Evaluation of Association between Biomarkers of Lead Exposure in Sardinian Children (Italy)

The aim of this work is to verify whether there are statistically significant correlations between the concentrations of lead in blood, urine, and hair in children. The sample collected in 2007 consists of 163 children of both sexes from 11–14-year-olds, living in three municipalities of Sardinia (Italy). Inductively coupled plasma atomic mass spectrometry has been used in the determination of lead concentration in biological material. For the overall sample, there is a non-significant partial correlation among the three matrices. However, for subjects with blood lead levels ≥5 μg/dL, there is a significant positive partial correlation between the lead levels in blood and hair, but not between blood and urine or between urine and hair. The results suggest that blood is the preferred biomarker to ascertain lead exposure in human populations, whereas hair can be used as a tool screening when an area is exposed to medium or high lead pollution.     

The mosquitoes of Sardinia: species records 35 years after the malaria eradication campaign

1. Thirty-five years ago malaria was eradicated from Sardinia by massive application of DDT directed against the mosquito vector species, Anopheles labranchiae, but the long-term effects on the mosquito fauna have not been investigated previously. 2. A 5-year mosquito survey (1980-85) involved in the inspection of 348 sites (plus 173 reinspections) and the processing of nearly 60,000 specimens. 3. Twenty-four species in six genera were identified from larval and adult collections. Species of the genera Culex (41%) and Aedes (22%) were more commonly encountered than Culiseta (18%) and Anopheles (17%) species. Orthopodomyia (1.6%) and Coquillettidia (0.6%) were far less frequent. 4. The species composition was similar to that described for the years of the eradication campaign, except for the genus Anopheles. Of the eight Anopheles species previously recorded, only four species were identified in collections of 1159 larvae from eighty-five positive sites. 5. Anopheles labranchiae was the most frequently collected species of its genus (49%), but was represented in only 12% of the total collections. Comparison with previous records indicated a progressive increase in sites positive for An.labranchiae over the past 35 years. 6. Anopheles hispaniola was not found, although it had apparently replaced An.labranchiae soon after the eradication campaign. An. labranchiae was common in the sites where the replacement phenomenon has been observed.     

The current state measles eradication programs in the German Democratic Republic]

The analysis of epidemiology effectiveness of contrameasles immunoprophylaxis in the GDR. On the basis of the programme, scientifically established and planwise realized, of the measles control, this infection could have been practically liquidated as early as in 5 years when observing immunoprophylactic measures.     

Amblyomma variegatum and associated diseases in the Caribbean: strategies for control and eradication in Guadeloupe

Amblyomma variegatum, introduced into Guadelopue 150 years ago, has recently spread in the Lesser Antilles and threatens North America. Two important diseases are associated with the tick: heartwater and dermatophilosis. Heartwater occurs in Guadeloupe, Marie-Galante and Antigua; acute dermatophilosis exists almost everywhere the tick is present. Both are very pathogenic for upgraded or newly-infested cattle. After 15 years of A. variegatum control in Guadeloupe, a balance is established between a tick population maintained at a low level by spraying acaricides and an animal population either completely resistant to heartwater and dermatophilosis (creole cattle) or regularly treated against ticks (upgraded cattle). An eradication campaign against A. variegatum in Guadeloupe, to avoid the spread of the associated diseases, appears technically difficult but possible, economically profitable, but socially completely utopian. We suggest for Guadeloupe a reinforced control of the tick with a persistent acaricide, hoping that a general decrease of the tick infestation rate on cattle will eliminate heartwater and acute dermatophilosis.     

Height and weight of Sardinian youths between the ages of 11 and 15

Comparisons were made of height and weight data and their ratio in Sardinian youths of both sexes, subdivided into age groups from 11 to 15 years of age. The females were additionally subdivided into menstruated and non-menstruated. The results show the need for a frequently checking of all those anthropometrical parameters, which are involved in growth processes.     

