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Spread of Phlebotominae in temperate climates: province of Córdoba, Argentina

Abstract

We report the presence of the competent vector for Leishmaniaspp, Migonemyia migonei, and theEvandromyia cortelezzii-sallesi complex south of its known distribution in the central temperate region of Argentina, in the province of Córdoba. The persistence of this phlebotomine in the northern border of the province, its association with a case of cutaneous leishmaniasis, and the new record in the outskirts of the city of Córdoba, the second most populated in the country, strengthens the need for regular vector surveillance and a case detection-sensitive health system in vulnerable regions, even in temperate climates.

Migonemyia migonei; Evandromyia cortelezzii; American cutaneous leishmaniasis; Córdoba


The province of Córdoba is located in the geographical centre of Argentina. The area of the province sampled in this report has a climate gradient from subtropical with a dry season in the northeast corner to temperate in the centre-west up to the foothills, with a mean temperature of 16-17ºC and 750-800 mm of annual precipitation (Jarsún et al. 2003Jarsún B, Gorgas JA, Zamora E, Bosnero E, Lovera E, Ravelo A, Tassile JL 2003. Caracterización general de la provincia. In JA Gorjas, JL Tassile (orgs.), Recursos naturales de la provincia de Córdoba, Los Suelos, Agencia Córdoba Ambiente/INTA, Córdoba, p. 23-60.). This bio-region belongs to the Chaco domain and includes the dry Chaco and Espinal sub-domains (Cabrera 1976Cabrera AL 1976. Regiones fitogeográficas argentinas. In WF Kugler (ed.), Enciclopedia Argentina de agricultura y jardinería, Tomo II, Fascículo I, ACME SACI, Buenos Aires, p. 1-85.) (Figure).


Sampling locations in the province of Córdoba, Argentina (left square: Argentina; right square: province of Córdoba). A: La Para; B: city of Córdoba; C: Unquillo; D: Altos de Chipión; E: Las Jarillas; I: dry Chaco; II: Espinal; III: Pampa; MCh: Mar Chiquita Lagoon; open triangles: historical capture sites 2004-2007 (already published); solid triangles: new captures sites 2012-2015.

The northern border of the province is close to the southernmost known reports of vectorial transmission of American cutaneous leishmaniasis (ACL) in the central region of Argentina, in the province of Santiago del Estero. Despite the fact that Córdoba was monitored for culicid-transmitted arbovirus for more than 40 years, the first reported captures of phlebotomine sandflies in the province were in Altos de Chipión, in 2004/2005, 236 km from the southern record in Santiago del Estero (Los Telares 28º 58’47”S 63º27’04”W), and in Las Jarillas, within the dry Chaco region (Figure, Table) (Salomón et al. 2008Salomón OD, Rosa JR, Stein M, Quintana MG, Fernández MS, Visintin AM, Spinelli GR, de Pascual MMB, Molinari ML, Morán ML, Valdez D, Bruno MR 2008. Phlebotominae (Diptera: Psychodidae) fauna in the Chaco region and cutaneous leishmaniasis transmission patterns in Argentina. Mem Inst Oswaldo Cruz 103: 578-584.). Furthermore, although the Health System regularly reports imported cases of ACL properly diagnosed in Rawson Hospital in the city of Córdoba, the first case suspected to be autochthonous was reported to the National Surveillance System in the 50th week of 2014 (MSAL 2015MSAL - Ministerio de Salud de la Nación 2015. Boletín integrado de Vigilancia nº 242. Available from: msal.gov.ar/images/stories/boletines/Boletin-Integrado-De-Vigilancia-N242-SE2.pdf.
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TABLE
Phlebotominae reported in the province of Córdoba by date, locality, and species

This paper presents three new records of phlebotomine sandflies in the province of Córdoba, their persistence in the northeast humid region and in the Espinal region captured close to Córdoba without previous records, the second most populated city in Argentina (Census 2010: 1,330,023 inhabitants), and captures related to the ACL case.

