Roseli La Corte dos Santos

Atualização da distribuição de Aedes albopictus no Brasil (1997-2002)

Apresenta-se a atualizacao da distribuicao de Aedes albopictus no Brasil, de 1997 ate o ano de 2002, segundo dados do Sistema de informacao de Febre Amarela e Dengue da Fundacao Nacional de Saude. Verifica-se a ocorrencia da especie em 20 dos 27 Estados brasileiros.

Structure–activity relationships of larvicidal monoterpenes and derivatives against Aedes aegypti Linn

In the search for larvicidal compounds against Aedes aegypti L. (Diptera: Culicidae), a collection of monoterpenes were selected and evaluated. R- and S-limonene exhibited the highest larvicidal potency (LC(50)=27 and 30 ppm, respectively), followed by γ-terpinene (LC(50)=56 ppm) and RS-carvone (LC(50)=118 ppm). Structural characteristics which may contribute to the understanding of the larvicidal activity of monoterpenes were empirically identified. The presence of heteroatoms in the basic hydrocarbon structure decreases larvicidal potency. Conjugated and exo double bonds appear to increase larvicidal potency. Replacement of double bonds by more reactive epoxides decreases the larvicidal potency. The presence of hydroxyls in the cyclic structure resulted in decreased potency, probably due to increased polarity indicanting that lipophilicity seems to play an important role in increasing the larvicidal potency in this set of compounds.

Toxic effects on and structure-toxicity relationships of phenylpropanoids, terpenes, and related compounds in Aedes aegypti larvae.

In the search for toxic compounds against Aedes aegypti L. (Diptera: Culicidae) larvae, a collection of commercially available aromatic and aliphatic diversely substituted compounds were selected and evaluated. p-Cymene exhibited the highest larvicidal potency LC₅₀ = 51 ppm, whereas 1,8-cineole exhibited the lowest activity value LC₅₀ = 1419 ppm. To aid future work on the search for larvicidal compounds, the structure-toxicity relationships of this collection have been evaluated. The presence of lipophilic groups results in an overall increase in potency. In general, the presence of hydroxyl groups resulted in less potent compounds. However, methylation of such hydroxyls led to an overall increase in potency. The most potent compounds showed comparably good larvicidal activity in A. aegypti larvae as other terpenes, which we assume to be the result of the increased lipophilicity.

Aedes albopictus em bromélias de ambiente antrópico no Estado de São Paulo, Brasil

OBJECTIVE Aedes albopictus populations can breed in several kinds of containers, and its presence has also been reported in Bromeliaceae. The purpose of this study was to evaluate the epidemiological importance of the Bromeliaceae plants as potential breeding sites of Aedes albopictus and to document the associated Culicidae entomofauna found in this micro-habitat. METHODS Collections of Culicidae larvae were carried out fortnightly in aquatic content of bromeliads during 1998 and 1999. Collections took place in urban and periurban areas of Ilhabela island and periurban area of Ilha Comprida island, Brazil. RESULTS A total of 26,647 Culicidae larvae were collected at both study sites, 14,575 in the urban area and 10,987 in the periurban area of Ilhabela and the remaining 1,085 in the periurban area of Ilha Comprida. There was no statistical difference between the amount of larvae collected in urban and periurban areas of Ilhabela. Regarding the Ae. albopictus, there was found a higher frequency and amount of larvae in the urban area of Ilhabela, followed by the periurban area in the same site, whereas in the periurban area of Ilha Comprida, its presence was considered accidental, since it was reported only in the first three months. CONCLUSIONS The results show that bromeliads, largely used in landscaping, may contribute to the spread of Ae. albopictus. The presence of this species in domesticated and domiciled bromeliads allows us to suggest that the Culicidae larva is part of the regional fauna and facilitate the contact between humans and etiological agents of the natural ecosystem.

Larvicidal activity of Mentha x villosa Hudson essential oil, rotundifolone and derivatives.

The aim of this study was to evaluate the larvicidal activity of Mentha x villosa essential oil (MVEO) and its major constituent, rotundifolone, against larvae of Aedes aegypti. Additionally, a set of 15 analogues of the rotundifolone were evaluated to identify the molecular characteristics which contribute to the larvicidal effect. The results from the present study showed that the MVEO exhibited outstanding toxic effects against Ae. aegypti larvae (LC50=45.0ppm). Rotundifolone exhibited reasonable larvicidal activity (LC50=62.5ppm). With respect to comparative study of rotundifolone and its analogues, all tested compounds were less potent than rotundifolone, except (-)-limonene. In general, replacement of C-C double bonds by epoxides groups decreases the larvicidal potency. The presence of α,β-unsaturated carbonyls contributes to the larvicidal toxicity. The addition of hydroxyl groups in the chemical structure resulted in less potent compounds. Furthermore, the enantioselectivity seems to play an important role for the larvicidal toxicity.

