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Lutzomyia longipalpis (Diptera: Psychodidae) Argentina-Bolivia border: new report and genetic diversity

Abstract

American visceral leishmaniasis (AVL) has two main scenarios of transmission as follows: scattered cases in rural areas and urban outbreaks. Urban AVL is in active dispersion from the northeastern border of Argentina-Paraguay-Brazil to the South. The presence of Lutzomyia longipalpis was initially reported in urban environments in the northwestern border of the country. The presence of Lu. longipalpis, environmental variables associated with its distribution, and its genetic diversity were assessed in Salvador Mazza, Argentina, on the border with Bolivia. The genetic analysis showed high haplotype diversity, low nucleotide diversity, and low nucleotide polymorphism index. We discuss the hypothesis of an expanding urban population with introgressive hybridisation of older haplogroups found in their path in natural forest or rural environments, acquiring a new adaptability to urban environments, and the possibility of changes in vector capacity.

Key words:
visceral leishmaniasis; spatial distribution; Salta


American visceral leishmaniasis (AVL) due to Leishmania infantum is mainly transmitted by the species complex, Lutzomyia longipalpis (Lutz & Neiva). AVL has two main scenarios of transmission as follows: scattered human and canine cases in rural areas and urban outbreaks with high prevalence in dogs. The former scenario has been reported since the beginning of the twentieth century, but the latter has been recorded since the 1970s in the northeast Brazil when the urban dispersion of visceral leishmaniasis (VL) in Paraguay, Argentina, and Uruguay began at the turn of the century.11. Salomón OD, Feliciangeli MD, Quintana MG, Afonso MMS, Rangel EF. Lutzomyia longipalpis, urbanisation and control. Mem Inst Oswaldo Cruz. 2015; 110(7): 831-46.

The northern Argentina border extends for 3,573 km and is shared with Bolivia (Northwest), Paraguay (North Central and Northeast), and Brazil (Northeast). Seven human VL cases associated with rural transmission scenarios were recorded in northwest Argentina close to the border with Bolivia between 1923 and 1932.22. Salomón OD, Rossi G, Sosa Estani S, Spinelli G. Presencia de Lutzomyia longipalpis y situación de la leishmaniosis visceral en Argentina. Medicina (Buenos Aires). 2001; 61: 174-8. In contrast, regarding urban transmission in Argentina, the presence of Lu. longipalpis was reported in 2004 in the North Central region, in a city on the border with Paraguay, and the first urban human VL case was diagnosed in 2006 in a city located on the northeast border with Paraguay. Since then, the dispersion of urban Lu. longipalpis, and human and canine VL cases have continued in the eastern border of the country at a 38-39º south latitude.33. Santini MS, Acosta MM, Utgés ME, Aldaz ME, Salomón OD. Presence of Lutzomyia longipalpis and Nyssomyia whitmani in Entre Rios, Argentina. Rev Inst Med Trop São Paulo. 2018; 22: 60: e55. However, between 2008-2011, on the northwest Argentina border, three rural human VL cases were reported again after 80 years, remarkably close to Bolivia, without any captures of Lu. longipalpis.44. Barroso PA, Marco JD, Locatelli F, Cardozo RM, Hoyos CL, Mora MC, et al. Visceral leishmaniasis caused by Leishmania infantum in Salta, Argentina: possible reservoirs and vectors. Am J Trop Med Hyg. 2015; 93(2): 334-9.,55. Copa GN, Almazán MC, Aramayo LV, Krolewiecki AJ, Cajal SP, Juarez M, et al. Tegumentary leishmaniasis and sand flies in a border area between Argentina and Bolivia. Trans R Soc Trop Med Hyg. 2018; 113(2): 91-100. It was transmitted 700 km from the eastern foci related to the urban dispersion of the vector. Further, in 2013, urban Lu. longipalpis was initially reported in the Northwest region, in the city of Tartagal, located 55 km from Bolivia and 80-150 km from the rural cases noted in 2008-2011.66. Bravo AG, Quintana MG, Abril M, Salomón OD. The first record of Lutzomyia longipalpis in the Argentine northwest. Mem Inst Oswaldo Cruz. 2013; 108(8): 1071-3. Specimens of Lu. longipalpis from Tartagal showed higher haplotype diversity (Hd) than those from the urban eastern ‘spreading wave’, as if the population of Tartagal belonged to a long-established population, but also with an excess of low-frequency haplotypes as a population of relatively recent expansion.77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.