The captures were made in (i) La Para, 64 km from former captures at Altos de Chipión and sharing the basin of Mar Chiquita Lagoon (salt water). CDC miniature light traps baited with CO2 were placed in four sites (3 with sandflies) between December 2011-May 2012, every 15 days. The sites are humid areas with vegetated or rural landscapes with cows and wild foxes in the surroundings; (ii) the city of Córdoba, where the traps were located in three sites: the Zoo (31º25’34’’S 64º10’33’’W), the Botanical Garden (31º23’13’’S 64º14’58’’W), and the “Bajo Grande” sewage treatment plant (31º23’38’’S 64º04’36’’W), the last being the only one with phlebotomines. “Bajo Grande” is located in the outskirts of the city 10 km from downtown in a nonurbanised area, where four CDC traps baited with CO2 and separated from each other by 500 m were working seasonally for two nights from 2013-2015. The environment is close to the Suquía River border and has trees and grass, a house 100 m from the traps with roaming dogs and chickens, and wild animals such as foxes, hares, rats, and other rodents; (iii) the city of Unquillo, with six traps located in henhouses, pigsties, and horse stables. The single trap with sandflies was from the henhouse in the yard of the ACL case. The former two trappings were made during arbovirus surveillance study designs, the last one for the focus study of the ACL case. Further captures were made in the course of surveillance for the spread of leishmaniasis vectors in urban and periurban environments during February 2013 (CDC light trap, 2 consecutive nights) at 10 sites at Altos de Chipión and seven sites at Dean Funes (30º26’S 64º21’W), but no phlebotomines were captured. Species were identified with a microscope using Galati’s key (Galati 2003).Evandromyia cortelezzii and Evandromyia sallesifemales were identified as belonging to the cortelezzii complex (Ev. cortelezzii-sallesi) because the females are indistinguishable by morphological characteristics.

The geographic coordinates, dates, and results are shown in the Table. Migonemyia migonei was reported previously (Salomón et al. 2008Salomón OD, Rosa JR, Stein M, Quintana MG, Fernández MS, Visintin AM, Spinelli GR, de Pascual MMB, Molinari ML, Morán ML, Valdez D, Bruno MR 2008. Phlebotominae (Diptera: Psychodidae) fauna in the Chaco region and cutaneous leishmaniasis transmission patterns in Argentina. Mem Inst Oswaldo Cruz 103: 578-584.), whileEv. cortelezzii-sallesi is reported for the first time in the province of Córdoba.

In the Chaco bio-geographical region, the captures and the ACL incidence showed two disparate patterns: (i) time-space scattering of ACL cases (sporadic transmission) in the western dry Chaco, with Mg. migonei and Ev. cortelezzii-sallesi as the prevalent species of Phlebotominae, and (ii) ACL outbreaks (potential epidemic transmission) in the eastern humid Chaco and gallery forests of rivers associated with Nyssomyia nei- vai dominance (Salomón et al. 2001Salomón OD, de Pascual MB, Molinari ML, Verri V 2001. Study of a cutaneous leishmaniasis outbreak in General Vedia, province of Chaco, 1996.Rev Inst Med Trop Sao Paulo 43: 99-104., 2002Salomón OD, Estani SS, Drí L, Donnet M, Galarza R, Recalde H, Tijera A 2002. Leishmaniosis tegumentaria en Las Lomitas, provincia de Formosa, Argentina, 1992-2001. Medicina (Buenos Aires) 62: 562-568., 2006bSalomón OD, Orellano PW, Lamfri M, Scavuzzo M, Dri L, Farace MI, Quintana DO 2006b. Phlebotominae spatial distribution associated with a focus of tegumentary leishmaniasis in Las Lomitas, Formosa, Argentina, 2002. Mem Inst Oswaldo Cruz 101: 295-299., Rosa et al. 2010Rosa JR, Salomón OD, Andrade Filho JD, Carvalho GML, Szelag EA, Stein M, Tapia ES, Brazil RP 2010. Distribution of sandflies (Diptera: Psychodidae) in the province of Chaco, Argentina. Neotrop Entomol 39: 303-305., Quintana et al. 2012Quintana MG, Fernández MS, Salomón OD 2012. Distribution and abundance of Phebotominae, vectors of leishmaniasis, in Argentina: spatial and temporal analysis at different scales. J Trop Med 2012: 652803.).

