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PLOS Neglected Tropical Diseases | 2016

Seasonal Dynamics of Phlebotomine Sand Fly Species Proven Vectors of Mediterranean Leishmaniasis Caused by Leishmania infantum.

Bulent Alten; Carla Maia; Maria Odete Afonso; Lenea Campino; Maribel Jiménez; Estela González; Ricardo Molina; Anne Laure Bañuls; Jorian Prudhomme; Baptiste Vergnes; Céline Toty; Cécile Cassan; Nil Rahola; Magali Thierry; Denis Sereno; Gioia Bongiorno; Riccardo Bianchi; Cristina Khoury; Nikolaos Tsirigotakis; Emmanouil Dokianakis; Maria Antoniou; Vasiliki Christodoulou; Apostolos Mazeris; Mehmet Karakuş; Yusuf Özbel; Suha K. Arserim; Ozge Erisoz Kasap; Filiz Gunay; Gizem Oguz; Sinan Kaynas

Background The recent geographical expansion of phlebotomine vectors of Leishmania infantum in the Mediterranean subregion has been attributed to ongoing climate changes. At these latitudes, the activity of sand flies is typically seasonal; because seasonal phenomena are also sensitive to general variations in climate, current phenological data sets can provide a baseline for continuing investigations on sand fly population dynamics that may impact on future scenarios of leishmaniasis transmission. With this aim, in 2011–2013 a consortium of partners from eight Mediterranean countries carried out entomological investigations in sites where L. infantum transmission was recently reported. Methods/Principal Findings A common protocol for sand fly collection included monthly captures by CDC light traps, complemented by sticky traps in most of the sites. Collections were replicated for more than one season in order to reduce the effects of local weather events. In each site, the trapping effort was left unchanged throughout the survey to legitimate inter-seasonal comparisons. Data from 99,000 collected specimens were analyzed, resulting in the description of seasonal dynamics of 56,000 sand flies belonging to L. infantum vector species throughout a wide geographical area, namely P. perniciosus (Portugal, Spain and Italy), P. ariasi (France), P. neglectus (Greece), P. tobbi (Cyprus and Turkey), P. balcanicus and P. kandelakii (Georgia). Time of sand fly appearance/disappearance in collections differed between sites, and seasonal densities showed variations in each site. Significant correlations were found between latitude/mean annual temperature of sites and i) the first month of sand fly appearance, that ranged from early April to the first half of June; ii) the type of density trend, varying from a single peak in July/August to multiple peaks increasing in magnitude from May through September. A 3-modal trend, recorded for P. tobbi in Cyprus, represents a novel finding for a L. infantum vector. Adults ended the activity starting from mid September through November, without significant correlation with latitude/mean annual temperature of sites. The period of potential exposure to L.infantum in the Mediterranean subregion, as inferred by adult densities calculated from 3 years, 37 sites and 6 competent vector species, was associated to a regular bell-shaped density curve having a wide peak center encompassing the July-September period, and falling between early May to late October for more than 99% of values. Apparently no risk for leishmaniasis transmission took place from December through March in the years considered. We found a common pattern of nocturnal females activity, whose density peaked between 11 pm and 2 am. Conclusions Despite annual variations, multiple collections performed over consecutive years provided homogeneous patterns of the potential behavior of leishmaniasis vectors in selected sites, which we propose may represent sentinel areas for future monitoring. In the investigated years, higher potential risk for L. infantum transmission in the Mediterranean was identified in the June-October period (97% relative vector density), however such risk was not equally distributed throughout the region, since density waves of adults occurred earlier and were more frequent in southern territories.


Ecohealth | 2014

Ecological Niche Modelling of Potential West Nile Virus Vector Mosquito Species and Their Geographical Association with Equine Epizootics in Italy

Lapo Mughini-Gras; Paolo Mulatti; Francesco Severini; Daniela Boccolini; Roberto Romi; Gioia Bongiorno; Cristina Khoury; Riccardo Bianchi; Fabrizio Montarsi; Tommaso Patregnani; Lebana Bonfanti; Giovanni Rezza; Gioia Capelli; Luca Busani