To explain the above contradiction and consider the geographical distribution of haplotypes, we postulated the hypothesis that the populations of Lu. longipalpis that earlier adapted to the rural environment in the northwestern Argentina-Bolivia border could have received newer inputs from the later invasive expansion of urban populations. Therefore, to evaluate this hypothesis, a phlebotomine survey was conducted in Salvador Mazza, Argentina, on the border with Bolivia, to assess the presence of Lu. longipalpis, its spatial distribution, associated environmental variables, and its genetic diversity.

Phlebotomine captures were performed on April 2016 in Salvador Mazza, Salta, Argentina, located < 100 m from the border with Bolivia. The study area is in the transitional environment between the Yungas tropical forest and xerophilic Dry Chaco ecoregions. Sixteen sites were randomly selected by visual interpretation within the city and surroundings representative of urban, periurban, and mixed landscapes (Fig. 1).

One ‘REDILA-BL’ trap88. Fernández MS, Martínez MF, Pérez AA, Santini MS, Gould IT, Salomón OD. Performance of light-emitting diode traps for collecting sand flies in entomological surveys in Argentina. J Vector Ecol. 2015; 40(2): 373-8. was placed on each site for three consecutive nights. The captured phlebotomines were dissected, and the head and last three abdominal segments were clarified with lactophenol and mounted on slides for the identification at the species level,99. Galati EAB. Classificação de Phlebotominae. In: EF Rangel, R Lainson, editors. Flebotomíneos do Brasil. Río de Janeiro: Fiocruz; 2003. p. 53-175. while the thorax and remaining sections of the abdomen were used in the molecular analyses (nine male Lu. longipalpis).

Fig. 1:
(A) South America. (B) Argentina, Salta province in black. (C) Salvador Mazza study area in Salta province. (D) Sampling sites (S1-S16) of Phlebotominae in Salvador Mazza. The red points are the sites with presence of Lutzomyia longipalpis. The colours of the stars represent the following haplotype codes: green, H43; purple, H44; yellow, H45; blue, H46; fuchsia, H57; orange, H58. Date of map © 2017 Google, Image © 2017 DigitalGlobe.

DNA was extracted using a DNA PuriPrep-S kit (Inbio Highway, Argentina) according to the manufacturer’s instructions. Cyt b fragment polymerase chain reaction (PCR) was performed as described previously (seven, for protocol references). DNA sequences were aligned using the MEGA version 7 software. Intrapopulation genetic diversity was evaluated with the number of mutations (h), number of segregating sites (S), number of unique sites (Su), number of haplotypes (Nh), Hd, nucleotide diversity (p), and nucleotide polymorphism index (q) using DnaSP version 5.10 software. Unique Lu. longipalpis haplotypes generated from Salvador Mazza were included in the database of Pech-May et al.77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614. The relationships among haplotypes were evaluated by constructing a minimum haplotype network using the median-joining method implemented in Network version 4.6 software, assuming that epsilon is zero. To evaluate the association between sites with presence or absence of Lu. longipalpis and those with presence or absence of environmental variables, we performed bivariate tests (chi-squared test). In all cases, Cramér’s V coefficient (CVC) was used to measure the association or independence among the considered variables, which has values between 0 (weak association) to one (strong association). The abundance of Lu. longipalpis was correlated with the number of dogs and chickens and percentages of different covers present in the plot of the studied site, such as trees, shrubs, cement, soil, and grass. InfoStat version 2016 software was used. All statistical tests were considered significant at a p-value ≤ 0.05.