Avaliação do efeito residual de piretróides sobre anofelinos da Amazônia brasileira

OBJECTIVE To evaluate the residual effect of pyrethroids on the mortality rates of Anopheles in order to check their efficacy in indoor residual spraying in the Amazon Region, Brazil. METHODS The study was conducted in public housing units in the city of Belem, Northern Brazil, in 2003. Twelve houses were randomly chosen, three in each of the four established areas. Pyrethroids cypermethrin wettable powder, deltamethrin suspension concentrate, lambda-cyhalothrin wettable powder, and etofenprox wettable powder, were sprayed on the indoor wall surface of local houses. Their effects on the mortality of Anopheles were assessed from July to November. Wall bioassay was performed using plastic cones attached to insecticide and wild mosquitoes from the town of Peixe Boi. RESULTS Mortality rate varied according to the type of wall that received the insecticide. Those insecticides applied to wood and non-plastered brick surfaces were more stable and lasted longer. Lambda-cyhalothrin presented shorter effect than the other insecticides, and etofenprox had residual effects up to four months and was more effective in non-plastered brick surfaces. There was no statistical difference between the effect of deltamethrin and cypermethrin in all surfaces tested, and the duration of the residual effect was satisfactory up to three months after spraying. CONCLUSIONS Deltamethrin and etofenprox presented greater performance when compared to the others. For these insecticides and formulations, a three-month interval between successive applications can be considered safe. In communities with predominance of houses with plastered brick surfaces, the smaller effectiveness of formulations should be considered, together with the importance of residual spraying as a vector control method in the area.

Effect of artesunate-mefloquine fixed-dose combination in malaria transmission in amazon basin communities

BackgroundStudies in South-East Asia have suggested that early diagnosis and treatment with artesunate (AS) and mefloquine (MQ) combination therapy may reduce the transmission of Plasmodium falciparum malaria and the progression of MQ resistance.MethodsThe effectiveness of a fixed-dose combination of AS and MQ (ASMQ) in reducing malaria transmission was tested in isolated communities of the Juruá valley in the Amazon region.Priority municipalities within the Brazilian Legal Amazon area were selected according to pre-specified criteria. Routine national malaria control programmatic procedures were followed. Existing health structures were reinforced and health care workers were trained to treat with ASMQ all confirmed falciparum malaria cases that match inclusion criteria. A local pharmacovigilance structure was implemented. Incidence of malaria and hospitalizations were recorded two years before, during, and after the fixed-dose ASMQ intervention. In total, between July 2006 and December 2008, 23,845 patients received ASMQ. Two statistical modelling approaches were applied to monthly time series of P. falciparum malaria incidence rates, P. falciparum/Plasmodium vivax infection ratio, and malaria hospital admissions rates. All the time series ranged from January 2004 to December 2008, whilst the intervention period span from July 2006 to December 2008.ResultsThe ASMQ intervention had a highly significant impact on the mean level of each time series, adjusted for trend and season, of 0.34 (95%CI 0.20 – 0.58) for the P. falciparum malaria incidence rates, 0.67 (95%CI 0.50 – 0.89) for the P. falciparum/P. vivax infection ratio, and 0.53 (95%CI 0.41 – 0.69) for the hospital admission rates. There was also a significant change in the seasonal (or monthly) pattern of the time series before and after intervention, with the elimination of the malaria seasonal peak in the rainy months of the years following the introduction of ASMQ. No serious adverse events relating to the use of fixed-dose ASMQ were reported.ConclusionsIn the remote region of the Juruá valley, the early detection of malaria by health care workers and treatment with fixed-dose ASMQ was feasible and efficacious, and significantly reduced the incidence and morbidity of P. falciparum malaria.

Quality of essential drugs in tropical countries: evaluation of antimalarial drugs in the Brazilian Health System.

INTRODUCTION The emergence of drug resistance is one of the main problems concerning malaria treatment. The use of counterfeit and/or substandard antimalarial drugs can contribute to the development of parasite resistance. Thus, the aim of this study was to evaluate the quality of antimalarial drugs distributed in Brazil. METHODS Samples containing chloroquine phosphate, mefloquine hydrochloride, primaquine phosphate, and quinine sulfate tablets were delivered to the Rio de Janeiro central storeroom (CENADI), state storerooms (SS), and Basic Health Units (BHUs) in the north region of Brazil - a total of 10 sample sets. After 5 months of storage, the samples were collected, and in vitro quality control analyses according to official and published methods were performed. RESULTS Inadequate drug storage conditions were found in two SS and in all BHUs evaluated. There were no quality deviations found in the chloroquine samples. The quinine samples exhibited weight variation above the allowed limits. The primaquine samples were found to have packaging deficiency. The release of mefloquine in samples from some regions showed a statistically significant difference when compared with the CENADI samples. CONCLUSIONS It is important to periodically evaluate the quality and storage conditions of essential drugs. The quality deviations found with the primaquine and quinine samples are not related to storage conditions and must be addressed urgently. The decreased mefloquine release from tablets is related to formulation problems or influenced by inadequate storage conditions, prompting further investigation. Even with the mentioned problems, the samples would probably not contribute to resistant parasite selection.