In Italy, West Nile virus (WNV) equine outbreaks have occurred annually since 2008. Characterizing WNV vector habitat requirements allows for the identification of areas at risk of viral amplification and transmission. Maxent-based ecological niche models were developed using literature records of 13 potential WNV Italian vector mosquito species to predict their habitat suitability range and to investigate possible geographical associations with WNV equine outbreak occurrence in Italy from 2008 to 2010. The contribution of different environmental variables to the niche models was also assessed. Suitable habitats for Culex pipiens, Aedes albopictus, and Anopheles maculipennis were widely distributed; Culex modestus, Ochlerotatus geniculatus, Ochlerotatus caspius, Coquillettidia richiardii, Aedes vexans, and Anopheles plumbeus were concentrated in north-central Italy; Aedes cinereus, Culex theileri, Ochlerotatus dorsalis, and Culiseta longiareolata were restricted to coastal/southern areas. Elevation, temperature, and precipitation variables showed the highest predictive power. Host population and landscape variables provided minor contributions. WNV equine outbreaks had a significantly higher probability to occur in habitats suitable for Cx. modestus and Cx. pipiens, providing circumstantial evidence that the potential distribution of these two species coincides geographically with the observed distribution of the disease in equines.


Annals of Agricultural and Environmental Medicine | 2014

Prevalence of tick-borne pathogens in an urban park in Rome, Italy

Fabiola Mancini; Marco Di Luca; Luciano Toma; Fenicia Vescio; Riccardo Bianchi; Cristina Khoury; Luca Marini; Giovanni Rezza; Alessandra Ciervo

INTRODUCTION Limited information is available about the presence of tick-borne pathogens in urban parks in Italy. To fill this gap, ticks were collected in a public park in Rome over a 1-year period and screened by molecular methods for tick-borne pathogens. RESULTS AND CONCLUSION The most abundant tick species were Rhipicephalus turanicus and Ixodes ricinus. The predominant pathogens detected were Borrelia. burgdorferi sensu lato (36%), Rickettsia spp. (36%), and Coxiella burnetii (22%). Among less frequently detected pathogens, Babesia microti was detected for the first time in Italy, with a prevalence of 4%. Neither Bartonella spp. nor Francisella tularensis were detected. With regard to co-infections, the most frequent double and triple infections involved Rickettsia spp., B. burgdorferi sl., and C. burnetii.. A positive correlation was detected between pathogens and I. ricinus. Further studies are needed in order to assess risk associated with tick-borne pathogens in urban areas.


Annali dell'Istituto Superiore di Sanità | 2015

Characterization of spotted fever group Rickettsiae in ticks from a city park of Rome, Italy

Fabiola Mancini; Massimo Ciccozzi; Alessandra Lo Presti; Eleonora Cella; Marta Giovanetti; Marco Di Luca; Luciano Toma; Riccardo Bianchi; Cristina Khoury; Giovanni Rezza; Alessandra Ciervo

BACKGROUND Ticks are vectors and important reservoirs for microbial agents that cause disease in humans and animals. Among these pathogens, the members of Rickettsia species play an important role in public health. AIM AND METHODS One hundred twenty-nine ticks belonging to four tick species (Ixodes ricinus, Rhipicephalus turanicus, Dermacentor marginatus, and Haemaphysalis punctata) were collected at different sites of the Insugherata Natural Reserve, localized in the urban area of Rome, Italy. Questing ticks were tested by PCR for Rickettsia spp., amplifying partial gene of ompA. RESULTS Forty-six ticks were found to be infected with Rickettsia species. Five SFG rickettsiae were identified: three human pathogens Rickettsia conorii, Rickettsia massiliae and Rickettsia aeschlimannii, and two putative new strains Rickettsia sp. strain RM1 and Rickettsia sp. strain RM2. The phylogenetic analysis of partial gene sequences of ompA, gltA, and 17-kd antigen showed that they clustered with several rickettsiae with unidentified pathogenicity. However, Rickettsia sp. strain RM1 and Rickettsia sp. strain RM2 clustered in a statistically supported clade with R. massiliae, and R. monacensis, respectively. CONCLUSION Our findings suggest that Rickettsia species other than R. conorii are implicated in human disease in Italy.


