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      Molecular Epidemiology for Vector Research on Leishmaniasis

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          Abstract

          Leishmaniasis is a protozoan disease caused by the genus Leishmania transmitted by female phlebotomine sand flies. Surveillance of the prevalence of Leishmania and responsive vector species in endemic and surrounding areas is important for predicting the risk and expansion of the disease. Molecular biological methods are now widely applied to epidemiological studies of infectious diseases including leishmaniasis. These techniques are used to detect natural infections of sand fly vectors with Leishmania protozoa and are becoming powerful tools due to their sensitivity and specificity. Recently, genetic analyses have been performed on sand fly species and genotyping using PCR-RFLP has been applied to the sand fly taxonomy. In addition, a molecular mass screening method has been established that enables both sand fly species and natural leishmanial infections to be identified simultaneously in hundreds of sand flies with limited effort. This paper reviews recent advances in the study of sand flies, vectors of leishmaniasis, using molecular biological approaches.

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          Most cited references65

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          Transmission of Leishmania metacyclic promastigotes by phlebotomine sand flies

          A thorough understanding of the transmission mechanism of any infectious agent is crucial to implementing an effective intervention strategy. Here, our current understanding of the mechanisms that Leishmania parasites use to ensure their transmission from sand fly vectors by bite is reviewed. The most important mechanism is the creation of a “blocked fly” resulting from the secretion of promastigote secretory gel (PSG) by the parasites in the anterior midgut. This forces the sand fly to regurgitate PSG before it can bloodfeed, thereby depositing both PSG and infective metacyclic promastigotes in the skin of a mammalian host. Other possible factors in transmission are considered: damage to the stomodeal valve; occurrence of parasites in the salivary glands; and excretion of parasites from the anus of infected sand flies. Differences in the transmission mechanisms employed by parasites in the three subgenera, Leishmania, Viannia and Sauroleishmania are also addressed.
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            The increase in risk factors for leishmaniasis worldwide.

            P Desjeux (2001)
            Economic development leads to changing interactions between humans and their physical and biological environment. Worldwide patterns of human settlement in urban areas have led in developing countries to a rapid growth of mega-cities where facilities for housing, drinking-water and sanitation are inadequate, thus creating opportunities for the transmission of communicable diseases such as leishmaniasis. Increasing risk factors are making leishmaniasis a growing public health concern for many countries around the world. Certain risk factors are new, while others previously known are becoming more significant. While some risk factors are related to a specific eco-epidemiological entity, others affect all forms of leishmaniasis. Risk factors are reviewed here entity by entity.
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              The biology and control of phlebotomine sand flies.

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                Author and article information

                Journal
                Int J Environ Res Public Health
                101238455
                International Journal of Environmental Research and Public Health
                Molecular Diversity Preservation International (MDPI)
                1661-7827
                1660-4601
                5 March 2010
                March 2010
                : 7
                : 3
                : 814-826
                Affiliations
                [1 ]Department of Veterinary Hygiene, Faculty of Agriculture, Yamaguchi University, Yamaguchi 753-8515, Japan
                [2 ]Departamento de Oncocercosis, Servicio Nacional de Erradicacion de la Malaria, Ministerio de Salud Publica, Guayaquil 10833, Ecuador; E-Mail: egolandires@ 123456yahoo.es
                [3 ]Sección de Entomología, Instituto de Medicina Tropical “Daniel A. Carrion”, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Lima 1, Perú; E-Mail: acaceres31@ 123456hotmail.com
                [4 ]Laboratorio de Entomología, Instituto Nacional de Salud, Lima, Lima 11, Perú
                [5 ]Department of Dermatology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0125, Japan; E-Mail: huezato@ 123456med.u-ryukyu.ac.jp
                [6 ]Department of Microbiology, School of Health Sciences, Kumamoto University, Kumamoto 862-0976, Japan; E-Mail: mimori@ 123456kumamoto-u.ac.jp
                [7 ]Department of Parasitology, Kochi Medical School, Kochi University, Kochi 783-8505, Japan; E-Mail: yhashiguchi42@ 123456yahoo.co.jp
                Author notes
                [* ]Author to whom correspondence should be addressed; E-Mails: katoh@ 123456yamaguchi-u.ac.jp ; Tel. & Fax: +81-83-933-5900.
                Article
                ijerph-07-00814
                10.3390/ijerph7030814
                2872317
                20617005
                e58c510f-b3f3-47aa-a3f4-f742d2c929dd
                © 2010 by the authors; licensee Molecular Diversity Preservation International, Basel, Switzerland.

                This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 9 December 2009
                : 3 February 2010
                : 16 February 2010
                Categories
                Review

                Public health
                mass screening,sand fly,epidemiology,leishmania
                Public health
                mass screening, sand fly, epidemiology, leishmania

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