A total of 65 individuals were captured with a sampling effort of 48 traps/night. The captured species were Evandromyia cortelezzii (Bréthes) and sallesi (Galvão & Coutinho) complex (43%), Lu. longipalpis (29%), Nyssomyia neivai (Pinto) (22%), and Migonemyia migonei (França) (6%). Lu. longipalpis was captured in 6/16 sampling sites (Fig. 1). The presence of Lu. longipalpis was significantly associated with the presence of the following variables: dogs (χ² = 15; p = 0.0001; CVC = 0.89), fruit trees (χ² = 6; p = 0.01; CVC = 0.58), organic detritus (χ² = 6; p = 0.01; CVC = 0.58), and chickens (χ² = 15; p = 0.0001; CVC = 0.89). The presence of ‘tree cover’ was the only significant variable associated with the abundance of the main vector of L. infantum, with at least 25% coverage (r = 0.53; p = 0.03). The most abundant site was S8 in the urban landscape.

Nine cyt b sequences of Lu. longipalpis revealed six haplotypes from Salvador Mazza (H43-H46 reported by Pech-May et al.77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.; H57 and H58 accession numbers: Mn228564 and Mn228565, respectively). The cyt b fragment length was 261 bp with 11 polymorphic sites and 250 conserved sites. The Hd was high (0.889 ± 0.091), while the nucleotide diversity (p = 0.013 ± 0.004) and nucleotide polymorphism index (Ө = 0.015 ± 0.002) were low. At site S8, three haplotypes were identified of four analysed specimens: two haplotypes shared with sites S9 and S13, while the other sites had unique haplotypes (Fig. 1). Regarding the haplotype network described previously,77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.Lu. longipalpis from Salvador Mazza and those from the cities with higher Hd including Tartagal shared the H43, H44, H45, and H46 haplotypes, belonging to the Ar1 and Ar-Bra haplogroups (Fig. 2). The H46 haplotype between Tartagal and Salvador Mazza is at least two mutational steps from H18 of Bra haplogroup (Brazil). In contrast, the H57 haplotype of Salvador Mazza is two mutational steps from H39, the most frequent haplotype in Argentina, whereas those associated with the current dispersion from Brazil and Paraguay belong to the Ar2 haplogroup. Finally, H58 is one mutational step from H46 (Ar1 haplogroup) and two mutational steps from H5 and H39 (Ar-Bra and Ar2 haplogroups, respectively) (Fig. 2).

Fig. 2:
median-joining haplotype network of the Lutzomyia longipalpis complex based on 261 nucleotides of the 3’ region of the cyt b gene, obtained and modified by Pech-May et al.77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614. The size of the circle corresponds to the frequency of each haplotype. Intermediary haplotypes (missing intermediate haplotypes) are shown as red circles. Each line connecting the haplotypes represents one mutational step, whereas the numbers along the lines are the total number of mutational steps between haplotypes. Colours indicate the sites: black (Salvador Mazza); orange (Clorinda); fuchsia (Corrientes); turquoise (Puerto Iguazú); grey (San Ignacio); pink (Santo Tomé); purple (Tartagal); white with blue outline (Venezuela); green (Brazil).

