International Journal of Environmental Research and Public Health
Zoonotic cutaneous leishmaniasis (ZCL), endemic in Central and Southern Tunisia, is caused by Lei... more Zoonotic cutaneous leishmaniasis (ZCL), endemic in Central and Southern Tunisia, is caused by Leishmania major (Kinetoplastida: Trypanosomatidae), which is transmitted by the sand fly Phlebotomus papatasi. In Tunisia, the fat sand rat Psammomys obesus and the desert jird Meriones shawi are the principal reservoir hosts of L. major. The presence of the P. papatasi vector of the L. major etiologic agent of ZCL was assessed in the vicinity of villages in endemic areas of Central Tunisia. The study was performed from September through October 2019, a period corresponding to the main peak of activity of P. papatasi. Sand flies were collected from rodent burrows located at the ecotone level, which is the transition zone between the natural environment and human settlement. Sand flies were identified to species level and tested for the presence of L. major by PCR. Our entomological survey showed that P. papatasi is the most abundant sand fly species associated with rodent burrows, and this...
International Journal of Environmental Research and Public Health
Illegal waste disposal represents a risk health factor for vector-borne diseases by providing she... more Illegal waste disposal represents a risk health factor for vector-borne diseases by providing shelter for rodents and their ectoparasites. The presence of the Phlebotomus papatasi vector of Leishmania major, an etiologic agent of zoonotic cutaneous leishmaniasis (ZCL), was assessed at illegal waste sites located at the vicinity of villages in endemic areas of Central Tunisia. The study was performed over a two-year period over three nights from July to September 2017, and over three nights in September 2018. Household waste is deposited illegally forming dumpsites at the vicinity of each village and contains several rodent burrows of Psammomys obesus, the main reservoir host of L. major. Sandflies were collected from rodent burrows in the natural environment and in dumpsites using sticky traps and were identified at species level. Female sandflies were tested for the presence of L. major by PCR. Our entomological survey showed that Phlebotomus papatasi is the most abundant sandfly s...
In the present study, we report the sympatric occurrence of Ixodes ricinus (Linnaeus, 1758) and I... more In the present study, we report the sympatric occurrence of Ixodes ricinus (Linnaeus, 1758) and Ixodes inopinatus (Estrada-Peña, Nava, and Petney, 2014) in Tunisia. In total, 173 adult Ixodes ticks were collected from four sites (El Jouza, Tamra, Aïn Soltan, and Jbel Zaghouan) between February and April 2017, a period corresponding to the peak of activity of I. ricinus in North Africa. The morphological characters corresponded to both species; thus, we generated a total of 28 16S rRNA sequences and compared them with previously published data in GenBank. The two species were sympatric in Tamra, Aïn Soltan, and El Jouza, whereas collections in Jbel Zaghouan only yielded I. inopinatus. These results indicate that the two taxa are widespread in the humid area of northern Tunisia. The one tick collected in Jbel Zaghouan suggests that the distribution of at least I. inopinatus might extend to the sub-humid area. More studies are needed to fully comprehend the systematic status of the two...
Free-ranging spur-thighed tortoises Testudo graeca, captured in different habitat types of Northe... more Free-ranging spur-thighed tortoises Testudo graeca, captured in different habitat types of Northern Tunisia from March to April 2017, were examined for tick infestation: 134/147 (91%) were infested. The overall infestation intensity and abundance was 8.5 and 7.8, respectively. From these tortoises, 1174 ticks were collected, of which 10% (n = 120) taken from 18 randomly-selected tortoises were identified at the species level; the remaining ticks were examined for the presence of Crimean-Congo haemorrhagic fever virus (CCHFv) by real time RT-PCR. Only adult Hyalomma aegyptium were found, suggesting a high degree of host specificity to tortoises. No CCHFv was detected in ticks. Considering the absence of CCHFv in Hyalomma aegyptium infesting its main host, the spur-thighed tortoise, this tick species is unlikely to play a major role in the epidemiology of CCHF. Therefore, more studies are needed to investigate the circulation of this arbovirus between livestock and other tick species ...
