations. This simplified model enables us to analyse the spatial properties of rat epidemics and the effects of movement rates, and also to test whether the emergent metapopulation behaviour is a property of the local dynamics rather than the precise details of the model.

Animals↗