First, we initially report the presence of Lu. longipalpis in the northwestern Argentina-Bolivia border, in urban peridomestic environments in Salvador Mazza. The area had no records of this species in previous intensive sampling procedures,44. Barroso PA, Marco JD, Locatelli F, Cardozo RM, Hoyos CL, Mora MC, et al. Visceral leishmaniasis caused by Leishmania infantum in Salta, Argentina: possible reservoirs and vectors. Am J Trop Med Hyg. 2015; 93(2): 334-9.,55. Copa GN, Almazán MC, Aramayo LV, Krolewiecki AJ, Cajal SP, Juarez M, et al. Tegumentary leishmaniasis and sand flies in a border area between Argentina and Bolivia. Trans R Soc Trop Med Hyg. 2018; 113(2): 91-100.,1010. Quintana MG, Fernández MS, Salomón OD. Distribution and abundance of Phebotominae, vectors of leishmaniasis in Argentina: spatial and temporal analysis at different scales. J Trop Med. 2012; 2012: 16 pp. until reports in 2013 in Tartagal, 55 km south from the Salvador Mazza-Bolivia border.66. Bravo AG, Quintana MG, Abril M, Salomón OD. The first record of Lutzomyia longipalpis in the Argentine northwest. Mem Inst Oswaldo Cruz. 2013; 108(8): 1071-3. Second, the abundance of Lu. longipalpis is correlated with domestic blood sources, and heterogeneity of the urban landscape is associated with new urban foci.1111. Berrozpe P, Lamattina D, Santini MS, Araujo AV, Utgés ME, Salomón OD. Environmental suitability for Lutzomyia longipalpis in a subtropical city with a recently established visceral leishmaniasis transmission cycle, Argentina. Mem Inst Oswaldo Cruz. 2017; 112(10): 674-80. However, the low abundance of Lu. longipalpis in Salvador Mazza and Tartagal is suggestive of rural VL foci more than the urban foci of the recent urban dispersion wave, while the relative abundance of other species resembles the population assemblages of the rural xerophilic Chaco region, where the historical VL cases were reported in the early twentieth century.1212. Szelag EA, Rosa JR, Galati EAB, Andrade Filho JD, Salomón OD. Considerations on the species complex of the Cortelezzii series (Diptera: Psychodidae) and description of Evandromyia chacuensis sp. nov., a new phlebotomine species of the Chaco Region, Argentina. J Med Entomol. 2018; 55(4): 902-9.Lu. longipalpis of the northwestern Argentina-Bolivia border has a high Hd using cyt b gene, some haplotypes are found a few mutational steps from the other populations analysed from Argentina including even the recent emergent ones in the northcentral and northeast foci with low Hd, other haplotypes are shared with ‘ancient’ populations with higher Hd, and others are of their own but just a few mutational steps from the previous ones. The specimens of Salvador Mazza in the three haplogroups are already described in Argentina using two molecular markers (cyt b and ND4), the Ar1 and Ar2 haplogroups, exclusive to the country but also the Ar-Bra haplogroup, the last two being more closely related to the recent urban expansion of this species.77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.

Despite the fact that only 19 Lu. longipalpis were captured and the haplotypes of only nine male species were analysed, our results and those of previous studies obtained in the same area66. Bravo AG, Quintana MG, Abril M, Salomón OD. The first record of Lutzomyia longipalpis in the Argentine northwest. Mem Inst Oswaldo Cruz. 2013; 108(8): 1071-3.,77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.,1313. Quintana MG, Santini MS, Bravo AG, Fuenzalida AD, Acosta MM, Pech-May A, et al. Distribution, abundance, and genetic variability of Lutzomyia longipalpis (Diptera: Psychodidae) in Tartagal city, Salta, Argentina. Parasite; 2016; 23(E1): 21. present the following issues: (a) Given the presence of Lu. longipalpis in Salvador Mazza, the risk of VL should be restated in the Bolivian Department of Tarija on the border with Argentina as the southernmost report of this species in Bolivia was in the caves of Torotoro, > 1000 km north from Salvador Mazza.1414. García AL, Parrado R, Rojas E, Delgado R, Dujardin JC, Reithinger R. Leishmaniases in Bolivia: a comprehensive review and current status. Am J Trop Med Hyg. 2009; 80(5): 704-11. (b) Lu. longipalpis in the Argentina-Bolivia border has a pattern of vector abundance, population assemblage, and associated report of scattered VL cases as in old rural xerophilic Chaco foci, but the urban vector distribution is typical of populations belonging to the recent expansions through humid forested areas. The absence of reported rural VL cases in northwestern Argentina for 80 years may be due to underreporting and the new awareness of the health system after the northeastern urban outbreak alert since 2006. (c) The high Hd and low nucleotide diversity suggest bottlenecks, followed by rapid population growth, while excessive low-frequency haplotypes are characteristic of relatively recent population expansion or selective sweep/hitchhiking. Similar values were observed in the long established populations in Argentina and Brazil.77. Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.,1313. Quintana MG, Santini MS, Bravo AG, Fuenzalida AD, Acosta MM, Pech-May A, et al. Distribution, abundance, and genetic variability of Lutzomyia longipalpis (Diptera: Psychodidae) in Tartagal city, Salta, Argentina. Parasite; 2016; 23(E1): 21.,1515. Coutinho-Abreu IV, Sonoda IV, Fonseca AJ, Melo MA, Balbino VQ, Ramalho-Ortigão M. Lutzomyia longipalpis s. l. in Brazil and the impact of the São Francisco River in the speciation of this sand fly vector. Parasit Vectors. 2008; 1(1): 37.