Zoonotic visceral leishmaniasis (ZVL) caused by Leishmania infantum is endemic with an epidemiolo... more Zoonotic visceral leishmaniasis (ZVL) caused by Leishmania infantum is endemic with an epidemiological profile of a paediatric disease in Tunisia. In the context of a high fatality rate, identifying risk factors for in-hospital mortality in children treated for ZVL is of major epidemiological importance. A retrospective (case-control) study included 230 immuno-competent children diagnosed and confirmed with primary ZVL in the paediatric department of the University Hospital of Kairouan between 2004 and 2014. Forty-seven per cent (47%) were children under 18 months of age, and with a male ⁄ female ratio of 1.01:1. The overall case-fatality was 6% (n = 14). The risk factors for in-hospital death identified by a multivariate analysis were: bleeding at admission (OR = 25.5, 95% CI: 2.26-287.4; p = 0.009), white cell count less than 4000/mm3 (OR = 5.66, 95% CI: 1.16-27.6; p = 0.032), cytolysis (OR = 28.13, 95% CI: 4.55-173.6; p < 0.001), and delay between onset of symptoms and admissi...
The Leishmania developmental life cycle within its sand fly vector occurs exclusively in the lume... more The Leishmania developmental life cycle within its sand fly vector occurs exclusively in the lumen of the insect's digestive tract in the presence of symbiotic bacteria. The composition of the gut microbiota and the factors that influence its composition are currently poorly understood. A set of factors, including the host and its environment, may influence this composition. It has been demonstrated that the insect gut microbiota influences the development of several human pathogens, such as Plasmodium falciparum. For sand flies and Leishmania, understanding the interactions between the parasite and the microbial environment of the vector midgut can provide new tools to control Leishmania transmission. The midguts of female Phlebotomus perniciosus from laboratory colonies or from the field were collected during the months of July, September and October 2011 and dissected. The midguts were analyzed by culture-dependent and culture-independent methods. A total of 441 and 115 culti...
The effects of deer exclusion on northern populations of lone star ticks, Amblyomma americanum, w... more The effects of deer exclusion on northern populations of lone star ticks, Amblyomma americanum, were tested at the Lighthouse Tract, Fire Island, NY, USA, where densities of this species have increased recently. Game fencing was erected to exclude deer from two sites of roughly one ha each, and populations of nymphal and adult A. americanum within were compared with those at control sites outside the exclosures. Percent control of nymphs within vs. outside the exclosures averaged 48.4% in the four years post-treatment, compared to pretreatment values. Percent control varied markedly in different years, suggesting that factors in addition to deer densities had strong effects on population densities of A. americanum. Exclosures of this size did not control adult A. americanum. Effects of deer exclusion in this recently expanded northern population of A. americanum were similar to those that have been reported for southern populations of this species.
Pathogenicity of the entomopathogenic bacterium Bacillus thuringiensis variety kurstaki de Barjac... more Pathogenicity of the entomopathogenic bacterium Bacillus thuringiensis variety kurstaki de Barjac &amp; Lemille was tested against the black-legged tick, Ixodes scapularis Say. Engorged larvae dipped in a solution of 10(8) spores per milliliter showed 96% mortality 3 wk after infection. The LC50 value for engorged larve (concentration required to kill 50% of ticks) was 10(7) spores per milliliter. B. thuringiensis shows considerable potential as a microbial control agent for the management of I. scapularis.
A new phlebovirus, Medjerda valley virus (MVV), was isolated from one pool of Phlebotomus sp. (Di... more A new phlebovirus, Medjerda valley virus (MVV), was isolated from one pool of Phlebotomus sp. (Diptera; Psychodidae) sand flies trapped in the vicinity of Utique site, northern Tunisia. Genetic analysis based on complete coding genomic sequences of the 3 RNA-segments indicated that MVV is most closely related with members of the Salehabad virus species where it is the 4th virus for which complete sequence is available. A seroprevalence study was performed to search for neutralizing antibodies in human sera in the same region. The results demonstrate that in this area, MVV can readily infect humans despite low seroprevalence rates. Salehabad species viruses have generally been considered to be a group of viruses with little medical or veterinary interest. This view deserves to be revisited according to our human seroprevalence results, together with high animal infection rate of Adana virus and recent evidence of human infection with Adria virus in Greece. Further studies are needed ...
After a short historical presentation of the discovery of the pathogen and its vector, the author... more After a short historical presentation of the discovery of the pathogen and its vector, the authors present the current data on bacterial and acarologic taxonomy. Then they describe their results to assess the mechanisms of circulation of the bacteria in the forests of Ile-de-France, particularly in the forest of Rambouillet. The combined study of abundance and infection frequency of the vectors, small mammals and cervids leads to the characterization of periods and areas of higher risk. The risk periods correlate with high density of I. ricinus nymphs. The risk areas correspond to those of high density of cervids. The role of reservoir of small mammals is confirmed, to the one of large mammals, so debated, is clearly demonstrated.