Establishing the eradication unit of Molara Island: a case of study from Sardinia, Italy

Molara is a small island belonging to the Marine protected Area Tavolara—Punta Coda Cavallo, in Sardinia. During 2006–2007, a bio-monitoring program reported a strong presence of the black rat, Rattus rattus, on Molara island. Rat predation has detrimentally affected the unique biodiversity of this island, thus, in 2008 an eradication campaign was conducted. Our eradication protocol included a pre-eradication genetic investigation, using 8 microsatellite loci, on a rat population of Molara as well as on neighbour islands within the Marine Protected Area (MPA). The main goal of this genetic investigation was to establish the correct borders of the eradication unit of Molara island. As several recent eradication campaigns have been unsuccessful, due to incomplete and unstable eradication, we also aimed to assess possible hidden sources of reinvasion. Specimens were also collected during post- eradication monitoring on Molara for genetic screening to establish their origin, and thus validate the effectiveness of our eradication campaign. According to our genetic analysis, within the MPA there are four different eradication units, corresponding to the islands of Molara, Tavolara, Piana and to the Sardinia mainland. Gene flow among these four units is more or less absent. The assignment and clustering tests performed on pre and post-eradication samples seem to indicate that the population of Sardinia mainland is a possible source of re-invasion for the Piana and Molara populations.     

Effect of recombinant bovine somatotropin on the secretion and composition of milk in Sardinian ewes]

To verify the effect on the milk yield, 5 Sardinian ewes at 45 days from lambing were given two subcutaneous administrations, in a sustained-release vehicle, of recombinant bST in the dose of 3 mg/Kg of live weight, at 28 day intervals. Other 5 ewes of the same age, weight, distance from lambing and milk yield, were kept untreated. The observations lasted 56 days. The individual milk yield was recorded daily while both the milk (dry matter, ash, fat and protein) and some blood parameters (glucose, triglycerides, albumin, total protein, urea nitrogen, phospholipids, total and HDL cholesterol, calcium, phosphorus and magnesium) were checked weekly for each subject, by standard analytical methodology. The rbST significantly influenced the milk yield (+9.75% for the treated group) as already found in cows. The milk composition and the checked blood parameters were unaffected by the treatment.     

The role of research in viral disease eradication and elimination programs: lessons for malaria eradication

By examining the role research has played in eradication or regional elimination initiatives for three viral diseases--smallpox, poliomyelitis, and measles--we derive nine cross-cutting lessons applicable to malaria eradication. In these initiatives, some types of research commenced as the programs began and proceeded in parallel. Basic laboratory, clinical, and field research all contributed notably to progress made in the viral programs. For each program, vaccine was the lynchpin intervention, but as the programs progressed, research was required to improve vaccine formulations, delivery methods, and immunization schedules. Surveillance was fundamental to all three programs, whilst polio eradication also required improved diagnostic methods to identify asymptomatic infections. Molecular characterization of pathogen isolates strengthened surveillance and allowed insights into the geographic source of infections and their spread. Anthropologic, sociologic, and behavioural research were needed to address cultural and religious beliefs to expand community acceptance. The last phases of elimination and eradication became increasingly difficult, as a nil incidence was approached. Any eradication initiative for malaria must incorporate flexible research agendas that can adapt to changing epidemiologic contingencies and allow planning for posteradication scenarios.     

Micro-managing arthropod invasions: eradication and control of invasive arthropods with microbes

Non-indigenous arthropods are increasingly being introduced into new areas worldwide and occasionally they cause considerable ecological and economic harm. Many invasive arthropods particularly pose problems to areas of human habitation and native ecosystems. In these cases, the use of environmentally benign materials, such as host-specific entomopathogens, can be more desirable than broader spectrum control tactics that tend to cause greater non-target effects. The majority of successful eradication programs using arthropod pathogens have targeted invasive Lepidoptera with Bacillus thuringiensis kurstaki (Btk), such as eradication efforts against the gypsy moth, Lymantria dispar (L.), in North America and New Zealand. Both Btk and Lymantria dispar nucleopolyhedrovirus have been successfully used in efforts to limit the spread of L. dispar in the United States. For invasive arthropod species that are well established, suppression programs have successfully used arthropod-pathogenic viruses, bacteria, fungi and nematodes for either short- or long-term management. We will summarize the use of pathogens and nematodes in invasive arthropod management programs within a general context, and compare the use of microbes in gypsy moth management with diverse microbes being developed for use against other invasive arthropods.     