Ticks and Tick-borne Diseases | 2013

Seasonal dynamics of tick species in an urban park of Rome

Marco Di Luca; Luciano Toma; Riccardo Bianchi; Quarchioni E; Luca Marini; Fabiola Mancini; Alessandra Ciervo; Cristina Khoury

Regular collections were obtained in the Natural Reserve of the Insugherata of Rome during 2011 in order to obtain the tick species composition and the respective seasonal dynamics of the area. A total of 325 ticks was collected in selected sites by means of drag sampling. Among the identified species, Rhipicephalus turanicus was the most abundant (72.3%), followed by Ixodes ricinus (19.7%), Dermacentor marginatus (6.5%), Haemaphysalis punctata (1.2%), and Rhipicephalus bursa (0.3%). R. turanicus occurred mainly in pastures, showing a mono-modal seasonal activity pattern from spring to early summer. Questing I. ricinus were prevalent in woodland from October to May, and the seasonal trend of specimens showed a weak peak in winter. Although adult D. marginatus exhibited seasonal dynamics similar to I. ricinus, with an activity period from October to April, this species occurred in a different environment (pasture) and with considerably lower densities. Haemaphysalis punctata and R. bursa were rare, with an apparent autumn and autumn-winter seasonal activity, respectively. While the species diversity recorded appears as an unequivocal consequence of the natural state of the park, the remarkable R. turanicus density could be a direct effect of the recent introduction of wild boar, as carriers, from the close Veio Park. The presence of the species, a proven vector of various diseases in humans and domestic animals, is discussed in the light of the possible risk of tick-bite exposure of park workers and visitors.


Annali dell'Istituto Superiore di Sanità | 2015

Preliminary investigation on tick fauna in the neighborhood of Tarquinia, Lazio, Italy

Luciano Toma; Cristina Khoury; Riccardo Bianchi; Francesco Severini; Fabiola Mancini; Alessandra Ciervo; Daniele Ricci; Anna Maria Fausto; Quarchioni E; Marco Di Luca

INTRODUCTION This study represents a preliminary inquiry on tick fauna composition carried out in Maremma, Central Italy, where very few data are available. MATERIALS AND METHODS The study area was selected in the limestone hills surrounding Tarquinia town, on the base of suitable elements directly affecting the tick occurrence and the possible circulation of tick-borne pathogens, such as wild cattle rearing, kind of vegetation and human activities. Since a proper understanding of tick ecology is critical in predicting the risk of tick-borne pathogen transmission in a given area, a series of surveys was planned in such area in 2011. RESULTS One hundred fifty-four ticks belonging to 4 genera and 6 species, namely Ixodes ricinus (n. = 109; 70%), Rhipicephalus bursa (n. = 18; 12%), Rhipicephalus turanicus (n. = 14; 9%), Rhipicephalus sanguineus (n. = 6; 4%), Hyalomma marginatum (n. = 4; 3%) and Dermacentor marginatus (n. = 3; 2%) were identified and reported for the area. DISCUSSION The results of this acarological research represent a significant contribution to the knowledge of the tick fauna of rural areas in Northern Lazio Region, as first step toward a future molecular investigation on pathogen circulation.


Annali dell'Istituto Superiore di Sanità | 2002

Testing insecticide susceptibility of Phlebotomus perniciosus and P. papatasi (Diptera: Psychodidae) in Italy

Michele Maroli; Tiziana Cianchi; Riccardo Bianchi; Cristina Khoury


Parasites & Vectors | 2015

Experimental evaluation of sand fly collection and storage methods for the isolation and molecular detection of Phlebotomus-borne viruses

Maria Elena Remoli; Gioia Bongiorno; Claudia Fortuna; Antonella Marchi; Riccardo Bianchi; Cristina Khoury; Maria Grazia Ciufolini; Marina Gramiccia


Experimental and Applied Acarology | 2011

A noteworthy record of Ornithodoros (Alectorobius) coniceps (Ixodida: Argasidae) from Central Italy

Cristina Khoury; Riccardo Bianchi; Antonio Massa; Francesco Severini; Marco Di Luca; Luciano Toma


Biogeographia – The Journal of Integrative Biogeography | 2002

Distribuzione dei flebotomi (Diptera, Psychodidae) nella Sicilia orientale: primi dati di transetti di stazioni di monitoraggio dalla costa verso l'entroterra

Vera D'Urso; Francesco Ruta; Cristina Khoury; Riccardo Bianchi; Michele Maroli

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Cristina Khoury

Istituto Superiore di Sanità

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Francesco Severini

Istituto Superiore di Sanità

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Gioia Bongiorno

Istituto Superiore di Sanità

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Luciano Toma

Istituto Superiore di Sanità

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Marco Di Luca

Istituto Superiore di Sanità

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Alessandra Ciervo

Istituto Superiore di Sanità

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Fabiola Mancini

Istituto Superiore di Sanità

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Giovanni Rezza

Istituto Superiore di Sanità

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Daniela Boccolini

Istituto Superiore di Sanità

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