International Journal of Environmental Research and Public Health
Zoonotic cutaneous leishmaniasis (ZCL), endemic in Central and Southern Tunisia, is caused by Lei... more Zoonotic cutaneous leishmaniasis (ZCL), endemic in Central and Southern Tunisia, is caused by Leishmania major (Kinetoplastida: Trypanosomatidae), which is transmitted by the sand fly Phlebotomus papatasi. In Tunisia, the fat sand rat Psammomys obesus and the desert jird Meriones shawi are the principal reservoir hosts of L. major. The presence of the P. papatasi vector of the L. major etiologic agent of ZCL was assessed in the vicinity of villages in endemic areas of Central Tunisia. The study was performed from September through October 2019, a period corresponding to the main peak of activity of P. papatasi. Sand flies were collected from rodent burrows located at the ecotone level, which is the transition zone between the natural environment and human settlement. Sand flies were identified to species level and tested for the presence of L. major by PCR. Our entomological survey showed that P. papatasi is the most abundant sand fly species associated with rodent burrows, and this...
International Journal of Environmental Research and Public Health
Illegal waste disposal represents a risk health factor for vector-borne diseases by providing she... more Illegal waste disposal represents a risk health factor for vector-borne diseases by providing shelter for rodents and their ectoparasites. The presence of the Phlebotomus papatasi vector of Leishmania major, an etiologic agent of zoonotic cutaneous leishmaniasis (ZCL), was assessed at illegal waste sites located at the vicinity of villages in endemic areas of Central Tunisia. The study was performed over a two-year period over three nights from July to September 2017, and over three nights in September 2018. Household waste is deposited illegally forming dumpsites at the vicinity of each village and contains several rodent burrows of Psammomys obesus, the main reservoir host of L. major. Sandflies were collected from rodent burrows in the natural environment and in dumpsites using sticky traps and were identified at species level. Female sandflies were tested for the presence of L. major by PCR. Our entomological survey showed that Phlebotomus papatasi is the most abundant sandfly s...
In the present study, we report the sympatric occurrence of Ixodes ricinus (Linnaeus, 1758) and I... more In the present study, we report the sympatric occurrence of Ixodes ricinus (Linnaeus, 1758) and Ixodes inopinatus (Estrada-Peña, Nava, and Petney, 2014) in Tunisia. In total, 173 adult Ixodes ticks were collected from four sites (El Jouza, Tamra, Aïn Soltan, and Jbel Zaghouan) between February and April 2017, a period corresponding to the peak of activity of I. ricinus in North Africa. The morphological characters corresponded to both species; thus, we generated a total of 28 16S rRNA sequences and compared them with previously published data in GenBank. The two species were sympatric in Tamra, Aïn Soltan, and El Jouza, whereas collections in Jbel Zaghouan only yielded I. inopinatus. These results indicate that the two taxa are widespread in the humid area of northern Tunisia. The one tick collected in Jbel Zaghouan suggests that the distribution of at least I. inopinatus might extend to the sub-humid area. More studies are needed to fully comprehend the systematic status of the two...
Free-ranging spur-thighed tortoises Testudo graeca, captured in different habitat types of Northe... more Free-ranging spur-thighed tortoises Testudo graeca, captured in different habitat types of Northern Tunisia from March to April 2017, were examined for tick infestation: 134/147 (91%) were infested. The overall infestation intensity and abundance was 8.5 and 7.8, respectively. From these tortoises, 1174 ticks were collected, of which 10% (n = 120) taken from 18 randomly-selected tortoises were identified at the species level; the remaining ticks were examined for the presence of Crimean-Congo haemorrhagic fever virus (CCHFv) by real time RT-PCR. Only adult Hyalomma aegyptium were found, suggesting a high degree of host specificity to tortoises. No CCHFv was detected in ticks. Considering the absence of CCHFv in Hyalomma aegyptium infesting its main host, the spur-thighed tortoise, this tick species is unlikely to play a major role in the epidemiology of CCHF. Therefore, more studies are needed to investigate the circulation of this arbovirus between livestock and other tick species ...
