phlebotomine sandflies and leishmaniasis risks in colombian coffee plantations under two systems of...
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Phlebotomine sand¯ies and leishmaniasis risksin Colombian coffee plantations under two systemsof cultivation
B , A L E X A N D E R * , L . A . A G U D E L O ² , F . N A V A R R O ² , F . R U I Z ² ,
J . M O L I N A ³ , G . A G U I L E R A ³ and M . L . Q U I NÄ O N E S ²
*Centro de Pesquisas Rene Rachou, Ministerio de SauÂde/FundacËaÄo Instituto Oswaldo Cruz, Avenida Augusto de Lima 1715,
Belo Horizonte, Minas Gerais 30190-002, Brazil, ²Programa de Estudio y Control de Enfermedades Tropicales (PECET)
Universidad de Antioquia, Apartado Aereo 1226, Medellin and ³Centro de Investigaciones en Microbiologia y Parasitologia
Tropical, Universidad de los Andes, Carrera 1A no. 18 A-70 Bogota D.C., Colombia
Abstract. The phlebotomine sand¯y fauna of traditional (shaded) and intensi®ed
(unshaded) coffee plantations in Colombia was sampled by a variety of methods
and the species composition and density under the two systems compared. Twenty
species of Lutzomyia sand¯ies (Diptera: Psychodidae: Phlebotominae) were
collected, of which eight were found only in the `Coffee Axis' (`Eje Cafetero') of
the departments of Caldas, Risaralda and Quindio, six were exclusive to the
department of Norte de Santander and six occurred in both regions. Four species
were collected only in traditional plantations and two exclusively in intensi®ed
ones. At least 13 species occurred in both plantation types. Fifteen species are
opportunistic man-biters and eight are suspected vectors of leishmaniasis caused by
Le. braziliensis, Le. panamensis or Le. mexicana. Seven species were collected
inside houses and may be involved in intradomiciliary transmission of Leishmania.
The dominant species in Norte de Santander was Lu. spinicrassa, which made up
93.8% of all the sand¯ies collected in this department. This species was absent
from the Eje Cafetero and a number of others among the 15 recorded there might
be responsible for Leishmania transmission in this region, including Lu. trapidoi,
Lu. yuilli, Lu. gomezi, L. hartmanni and Lu. ovallesi. Sand¯y population densities
were signi®cantly higher in traditional plantations than in intensi®ed ones.
Residents of traditional plantations were able to describe sand¯ies in signi®cantly
more detail than those of intensi®ed plantations, based on seven basic
characteristics related to the appearance and biting behaviour of the insects.
Key words. Leishmania, Lutzomyia, Psychodidae, coffee, leishmaniasis, risk
analysis, Colombia.
Introduction
The relationship between coffee cultivation and Leishmania
transmission by phlebotomine sand¯ies was ®rst noted by
Scorza & Rojas (1988) in Venezuela and Warburg et al. (1991)
in Colombia. In both countries optimum conditions for coffee
growing occur in mountainous areas at 1000±2100 m a.s.l.,
where the tegumentary leishmaniases caused by members of
the Le. (Viannia) braziliensis and Le. (Leishmania) mexicana
species complexes are the most important vector-borne
diseases (Montoya et al., 1990; Montoya-Lerma, 1990).
Although autochthonous cases of tegumentary leishmaniasis
have been recorded from all but three of the 32 departments of
Colombia, at least 1700 (29.7%) of the 5716 cases of
leishmaniasis reported to the Ministry of Health in 1994
were from coffee-growing muncipalities.