Therefore, the results presented here show the same species pattern in the Espinal region as in the dry Chaco region with sporadic transmission. The Espinal region reaches the Paraná River in the west, where Mg. migonei was also reported (31º35’S 60º17’W), while in the residual woods of the dry Chaco far from the river (28º38’S 59º51’W), N. neivai, Ev. cortelezzii, and Mg. migonei were found in very low abundance with no dominance between the species (Salomón et al. 2006a).

Both species found in Córdoba have vectorial competence. Mg. migonei is a known vector of Leishmania braziliensis (Diniz et al. 2014Diniz MM, Ovallos FG, Gomes CMC, Lavitschka CO, Galati EA 2014. Host-biting rate and susceptibility of some suspected vectors toLeishmania braziliensis. Parasit Vectors7: 139.), already incriminated in Argentina (Quintana et al. 2012Quintana MG, Fernández MS, Salomón OD 2012. Distribution and abundance of Phebotominae, vectors of leishmaniasis, in Argentina: spatial and temporal analysis at different scales. J Trop Med 2012: 652803., 2013Quintana M, Salomón O, Guerra R, de Grosso ML, Fuenzalida A 2013. Phlebotominae of epidemiological importance in cutaneous leishmaniasis in northwestern Argentina: risk maps and ecological niche models. Med Vet Entomol 27: 39-48.). It was also associated in the Chaco region with the agent of visceral leishmaniasis, Leishmania infantum, when the parasite circulation increased and, in the absence of the main vector Lutzomyia longipalpis (Salomón et al. 2010Salomón OD, Quintana MG, Bezzi G, Morán ML, Betbeder E, Valdéz DV 2010. Lutzomyia migonei as putative vector of visceral leishmaniasis in La Banda, Argentina. Acta Trop 113: 84-87.), as in the state of Pernambuco, Brazil (de Carvalho et al. 2010de Carvalho MR, Valença HF, da Silva FJ, de Pita-Pereira D, Pereira TA, Britto C, Brazil RP, Brandão Filho SP 2010. Natural Leishmania infantum infection in Migonemyia migonei (França, 1920) (Diptera: Psychodidae: Phlebotominae) the putative vector of visceral leishmaniasis in Pernambuco state, Brazil. Acta Trop 116: 108-110.), and L. infantum DNA was detected in wild-caught specimens from Puerto Iguazú (Moya et al. 2015Moya SL, Giuliani MG, Acosta MM, Salomón OD, Liotta DJ 2015. First description of Migonemyia migonei (França) andNyssomyia whit- mani (Antunes & Coutinho) (Psychodidae: Phlebotominae) natural infected by Leishmania infantum in Argentina. Acta Trop 152: 181-184.). Females of the Ev. cortelezzii complex were reported with L. braziliensis DNA in the Chaco region (Rosa et al. 2012Rosa JR, Pereira DP, Brazil RP, Andrade Filho JD, Salomón O, Szelag EA 2012. Natural infection of cortelezzii complex (Diptera: Psychodidae: Phlebotominae) with Leishmania braziliensis in Chaco, Argentina. Acta Trop 123: 128-131.) and L. infantum DNA was also found in both species of the complex in the state of Minas Gerais, Brazil (Carvalho et al. 2008Carvalho GM, Andrade Filho JD, Falcão AL, Lima ACR, Gontijo CM 2008. Naturally infected Lutzomyia sand flies in aLeishmania-endemic area of Brazil. Vector Borne Zoonotic Dis 8: 407-414., Saraiva et al. 2009Saraiva L, Carvalho GM, Gontijo CM, Quaresma PF, Lima AC, Falcão AL, Andrade Filho JD 2009. Natural infection of Lutzomyia neivaiand Lutzomyia sallesi (Diptera: Psychodidae) byLeishmania infantum chagasi in Brazil. J Med Entomol 46: 1159-1163.).