The contradictions observed in northwestern Argentina from Lu. longipalpis populations (Tartagal and Salvador Mazza) contribute to the establishment of the hypothesis of a recent urban expansion of Lu. longipalpis populations from Brazil-Paraguay that hybridize local populations during their expansion if there are no reproductive barriers. Hence, these populations have a rural species assemblage and epidemic pattern but are associated with urban environmental variables and distribution. These northwestern Lu. longipalpis populations have high Hd and low haplotype frequency, which are clustered with exclusive haplogroups of the country and the haplogroup shared with Brazil (Ar-Bra). Thus, if the crossbreeding hypothesis is true, the new populations could be exposed to adaptive pressure that selects not only the characteristics best fitted to the local environment already present in earlier populations but also new characteristics, such as the urbanisation capability from the populations in active dispersion. Regarding the possible path of expansion, there are informal comments regarding Lu. longipalpis in the xerophilic Chaco region of Paraguay and in southern Bolivia. The geographical gap of Lu. longipalpis records in the Chaco region from Brazil-Paraguay-Argentina originating in the eastern expansion could be related to the scarcity of records and low abundance in natural environments or actual unknown colonisation. The latter option could be from the Amazonian border of Bolivia-Paraguay-Brazil to the south, where the main vector of L. infantum seems to be Lutzomyia cruzi (Mangabeira), with the presence of Lu. longipalpis, and introgression and possible interhybridisation between these closer sibling species.1616. de Oliveira E, Casaril AE, Fernandes WS, Ravanelli MS, Medeiros MJ, Gamarra RM, et al. Monthly distribution of phlebotomine sand flies, and biotic and abiotic factors related to their abundance, in an urban area to which visceral leishmaniasis is endemic in Corumbá, Brazil. PLoS One. 2016; 11(10): e0165155. de Oliveira et al.1717. de Oliveira E, Galati EAB, Oliveira AG, Rangel EF, de Carvalho BM. Ecological niche modelling and predicted geographic distribution of Lutzomyia cruzi, vector of Leishmania infantum in South America. PLoS Negl Trop Dis. 2018; 12(7): e0006684. reported that the point of occurrence of Lu. cruzi in Bolivia is in the municipality of ‘El Carmen, Santa Cruz’, and the results of the modelling of potential ecological niche show a suitable area of the geographical region of ‘Gran Chaco’, in which Salvador Mazza is located.

This hypothesis of mixed ancestral rural, and new urban adapted and dispersive Lu. longipalpis populations has not only phylogeographic implications but also eco-epidemiological and control consequences, as the hybridised populations could be better adapted to local environments. The bionomy, vector capacity, and even insecticide susceptibility of these double-source populations could be different from those of the original population.

ACKNOWLEDGEMENTS

To the technicians of the National Coordination of Vector Control, National Ministry of Health for the assistant in the fieldwork.