The arrival of coffee rust fungus Hemileia vastatrix in 1984
was the principal motive for the intensi®cation of Colombian
plantations, a process by which so-called `traditional' planta-
tions in which coffee of the `arabica borboÂn' and `tõÂpica'Correspondence: B. Alexander. E-mail: bruce@cpqrr.®ocruz.br
364 ã 2001 Blackwell Science Ltd
Medical and Veterinary Entomology (2001) 15, 364±373Medical and Veterinary Entomology (2001) 15, 364±373
varieties grown under the shade of large trees were replaced by
the fungus-resistant `colombia' variety, which can be grown
under full sunlight in more extensive monocultures
(Valenzuela Samper, 1990). Although relatively small in area
(1.61 ha being the average in Colombia), traditional planta-
tions often represent the only remnants of forest in a particular
area and support a rich diversity of plant and animal species,
including phlebotomine sand¯ies (Diptera: Psychodidae),
some of which transmit Leishmania to man. The insects have
a limited ¯ight range of a few hundred metres (Alexander,
1987; Alexander & Young, 1992) but are able to encounter all
their vital requirements within this small area. These include
(i) terrestrial breeding sites rich in organic matter, (ii) diurnal
resting sites, including leaf litter and the trunks of shade trees,
many of which shed their leaves completely during the dry
season, (iii) sources of sugar meals, probably obtained by
piercing the tissues of plants (Alexander & Usma, 1994) and
from deposits of insect honeydew (Moore et al., 1987), and
(iv) sources of bloodmeals, including wild animals and birds,
domestic livestock and the human residents of the plantation,
who live adjacent to or within the coffee crop. As the wild
mammals bitten by sand¯ies may include reservoirs of
Leishmania such as rodents and opossums (Alexander et al.,
1998), all the factors necessary for transmission of leishma-
niasis may be concentrated within a relatively small area.
Some idea of the man-biting activity of sand¯ies in coffee
plantations can be obtained by the ability of growers to identify
the insects, this being an important prerequisite for any
leishmaniasis control measure that depends on community
participation (Alexander et al., 1995; Koirala et al., 1998).
Phlebotomine sand¯ies are known in Colombia by a variety of
common names that demonstrate the ability of people in
Leishmania-endemic areas to distinguish them from other
biting ¯ies. These names include `manta blanca' (`white
mantle') and `palomilla' (`little dove'), referring to the whitish
colour imparted by the water-repellent oil that covers the hairy
bodies of these insects, as well as `quemador' (`burner') and
`pringador' (`stinger') referring to the pain of their bites. The
name `aguilita' (`little eagle') may refer to the erect, V-shaped
posture of the wings at rest.
Coffee leaves contain high levels of protective alkaloids
(P. Mazzaferra, personal communication). There were apparently
no native species in the New World that had evolved mechanisms
to overcome these defences, a common phenomenon in plant
introductions (Frischknecht et al., 1966). Colombian coffee thus
had no serious insect pests until the arrival in 1988 of the coffee
berry borer or `broca' (Hypothenema hampei), a scolytid beetle
native to Africa. Agrochemicals taint the subtle ¯avour and
aroma of the mild coffee produced in Colombia and the
Colombian coffee grower's federation FEDERACAFE discour-
ages insecticide use. Nevertheless, many growers use chemicals
such as the organophosphate Thiodanã (endosulphan) against
H. hampei, often at doses much higher than those recommended
by the manufacturers and/or mixed with other chemicals. The
effect of these sprayings on sand¯y populations in coffee
plantations is unknown, although diurnal resting sites, breeding
sites and human habitations (in which sand¯ies take blood-
meals) are not targeted.
A number of other methods of controlling H. hampei have
been employed, including mass release of parasitic wasps,
spraying with the entomopathogenic fungus Beauveria bassa-
nia and removal and collection of all infected coffee cherries
by hand (`reÂ-reÂ'). None of these methods is likely to affect
sand¯y populations in coffee plantations, although a strain of
B. bassiana pathogenic to sand¯ies has been produced in the
laboratory (Warburg, 1991). Commercially available strains
tested against sand¯ies under laboratory and ®eld conditions
were found to be innocuous (Reithinger et al., 1997).
Although no information was available prior to the present
study on the suitability of intensi®ed plantations as habitats for
sand¯y vectors and mammalian reservoirs of Leishmania,
several of the changes associated with intensi®cation would
seem to reduce the likelihood of transmission to man. Removal
of shade trees results in a reduced production of leaf litter and
destruction of sand¯y diurnal resting sites, as well as removal
of potential food sources for frugivorous mammals. Intensi®ed
plantations are also larger, with a smaller human population
density, the grower, his family and workers generally living at
the edge of the crop rather than within it. Sand¯ies living in an
intensi®ed plantation would be exposed to higher levels of
sunlight by day and less protected from wind when active at
night. Reduced transmission of Leishmania, however, could
therefore be seen as a collateral bene®t of intensi®cation and
that should be taken into account by coffee-growing and health
authorities. With this in mind, the objectives of the present
study were to sample the phlebotomine sand¯y fauna of both
traditional and intensi®ed coffee plantations and compare the
species composition and density under the two systems.
Information on awareness of the insects by coffee growers
was also collected.