In the dry Chaco, the best predictor of sandfly abundance is the precipitation (Salomón et al. 2008Salomón OD, Rosa JR, Stein M, Quintana MG, Fernández MS, Visintin AM, Spinelli GR, de Pascual MMB, Molinari ML, Morán ML, Valdez D, Bruno MR 2008. Phlebotominae (Diptera: Psychodidae) fauna in the Chaco region and cutaneous leishmaniasis transmission patterns in Argentina. Mem Inst Oswaldo Cruz 103: 578-584.), and in areas lacking a continuous canopy, even the shadow of land-growing bromeliads are suitable breeding sites (Parras et al. 2012Parras MA, Rosa JR, Szelag EA, Salomón OD 2012. Identification of natural breeding sites of sandflies (Diptera: Psychodidae: Phlebotominae), potential vectors of leishmaniasis, in the province of Chaco, Argentina.Mem Inst Oswaldo Cruz 107: 550-552.). However, in the humid subtropical areas, the variables that more effectively predicted the distributionMg. migonei were the precipitation of the driest month and the precipitation of the warmest quarter (Quintana et al. 2013Quintana M, Salomón O, Guerra R, de Grosso ML, Fuenzalida A 2013. Phlebotominae of epidemiological importance in cutaneous leishmaniasis in northwestern Argentina: risk maps and ecological niche models. Med Vet Entomol 27: 39-48.). In this sense, it is worth noting that the area of persistent sandfly colonisation (the Mar Chiquita Basin) has cyclical dryness-overflow periods, and the area of new reports close to the city of Córdoba (Unquillo, Córdoba outskirts) has shown changes in the flora and fauna in recent years associated with the reduction of natural habitats (Zak et al. 2004Zak MR, Cabido M, Hodgson JG 2004. Do subtropical seasonal forest in the Gran Chaco, Argentina, have a future? Biol Conserv 120: 589-598., 2008Zak MR, Cabido M, Cáceres D, Díaz S 2008. What drives accelerated land cover change in central Argentina? Synergistic consequences of climatic, socioeconomic, and technological factors. Environ Manage 42: 181-189.).

A model showed that the presence of sandflies is better defined by macrohabitat characteristics, while their abundance is associated with microhabitat variables at the site of capture (Santini et al. 2015Santini MS, Utgés ME, Berrozpe P, Acosta MM, Casas N, Heuer P, Salomón OD 2015. Lutzomyia longipalpis presence and abundance distribution at different micro-spatial scales in an urban scenario.PLoS Negl Trop Dis 9: e0003951.). Thus, despite the low abundances found, environmental microscale conditions could produce focal outbursts of sandflies, as was found in the Chaco region in Suncho Corral, in the province of Santiago del Estero, where 1,555 Mg. migonei and 64Ev. cortelezzii were collected in one trap in one night within a horse stable (Salomón et al. 2008Salomón OD, Rosa JR, Stein M, Quintana MG, Fernández MS, Visintin AM, Spinelli GR, de Pascual MMB, Molinari ML, Morán ML, Valdez D, Bruno MR 2008. Phlebotominae (Diptera: Psychodidae) fauna in the Chaco region and cutaneous leishmaniasis transmission patterns in Argentina. Mem Inst Oswaldo Cruz 103: 578-584.).

In the yard of the ACL case diagnosed in Córdoba, a single sandfly was captured, but the ACL patient had been working as a builder during the season of main sandfly activity in Miramar between La Para and Altos de Chipión, a locality that should be re-located after an overflow of the Mar Chiquita Lagoon.

Therefore, these new records close to the known distribution border could be due to (i) intensified awareness and “looking for” sandflies in areas where their abundance is usually low and their presence sporadic, (ii) residual populations from a more extended historical area that is currently fragmented, (ii) sporadic extended colonisation during optimal climate periods but subject to extinctions, or (iv) actual spread through “least-cost” environmental paths (Fischer et al. 2011Fischer D, Moeller P, Thomas SM, Naucke TJ, Beierkuhnlein C 2011. Combining climatic projections and dispersal ability: a method for estimating the responses of sandfly vector species to climate change. PLoS Negl Trop Dis 5: e1407.).