REFERENCES

  • 1
    Salomón OD, Feliciangeli MD, Quintana MG, Afonso MMS, Rangel EF. Lutzomyia longipalpis, urbanisation and control. Mem Inst Oswaldo Cruz. 2015; 110(7): 831-46.
  • 2
    Salomón OD, Rossi G, Sosa Estani S, Spinelli G. Presencia de Lutzomyia longipalpis y situación de la leishmaniosis visceral en Argentina. Medicina (Buenos Aires). 2001; 61: 174-8.
  • 3
    Santini MS, Acosta MM, Utgés ME, Aldaz ME, Salomón OD. Presence of Lutzomyia longipalpis and Nyssomyia whitmani in Entre Rios, Argentina. Rev Inst Med Trop São Paulo. 2018; 22: 60: e55.
  • 4
    Barroso PA, Marco JD, Locatelli F, Cardozo RM, Hoyos CL, Mora MC, et al. Visceral leishmaniasis caused by Leishmania infantum in Salta, Argentina: possible reservoirs and vectors. Am J Trop Med Hyg. 2015; 93(2): 334-9.
  • 5
    Copa GN, Almazán MC, Aramayo LV, Krolewiecki AJ, Cajal SP, Juarez M, et al. Tegumentary leishmaniasis and sand flies in a border area between Argentina and Bolivia. Trans R Soc Trop Med Hyg. 2018; 113(2): 91-100.
  • 6
    Bravo AG, Quintana MG, Abril M, Salomón OD. The first record of Lutzomyia longipalpis in the Argentine northwest. Mem Inst Oswaldo Cruz. 2013; 108(8): 1071-3.
  • 7
    Pech-May A, Ramsey JM, Ittig REG, Giuliani M, Berrozpe P, Quintana MG, et al. Genetic diversity, phylogeography and molecular clock of the Lutzomyia longipalpis complex (Diptera: Psychodidae). PLoS Negl Trop Dis. 2018; 12(7): e0006614.
  • 8
    Fernández MS, Martínez MF, Pérez AA, Santini MS, Gould IT, Salomón OD. Performance of light-emitting diode traps for collecting sand flies in entomological surveys in Argentina. J Vector Ecol. 2015; 40(2): 373-8.
  • 9
    Galati EAB. Classificação de Phlebotominae. In: EF Rangel, R Lainson, editors. Flebotomíneos do Brasil. Río de Janeiro: Fiocruz; 2003. p. 53-175.
  • 10
    Quintana MG, Fernández MS, Salomón OD. Distribution and abundance of Phebotominae, vectors of leishmaniasis in Argentina: spatial and temporal analysis at different scales. J Trop Med. 2012; 2012: 16 pp.
  • 11
    Berrozpe P, Lamattina D, Santini MS, Araujo AV, Utgés ME, Salomón OD. Environmental suitability for Lutzomyia longipalpis in a subtropical city with a recently established visceral leishmaniasis transmission cycle, Argentina. Mem Inst Oswaldo Cruz. 2017; 112(10): 674-80.
  • 12
    Szelag EA, Rosa JR, Galati EAB, Andrade Filho JD, Salomón OD. Considerations on the species complex of the Cortelezzii series (Diptera: Psychodidae) and description of Evandromyia chacuensis sp. nov., a new phlebotomine species of the Chaco Region, Argentina. J Med Entomol. 2018; 55(4): 902-9.
  • 13
    Quintana MG, Santini MS, Bravo AG, Fuenzalida AD, Acosta MM, Pech-May A, et al. Distribution, abundance, and genetic variability of Lutzomyia longipalpis (Diptera: Psychodidae) in Tartagal city, Salta, Argentina. Parasite; 2016; 23(E1): 21.
  • 14
    García AL, Parrado R, Rojas E, Delgado R, Dujardin JC, Reithinger R. Leishmaniases in Bolivia: a comprehensive review and current status. Am J Trop Med Hyg. 2009; 80(5): 704-11.
  • 15
    Coutinho-Abreu IV, Sonoda IV, Fonseca AJ, Melo MA, Balbino VQ, Ramalho-Ortigão M. Lutzomyia longipalpis s. l. in Brazil and the impact of the São Francisco River in the speciation of this sand fly vector. Parasit Vectors. 2008; 1(1): 37.
  • 16
    de Oliveira E, Casaril AE, Fernandes WS, Ravanelli MS, Medeiros MJ, Gamarra RM, et al. Monthly distribution of phlebotomine sand flies, and biotic and abiotic factors related to their abundance, in an urban area to which visceral leishmaniasis is endemic in Corumbá, Brazil. PLoS One. 2016; 11(10): e0165155.
  • 17
    de Oliveira E, Galati EAB, Oliveira AG, Rangel EF, de Carvalho BM. Ecological niche modelling and predicted geographic distribution of Lutzomyia cruzi, vector of Leishmania infantum in South America. PLoS Negl Trop Dis. 2018; 12(7): e0006684.
  • Financial support: This work was supported by Small Grants Programme - a joint initiative of the PAHO/TDR and the Special Programme for Research and Training in Tropical Diseases, UNICEF, UNDP, the World Bank and WHO.

Publication Dates

  • Publication in this collection
    30 Sept 2019
  • Date of issue
    2019

History

  • Received
    29 May 2019
  • Accepted
    02 Sept 2019
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