Materials and methods
Study area
There are four main coffee-growing regions in Colombia: (i)
the Cordillera Central, including the departments of Risaralda,
Quindio, Tolima, Cundinamarca, Huila and NarinÄo, as well as
parts of Caldas, Antioquia and Valle; (ii) the Cordillera
Occidental, including parts of the latter three departments as
well as Cauca; (iii) the Cordillera Oriental, consisting of the
departments of Santander, Norte de Santander and Boyaca; and
(iv) the Sierra Nevada, a mountain range geologically distinct
from the three Andean ranges, located in the departments of
Magdalena, Cesar and Guajira. Sand¯y collections were made
in coffee plantations in 10 municipalities (Fig. 1), representing
two of the above regions (Cordillera Central and Cordillera
Oriental).
Sand¯y sampling
A combination of sampling methods was used to obtain the
best pro®le of the phlebotomine sand¯y fauna in the limited
time available. Insects were collected in two traditional and
ã 2001 Blackwell Science Ltd, Medical and Veterinary Entomology, 15, 364±373
Phlebotomine sand¯ies and leishmaniasis risks 365Phlebotomine sand¯ies and leishmaniasis risks 365
two intensi®ed plantations of each municipality by the
following methods.
Diurnal resting site collections. Insects were aspirated
during daylight hours directly from the trunks of 20 shade
trees (traditional plantations only) and/or by disturbing the leaf
litter under a mesh-covered wooden frame of triangular cross-
section (Alexander, 2000) placed on the ground in 100 spots
within each plantation and collecting ¯ies that ¯ew up onto the
sides of the trap (traditional and intensi®ed plantations). These
collections comprised sand¯ies that had not been attracted
from marginal wooded areas by light or host-produced stimuli.
Insects collected from leaf litter included gravid females and
recently emerged adults, indicating the presence of breeding
sites. Resting site collections are an important supplement to
those made by light traps and/or human bait, as they also
sample non-phototropic species that do not bite man, including
those involved in Leishmania transmission between wild
mammals. They also generally include large numbers of
males, whose presence permits distinction among species
whose females are morphologically identical, such as members
of the medically important Lu. verrucarum group.
Illuminated Shannon trap collections. Sand¯ies attracted to
illuminated Shannon traps manned by two volunteers were
collected between 18.00 and 20.00 hours, i.e. within 2 h of
sunset. Collections were made simultaneously in traditional
and intensi®ed plantations and represented the most ef®cient
way of collecting large numbers of sand¯ies, principally those
belonging to man-biting species.
Sticky trap collections. Twenty sticky traps (half sheets of
A4 paper impregnated with castor oil) were hung in two houses
of each plantation type, 10 each at ground and ceiling levels.
The traps were left in place for ®ve nights and then revisited,
sand¯ies that had adhered to the traps being removed carefully
with a mounted needle and rinsed in detergent solution prior to
clearing in lactophenol and identi®cation to species. As this
method involves the interception of ¯ying insects rather than
attraction to light or host-produced stimuli, relatively few
sand¯ies could be collected in the short time available.
However, the specimens caught allowed the identi®cation of
species that might be involved in intradomiciliary transmission
of Leishmania.
All specimens were preserved dry for transportation to the
laboratory, where they were cleared in lactophenol and
identi®ed to species (Young & Duncan, 1994).
Comparison of sand¯y faunae of traditional and intensi®ed
plantations
The proportion of species known to be opportunistic man-
biters among the sand¯y fauna of each plantation was noted
and the species composition of each plantation compared based
on calculation of Jaccard's (1908) coef®cient of similarity
(CJ = j(a + b ± j) where j is the number of species common to
both samples and a and b are, respectively, the total numbers
of species in each sample. These coef®cients give equal weight
to all species, irrespective of their relative abundance
Marsella
Montenegro
PensilvaniaAguadas
Salamina
Filadelfia
Gramalote
Bochalema
Labateca
Toledo
Norte de Santander
Caldas
Quindio
Risaralda
N
50 km
scale
Fig. 1. Outline maps showing locations of 10 municipalities with study sites in four administrative Departments (names in italics) of Colombia:
Caldas, Norte de Santander, Quindio and Risaralda. Central map (103 reduced scale) shows areas and positions of these four Departments in
Colombia.
