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Rabies virus monitoring in bat populations in Rondônia state, Brazil

Abstract

INTRODUCTION:

The Jirau hydroelectric power plant built in Rondônia state has environmental impacts that could be relevant to rabies outbreaks.

METHODS:

Bat populations were monitored for rabies by fluorescent antibody testing and simplified fluorescent inhibition microtesting between 2010 and 2015.

RESULTS:

All 1,183 bats tested negative for rabies. The prevalence of rabies antibodies was 17.5% in 1,049 bats.

CONCLUSIONS:

The rabies antibody dosage was not reactive in samples collected before the environmental changes, and there was a progressive increase in subsequent collections that could indicate an increase in rabies virus circulation among bats and risk of a rabies outbreak.

Keywords:
Rabies; Rabies antibodies; Chiroptera

Bats are one of the most important reservoirs and vectors of the rabies virus worldwide. In Brazil, a marked decrease in rabies among humans and domestic animals was observed after the 1990s; since then, geographically isolated human rabies outbreaks transmitted by the hematophagous bats Desmodus rotundus have been documented. Rabid bats have been reported in Brazilian states and the virus has been isolated from 43 of the 172 bat species present in the country11. Sodré MM, Gama AR, Almeida MF. Updated List of bat species positive for rabies in Brazil. Rev Inst Med Trop Sao Paulo. 2010;52(2):75-81.,22. Escobar LE, Townsend Peterson A, Favi M, Yung V, Medina-Vogel G. Bat-Borne rabies in Latin America. Rev Inst Med Trop Sao Paulo . 2015;57(1):63-72..

In the Rondônia state, the Jirau hydroelectric power plant was built on the Madeira River. The implementation of huge enterprises demands a series of alterations to the landscape, with anthropic activities of high environmental impact that can destroy artificial and natural shelters used by bats.

The aim of this study was to monitor the rabies virus in bat populations in the area surrounding the Jirau hydroelectric power plant in the Rondônia state in the North Region of Brazil, between 2010 and 2015.

Jirau’s bat populations were monitored between 2010 and 2015 in three districts (Caiçara, Abunã, and Mutum) in the municipality of Porto Velho, Rondônia. Samples collected in the districts were classified as “anthropic”. Samples collected in areas of primary forest with low disturbance pressures were classified as “forest”, and samples collected from rocky outcrops on the Madeira River bank were classified as “stones.” Collections were made twice a year, in the dry and rainy seasons.

Before collecting the bats, the local population was interviewed to elicit their knowledge about rabies and bats.

To capture the bats, mist nets and harp traps were used, and shelters were searched. Bat collection was authorized by the Instituto Brasileiro do Meio Ambiente (IBAMA) under the licenses 260/2010 and 190/2012. Specimens were deposited at the Zoology Museum of São Paulo University, São Paulo state, Brazil.

Rabies diagnosis was made using a fluorescent antibody test FAT33. Dean DJ, Abelseth MK, Atanasiu P. The fluorescent antibody test. In: Meslin FX, Kaplan MM, Koprowski H, editors. Laboratory techniques in rabies. 4th ed. Geneva: World Health Organization; 1996. p. 476. and a simplified fluorescent inhibition microtest SFIMT44. Favoretto SR, Carrieri ML, Tino MS, Zanetti CR, Pereira OAC. Simplified Fluorescent Inhibition Microtest for the Rabies Neutralizing Antibodies. Rev Inst Med Trop São Paulo. 1993;35(2):171-5.. The cutoff value was 0.5 IU/mL. Blood samples were collected by cardiac puncture after sedation with ketamine hydrochloride. The rabies tests were performed at the Rabies Laboratory of the Zoonosis Control Center in the city of São Paulo, Brazil.

