ABSTRACT Background: Hanseniasis is a public health concern in developing countries. Although a decrease in the number of new cases in Brazil has been reported, there is a prevalence above that recommended in some regions. Aims: Considering the goal of the World Health Organization (WHO) to accelerate towards a leprosy-free world from 2020, the aim of this study was to analyze the epidemiological profile and leprosy trends in the city of Cruzeiro do Sul, Acre, Brazil. Methods: This retrospective cohort study analyzed the epidemiology and trends of hanseniasis between 2005 and 2018, monitoring socioeconomic and clinical epidemiological variables obtained from the Information System of Notifiable Diseases of Hanseniasis (SINAN) database. Results: A total of 422 cases of hanseniasis (284 male, 138 female) were included. The questionnaire of six patients was incomplete. The highest number of cases (89) was recorded in 2006 (11.7/10,000 inhabitants). The borderline clinical form was most common, with 45.4% of cases. Throughout the historical series, the rate of annual percentage change in the detection of new cases and cases with grade 2 disability showed a decreasing profile, at −13.9 [95% CI: −19.1, −8.2] and −13.1 [95% CI: −21.8, −5.5], respectively. The same rates were observed in patients below 15 years of age. Limitations: This study reflects the scenario in one reference center and data were obtained retrospectively. Conclusions: The incidence of hanseniasis in this reference center is declining gradually; however, the indicators show active disease transmission and late diagnosis.

Studies have shown that both carbon dioxide (CO2) and octenol (1-octen-3-ol) are effective attractants for mosquitoes. The objective of the present study was to evaluate the attractiveness of 1-octen-3-ol and CO2 for diurnal mosquitoes in the southeastern Atlantic forest. A Latin square experimental design was employed with four treatments: CDC-light trap (CDC-LT), CDC-LT and 1-octen-3-ol, CDC-LT and CO2 and CDC-LT with 1-octen-3-ol and CO2. Results demonstrated that both CDC-CO2 and CDC-CO2-1-octen-3-ol captured a greater number of mosquito species and specimens compared to CDC-1-octen-3-ol; CDC-LT was used as the control. Interestingly, Anopheles (Kerteszia) sp. was generally attracted to 1-octen-3-ol, whereas Aedes serratus was the most abundant species in all Latin square collections. This species was recently shown to be competent to transmit the yellow fever virus and may therefore play a role as a disease vector in rural areas of Brazil.

O hábito alimentar da população de Cx. nigripalpus do Parque Ecológico do Tietê (PET) foi investigado usando um protocolo de ELISA indireto. Foram testadas 516 e 25 fêmeas ingurgitadas e capturadas, respectivamente, em áreas reflorestadas e abertas. Roedores e canídeos foram fontes alimentares mais freqüentes, em aproximadamente 65.3% dos repastos sangüíneos. De um total de 541 fêmeas ingurgitadas, foram detectadas freqüências de repastos sangüíneos em humanos (10.9%), canídeos (26.1%), galinídeos (2.4%) e roedores (39.2%). As fontes alimentares de 233 fêmeas ingurgitadas (43.1%) não foram identificadas, indicando que essas fêmeas se alimentaram possivelmente de outros hospedeiros não testados. Ainda, houve 106 indivíduos (34.4%) que fizeram múltiplos repastos sangüíneos. O valor do índice de repastos sangüíneos em humanos foi 0.14 e as razões alimentares foram roedor/humano = 2.70, humano/galinídeo = 1.51 e canídeo/roedor = 1.33. Os roedores são hospedeiros defensivos para esse inseto hematófago o qual não persiste nestes hospedeiros e procura outro para completar o repasto sangüíneo. Considerando que os roedores são reservatórios potenciais de arbovírus Mucambo e São Luís e que Cx. nigripalpus realiza repastos sanguíneos nesses mamíferos, propõe-se a hipótese de que a população deste moquito poderia participar do ciclo de transmissão desses arbovírus no PET. Adicionalmente, esta espécie poderá se envolver na transmissão de Dirofilaria immitis para canídeos neste parque.

The blood feeding of a population of Cx. nigripalpus from Parque Ecológico do Tietê (PET) was investigated using an indirect ELISA protocol. Mosquitoes were captured outside houses. Five hundred sixteen engorged females collected in a reforested area and 25 in an open area were tested. Rodents and dogs were the most common blood sources, accounting for approximately 65.3% of blood meals. Human blood was detected in 10.9%, dog blood in 26.1%, chicken blood in 2.4%, and rodent blood in 39.2% of the 541 insects tested. ELISA failed in identifying the blood sources of 233 engorged females, indicating that the mosquitoes may have fed on a host which was not tested. One hundred six individuals were positive for more than one host. The unweighted human blood index was 0.14 and the rodent/human, human/chicken, and dog/rodent feeding index values were 2.70, 1.51, and 1.33, respectively. Furthermore, rodents are defensive hosts for this haematophagous insect which looks for another host to complete blood-feeding. Considering that rodents are potential reservoirs for Mucambo virus and Saint Louis encephalitis virus and that Cx. nigripalpus feed on the blood of those mammals, we hypothesize that mosquito population in PET could participate in the transmission cycle of those arboviruses. Additionally, this species might be involved in the transmission of Dirofilaria immitis to dogs at this area.