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[Medical entomology for the Armed services: preliminary results from the medical entomology unit].

Vector-borne diseases constitutes a threat to the operational capability of armed forces personnel operating outside or stationed overseas. To take this risk into account, the French armed forces medical corps created a medical entomology unit in 2003. The primary function of this unit is to monitor the entomological status of French military bases in sub-Saharan Africa (identification of vectors, study of vector behavior, and measurement of resistance to insecticides) as a means of maintaining an effective vector-control strategy. The French medical entomology unit takes part in the Impact Vector project aimed at evaluating the vector-borne disease risks for troops in combat situations, contributes its expertise to the investigation of epidemic disease, and participates in the development of a global strategy for vector-control for the armed services. To improve understanding and control of vector-borne disease risks, the unit provides basic training in medical entomology to army physicians, veterinarians, and pharmacists as well as to others involved in control programs. The purpose of this article is to present the results of the unit's first activities: investigation of a malaria epidemic that occurred in Ivory Coast in 2003, measurement of malaria exposure over a 4-month period in a combat group on duty in rural Africa, and initial evaluation of control techniques (spraying around living quarters and use of insecticide-impregnated battle dress).

Africa South of the Sahara↗

A simplified model for predicting malaria entomologic inoculation rates based on entomologic and parasitologic parameters relevant to control.

Malaria transmission intensity is modeled from the starting perspective of individual vector mosquitoes and is expressed directly as the entomologic inoculation rate (EIR). The potential of individual mosquitoes to transmit malaria during their lifetime is presented graphically as a function of their feeding cycle length and survival, human biting preferences, and the parasite sporogonic incubation period. The EIR is then calculated as the product of 1) the potential of individual vectors to transmit malaria during their lifetime, 2) vector emergence rate relative to human population size, and 3) the infectiousness of the human population to vectors. Thus, impacts on more than one of these parameters will amplify each other's effects. The EIRs transmitted by the dominant vector species at four malaria-endemic sites from Papua New Guinea, Tanzania, and Nigeria were predicted using field measurements of these characteristics together with human biting rate and human reservoir infectiousness. This model predicted EIRs (+/- SD) that are 1.13 +/- 0.37 (range = 0.84-1.59) times those measured in the field. For these four sites, mosquito emergence rate and lifetime transmission potential were more important determinants of the EIR than human reservoir infectiousness. This model and the input parameters from the four sites allow the potential impacts of various control measures on malaria transmission intensity to be tested under a range of endemic conditions. The model has potential applications for the development and implementation of transmission control measures and for public health education.

Animals↗

[Entomological surveillance in Mauritius].

The entomological surveillance is an essential link in the fight against malaria in Mauritius. Because of the large number of malaria-infected travellers in Mauritius and the presence of the vector Anopheles arabiensis, the risk of local transmission is very real. The medical entomology division together with the malaria control unit and the health appointees exert a rigorous entomological surveillance of malaria. Field agents make entomological investigations of pilot villages and around the harbor and airport, where there have been cases of malaria, in addition to a few randomly chosen regions. All of the inhabited regions are accessible because of a good highway infrastructure, which enables a complete coverage for the entomological prospectives. Entomological controls are also conducted in the airplanes and the ships. All of the captured mosquitos and the harvested larva are transferred to a laboratory for identification, dissection or sensibility tests, etc. The larva of A. arabiensis have not yet developed resistance to Temephos and the adults are still sensitive to DDT. Thus, the larval habitats are treated with Temephos and DDT is sprayed in the residences where there have been native cases of malaria. The entomology division studies the ecology and the evolution of the larval habitats, as well as the impact of the anti-larval fight on the anophelene density. In addition to the chemical fight, a biological control is being tried with larva-eating fish such as Lebistes and Tilapia. In general, the anophelene density in Mauritius is low, but after the big summer rains, especially during a period of cyclones, there is a considerable increase of larval habitats and consequently a higher number of A. arabiensis. Therefore during this season, it is necessary to make an even more rigorous entomological surveillance. A. arabiensis has a strong exophile tendency even if it is endophage and exophage. This mosquito is zoophile, mostly towards cattle, and the zooprophylaxis must have a significant role in the regions with herds of cattle such as the western part of the island. However, the favorite larval habitat of A. arabiensis seems to be water on the flat roofs of solid houses. Therefore, the availability of such larval habitats across the country facilitates the vector-human contact. On the other islands forming part of the state of Mauritius, such as Rodriguez and Agaléga, there are no anopheles and therefore no risk of transmission of malaria. There still are entomological investigations on these islands periodically to assure that there is no accidental introduction of anopheles mosquitos.