In conclusion, although the low abundance of vectors could imply a low probability of transmission in peridomestic environments, sporadic cases or an emergent trend could occur, or even visceral cases, due to increased parasite circulation. Surveillance in leishmaniasis-vulnerable contiguous areas and receptive areas due to the reported presence of vectors should be intensified, even in temperate climate regions. The spread and colonisation trends of vectors should be monitored, the Health System should be sensitised and enabled to provide early detection and proper treatment of the cases, and each confirmed case will require a study of the focus to assess autochthony.

ACKNOWLEDGEMENTS

To Laura López, from Epidemiology, MOH province of Córdoba, for interest and field work contribution, to Sergio A Casertano, INMeT, for sandfly determination, and to Ignacio Gould, CeNDIE, Jorgelina Porcel de Peralta, UNC, and Agustin Quaglia, UNC, for contribution during captures.

REFERENCES

  • Cabrera AL 1976. Regiones fitogeográficas argentinas. In WF Kugler (ed.), Enciclopedia Argentina de agricultura y jardinería, Tomo II, Fascículo I, ACME SACI, Buenos Aires, p. 1-85.
  • Carvalho GM, Andrade Filho JD, Falcão AL, Lima ACR, Gontijo CM 2008. Naturally infected Lutzomyia sand flies in aLeishmania-endemic area of Brazil. Vector Borne Zoonotic Dis 8: 407-414.
  • de Carvalho MR, Valença HF, da Silva FJ, de Pita-Pereira D, Pereira TA, Britto C, Brazil RP, Brandão Filho SP 2010. Natural Leishmania infantum infection in Migonemyia migonei (França, 1920) (Diptera: Psychodidae: Phlebotominae) the putative vector of visceral leishmaniasis in Pernambuco state, Brazil. Acta Trop 116: 108-110.
  • Diniz MM, Ovallos FG, Gomes CMC, Lavitschka CO, Galati EA 2014. Host-biting rate and susceptibility of some suspected vectors toLeishmania braziliensis Parasit Vectors7: 139.
  • Fischer D, Moeller P, Thomas SM, Naucke TJ, Beierkuhnlein C 2011. Combining climatic projections and dispersal ability: a method for estimating the responses of sandfly vector species to climate change. PLoS Negl Trop Dis 5: e1407.
  • Galati EAB 2003. Classificação de Phlebotominae. In EF Rangel, R Lainson (eds.), Flebotomíneos do Brasil, Fiocruz, Rio de Janeiro, p. 23-51.
  • Jarsún B, Gorgas JA, Zamora E, Bosnero E, Lovera E, Ravelo A, Tassile JL 2003. Caracterización general de la provincia. In JA Gorjas, JL Tassile (orgs.), Recursos naturales de la provincia de Córdoba, Los Suelos, Agencia Córdoba Ambiente/INTA, Córdoba, p. 23-60.
  • Moya SL, Giuliani MG, Acosta MM, Salomón OD, Liotta DJ 2015. First description of Migonemyia migonei (França) andNyssomyia whit- mani (Antunes & Coutinho) (Psychodidae: Phlebotominae) natural infected by Leishmania infantum in Argentina. Acta Trop 152: 181-184.
  • MSAL - Ministerio de Salud de la Nación 2015. Boletín integrado de Vigilancia nº 242. Available from: msal.gov.ar/images/stories/boletines/Boletin-Integrado-De-Vigilancia-N242-SE2.pdf.
    » msal.gov.ar/images/stories/boletines/Boletin-Integrado-De-Vigilancia-N242-SE2.pdf
  • Parras MA, Rosa JR, Szelag EA, Salomón OD 2012. Identification of natural breeding sites of sandflies (Diptera: Psychodidae: Phlebotominae), potential vectors of leishmaniasis, in the province of Chaco, Argentina.Mem Inst Oswaldo Cruz 107: 550-552.