Zoonotic visceral leishmaniasis (ZVL) caused by Leishmania infantum is endemic with an epidemiolo... more Zoonotic visceral leishmaniasis (ZVL) caused by Leishmania infantum is endemic with an epidemiological profile of a paediatric disease in Tunisia. In the context of a high fatality rate, identifying risk factors for in-hospital mortality in children treated for ZVL is of major epidemiological importance. A retrospective (case-control) study included 230 immuno-competent children diagnosed and confirmed with primary ZVL in the paediatric department of the University Hospital of Kairouan between 2004 and 2014. Forty-seven per cent (47%) were children under 18 months of age, and with a male ⁄ female ratio of 1.01:1. The overall case-fatality was 6% (n = 14). The risk factors for in-hospital death identified by a multivariate analysis were: bleeding at admission (OR = 25.5, 95% CI: 2.26-287.4; p = 0.009), white cell count less than 4000/mm3 (OR = 5.66, 95% CI: 1.16-27.6; p = 0.032), cytolysis (OR = 28.13, 95% CI: 4.55-173.6; p < 0.001), and delay between onset of symptoms and admissi...
The Leishmania developmental life cycle within its sand fly vector occurs exclusively in the lume... more The Leishmania developmental life cycle within its sand fly vector occurs exclusively in the lumen of the insect's digestive tract in the presence of symbiotic bacteria. The composition of the gut microbiota and the factors that influence its composition are currently poorly understood. A set of factors, including the host and its environment, may influence this composition. It has been demonstrated that the insect gut microbiota influences the development of several human pathogens, such as Plasmodium falciparum. For sand flies and Leishmania, understanding the interactions between the parasite and the microbial environment of the vector midgut can provide new tools to control Leishmania transmission. The midguts of female Phlebotomus perniciosus from laboratory colonies or from the field were collected during the months of July, September and October 2011 and dissected. The midguts were analyzed by culture-dependent and culture-independent methods. A total of 441 and 115 culti...
The effects of deer exclusion on northern populations of lone star ticks, Amblyomma americanum, w... more The effects of deer exclusion on northern populations of lone star ticks, Amblyomma americanum, were tested at the Lighthouse Tract, Fire Island, NY, USA, where densities of this species have increased recently. Game fencing was erected to exclude deer from two sites of roughly one ha each, and populations of nymphal and adult A. americanum within were compared with those at control sites outside the exclosures. Percent control of nymphs within vs. outside the exclosures averaged 48.4% in the four years post-treatment, compared to pretreatment values. Percent control varied markedly in different years, suggesting that factors in addition to deer densities had strong effects on population densities of A. americanum. Exclosures of this size did not control adult A. americanum. Effects of deer exclusion in this recently expanded northern population of A. americanum were similar to those that have been reported for southern populations of this species.
Pathogenicity of the entomopathogenic bacterium Bacillus thuringiensis variety kurstaki de Barjac... more Pathogenicity of the entomopathogenic bacterium Bacillus thuringiensis variety kurstaki de Barjac &amp; Lemille was tested against the black-legged tick, Ixodes scapularis Say. Engorged larvae dipped in a solution of 10(8) spores per milliliter showed 96% mortality 3 wk after infection. The LC50 value for engorged larve (concentration required to kill 50% of ticks) was 10(7) spores per milliliter. B. thuringiensis shows considerable potential as a microbial control agent for the management of I. scapularis.
A new phlebovirus, Medjerda valley virus (MVV), was isolated from one pool of Phlebotomus sp. (Di... more A new phlebovirus, Medjerda valley virus (MVV), was isolated from one pool of Phlebotomus sp. (Diptera; Psychodidae) sand flies trapped in the vicinity of Utique site, northern Tunisia. Genetic analysis based on complete coding genomic sequences of the 3 RNA-segments indicated that MVV is most closely related with members of the Salehabad virus species where it is the 4th virus for which complete sequence is available. A seroprevalence study was performed to search for neutralizing antibodies in human sera in the same region. The results demonstrate that in this area, MVV can readily infect humans despite low seroprevalence rates. Salehabad species viruses have generally been considered to be a group of viruses with little medical or veterinary interest. This view deserves to be revisited according to our human seroprevalence results, together with high animal infection rate of Adana virus and recent evidence of human infection with Adria virus in Greece. Further studies are needed ...
After a short historical presentation of the discovery of the pathogen and its vector, the author... more After a short historical presentation of the discovery of the pathogen and its vector, the authors present the current data on bacterial and acarologic taxonomy. Then they describe their results to assess the mechanisms of circulation of the bacteria in the forests of Ile-de-France, particularly in the forest of Rambouillet. The combined study of abundance and infection frequency of the vectors, small mammals and cervids leads to the characterization of periods and areas of higher risk. The risk periods correlate with high density of I. ricinus nymphs. The risk areas correspond to those of high density of cervids. The role of reservoir of small mammals is confirmed, to the one of large mammals, so debated, is clearly demonstrated.
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Papers by elyes zhioua