Animals↗

A historical review and prospects of medical entomology research in Korea.

Research activities of medical entomology in Korea can briefly be divided into three periods. During the first period (1910-1959), medical entomology research was initiated by Japanese workers, and then by U.S. Army Medical Unit personnels and a few Korean pioneers, who greatly contributed to establishing a foundation for medical entomology in Korea. During the second period (1960-1979), research activities were intensively carried out by the entomology team of the Central Malaria Eradication Service and staffs of the Division of Medical Entomology, National Institute of Health, who collaborated with WHO-Vector Ecology and Control Research Unit. During the third period (1980-present), studies were expanded to different research laboratories, such as Departments of Biology in College of Natural Sciences and Departments of Parasitology or others in Medical Schools, and study topics also became diverse. Out of 313 papers on Korean arthropods of medical importance, the majority were on mosquitoes (142 papers, 45.4%) and, next, on flies (53 papers, 16.9%). It is hard to see the future prospect of medical entomology research in Korea, since it looks pessimistic in some respects but optimistic in others. Korean medical entomologists may be quantitatively lacking, but not qualitatively behind.

Entomology↗

[National entomological teams of the western extension zone of the Onchocerciasis Control Program (OCP) in west Africa from 1986 to 1990].

The western extension area of the Onchocerciasis Control Programme in West Africa (OCP) covers five countries: Guinea, Guinea-Bissau, Mali (western part), Senegal and Sierra Leone. From 1986 to 1990, national teams employed by the respective governments have been regularly collecting entomological data on the vectors of onchocerciasis in these countries. As in the initial programme area of the OCP, the entomological surveillance network was composed of entomological sectors and subsectors (the latter are called "operational bases" in the western extension). In 1990, 308 staff in 47 capture teams were employed for the entomological surveillance activities in seven sectors and twenty-five operational bases. They included a national coordinator as head of the teams for each country, a wide range of technicians, and administrative support staff to assist the national coordinator in the overall management of available resources. The national teams worked under the technical responsibility and supervision of WHO/OCP but with no employee/employer relationship between them and WHO, since they were employed and their salaries were paid by their governments. The OCP, however, paid additional lump sum allowances to each worker, as well as daily subsistence allowances when away from their duty station. Vehicles, entomological equipment, office supplies and furniture, fuel and lubricants were provided by WHO/OCP. Despite the difficulties encountered in the field, which were often great, and their lower salaries (compared with colleagues paid by WHO/OCP), the technical workers in the national teams performed well by OCP standards, with results as satisfactory as those obtained by the WHO/OCP teams in the rest of the programme area. The main reasons for the efficiency and dynamism of the national entomological teams are described. The future of these teams after OCP has ceased its activities is also discussed.

Africa, Western↗

Best practice in forensic entomology--standards and guidelines.

Forensic entomology, the use of insects and other arthropods in forensic investigations, is becoming increasingly more important in such investigations. To ensure its optimal use by a diverse group of professionals including pathologists, entomologists and police officers, a common frame of guidelines and standards is essential. Therefore, the European Association for Forensic Entomology has developed a protocol document for best practice in forensic entomology, which includes an overview of equipment used for collection of entomological evidence and a detailed description of the methods applied. Together with the definitions of key terms and a short introduction to the most important methods for the estimation of the minimum postmortem interval, the present paper aims to encourage a high level of competency in the field of forensic entomology.

Animals↗

Forensic entomology: application, education and research in Western Australia.

Forensic entomology as a science and a tool for investigation has had slow beginnings in Australia. A number of small animal decomposition trials have been recorded in the literature but mostly from an ecological rather than a forensic entomology perspective. In the last 20 years, a number of more forensically orientated field trials on small pigs and some fly developmental trials in the laboratory have been conducted but lack any replication. The following article was presented at an international seminar to detail the current research in forensic entomology, the applications of forensic entomology in scene of crime (SOC) and homicide investigations and the education of police and judiciary in the discipline of forensic entomology in Western Australia over the last 10 years.

Animals↗

Current status of medical and veterinary entomology in France: endangered discipline or promising science?