ã 2001 Blackwell Science Ltd, Medical and Veterinary Entomology, 15, 364±373
366 B. Alexander et al.366 B. Alexander et al.
(Southwood, 1978). A value of 1.00 indicates that the
species compositions of two plantations are identical, and 0
means that they are completely dissimilar. The values obtained
were then analysed using the NTSys program (J. NTSys ± PC),
numerical taxonomy and multivariate analysis system, version
2.02i, Exeter Software, NY) and a dendrogram constructed
based on unweighted pair-group method analysis (UPGMA)
(Fig. 2).
Geometric means were calculated of the total numbers of
sand¯ies collected in each plantation type. The results were
analysed by paired t-test after log transformation of the totals
(n + 1) to compare the densities of different Lutzomyia species
in each plantation type and municipality.
Awareness of sand¯ies
Fifty-six residents of coffee plantations (25 male, 31 female)
aged between 7 and 67 (median age 37) were asked whether
biting insects ever bothered them and, if so, asked to describe
them. Inclusion of one or more of the following seven
characteristics in each response was noted:
d Small (2±3 mm);
d Whitish (¯uorescent at night);
d Wings at rest held in a `V' shape;
d Silent;
d Weak but direct ¯ight (do not hover),
hop between biting sites;
d Nocturnal;
d Painful bite.
Taken together, these characteristics describe no other type
of biting ¯y than phlebotomine sand¯ies and indicate the
ability of local people to distinguish these insects from other
Diptera such as mosquitoes and simuliids.
Results
Comparison of sand¯y faunae of traditional and intensi®ed
plantations
Entomological data are summarized in Tables 1 and 2. A
total of 20 species of sand¯y was collected during the study, of
which eight were found only in the Eje Cafetero, six were
exclusive to Norte de Santander and six occurred in both
regions. Five species, i.e. Lu. cayennensis (Floch &
Abonnenc), Lu. shannoni (Dyar), Lu. trapidoi (Fairchild &
Hertig), Lu. yuilli Young & Porter and an unidenti®ed Lu.
(Helcocyrtomyia), were collected only in traditional planta-
tions, compared with two, i.e. Lu. bifoliata (Osorno-Mesa
et al.) and Lu. sordellii (Shannon & Del Ponte), exclusively in
intensi®ed ones. At least 13 species occurred in both plantation
types. With regard to the transmission of Leishmania, 15
species were opportunistic man-biters and eight are suspected
vectors of: Le. braziliensis, i.e. Lu. spinicrassa (Morales et al.),
Lu. nunÄeztovari (Ortiz), Lu. ovallesi (Ortiz) and Lu. youngi
Feliciangeli & Murillo; Le. panamensis, i.e. Lu. hartmanni
(Fairchild & Hertig), Lu. trapidoi and Lu. gomezi (Nitzulescu);
or Le. mexicana i.e. Lu. columbiana (Ristorcelli & Van Ty)
(Young & Duncan, 1994). Seven species, including six
opportunistic man-biters, were collected on sticky traps inside
houses and could be involved in intradomiciliary transmission
of Leishmania. Shade trees are used as resting sites by at least
10 species, and three were taken among leaf litter.
A total of 12 species were collected in Norte de Santander.
The dominant species was clearly Lu. spinicrassa, which made
up 93.8% of all the sand¯ies collected in the four municipal-
ities of this department. It was the only sand¯y found in all
four municipalities, other important species being Lu.
nunÄeztovari, Lu. serrana (Damasceno & Arouck) and Lu.
Arma Trad.
Arma Int.
Filadelfia Trad.
Marsella Trad.
Marsella Int.
Filadelfia Int.
Salamina Trad.
Salamina Int.
Bochalema Trad.
Gramalote Trad.
Gramalote Int.
Labateca Trad.
Labateca Int.Toledo Trad.Toledo Int. Pensilvania Trad.
Pensilvania Int.
0.02 0.26 0.51 0.75 1.00
Fig. 2. Dendrogram based on unweighted pair group method analysis (UPGMA)and Jaccard's index Cj = j(a + b ± j) showing the degrees of
similarity with respect to the sand¯y fauna among plantations under the traditional (trad) and intensi®ed (int) systems in nine municipalities:
Arma (Aguadas), Bochalema, Filadel®a, Gramalote, Labateca, Marsella, Pensilvania, Salamina and Toledo. One other municipality (Montenegro)
was not included in this analysis because only a single specimen was collected there.