Underreporting of Dengue-4 in Brazil due to low sensitivity of the NS1 Ag test in routine control programs.

We have identified fifty-eight samples that were positive for Dengue-4 among 119 samples with negative diagnoses for dengue via the Platelia™ dengue NS1 Ag in Aracaju, State of Sergipe, Brazil. We determined that the low sensitivity of the NS1 Ag test could be related to secondary dengue infections in the studied population. Therefore, we concluded that the sensitivity and specificity of the Platelia™ dengue NS1 Ag test as a screening method for monitoring circulating dengue serotypes must be reevaluated. In addition, regional endo-epidemic profiles should also be considered due to the prevalence of secondary responses.

Vetores de malária em duas reservas indígenas da Amazônia Brasileira

OBJECTIVE To describe the composition, ecological and behavioral characteristics and infectivity of Anopheles species in indigenous reserves of the Amazon region. METHODS The study was performed in villages of the Nhamundá-Mapuera and Cuminapanema indigenous reserves, in the state of Pará, Northern Brazil, in 2002. A total of three two-week collections were conducted in each reserve, with the capture of adult and immature forms. Adult Anopheles specimens were captured using a Castro sucking tube with human landing trap in indoor and outdoor environments, from 6.00 pm to 9.00 pm and from 6.00 pm to 6.00 am, and subsequently assessed to verify parity and infectivity by plasmodiums using dissection and ELISA. Water collections near the villages were surveyed using 500 ml ladles, with 20 ladlefuls for each 10 m, covering the maximum extent of 200 m of perimeter around the breeding spot. RESULTS Adding up the collections from both reserves, a total of 8,668 females were captured. Anopheles darlingi was the most frequent species, with higher frequency around the homes. In the Mapuera reserve, blood feeding activity was concentrated between 8.00 pm and 12.00 am, while, in Cuminapanema, it remained high until 12.00 am, decreasing after this time and increasing again early in the morning. Of all the 6,350 An. darlingi females analyzed, 18 were infected with Plasmodium vivax VK247, VK210, P. falciparum and P. malariae. In addition, other 1,450 females of other species were analyzed, but none was found infected. An. nuneztovari and Chagasia bonnae were the most frequent species in the breeding spots of the Mapuera and Cuminapanema villages, respectively. Immature An. darlingi forms were not located in Mapuera and were captured in only one of the collections of the Cuminapanema reserve. CONCLUSIONS An. darlingi populations in the two reserves showed exophilic behavior and intense nocturnal activity. The occurrence of immature forms was little frequent and larval density was low. Vector behavioral characteristics were not favorable for the usual vector control activities.OBJETIVO: Descrever a composicao, caracteristicas ecologicas e comportamentais e infectividade das especies de anofelinos em reservas indigenas da regiao Amazonica. METODOS: O estudo foi conduzido no ano de 2002 em aldeias das reservas indigenas Nhamunda-Mapuera e Cuminapanema no estado do Para. Foram realizadas tres coletas de duas semanas em cada reserva, com capturas de adultos e de imaturos. Anofelinos adultos foram capturados com capturador de Castro por atracao humana nos ambientes intra e peridomiciliares, no periodo das 18h as 21h e das 18 as 06h e avaliados para verificacao da paridade e infectividade para plasmodios por disseccao e ELISA. As colecoes hidricas proximas as aldeias foram pesquisadas utilizando conchas de 500 ml, sendo 20 conchadas a cada 10 m, cobrindo-se a extensao maxima de 200 m de perimetro do criadouro. RESULTADOS: Foram capturadas 8.668 femeas somando-se as coletas das duas reservas. Anopheles darlingi foi a especie predominante, com maior frequencia no peridomicilio. Na reserva Mapuera, a atividade hematofagica concentrou-se entre as 20h e 24h e, em Cuminapanema, manteve-se elevada ate as 24h, diminuindo apos esse horario e voltando a elevar-se no inicio da manha. Das 6.350 femeas de An. darlingi examinadas, 18 estavam infectadas por Plasmodium vivax VK 247, VK 210, P. falciparum e P. malariae. Outras 1.450 femeas de outras especies foram examinadas, mas nenhuma foi encontrada infectada. An. nuneztovari e Chagasia bonnae foram as especies mais frequentes nos criadouros das aldeias Mapuera e Cuminapanema, respectivamente. Imaturos de An. darlingi nao foram localizados em Mapuera e foram capturados em apenas uma das coletas da reserva Cuminapanema. CONCLUSOES: As populacoes de An. darlingi das duas reservas apresentaram comportamento exofilico e intensa atividade noturna. A ocorrencia de imaturos foi pouco frequente e a densidade larvaria foi baixa. As caracteristicas comportamentais dos vetores nao se mostraram favoraveis as atividades usuais de controle vetorial.