Following alarming statements (French Senate, Académie des Sciences) on the present situation concerning entomology and systematics in France, the Conseil Général Vétérinaire designated one of us (D.C.) to carry out a survey on the status of medical and veterinary entomology (MVE) with respect to research orientations and university curricula. Around 100 participants, including scientists, teachers and several directors of research and educational bodies, were interviewed and filled in questionnaires for this survey. On the basis of the results, it was concluded that the deterioration of MVE in France is associated with: (1) the hasty reorganisation of training and research in the life sciences, leading to the disappearance of several disciplines. Hence, the postgraduate DEA degree in entomology was eliminated, and even the name 'entomology' no longer appears in teaching programmes or on research contracts; (2) France's withdrawal from action research programmes in developing countries. Although these programmes were efficient in controlling outbreaks of major endemic diseases, integrated pest and vector management programmes have been replaced by basic health care ('Health for everyone in 2000') and vaccination programmes; (3) the general shift from field to laboratory research, focused mainly on molecular mechanisms. The survey results confirmed generally acknowledged trends concerning many points and highlighted several specific problems, such as the disappearance of systematics experts. Several potential solutions are proposed.

Education, Medical↗

A brief history of forensic entomology.

Apart from an early case report from China (13th century) and later artistic contributions, the first observations on insects and other arthropods as forensic indicators were documented in Germany and France during mass exhumations in the late 1880s by Reinhard and Hofmann, whom we propose recognizing as co-founders of the discipline. After the French publication of Mégnin's popular book on the applied aspects of forensic entomology, the concept quickly spread to Canada and the US. At the time, researchers recognized that the lack of systematic observations of forensically important insects stood in the way of their use as indicators of postmortem interval. General advances in insect taxonomy, and ecology helped close this gap over the following decades. Many early case reports dealt with alleged child homicides, including the suspected use of sulphuric acid. In this context, it was shown that ants, cockroaches, and freshwater arthropods could produce postmortem artifacts suggestive of child abuse. After the World Wars, few forensic entomology cases entered the scientific literature. From the 1960s to the 1980s, Leclecq and Nuorteva were primarily responsible for maintaining the method in Central Europe, with a focus on case work. Since then, basic research in the US, Russia and Canada has opened the way to the routine use of entomology in forensic investigations. The following article gives a brief overview of historic developments in the field. A major focus is on the work done between 1850 and 1950. Since sources from that time remain difficult to track down, the article also includes a historic bibliographical overview on forensic entomology of that era.

Animals↗

[Malaria: research perspectives in medical entomology in Madagascar].

The entomological studies on malaria in Madagascar had especially concerned the behavior of vectors in relation to insecticides. The cessation of spraying within the homes and the absence of chloroquine allowed a re-emergence of malaria on the Plateau in the 1980's. This phenomenon pointed out the heterogeneity of the transmission on the island. It was necessary to define the entomological characteristics of the four principal facies of transmission in Madagascar. These studies provided the services of public health with the epidemiological basis to organize the measures of the battle and prevention of malaria. In the very populated countryside of the Plateau, the nature of the vectors, their density and their vectorial competence present large local variations. The entomological studies search to define the different human and environmental factors which modulate the transmission and constitute the risk factors of epidemy. This micro-epidemiological approach will facilitate the analysis and comparison of the clinical and biological results obtained in the different residences. The research on medical entomology will equally enable the proposal of plans for the fight against malaria adapted to the different situations.

Animals↗

Three case studies in forensic entomology from southern Italy.

Three cases of forensic interest regarding the estimation of postmortem interval (PMI) by entomological data are presented. The three cases concerning criminal investigations were performed in Southern Italy by the Entomological Laboratory of the Institute of Forensic Medicine at the University of Bari. For each case the authors present a detailed description of the remains as observed at the crime scene and a description of the arthropods collected from the remains. The PMI estimation was based on comparison of data from autopsy reports (rate of decay), local environmental conditions (temperature, humidity, rainfall) and development times for the immature stages of each species of local arthropod and succession patterns. The collection of insects was performed at the discovery site and during autopsy procedures. In the first case a PMI of 5 to 8 days was established based on the presence of adult specimens of Saprinus aeneus (family Histeridae), and mature larvae of Chrysomya albiceps and Sarcophaga carnaria (3rd instar). In the second case, on the charred remains of a corpse, larvae of Sarcophaga haemorrhoidalis (3rd instar) and Protophormia terraenovae (2nd instar) were observed in different developmental stages, as indicated, giving a PMI of 3 to 4 days based on entomological data. In the third case a PMI of 36 to 48 hours was defined from the evidence of Calliphora vicina 2nd instar on the two burnt bodies. In all cases the entomological evidence alone led to conclusions on PMI.

Adult↗

Forensic entomology.