The statistical analysis was performed using Chi square, Kruskal-Wallis, and Dunn tests with the software BioEstat 5.355. Bioestat 5.3 - Instituto de Desenvolvimento Sustentável Mamurauá, Tefé, Amazonas, 2017 avaliable in: https://www.mamiraua.org.br/pt-br/downloads/programas/bioestat-versao-53/
https://www.mamiraua.org.br/pt-br/downlo...
.

One hundred fifty-eight people were interviewed in the three districts, all adults between 20 to 60 years old. Among those interviewed who had a formal education (85%), on average, 77% studied for four years, 20% studied for eight years, and 3% had gone to college. A majority of the people interviewed (93.5%) declared knowing about rabies; however, they associated rabies with dogs. Only 52.5% knew that bats can transmit rabies, and 53.9% knew that medical care was necessary in the case of a bat bite. Although 91.5% of the respondents declared knowing that domestic animals should receive an annual rabies vaccination, only 59.7% of the animals were regularly vaccinated.

In surveys made in the Mutum district, 93.1% of houses were vulnerable to bats, and the insectivorous bat Molossus molossus was roosting in 70% of these dwellings. This species was also observed in attics in houses in the Abunã district living in cohabitation with the insectivorous bat Eumops perotis.

In total, 1,183 bats were analyzed, belonging to 59 species and 7 families. Phyllostomidae (79.9%) and Molossidae (15.5%) families were predominant. Of these, 836 were captured in anthropic areas, 316 in the forest, and 31 in rocky outcrops. All bat brains tested negative for rabies.

Sera of 1,047 bats were analyzed (754 bats from anthropic areas, 262 from the forest, and 31 from “stones”). The prevalence of rabies antibodies was 17.5%. The families Phyllostomidae and Molossidae had a seroprevalence rate of 18.9% and 7.7%, respectively. Rabies antibodies were detected in 31 of the 59 species tested (Table 1).

TABLE 1:
Rabies antibodies prevalence in bats according species, Jirau-RO, 2010-2015.

Sera samples from the first collection were not reactive. The prevalence showed a progressive increase in subsequent collections (Table 2). The Kruskal-Wallis statistical analysis showed that the differences observed in the serology of the twelve collections were significant (H = 232.7; g.l. = 11; p = 0.0001). The Dunn test showed that the results of the first collection were different from those of the eleven subsequent collections (p < 0.05).

Seroprevalence was higher in bats collected from the forest (24.8%) compared to that in bats collected from anthropic areas (15.2%) for all individual collections. The statistical analysis showed that the habitat where the bats were collected was associated with antibody titers (x² = 12.2, df = 1, p = 0.0005). Seroprevalence was 9.7% in bats collected from rocky outcrops (Table 2).

TABLE 2:
Rabies antibodies prevalence in bats according area of collection, Jirau-RO, 2010-2015.

A higher proportion of bats were captured during the dry season (56.2%). However, the seroprevalence was higher among bats captured during the rainy season (19.2%) in relation to the dry season (15.2%). This difference was not significant (x² = 2.81, df = 1, p = 0.09).

The proportion of males was higher than that of females (53.1% and 46.9%, respectively); however, rabies seroprevalence was higher in females (18.9%) than males (16.5%). This difference was not significant ( = 1.03; df = 1; p = 0.34).

The proportion of adults was higher than that of juveniles (91.7%). Rabies seroprevalence was higher in juveniles (20%) in relation to adults (17.4%). This difference was not significant ( = 0.35; df = 1; p = 0.55).

From the interviews, the relationship observed between the human population and the bats was based on prejudice, fear, and erroneous concepts. The role of these animals in the control of insects, as pollinators, and as seed dispersal agents was unknown. It is necessary to provide more information to the citizens about the ecological role of bats, their role in the rabies cycle, and the importance of the vaccination of domestic animals.

The implementation of huge enterprises, such as the Jirau hydroelectric power plant, demands making a series of alterations to the landscape, such as vegetation suppression, movement of large areas of land, demolition of houses, and relocation of resident human populations, among other activities of high environmental impact. During this process, artificial and natural shelters used by bats are destroyed.