  • Quintana M, Salomón O, Guerra R, de Grosso ML, Fuenzalida A 2013. Phlebotominae of epidemiological importance in cutaneous leishmaniasis in northwestern Argentina: risk maps and ecological niche models. Med Vet Entomol 27: 39-48.
  • Quintana MG, Fernández MS, Salomón OD 2012. Distribution and abundance of Phebotominae, vectors of leishmaniasis, in Argentina: spatial and temporal analysis at different scales. J Trop Med 2012: 652803.
  • Rosa JR, Pereira DP, Brazil RP, Andrade Filho JD, Salomón O, Szelag EA 2012. Natural infection of cortelezzii complex (Diptera: Psychodidae: Phlebotominae) with Leishmania braziliensis in Chaco, Argentina. Acta Trop 123: 128-131.
  • Rosa JR, Salomón OD, Andrade Filho JD, Carvalho GML, Szelag EA, Stein M, Tapia ES, Brazil RP 2010. Distribution of sandflies (Diptera: Psychodidae) in the province of Chaco, Argentina. Neotrop Entomol 39: 303-305.
  • Salomón OD, de Pascual MB, Molinari ML, Verri V 2001. Study of a cutaneous leishmaniasis outbreak in General Vedia, province of Chaco, 1996.Rev Inst Med Trop Sao Paulo 43: 99-104.
  • Salomón OD, Estani SS, Drí L, Donnet M, Galarza R, Recalde H, Tijera A 2002. Leishmaniosis tegumentaria en Las Lomitas, provincia de Formosa, Argentina, 1992-2001. Medicina (Buenos Aires) 62: 562-568.
  • Salomón OD, Mocarbel NJ, Pedroni E, Colombo J, Sandillú M 2006a.Phlebotominae: vectores de leishmaniasis en las provincias de Santa Fe y Entre Ríos, Argentina. Medicina (Buenos Aires) 66: 220-224.
  • Salomón OD, Orellano PW, Lamfri M, Scavuzzo M, Dri L, Farace MI, Quintana DO 2006b. Phlebotominae spatial distribution associated with a focus of tegumentary leishmaniasis in Las Lomitas, Formosa, Argentina, 2002. Mem Inst Oswaldo Cruz 101: 295-299.
  • Salomón OD, Quintana MG, Bezzi G, Morán ML, Betbeder E, Valdéz DV 2010. Lutzomyia migonei as putative vector of visceral leishmaniasis in La Banda, Argentina. Acta Trop 113: 84-87.
  • Salomón OD, Rosa JR, Stein M, Quintana MG, Fernández MS, Visintin AM, Spinelli GR, de Pascual MMB, Molinari ML, Morán ML, Valdez D, Bruno MR 2008. Phlebotominae (Diptera: Psychodidae) fauna in the Chaco region and cutaneous leishmaniasis transmission patterns in Argentina. Mem Inst Oswaldo Cruz 103: 578-584.
  • Santini MS, Utgés ME, Berrozpe P, Acosta MM, Casas N, Heuer P, Salomón OD 2015. Lutzomyia longipalpis presence and abundance distribution at different micro-spatial scales in an urban scenario.PLoS Negl Trop Dis 9: e0003951.
  • Saraiva L, Carvalho GM, Gontijo CM, Quaresma PF, Lima AC, Falcão AL, Andrade Filho JD 2009. Natural infection of Lutzomyia neivaiand Lutzomyia sallesi (Diptera: Psychodidae) byLeishmania infantum chagasi in Brazil. J Med Entomol 46: 1159-1163.
  • Zak MR, Cabido M, Cáceres D, Díaz S 2008. What drives accelerated land cover change in central Argentina? Synergistic consequences of climatic, socioeconomic, and technological factors. Environ Manage 42: 181-189.
  • Zak MR, Cabido M, Hodgson JG 2004. Do subtropical seasonal forest in the Gran Chaco, Argentina, have a future? Biol Conserv 120: 589-598.

Publication Dates

  • Publication in this collection
    Jan 2016

History

  • Received
    7 Oct 2015
  • Accepted
    8 Dec 2015
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