ã 2001 Blackwell Science Ltd, Medical and Veterinary Entomology, 15, 364±373
Phlebotomine sand¯ies and leishmaniasis risks 367Phlebotomine sand¯ies and leishmaniasis risks 367
ovallesi, all of which occurred in at least two. The greatest
diversity was seen in Gramalote (11 species), considerably
more than the number collected in Bochalema (four), Toledo
(three) and Labateca (one). All but two species (Lu.
cayennensis and Lu. shannoni) were collected in both types
of plantation and none were exclusive to intensi®ed planta-
tions. Nine of the 12 species are opportunistic man-biters, and
®ve (including Lu. walkeri (Newstead) and the non-anthro-
pophilic Lu. ferroae Young & Morales) were collected on
sticky traps inside houses. With respect to diurnal resting sites,
eight were collected on tree trunks and one (Lu. spinicrassa)
taken among leaf litter in both types of plantation. Collections
of Lu. erwindonaldoi (Ortiz), the remaining man-biting
species, were restricted to Shannon traps in both types of
plantation.
The man-biting species Lu. spinicrassa was absent from the
Eje Cafetero and a number of others among the 15 recorded
might be responsible for Leishmania transmission in this
region, including Lu. trapidoi, Lu. yuilli, Lu. gomezi, Lu.
hartmanni and Lu. ovallesi. Seven species were collected in
both types of plantation, ®ve were exclusive to traditional
plantations and three were only collected in intensi®ed ones.
None of the species was collected in all six municipalities,
although Lu. lichyi (Floch & Abonnenc) occurred in at least
four and Lu. columbiana, Lu. youngi and Lu. pia (Fairchild &
Hertig) in at least three. The numbers of species collected in
each municipality were seven (Filadel®a), six (Arma/
Aguadas), four (Pensilvania and Salamina), three (Marsella)
and one (Lu. lichyi) in Montenegro. All 11 species collected in
traditional plantations were opportunistic man-biters, although
none were taken inside houses on sticky traps. At least four
(Lu. columbiana, Lu. lichyi, Lu. pia and Lu. shannoni) were
found resting during the day on shade trees, with Lu. lichyi also
being collected among leaf litter. With respect to intensi®ed
plantations, eight of the 10 species were collected were man-
biters, the exceptions being Lu. bifoliata and Lu. sordellii.
Table 1. Summary of entomological data for collections made in six municipalities of the Eje Cafetero (Departments of Caldas, Risaralda and
Quindio), Colombia
Lutzomyia sp. Municipality
Collection type
Diurnal resting sites Intradomiciliary Nocturnal
Trees Leaf litter Sticky traps Shannon trap Totals
TR TR IN TR IN TR IN TR IN
L. bifoliata Arma/Aguadas 0 0 0 0 0 0 2 0 2
L. columbiana Pensilvania 0 0 0 0 0 11 0 1 0
Marsella 6 0 0 0 0 0 1 6 1
Filadel®a 2 0 0 0 0 0 0 2 0
L. gomezi Filadel®a 0 0 4 0 2 0 8 0 14
L. hartmanni Pensilvania 0 0 0 0 0 22 1 22 1
Filadel®a 0 0 0 0 1 0 0 0 1
L. (Helcocyrtomyia) sp. Aguadas 0 0 0 0 0 1 0 1 0
L. lichyi Montenegro 1 0 0 0 0 0 0 1 0
Marsella 21 0 0 0 0 0 0 21 0
Filadel®a 10 1 0 0 0 1 0 12 0
Salamina 2 0 0 0 0 0 0 2 0
L. nunÄeztovari Salamina 0 0 0 0 0 8 3 8 3
L. ovallesi Aguadas 0 0 0 0 0 1 4 1 4
L. pia Marsella 82 0 0 0 0 24 22 106 22
Filadel®a 5 0 0 0 0 116 0 121 0
Salamina 15 0 0 0 1 102 31 117 32
L. shannoni Filadel®a 3 0 0 0 0 0 0 3 0
L. sordellii Aguadas 0 0 0 0 0 0 1 1 0
L. trapidoi Pensilvania 0 0 0 0 0 5 0 5 0
L. youngi Aguadas 0 0 0 0 0 50 7 50 7
Filadel®a 0 0 0 0 0 0 3 0 3
Salamina 0 0 0 0 0 51 18 51 18
L. yuilli Pensilvania 0 0 0 0 0 24 0 24 0
Totals 555 108
Geometric mean 6.12 1.50
TR ± traditional; IN ± intensi®ed **Statistically signi®cant at P <0.01
Paired t-test t = ± 3.15, d.f. = 23; P = 0.004**
ã 2001 Blackwell Science Ltd, Medical and Veterinary Entomology, 15, 364±373
368 B. Alexander et al.368 B. Alexander et al.
Only one species (Lu. gomezi) was collected among leaf litter
during the day. This species was taken inside houses on sticky
traps, as were Lu. hartmanni and Lu. pia.