Factors observed in the study area that are associated with the occurrence of human rabies outbreaks in Brazil included small human population groups in a remote rural area, change in the type of human productive process, deforestation, and communities living under poor conditions, including vulnerable housing and relatively limited access to health services66. Schneider MC, Romijn PC, Uieda W, Tamayo H, Silva DF, Belotto A, et al. Rabies transmitted by vampire bats to humans: An emerging zoonotic disease in Latin America? Rev Panam Salud Publica. 2009;25(3):260-9.. The monitoring of bat populations is a way to control possible rabies outbreaks.

The dosage of rabies antibodies was not reactive in bats from the first collection and showed a progressive increase for every subsequent collection. The increase in the levels of antibodies indicates an increase in the circulation of the rabies virus in bat populations in the area. The highest seroprevalence was in collection 6 (36.3%), and the highest average of the titers was in collection 9 (0.54 UI/mL). High seroprevalence of the rabies virus in many bat species in the same area suggests that frequent survival after exposure may be a general feature of bat rabies.

A cutoff of 0.5 IU/mL was established by the World Health Organization77. World Health Organization (WHO)- Expert Consultation on Rabies- third report. Technical Report Series 1012. Geneva: WHO, 2018 183p. for sera of vaccinated humans and animals; however, antibodies in any titer are indicative of contact between the animal and the rabies virus. In bats from Jirau, the antibodies were acquired naturally, and the expressive levels indicate that the rabies virus circulates actively in these bats. According to Klimpel88. Klimpel GR. Immune Defenses. In: Baron S, editor. Medical Microbiology. 4th edition. Galveston (TX): University of Texas Medical Branch at Galveston; 1996. Chapter 50. Available from: https://www.ncbi.nlm.nih.gov/books/NBK8423/
https://www.ncbi.nlm.nih.gov/books/NBK84...
, virus contact can stimulate B lymphocytes to produce antibodies specific for viral antigens. The antibodies can neutralize the virus by blocking virus-host cell interactions or recognizing viral antigens on virus-infected cells, which can lead to antibody-dependent cytotoxic cells or complement-mediated lysis. Neutralization by antibodies is most effective when the virus is present in fluids (e.g., serum). The simplified fluorescent inhibition microtest (SFIMT) was used in our bat samples to detect neutralizing antibodies.

A seroprevalence rate higher in bats of the forest areas compared to that in anthropic areas was also observed by Salas-Rojas et al.99. Salas-Rojas M, Sánchez-Hernández C, Romero-Almaraz ML, Schnell GD, Schmid RK, Aguilar-Setién A. Prevalence of rabies and LPM paramyxovirus antibody in non-hematophagous bats captured in the Central Pacific coast of Mexico. Trans R Soc Trop Med Hyg. 2004;98(10):577-84. and Thoisy et al.1010. Thoisy B, Bourhy H, Delaval M, Pontier D, Dacheux L, Darcissac E, et al. Bioecological Drivers of Rabies Virus Circulation in a Neotropical Bat Community. PLoS Negl Trop Dis. 2016;10(1):1-21.. The diversity of species increases the circulation of the virus due to more frequent interspecies interactions in areas with higher species richness. In this study, a higher diversity of species (26) collected from the forest areas in relation to species collected from anthropic areas (14) was observed.

Understanding the epidemiological situation of rabies in the study area is essential to analyze the rate of rabies seroprevalence. Almeida et al.1111. Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5. analyzed the sera of 1,618 bats collected in urban shelters in São Paulo state, where rabies is under control, and observed a prevalence of 5.9%. Costa et al.1212. Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, Fernandes MEB. Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon. Trans R Soc Trop Med Hyg . 2013;107(11):684-9. and Oliveira et al.1313. Oliveira RS, Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, et al. Virological and serological diagnosis of rabies in bats from an urban area in the Brazilian Amazon. Rev Inst Med Trop Sao Paulo . 2015;57(6):497-503. analyzed the sera of 307 and 441 bats collected in rural and urban areas of Pará state, where rabies is endemic, and the prevalence was 50.8% and 50.3%, respectively.

