Table of Contents Table of Contents
Previous Page  112 / 124 Next Page
Information
Show Menu
Previous Page 112 / 124 Next Page
Page Background

112

several autochthonous cases have been reported from malaria–free places. If

the predicted global climate change or other environmental modification would

cause a large increase in mosquito vectorial capacity, malaria re-emergence in

Europe could become possible. To assess how environmental driven factors

may be linked to the risk of re-introducing malaria in Portugal, one must start by

characterising the current status of its former vectors. By studying the

receptivity and infectivity of present-day mosquito populations, it will be possible

to identify factors that may trigger disease emergence and spreading, as well as

to provide entomological data to be used in the identification of environmental

induced changes of epidemiological significance. Aiming at contributing to these

goals, this study has focused on the following objectives: (i) to estimate

Anopheles atroparvus

Van Thiel, 1927 vectorial capacity towards malaria and

analyse other bioecological parameters with relevance to the introduction of the

disease; (ii) to determine

An. atroparvus

vector competence for tropical strains

of

Plasmodium falciparum

Welch, 1897

.

The region of Comporta presents a

unique setting to assess the vector capacity and competence of

An. atroparvus

from Portugal. It was a former malaria hyperendemic region, where

P.

falciparum

was the most prevalent malaria parasite. It is a semi-rural area with

vast numbers of mosquito breeding sites and a highly mobile human population

due mainly to tourism. It is also located fairly close to Lisbon which allows

frequent visits to the study area. Nine would be the maximum estimated number

of new daily inoculations that could occur if an infective human host would be

introduced in the area. This estimate was obtained for a sporogonic cycle of 11

days (compatible with

P. vivax

development under optimal conditions) and the

highest man biting rate obtained in this study (38 bites

per

person

pe

r day). This

value of C is similar to some obtained for other malaria vectors. However, due

to the overestimation of most of the computed variables, one can foresee that

the receptivity of the area to the re-emergence of the disease is very limited.

With the exception of August 2001, the threshold of C=1 was only surpassed

during winter/spring months, when parous rates were above 0.95 but

abundances were lowest.

Out of 2,207

An. atroparvus

that were sent to Nijmegen Medical Centre to be

artificially infected with the tropical strains of

P. falciparum

, more than 790

specimens took one or two infected blood meals.

Anopheles atroparvus

females

infection was successful in a single experiment. These specimens took two

infective feeds with a seven days interval. Blood fed females were kept always

at 26ºC with the exception of a 19 hours period that occurred two hours after

the second blood meal and during which mosquitoes were placed at 21ºC. Out

of the 37 mosquitoes that were dissected, five presented oocysts in their

midguts. Prevalence of infection was 13.5% and the mean number of oocysts

per

infected female was 14, ranging between 2 to 75 oocysts

per

infected

midgut. It was confirmed that

An. atroparvus

is, at the most, a low competent

vector regarding tropical strains of

P. falciparum

. Artificial infection experiments

were not carried out beyond the oocysts phase, thus no conclusion can be

drawn regarding sporozoite formation and invasion of salivary glands.

Nevertheless,

An. atroparvus

complete refractoriness to tropical

P. falciparum

strains seems less certain than at the beginning of this study.

This study has produced an update on the bionomics of

An. atroparvus

in

Portugal and, for the first time, a comprehensive assessment of its vectorial

capacity and competence for the transmission of human malaria parasites. It

was also attempted to determine if the biology and behaviour of this species

has suffered any major switches since the time malaria was an endemic

disease in Portugal. The results obtained in this study support the idea that the