Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0024530 (malaria)
 44,886 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The induction and characterization of immune peptides in two groups of medically important insects, the mosquitoes and blackflies, is currently an important research area. Mosquitoes transmit a variety of viral and parasitic diseases including yellow fever, dengue, malaria and lymphatic filariasis. Simuliid black flies are vectors of river blindness. The diseases are together responsible for death and morbidity in millions of people each year. The relationship between inducible peptides and bacterial and parasitic infections in these insects is proving to be a complex one. The identification of an insect defensin (4 kDa) in Aedes aegypti, the yellow fever mosquito, has proved to be the first peptide characterized in a vector of human disease. This inducible molecule appears in the haemolymph in response to bacterial and to a lesser extent filarial infection. The characterization of inducible blackfly peptides has revealed potent inducible anti-Gram-positive as well as anti-Gram-negative activity. In addition, non-self recognition molecules such as phenoloxidase may play a part in differentiating one species of eukaryotic pathogen from another of the same genus. The interactions between the peptides and these other proteins are likely to be important in the establishment of a successful immune response against a parasitic pathogen, particularly as we now know these peptides to have anti-eukaryotic activity (against a range of parasite species). As well as being of fundamental interest in our understanding of host-parasite relationships, the indication that antibacterial peptides are toxic to parasitic organisms has implications for their possible use in the disease vector control strategies of the future. It may also mean that a revision in our understanding of their mode of action, loose as it is, has to take place.
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PMID:Antibacterial peptides in insect vectors of tropical parasitic disease. 776 49

In mid-1987 a baseline microfilarial prevalence survey was conducted among five villages in the Mt Bosavi region of the Southern Highlands Province of Papua New Guinea. Through use of the Nucleopore filtration technique, it was determined that 48% of villagers had detectable microfilaraemia. The highest prevalence was documented in Fogomaiyu, where the microfilaraemia rate was 92%. On the basis of this initial survey and the expressed interest of the community, the Division of Health in the Southern Highlands Province undertook an integrated community-based pilot control program. The project used two principal control methods: (a) drug treatment with low-dose diethylcarbamazine citrate (DEC) distributed to the community weekly and (b) vector control with permethrin-impregnated bednets. Results six months after the intervention indicate that the program was successful in reducing microfilaraemia at Fogomaiyu village from 92% to 6%. The reduction is principally related to the effects of DEC, although the bednets, by limiting vector-person contact, are expected to reduce the incidence of both filariasis and malaria.
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PMID:Introduction of an integrated community-based bancroftian filariasis control program into the Mt Bosavi region of the Southern Highlands of Papua New Guinea. 777 Nov 18

Entomological investigations on malaria and bancroftian filariasis transmission were carried out in the endemic area of Baram District, Sarawak. The Anopheles composition, survival and infection rates of malaria and filariasis were compared in the village and 0.5 km from the village ecotype, in forested areas. Anopheles leucosphyrus, An. barbirostris and An. donaldi are the vectors for malaria and bancroftian filariasis in both ecotypes. Biting and infection rates vary, but An. leucosphyrus differed with a peak around midnight in the forested area and soon after dusk in the village setting. The parous rate of An. leucosphyrus was significantly higher in the forest ecotype (P < 0.0001); however, the proportion of 3-parous and older was not overall higher in the forest ecotype (P = 0.68). The entomological inoculation of malaria parasites by An. leucosphyrus was comparatively higher in the forested areas (P > 0.5). The implications of malaria and filariasis transmission in the forested areas in Baram District are discussed.
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PMID:Malaria and filariasis transmission in a village/forest setting in Baram District, Sarawak, Malaysia. 778 79

We investigated prospectively the cause of fever in patients requiring hospitalization after returning from the tropics. All consecutive admissions (n = 195) with oral temperature > 37.0 degrees C at the time of admission were enrolled. Final diagnosis as recorded on the discharge summary by the attending physician and results of any relevant laboratory or radiological investigations were recorded on standard proforma. Malaria accounted for 42% of admissions; two patients had returned to Britain more than 6 months before presentation. The second largest group was assumed to have a non-specific viral infection (25%). Cosmopolitan infections (urinary tract infection, community-acquired pneumonia, streptococcal sore throat, etc.) accounted for 9%. Coincidental infections (schistosomiasis, filariasis, intestinal helminths) were found in 16%. Serology was positive for HIV infection in 3%. The most useful investigation was a malaria film, which was positive in 45% of cases in which it was performed. The combination of thrombocytopaenia (platelet count < 100 x 10(9)) and hyperbilirubinaemia (bilirubin > 18 IU/ml) were useful predictive markers of malaria: all 23 patients with both abnormalities had positive malaria films. Malaria must be excluded in any febrile patient returning from the tropics. In the absence of a positive malaria film, the combination of a low platelet count and raised bilirubin may suggest the need for an empirical course of therapy.
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PMID:Fever as the presenting complaint of travellers returning from the tropics. 779 78

The major mosquito-borne diseases in Thailand are malaria, dengue, Japanese encephalitis, and filariasis. The newly revised and illustrated keys to adult female and fourth instar larval mosquitos presented in this paper will enable public health workers to rapidly identify mosquito vectors of these diseases and to distinguish them from other species in the same genera. Keys are provided to identify 4 medically important genera from among any mosquito in Thailand. The 4 genera are treated in more detail with keys to 9 subgenera, 11 groups or subgroups, and 38 individual species considered to be of medical importance.
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PMID:Illustrated keys to the medically important mosquitos of Thailand. 783 85