The only medically important species not found in both
types of coffee plantation were Lu. trapidoi and Lu. yuilli, both
highly anthropophilic species of the subgenus Lutzomyia
(Nyssomyia). Both species were only recorded in Pensilvania
and assuming that they truly are absent from intensi®ed
plantations, the most likely candidates as Leishmania vectors
in the latter habitat are Lu. hartmanni and Lu. columbiana,
both of which readily bite man.
The fact that collections were made over short periods
means that several species may not have been collected from
each municipality. However, members of the Lu. verrucarum
species group, such as Lu. columbiana, Lu. nunÄeztovari, Lu.
ovallesi, Lu. serrana, Lu. youngi and Lu. spinicrassa, are
clearly well adapted to coffee plantations of both types,
particularly in Norte de Santander. Although some species are
found in both regions, the vectors and parasites involved in
Leishmania transmission in the Eje Cafetero and Norte de
Santander are likely to be different. In order to determine
whether differences between the faunae of traditional and
intensi®ed plantations were consistent, comparisons were
made between all plantations surveyed, using Jaccard's index
of similarity (Fig. 2) The greatest degree of similarity
(j = 1.00) was seen between traditional and intensi®ed plan-
tations in Toledo and Labateca, in which the species recorded
were identical in both types of cultivation system. However,
this is undoubtedly a re¯ection of incomplete sampling, only
two species (both anthropophilic) having been collected.
Collections from the two types of plantation were, however,
also very similar in Gramalote (j = 0.90) and Salamina
(j = 0.75). The former was the municipality in which most
species were collected and provides more conclusive evidence
of the ability of sand¯y species to adapt to intensi®ed
plantations. The greatest differences between traditional and
intensi®ed plantations of the same municipality were seen in
Filadel®a (j = 0.27) and Pensilvania (j = 0.25).
The two regions visited could be separated at a very low
level (j = 0.05) so that the higher prevalence of tegumentary
leishmaniasis seen in Norte de Santander (Alexander et al.,
unpublished data) could be a function of different behaviour
patterns of the vectors involved (including greater degree of
anthropophilicity or propensity to enter houses or greater
susceptibility to infection by Leishmania), as well as differ-
ences that in¯uence man±vector contact arising from human
activities (such as coffee-growing practices and construction
materials of houses).
Table 2. Summary of entomological data for collections made in four municipalities of Norte de Santander, Colombia
Lutzomyia sp. Municipality
Collection type
Diurnal resting sites Intradomiciliary Nocturnal
Trees Leaf litter Sticky traps Shannon trap Totals
TR TR IN TR IN TR IN TR IN
L. cayennensis Bochalema 4 0 ± 0 ± 0 ± 4 ±
L. erwindonaldoi Gramalote 0 0 0 0 0 5 3 5 3
L. ferroae Gramalote 0 0 0 0 1 1 1 1 2
L. gomezi Gramalote 0 0 0 1 0 0 2 1 2
L. lichyi Gramalote 10 0 0 0 0 11 11 21 11
L. nunÄeztovari Gramalote 0 0 0 0 0 89 14 89 14
Toledo 16 0 0 0 1 57 38 73 39
L. ovallesi Gramalote 0 0 0 0 0 2 1 2 1
Bochalema 41 0 ± 2 ± 0 ± 43 ±
L. pia Gramalote 0 0 0 0 0 6 1 6 1
L. serrana Gramalote 1 0 0 0 0 119 83 120 83
Toledo 0 0 0 0 0 36 8 36 8
L. shannoni Gramalote 0 0 0 0 0 9 0 9 0
Bochalema 41 0 ± 0 ± 0 ± 41 ±
L. spinicrassa Gramalote 0 1 6 28 1 4785 2427 4814 2433
Bochalema 94 0 ± 3 ± 2 ± 99 ±
Toledo 47 6 0 0 0 882 396 929 402
Labateca 0 0 0 74 19 196 396 270 415
L. walkeri Gramalote 1 0 0 0 1 4 2 5 3
Totals 6568 3417
Geometric mean 30.0 15.1
TR ± traditional; IN ± intensi®ed **Statistically signi®cant at P <0.01.