Necrophagous insects are important in the decomposition of cadavers. The close association between insects and corpses and the use of insects in medicocriminal investigations is the subject of forensic entomology. The present paper reviews the historical background of this discipline, important postmortem processes, and discusses the scientific basis underlying attempts to determine the time interval since death. Using medical techniques, such as the measurement of body temperature or analysing livor and rigor mortis, time since death can only be accurately measured for the first two or three days after death. In contrast, by calculating the age of immature insect stages feeding on a corpse and analysing the necrophagous species present, postmortem intervals from the first day to several weeks can be estimated. These entomological methods may be hampered by difficulties associated with species identification, but modern DNA techniques are contributing to the rapid and authoritative identification of necrophagous insects. Other uses of entomological data include the toxicological examination of necrophagous larvae from a corpse to identify and estimate drugs and toxicants ingested by the person when alive and the proof of possible postmortem manipulations. Forensic entomology may even help in investigations dealing with people who are alive but in need of care, by revealing information about cases of neglect.

Animals↗

Entomologic index for human risk of Lyme disease.

An entomologic index based on density estimates of Lyme disease spirochete-infected nymphal deer ticks (lxodes scapularis) was developed to assess human risk of Lyme disease. The authors used a standardized protocol to determine tick density and infection in numerous forested sites in six Rhode Island towns. An entomologic risk index calculated for each town was compared with the number of human Lyme disease cases reported to the Rhode Island State Health Department for the same year. A strong positive relation between entomologic risk index and the Lyme disease case rate for each town suggested that the entomologic index was predictive of Lyme disease risk.

Animals↗

Entomological aspects of Chagas' disease transmission in the domestic habitat, Argentina.

OBJECTIVE: To study the risk of Trypanosoma cruzi domestic transmission using an entomological index and to explore its relationship with household's characteristics and cultural aspects. METHODS: There were studied 158 households in an endemic area in Argentina. Each household was classified according to an entomological risk indicator (number of risky bites/human). A questionnaire was administered to evaluate risk factors among householders. RESULTS: Infested households showed a wide range of risk values (0 to 5 risky bites/human) with skewed distribution, a high frequency of lower values and few very high risk households. Of all collected Triatoma infestans, 44% had had human blood meals whereas 27% had had dogs or chickens blood meals. Having dogs and birds sharing room with humans increased the risk values. Tidy clean households had contributed significantly to lower risk values as a result of low vector density. The infested households showed a 24.3% correlation between time after insecticide application and the number of vectors. But there was no correlation between the time after insecticide application and T. infestans' infectivity. The statistical analysis showed a high correlation between current values of the entomological risk indicator and Trypanosoma cruzi seroprevalence in children. CONCLUSIONS: The risk of T. cruzi domestic transmission assessed using an entomological index show a correlation with children seroprevalence for Chagas' disease and householders' habits.

Animals↗

Spatial, environmental and entomological risk factors analysis on a rural dengue outbreak in Lundu District in Sarawak, Malaysia.

The objective of this study was to elucidate the association of various risk factors with dengue cases reported in Lundu district, Sarawak, by analyzing the interaction between environmental, entomological, socio-demographic factors. Besides conventional entomological, serological and house surveys, this study also used GIS technology to generate geographic and environmental data on Aedes albopictus and dengue transmission. Seven villages were chosen based on the high number of dengue cases reported. A total of 551 households were surveyed. An overall description of the socio-demographic background and basic facilities was presented together with entomological and geographical profiles. For serological and ovitrap studies, systematic random sampling was used. Serological tests indicated that 23.7% of the 215 samples had a history of dengue, either recent or previous infections. Two samples (0.9%) were confirmed by IgM ELISA and 49 samples (22.8%) had IgG responses. A total of 32,838 Aedes albopictus eggs were collected in 56 days of trapping. Cluster sampling was also done to determine whether any of the risk factors (entomological or geographical) were influenced by geographical location. These clusters were defined as border villages with East Kalimantan and roadside villages along Lundu/Biawas trunk road. The data collected were analyzed using SPSS version 10.01. Descriptive analysis using frequency, means, and median were used. To determine the association between variables and dengue cases reported, and to describe the differences between the two clusters of villages, two-sample t-test, and Pearson's Chi-Square were used. Accurate maps were produced with overlay and density function, which facilitates the map visualization and report generating phases. This study also highlights the use of differential Global Positioning System in mapping sites of 1m accuracy. Analysis of the data revealed there are significant differences in clusters of villages attributable to container density, house density, distance of the house from the main road, and number of Ae. albopictus eggs from ovitraps set indoor, outdoor and in dumping sites (Person's Chi-Square = 6.111, df = 1, p < 0.01). Further analysis using t-test showed that house density, container density, indoor mosquitoes egg count, outdoor mosquitoes egg count, and dumping sites mosquitoes egg count were higher at the roadside villages compared to border villages. A number of potential risk factors including those generated from GIS were investigated. None of the factors investigated in this study were associated with the dengue cases reported.

Aedes↗