More bats were captured during the dry season (56.2%), but the seroprevalence was higher among bats captured in the rainy season. Costa et al.1212. Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, Fernandes MEB. Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon. Trans R Soc Trop Med Hyg . 2013;107(11):684-9. observed a higher proportion of seropositive bats in the rainy season, and this may be because bats spend more time in their colonies during this season, which may result in higher rates of social encounters, such as grooming or agonistic behavior resulting in bites and scratches that would increase the chance of passing rabies to a much larger number of individuals.

No significant differences were recorded between sex and age of bats in accordance with Thoisy et al.99. Salas-Rojas M, Sánchez-Hernández C, Romero-Almaraz ML, Schnell GD, Schmid RK, Aguilar-Setién A. Prevalence of rabies and LPM paramyxovirus antibody in non-hematophagous bats captured in the Central Pacific coast of Mexico. Trans R Soc Trop Med Hyg. 2004;98(10):577-84., Almeida et al.1111. Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5., and Costa et al.1212. Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, Fernandes MEB. Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon. Trans R Soc Trop Med Hyg . 2013;107(11):684-9.. However, Oliveira et al.1313. Oliveira RS, Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, et al. Virological and serological diagnosis of rabies in bats from an urban area in the Brazilian Amazon. Rev Inst Med Trop Sao Paulo . 2015;57(6):497-503. found significantly higher proportions of males and adults that were seropositive for rabies.

The most frequently collected bat species during the study was Carollia perspicillata (48.7%), a frugivore with synanthropic habits that used culverts as shelters in Jirau. The neotropical genus Carollia includes some of the most abundant species of mammals. Rabies-seropositive individuals of this species have been frequently reported1010. Thoisy B, Bourhy H, Delaval M, Pontier D, Dacheux L, Darcissac E, et al. Bioecological Drivers of Rabies Virus Circulation in a Neotropical Bat Community. PLoS Negl Trop Dis. 2016;10(1):1-21.,1212. Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, Fernandes MEB. Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon. Trans R Soc Trop Med Hyg . 2013;107(11):684-9.,1313. Oliveira RS, Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, et al. Virological and serological diagnosis of rabies in bats from an urban area in the Brazilian Amazon. Rev Inst Med Trop Sao Paulo . 2015;57(6):497-503..

Another very common species in urban areas is the nectarivorous bat Glossophaga soricina. This species was collected in culverts, abandoned buildings, and nets while flying at night. A high percentage of seropositive bats was observed in this species (31.9%), which is in concordance with Oliveira et al.1313. Oliveira RS, Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, et al. Virological and serological diagnosis of rabies in bats from an urban area in the Brazilian Amazon. Rev Inst Med Trop Sao Paulo . 2015;57(6):497-503..

No study about rabies serology was found in the literature for the bats Trachops cirrhosus and Pteronotus parnellii. A high proportion of seropositive bats was observed (35.5% and 66.7%, respectively). Cohabitation of T. cirrhosus with C. perspicillata and G. soricina was observed in culverts.

Rabies antibodies prevalence in M. molossus and E. perotis was 6.1% and 9.1%, respectively. Almeida et al.1111. Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5. found a seroprevalence of 3.2% and 9.1% in these species.

The bat Nyctinomops laticaudatus is a colonial species that in Jirau uses large rocky outcrops as shelters where there is intense body contact among individuals, and the temperature is around 40°C. These facts could be associated with rabies virus transmission and the presence of antibodies. The prevalence of 10.5% was similar to that observed by Almeida et al.1111. Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5. (12.5%).