Four species within the Anopheles punctulatus group of mosquitoes (Diptera: Culicidae) were identified by allozyme analysis of samples collected from thirty-three localities in Guadalcanal, Makira, Malaita, Temotu and Western Provinces in the Solomon Islands and six localities on Efate, Espiritu Santo, Maewo and Malekula Islands in Vanuatu. Three of these species are members of the An.farauti complex. A key is given to identify five species of the An.punctulatus group known to occur in the Solomon Islands using their isoenzyme characteristics. An.farauti No. 1 was widespread in coastal areas of the Solomon Islands and was the only species detected in Vanuatu, including Efate Island (where Faureville is the type locality of An.farauti Laveran sensu stricto). An.farauti No. 2 and An.punctulatus were common in the Solomon Islands in more inland areas. An.farauti No. 7, reported here for the first time, was found as larvae in freshwater at six localities on north Guadalcanal. Three other members of the An.punctulatus group which have been reported previously from the Solomon Islands: An.koliensis, An.renellensis and an electrophoretic variant of An.farauti sensu lato, were not found in our samples. Previously recognized vectors of malaria and bancroftian filariasis in the Solomon Islands are An.farauti No. 1 (i.e. An.farauti s.s.), An.koliensis and An.punctulatus s.s. Adult females of An.farauti No. 2 and An.farauti No. 7 were not attracted to human bait in areas where their larvae occurred, indicating that these two species are not anthropophilic and therefore unlikely to transmit human pathogens.
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PMID:The Anopheles punctulatus group of mosquitoes in the Solomon Islands and Vanuatu surveyed by allozyme electrophoresis. 784 89

Twenty species of Anopheles are presently known from Senegal. An. gambiae, An. arabiensis, An. pharoensis, An. rufipes and An. ziemanni have an extensive distribution. Probably because of climatic change, An. funestus is no more found in some areas and An. paludis tend to disappear. An. melas is located in coastal areas. The other species, namely An. coustani, An. brohieri, An. brunnipes, An. domicola, An. flavicosta, An. freetownensis, An. hancocki, An. maculipalpis, An. nili, An. pretoriensis, An. squamosus and An. wellcomei, are mainly found in southern Senegal. Only An. gambiae, An. arabiensis and An. funestus are of epidemiological significance as vectors of malaria and bancroftian filariasis. Twelve arboviruses have been isolated from eight Anopheles species. Each Anopheles species is illustrated and an identification key is given.
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PMID:[Anopheles of Senegal. An annotated and illustrated list]. 786 49

Travellers returning from the tropics frequently consult a physician even if they have no actual symptoms. Physical check-ups in asymptomatic returnees rarely detect dangerous conditions. The most common laboratory finding is intestinal parasites. Blood eosinophilia may indicate helminthic infections, such as strongyloidosis, filariasis, schistosomiasis and others. If there are no diagnostically suggestive symptoms a systematic, step-by-step workup is recommended (stool parasitology, serology, and special methods to demonstrate parasites in blood or tissues). The most common symptom of returnees from the tropics is diarrhea, or other disorders of intestinal motility. Appropriate investigations include parasitological and bacteriological tests, and--if the course is more chronic--endoscopy. If diarrhea is associated with fever, systemic infections (e.g. falciparum malaria) must be considered. Fever as a leading sign may mask a number of potentially dangerous infections. If there are no other obvious signs or symptoms indicating a particular etiology, the diagnostic approach should consider first of all those systemic infections, which are potentially life-threatening and can be cured by specific therapy, i.e. bacterial meningitis, falciparum malaria, septicemia (including typhoid fever), extraintestinal amebiasis, and African trypanosomiasis.
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PMID:[The traveler returning from the tropics in clinical practice]. 787 99

The seasonal prevalence and indoor resting habits of mosquitoes in a broken-forest ecosystem of Orissa, which is known to be endemic for malaria and bancroftian filariasis, have been studied. A total of 15 anopheline spp., 9 Culex spp. and one each of Aedes, Armigeres and Mansonia, were collected. Major species with perennial occurrence were Anopheles culicifacies, An. subpictus, An. annularis, An. vagus, An. pallidus, An. nigerrimus, Culex quinquefasciatus and Cx. tritaeniorhynchus. These species rested more in cattlesheds than in human dwellings, except Cx. quinquefasciatus which was abundant in human dwellings. The prevalence and indoor resting pattern of different species in relation to seasons and other factors were also investigated.
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PMID:Seasonality of indoor resting mosquitoes in a broken-forest ecosystem of north-western Orissa. 790 52

The Filariasis Control Program was established more than 30 years ago in the country and the disease is still a public health problem in some states. Since 1983, a total of 17 filariasis control teams were formed throughout the country to carry out filariasis control work. The teams conduct house and population censuses, nocturnal mass blood surveys and treatment of microscopically confirmed cases. Individual case follow-up is being carried out after 3-5 months while the locality is resurveyed after about 2-3 years. During the years 1988 to 1990, there appeared to be a decreasing trend in the number of filariasis cases detected countrywide. In 1991, brugian filariasis accounted for 92% of the cases detected. The microfilaria rate (MFR) also showed a decreasing trend countrywide for the years 1988 (0.57%) to 1990 (0.35%) but there was an increase in 1991 although it remained well below the 5% MFR targeted in the program objective, In 1991, the filariasis control teams and the district multi-purpose teams collected a total of 167, 151 blood slides out of which 871 were found to be positive for microfilaria. To determine the true endemicity of filariasis in the country, the malaria district multi-purpose teams are also utilized to assist in probe surveys in new areas of the district. Two species of filarial worms, namely Brugia malayi and Wuchereria bancrofti, and the mosquito vectors belonging to the Anopheles and Mansonia genera are involved in the transmission of filariasis in Malaysia. Monkeys and domestic cats are the reservoir hosts for the subperiodic strain of B. malayi.
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PMID:Current status of filariasis in Malaysia. 797 37


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