Shigella infection in macaque colonies: case report of an eradication and control program

A primate colony comprising three distinct but interrelated units had long-term history of undiagnosed diarrhea and associated deaths for many years. In 1989, the clinical problem was recognized as a confounding factor for the experimental work, and steps were taken to eradicate the disease. This was done by a combined approach involving improved sample collection techniques and microbiological methods, treatment of all animals in the colony, and improvement in management. These management changes included alterations in basic facility and cage design, disinfection procedures, and continuous routine microbiological sampling of all groups of animals on a random basis, as well as sampling of those suspected to be at risk for stress-associated Shigella shedding. Using this approach, we have eliminated clinical cases of shigellosis and have not have any further isolations of Shigella from this colony.     

From foe to friend: geographical and environmental factors and the control and eradication of smallpox in India

Due to the highly visible nature of the disease, smallpox received a lot of attention from the colonial and independent Indian governments. An assessment of the changing official views about the impact of geographical and environmental factors on modes of variola causation and control presents insights into themes that are generally ignored in the existing historiography. Rather than being synchronised efforts, imposed top-down, provincial level officials in charge of running vaccination programmes were able to retain a great degree of autonomy and shape the nature of local immunisation drive. As a result, vaccination work in the country was often disjointed, marked by official disagreements about the usefulness of certain strategies and technological inputs, with these trends being most noticeable in rural areas. Thus, this study seeks to highlight the importance of recognising--and studying--the fractured nature of medical and public health administration in the South Asian sub-continent.     

Detection of chytridiomycosis caused by Batrachochytrium dendrobatidis in the endangered Sardinian newt (Euproctus platycephalus) in southern Sardinia, Italy

The chytridiomycete fungus Batrachochytrium dendrobatidis is known to be focally distributed across Europe, but has only been linked to "chytridiomycosis at a few locations in Spain. Here we report the second occurrence of chytridiomycosis in European amphibians. We found a population of endangered Sardinian newts (Euproctus platycephalus) exhibiting clinical signs of disease including loss of digits and patchy, discolored skin. Molecular examination of skin samples tested positive for B. dendrobatidis. The population of E. platycephalus has been in decline on a timescale consistent with the global emergence of chytridiomycosis, and the ecology of this salamander suggests that the disease in this species warrants concern.     

Genetic differentiation and natural hybridization between the Sardinian endemic Maniola nurag and the European Maniola jurtina

The Mediterranean island of Sardinia is known for its multitude of unique genetic lineages. We view one of them in a larger phylogeographic context. The endemic Sardinian Meadow Brown butterfly, Maniola nurag, is restricted to the mountainous areas of the island, whereas its widespread close relative, Maniola jurtina, also occurs on the coast. At intermediate altitudes the species' distributions overlap. There, a number of individuals exhibit phenotypic characteristics intermediate between the two species. We examined patterns of intra- and interpopulation variation in 10 M. nurag populations from Sardinia and 16 M. jurtina populations from Sardinia and continental Europe, as well as 17 intermediate individuals, sampled in 1999-2002, by means of allozyme markers, combining it with a morphometric analysis based on 18 wing-characters of 52 males. At the 15 loci studied (aldolase, aat-1, aat-2, g6pdh, gpd, idh-1, idh-2, mdh-1, mdh-2, mpi, me, leu-ala, pgi, pgm, and 6pgdh), 76 different alleles were detected, 63 of which were shared by M. nurag and M. jurtina. None of the loci was found to be alternatively fixed between the two species. In that respect, this study testifies to the difficulties that may arise when trying to identify hybrids from genotypic data. Levels of genetic variation in island populations (M. jurtina: H(O) = 0.137-0.189; M. nurag: H(O) = 0.141-0.270) were comparable to those of mainland M. jurtina (H(O) = 0.141-0.236). A Bayesian admixture analysis supported the hypothesis of mixed (hybrid) ancestry of individuals occurring at intermediate altitudes. Similarly, neighbour-joining and unweighted pair-group method with arithmetic averaging (UPGMA) analyses, as well as morphometrics hinted at the existence of a Maniola-hybrid zone in Sardinia at intermediate altitudes. We discuss the results in the light of the phylogeography of other Sardinian taxa with the aim to reach a general understanding of the biogeographic history of this island's endemic species.     