A seroprevalence of 24.7% was observed in the genus Artibeus. The bats Artibeus lituratus and A. planirostris are colonial frugivores with synanthropic habits that exhibit aggressive behavior and are frequently observed with visible scars on their wings that are compatible with bites. These bats are among the most common species with confirmed rabies in Brazil1111. Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5.,1414. Cunha EMS, Queiroz da Silva LH, Lara MCCSH, Nassar AFC, Albas A, Sodre MM, et al. Bat rabies in the North-northwestern regions of São Paulo State - Brazil, 1997-2002. Rev Saude Publica. 2006;40(6):1082-6.,1515. Casagrande DKA, Favaro ABBBC, Picolo CCMR, Hernandez JCB, Lot MS, Albas A, et al. Rabies surveillance in bats in Northwestern State of São Paulo. Rev Soc Bras Med Trop . 2014;47(6):709-15..

D. rotundus is the main bat species that carries and transmits the rabies virus in Brazil. Expressive prevalence of rabies antibodies has been observed in this species 1010. Thoisy B, Bourhy H, Delaval M, Pontier D, Dacheux L, Darcissac E, et al. Bioecological Drivers of Rabies Virus Circulation in a Neotropical Bat Community. PLoS Negl Trop Dis. 2016;10(1):1-21.,1111. Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5.,1212. Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, Fernandes MEB. Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon. Trans R Soc Trop Med Hyg . 2013;107(11):684-9.,1515. Casagrande DKA, Favaro ABBBC, Picolo CCMR, Hernandez JCB, Lot MS, Albas A, et al. Rabies surveillance in bats in Northwestern State of São Paulo. Rev Soc Bras Med Trop . 2014;47(6):709-15.. In this study, although intensive surveys were conducted in locations normally used by this species as shelters, only 11 specimens were collected over 6 years, all in a forest area with mist nets. This species probably lives in low densities in the Jirau area. In Rondônia state, the last human rabies case was reported in 2004, which was transmitted by a dog. The last case reported for a domestic animal (a dog) was in 2006. However, the rabies virus has remained in circulation among herbivores and swine (181 cases between 2008 and 2016). Although there is a high density of cattle in Rondônia, the rabies virus circulates at a low rate compared to other states in Brazil.

A study about the influence of stress, as measured by the maintenance of the rabies virus in bat colonies of Desmodus rotundus, investigated its effects by analyzing its influence on population densities and immunological profiles of the colonies. The conclusion was that an accidental stressful event can be easily overcome by the population, while a persistent vertical immunodepression due to stress factors can have a devastating impact on the colony, even if it occurs at relatively low rates1616. Dimitrov DT, Hallam TG, McCracken GF, editors. Modeling the effects of stresses on dynamics of bat rabies. Proceeding of the second IASTED International Conference Environmental Modeling and Simulation. St. Thomas: US Virgin Islands; 2006. 117-112..

Since the first collection was made before the environmental changes, the results for the dosage of rabies antibodies in subsequent collections could be a reflection of the perturbation the bat populations experienced, which was caused by the stress of forced migration to search for new shelters and new foraging areas; the competition for space, food, and females with bat populations already established in the shelters; and the establishment of a new social hierarchical status in the colonies.

ACKNOWLEDGMENTS

We are grateful to Energia Sustentável do Brasil and Arcadis Logos S/A, for providing support for monitoring the mammal fauna and incentive to write this publication, and Dr. Mario de Vivo, the curator of the mammal collection at the Museu de Zoologia da Universidade de São Paulo.

