The Gulf of Mexico: a "hot zone" for neglected tropical diseases?

One health and social research in disease ecology: A social contextual study of vector-borne diseases in the Yucatan Peninsula, Mexico

Although disease ecology recognizes the multiplicity of factors involved in the (re)emergence of vector-borne diseases (VBD), it is necessary to strengthen attention to the social context and the social determinants of health. It is essential to integrate a sociocultural approach to health into the biological analysis of VBD ecology. To implement a coherent One Health approach in the prevention and control of VBD, it is pivotal to first understand the social and ecological interactions of the local context. Between October 2021 and June 2022, a social contextual study was made through surveys, semi-structured interviews and participatory activities in 12 localities with diverse ecological, economic and socio-cultural contexts in the Yucatan Peninsula. Through the perceptions of the populations on health and VBD, specifically mosquitoes, we gained knowledge on socio-cultural dynamics that influence people's relationship with pathogens. Local knowledge, management, and control of vectors; interactions with domestic and wild animals; and health-landscape relationship, were identified as factors that determine health-disease processes. This study contributed to a better understanding of local contexts and therefore, to the design of socially pertinent strategies for the reduction of vector-borne diseases risk scenarios in the study sites with an integrated approach.

Knowledge, attitudes, and practices regarding vector-borne diseases in central Mexico

BACKGROUND

While vector-borne diseases (VBDs) pose an important public health problem worldwide, there is a limited and conflicting knowledge about such illnesses in rural or urban settings. The present study aimed to explore the social representations (SRs) held by people in the state of Puebla, Mexico on insects and the diseases they transmit. Understood as the group of ideas held and shared by a group of human beings which enable them to understand and interpret the world, SRs constitute what could be called a collective science or knowledge of everyday life.

METHODS

The present study was conducted in six municipalities in the state of Puebla, wherein an open-ended questionnaire was applied with three age ranges. A total of 360 questionnaires were applied with people dedicated to a variety of activities. The survey data was analyzed to identify the SR's structure (the central nucleus of the SR and its peripheral system) and the level of organization in order to explore the degree to which the ideas that constitute it are shared and based on consensus. To describe the structure of the SR, a network analysis was conducted and complemented by a correspondence analysis, which also enables the differences between social groups to be identified.

RESULTS

Popular knowledge on insects and VBDs is often limited, even in communities in which more than one-vector insect is found. The elements that were most frequently mentioned in the data, as pertaining to the insect-disease relationship, were mosquitoes and dengue fever, with scorpions (which are arachnids and not insects) receiving the second-highest number of mentions, while other insects such as kissing bugs, flies, and cockroaches were also mentioned as transmitting VBDs. While television was the main information source on VBDs for the residents of these communities, biology books were also mentioned. Chemical control measures (insect repellents) were the most used prevention method, and traditional medicine was the remedy most commonly used to treat insect bites and transmitted diseases. Entomophobia was the main cause for the respondents' fear and rejection of insects. Beyond the deleterious effects of many insects, those surveyed also recognized a positive relationship with insects due to economic and nutritional benefits they provide.

CONCLUSIONS

The present study provides relevant information on how insects and the diseases they transmit are perceived by rural and urban communities. Although the population is aware of dengue fever and the role of mosquitoes in transmitting it, information campaigns are required for other historically neglected VBDs, such as leishmaniasis, Chagas disease, and, even, rickettsiosis. As it is important to understand the impact that these illnesses have on communities further research is required to ensure that better information and guidance is provided on VBDs in order to develop a culture of illness prevention in not only the rural but also the metropolitan communities of the state of Puebla.

Effects of landscape anthropization on sylvatic mosquito assemblages in a rainforest in Chiapas, Mexico

Global change and ecosystem transformation at regional and local scales during recent decades have facilitated the exponential increase of outbreaks of mosquito-borne diseases. Mosquito-borne pathogens are responsible for millions of infections, mainly in tropical regions where marginalized human populations are located, and where in recent years processes of landscape anthropization have occurred. Anthropogenic landscape transformation is known to change species assemblages. However, the magnitude of these effects is largely unknown, and the effects of anthropogenic landscape transformation on sylvatic mosquito assemblages are poorly known in Mexican ecosystems. We evaluate how mosquito abundance, richness, and diversity change along a gradient of three human-modified landscapes-one highly anthropized, one moderately anthropized, and one slightly anthropized-within a tropical forest matrix in a Protected Natural Area in Chiapas. A total of 4 538 mosquitoes belonging to 23 species were captured and identified at the three sites. We found differences in the structure and abundance of the three mosquito assemblages. The species assemblage of the highly anthropized site was significantly different from the other sites, and the relative abundance of the assemblages increased with landscape anthropization. Our results suggest that landscape anthropization alters the composition and structure of mosquito assemblages, modifying the abundance and species richness of mosquitoes associated with sylvatic ecosystems. This could support the hypothesis of intermediate disturbance that suggests the diversity is maximized when late and early successional species coexist in these ecosystems. This information is essential to understand the ecology of potential sylvatic vectors and the environmental factors that are involved in the emergence and re-emergence of mosquito-borne diseases.

Pediatric Neglected Tropical Diseases in a Major Metropolitan Children's Hospital in the United States, 2004-2013

We conducted a retrospective study of neglected tropical diseases (NTDs) diagnosed at Texas Children's Hospital between 2004 and 2013. Forty-three patients with an NTD were identified; 47% had never traveled outside of the United States. The results of this study highlight the importance of physician awareness of NTDs in children in the United States.