Malaria eradication in Calabria, residual anopheles and transmission risk]

The paper is from a presentation at the meeting "La malaria in Calabria" (Cosenza, Italy, May 3, 1997) held to celebrate the half centenary of the antimalaria campaign (1947-1952) that eradicated the infection from the region. While Plasmodium falciparum had already disappeared in 1950, P. vivax persisted and the last autochtonous case was documented on the river Esaro in 1955. From the records of that time, it is clear that malaria eradication was achieved in the presence of important vector densities, as shown by larval surveys. Indoor DDT spraying, acting through the insecticide irritant effect, mainly avoided the house resting by the vector and forced the exposure of the mosquito to the outdoor environment where the lower mean temperatures eventually proved instrumental in destabilizing the parasite's life cycle. It is stressed that insecticide resistance never arised in the Anopheles vector populations of Calabria, in spite of at least ten years of continuous indoor spraying with an excellent overall coverage. This is expected in the absence of important selection pressures at the larval breeding sites and whenever the impact of the house spraying on the vector is due mainly to the insecticide irritant effect rather than to a direct imagocidal effect.     

Transmission potential of chikungunya virus and control measures: the case of Italy

During summer 2007 Italy has experienced an epidemic caused by Chikungunya virus - the first large outbreak documented in a temperate climate country - with approximately 161 laboratory confirmed cases concentrated in two bordering villages in North-Eastern Italy comprising 3,968 inhabitants. The seroprevalence was recently estimated to be 10.2%. In this work we provide estimates of the transmission potential of the virus and we assess the efficacy of the measures undertaken by public health authorities to control the epidemic spread. To such aim, we developed a model describing the temporal dynamics of the competent vector, known as Aedes albopictus, explicitly depending on climatic factors, coupled to an epidemic transmission model describing the spread of the epidemic in both humans and mosquitoes. The cumulative number of notified cases predicted by the model was 185 on average (95% CI 117-278), in good agreement with observed data. The probability of observing a major outbreak after the introduction of an infective human case was estimated to be in the range of 32%-76%. We found that the basic reproduction number was in the range of 1.8-6 but it could have been even larger, depending on the density of mosquitoes, which in turn depends on seasonal meteorological effects, besides other local abiotic factors. These results confirm the increasing risk of tropical vector-borne diseases in temperate climate countries, as a consequence of globalization. However, our results show that an epidemic can be controlled by performing a timely intervention, even if the transmission potential of Chikungunya virus is sensibly high.     

Seasonal Pattern of Phototherapy: A Study in the Sardinian Population

The relationship between season of birth and human diseases is well known and it has been suggested that such a relationship could be mediated by seasonal and environmental effects on early events of extrauterine life. In this context the physiological increase of bilirubin occurring in all infants during the neonatal period may be of paramount importance. Indeed, recent studies suggest a beneficial action of bilirubin in the early stages of extrauterine life due to its protective action against secondary oxidants. The newborn infant is particularly sensible to oxidative damage, thus seasonal variation of bilirubin level in the first few days of life could influence further development and susceptibility to pathological manifestations. In the present paper we have analysed the seasonal effect on the level of the serum bilirubin during the neonatal period by an analysis of the incidence of phototherapy in a sample of 5540 infants born consecutively in the population of Sassari during the years 1993-96. The proportion of infants undergoing phototherapy for neonatal hyperbilirubinemia is lower in those without glucose-6-phosphate-dehydrogenaser (G-6-PD) deficiency than in those with G-6-PD deficiency and in both categories the proportion is lower in females than in males. A highly significant association between the date of birth and the proportion of infants undergoing phototherapy has been observed in males without G-6-PD deficiency. The maximum incidence of phototherapy has been observed in the period May-August. A Fourier analysis carried out on these infants has shown the presence of two main components (harmonics) contributing to the seasonal cycle and corresponding respectively to a one year and to a two years period.