REFERENCES

  • 1
    Sodré MM, Gama AR, Almeida MF. Updated List of bat species positive for rabies in Brazil. Rev Inst Med Trop Sao Paulo. 2010;52(2):75-81.
  • 2
    Escobar LE, Townsend Peterson A, Favi M, Yung V, Medina-Vogel G. Bat-Borne rabies in Latin America. Rev Inst Med Trop Sao Paulo . 2015;57(1):63-72.
  • 3
    Dean DJ, Abelseth MK, Atanasiu P. The fluorescent antibody test. In: Meslin FX, Kaplan MM, Koprowski H, editors. Laboratory techniques in rabies. 4th ed. Geneva: World Health Organization; 1996. p. 476.
  • 4
    Favoretto SR, Carrieri ML, Tino MS, Zanetti CR, Pereira OAC. Simplified Fluorescent Inhibition Microtest for the Rabies Neutralizing Antibodies. Rev Inst Med Trop São Paulo. 1993;35(2):171-5.
  • 5
    Bioestat 5.3 - Instituto de Desenvolvimento Sustentável Mamurauá, Tefé, Amazonas, 2017 avaliable in: https://www.mamiraua.org.br/pt-br/downloads/programas/bioestat-versao-53/
    » https://www.mamiraua.org.br/pt-br/downloads/programas/bioestat-versao-53/
  • 6
    Schneider MC, Romijn PC, Uieda W, Tamayo H, Silva DF, Belotto A, et al. Rabies transmitted by vampire bats to humans: An emerging zoonotic disease in Latin America? Rev Panam Salud Publica. 2009;25(3):260-9.
  • 7
    World Health Organization (WHO)- Expert Consultation on Rabies- third report. Technical Report Series 1012. Geneva: WHO, 2018 183p.
  • 8
    Klimpel GR. Immune Defenses. In: Baron S, editor. Medical Microbiology. 4th edition. Galveston (TX): University of Texas Medical Branch at Galveston; 1996. Chapter 50. Available from: https://www.ncbi.nlm.nih.gov/books/NBK8423/
    » https://www.ncbi.nlm.nih.gov/books/NBK8423/
  • 9
    Salas-Rojas M, Sánchez-Hernández C, Romero-Almaraz ML, Schnell GD, Schmid RK, Aguilar-Setién A. Prevalence of rabies and LPM paramyxovirus antibody in non-hematophagous bats captured in the Central Pacific coast of Mexico. Trans R Soc Trop Med Hyg. 2004;98(10):577-84.
  • 10
    Thoisy B, Bourhy H, Delaval M, Pontier D, Dacheux L, Darcissac E, et al. Bioecological Drivers of Rabies Virus Circulation in a Neotropical Bat Community. PLoS Negl Trop Dis. 2016;10(1):1-21.
  • 11
    Almeida MF, Martorelli MFA, Sodré MM, Kataoka APAG, Rosa AR, Oliveira ML, et al. Rabies diagnosis and serology in bats from the State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2011;44(2):140-5.
  • 12
    Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, Fernandes MEB. Serological investigation of rabies virus neutralizing antibodies in bats captured in the eastern Brazilian Amazon. Trans R Soc Trop Med Hyg . 2013;107(11):684-9.
  • 13
    Oliveira RS, Costa LJC, Andrade FAG, Uieda W, Martorelli LFA, Kataoka APAG, et al. Virological and serological diagnosis of rabies in bats from an urban area in the Brazilian Amazon. Rev Inst Med Trop Sao Paulo . 2015;57(6):497-503.
  • 14
    Cunha EMS, Queiroz da Silva LH, Lara MCCSH, Nassar AFC, Albas A, Sodre MM, et al. Bat rabies in the North-northwestern regions of São Paulo State - Brazil, 1997-2002. Rev Saude Publica. 2006;40(6):1082-6.
  • 15
    Casagrande DKA, Favaro ABBBC, Picolo CCMR, Hernandez JCB, Lot MS, Albas A, et al. Rabies surveillance in bats in Northwestern State of São Paulo. Rev Soc Bras Med Trop . 2014;47(6):709-15.
  • 16
    Dimitrov DT, Hallam TG, McCracken GF, editors. Modeling the effects of stresses on dynamics of bat rabies. Proceeding of the second IASTED International Conference Environmental Modeling and Simulation. St. Thomas: US Virgin Islands; 2006. 117-112.

Publication Dates

  • Publication in this collection
    01 Aug 2019
  • Date of issue
    2019

History

  • Received
    14 May 2018
  • Accepted
    25 June 2019
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