A history of chagas disease transmission, control, and re-emergence in peri-rural La Joya, Peru

Background

The history of Chagas disease control in Peru and many other nations is marked by scattered and poorly documented vector control campaigns. The complexities of human migration and sporadic control campaigns complicate evaluation of the burden of Chagas disease and dynamics of Trypanosoma cruzi transmission.

Methodology/Principal Findings

We conducted a cross-sectional serological and entomological study to evaluate temporal and spatial patterns of T. cruzi transmission in a peri-rural region of La Joya, Peru. We use a multivariate catalytic model and Bayesian methods to estimate incidence of infection over time and thereby elucidate the complex history of transmission in the area. Of 1,333 study participants, 101 (7.6%; 95% CI: 6.2–9.0%) were confirmed T. cruzi seropositive. Spatial clustering of parasitic infection was found in vector insects, but not in human cases. Expanded catalytic models suggest that transmission was interrupted in the study area in 1996 (95% credible interval: 1991–2000), with a resultant decline in the average annual incidence of infection from 0.9% (95% credible interval: 0.6–1.3%) to 0.1% (95% credible interval: 0.005–0.3%). Through a search of archival newspaper reports, we uncovered documentation of a 1995 vector control campaign, and thereby independently validated the model estimates.

Conclusions/Significance

High levels of T. cruzi transmission had been ongoing in peri-rural La Joya prior to interruption of parasite transmission through a little-documented vector control campaign in 1995. Despite the efficacy of the 1995 control campaign, T. cruzi was rapidly reemerging in vector populations in La Joya, emphasizing the need for continuing surveillance and control at the rural-urban interface.     

PHYTOTOXIC EXUDATES FROM VELVETLEAF (ABUTILON THEOPHRASTI) GLANDULAR TRICHOMES

Nonvolatile exudates from velvetleaf glandular trichomes inhibited root and shoot growth of several weed and crop species in petri plate bioassays, but had no effect on seed germination per se. The exudate was efficiently collected by wiping both the stems and petioles with cotton swabs or by leaching with water, but was absent on the leaves of velvetleaf plants. Cress (Lepidium sativum L.) was the most sensitive indicator species. Four types of trichomes appeared on the stem surface as revealed by scanning electron microscopy. Water soluble globules on the apices of 12- to 15-celled glandular trichomes recurred and demonstrated their original potency within eight days after removal with cotton swabs. Both the quantity and phytotoxicity of the exudates from velvetleaf plants cultured under varying environmental conditions were determined. While total exudate production was not affected at 16, 24, or 36 C, the exudates from plants cultured at 24 and 36 C were about twice as toxic as the exudate collected from plants grown at the lower temperature. Water stress decreased the amount of exudate collected, but the phytotoxic activity was increased by approximately the same factor.     

Reproduction in mice: The fate of spermatozoa not involved in fertilization

Mechanisms were sought through which the control of preimplantation mouse embryo development by spermatozoa might be effected. A potential route for the transmission of sperm-dependent stimuli to C3HeB/FeJ females was uncovered. It was found that within 24–48 hr after artificial insemination with spermatozoa, in which the DNA had been labeled with tritiated thymidine, a minimum of 9% of the radioactivity was transported across the uterine walls. It was deposited among the maternal tissues in a pattern that differed from the patterns of isotope distribution obtained when either free tritiated thymidine or Escherichia coli cells containing DNA labeled with tritiated thymidine were used instead of labeled sper-matozoa. In sperm-treated animals the ovaries, the adrenals, and a mesenteric lymph node exhibited strikingly large accumulations of radioactivity. The heart, spleen, and uterus manifested lesser accumulations of label, but were higher than liver, kidney, lung, brain, muscle, and intestine. The specific activity of the lymph node was found to decrease during the 12–72-hr period following insemination. This result led to the hypothesis that the lymphatic system could serve as a route for the dissemination, to maternal tissues, of radioactivity originally associated with spermatozoa deposited in the uterus. Heat-inactivated spermatozoa, which have the potential for facilitating the first cleavage of fertilized embryos, exhibited a distribution pattern indistinguishable from untreated spermatozoa. Sperm protein kinase was found to survive the heat inactivation of spermatozoa. This stability was interpreted as being compatible with the kinase functioning as an intermediary in the transmission of sperm-dependent stimuli that control preimplantation embryo development in mice.     

Killing power of the red imported fire ant [Hym.: Formicidae]: a key predator of the boll weevil [Col.: Curculionidae]

The red imported fire ant,Solenopsis invicta Buren, was identified as a key predator of the boll weevil,Anthonomus grandis Boheman. Although key factor analysis does not guarantee that the key factor is the causative agent, the evidence of boll weevil mortality was so clear that the fire ant could be identified as causing the mortality. Ant predation on immature boll weevils during the summer of 1981 averaged 84%. When this predation was combined with other natural mortality factors, the weevil population density throughout the season never exceeded levels that required control measures.     

LATICIFERS IN THE BULB SCALES OF ALLIUM

The structure and distribution of laticifers has been studied in the bulb scales of 52 species and varieties of Allium. Differences in laticifer position, shape, and pitting in the cross wall of the observed specimens support Traub's separation of the subgenera Amerallium and Allium within the genus Allium. If the species examined are representative, anatomical evidence also justifies the distinction of the section Melanocrommyum and the subsection Cepa.     

Determination of nicotinamide N-oxide—a human excretory product

A method for the determination of nicotinamide N-oxide has been developed. It is based on the ability of the N-oxide to function as an electron acceptor in the xanthine oxidase catalyzed oxidation of xanthine. In simple mixtures the N-oxide can be converted quantitatively to nicotinamide and the latter determined by the cyanogen bromide method. The conversion is not always quantitative in complex mixtures, such as urine; an isotope dilution variation on the basic method permits the determination of the N-oxide in such situations. The basic method is applicable over the range 0.02–0.3 μmole of nicotinamide N-oxide.The new method has been used to verify the prominent excretory role of nicotinamide N-oxide in rodents. Application of the method to a study of human urines has permitted the detection of the N-oxide as an excretory metabolite in man. Only vanishingly small quantities of the N-oxide are excreted under normal conditions. However after the ingestion of 200 mg of nicotinamide, significant quantities of the N-oxide are detectable in human urine. Urine samples obtained from a number of other mammalian species contained little or no detectable nicotinamide N-oxide.     

Isolation of Cryptosporidium oocysts and sporozoites using discontinuous sucrose and isopycnic Percoll gradients

Techniques for the large-scale isolation of Cryptosporidium oocysts and sporozoites, obtained from the feces of experimentally infected Holstein calves, were developed employing discontinuous sucrose gradients and isopycnic Percoll gradients. The oocyst recovery method utilized 2 sequential discontinuous sucrose gradients followed by 1 Percoll gradient. Recovered oocysts were essentially free of debris and bacteria and represented 34% of the original oocyst suspension. Sporozoites were recovered from excystation mixtures on a single Percoll gradient. Sixty-three percent of the original sporozoites were recovered with 2.2% contamination by intact oocysts and virtually no oocyst walls.