Paired t-test t = ± 3.23, d.f. = 14; P = 0.006**
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Phlebotomine sand¯ies and leishmaniasis risks 369Phlebotomine sand¯ies and leishmaniasis risks 369
A signi®cant difference was observed between the number
of specimens collected in each type of plantation. The density
of sand¯ies in traditional plantations was signi®cantly higher
than that in intensi®ed ones in both the Eje Cafetero and Norte
de Santander. Although the number of sampling nights in each
municipality was limited to four, collections were made
simultaneously in both types of plantations. The differences
in density were consistent for all the municipalities and for
most of the species of Lutzomyia (Tables 1 and 2).
Insecticide use
As insecticides sprayed on coffee to control H. hampei could
also affect sand¯y populations, a survey was made of their use
on 36 farms in the 10 municipalities visited. In all, 29 growers
reported the presence of H. hampei, which had arrived between
1989 and 1997. Only two of these farms were in Norte de
Santander, although the beetle was present on all plantations
visited in the remaining three departments. According to the
1997 coffee census, the beetle infested 50.53% of plantations
in Risaralda, 33.48% in Caldas, 21.22% in QuindõÂo and only
0.09% in Norte de Santander. Control methods used included
reÂ-re alone (seven farms), Beauveria alone (three farms) and
use of one or more pesticides, with or without the above
methods, on 16 farms. The chemicals most frequently used
were the organophosphates Thiodanã (nine farms), Lorsbanã
(six farms), Sumithionã (two farms) and Actellicã (one farm).
ReÂ-re was practised at weekly or twice-weekly intervals,
whereas frequency of Beauveria and chemical insecticide use
varied widely. Although endosulphan use is permitted to
control broca on coffee by Ministry of Health resolutions
00483±00486 (March 29, 1999) and 01669 (May 25, 1999),
chemical insecticide application is discouraged by
FEDERACAFE for reasons of safety, contamination of the
crop and the fact that they are only ineffective against insects
on the surface or foliage rather than within the fruit.
Nevertheless, their use continues to be practised in an arbitrary
and uncontrolled manner.
Phlebotomine sand¯ies of seven species (Lu. columbiana,
Lu. hartmanni, Lu. lichyi, Lu. ovallesi, Lu. pia, Lu. shannoni
and Lu. youngi), were collected on 13 of the plantations where
insecticide use had been practised, including two treated with
Lorsbanã and Thiodanã shortly before sampling. Sand¯ies
belonging to ®ve species (Lu. columbiana, Lu. gomezi, Lu.
lichyi, Lu. pia and Lu. youngi) were also collected on ®ve of
the plantations treated with Beauveria.
Awareness of sand¯ies
Results of this survey are shown in Table 3. Five of the
people interviewed were able to cite six of the seven
characteristics, 20 were able to give at least ®ve characteristics
Table 3. Characteristics of sand¯ies recognized by residents of coffee plantations
Municipality Type n
% of respondents able to cite characteristic
Mean no.
recognized
Common
name(s)Small Nocturnal Whitish
Painful
bite Silent
V-shaped
wings
Direct
¯ight
Arma TR 5 100 100 40.0 100 60.0 50.0 0 3.83 Palomilla
IN 4 80.0 100 50.0 100 100 0 0 4.00 Pito/
Palomilla
Filadel®a TR 2 50.0 50.0 83.3 50.0 50.0 50.0 0 3.00 Palomilla
IN 2 100 100 33.3 100 100 0 0 5.00 Paloma
Pensilvania TR 6 83.3 83.3 50.0 33.3 83.3 0 66.7 5.20 Palomilla
IN 3 33.3 33.3 75.0 0 33.3 0 0 1.33 Palomilla
Salamina TR 2 100 0 50 100 0 50.0 0 3.00 Palomilla
IN 4 75.0 25.0 100 25.0 0 0 0 2.00 Paloma
Marsella TR 2 100 100 100 50.0 100 50.0 50.0 5.50 Palomilla
IN 1 100 100 100 100 100 0 0 5.00 Palomilla
Montenegro TR 2 0 0 0 0 0 0 0 0 ±
IN 2 50.0 50.0 50.0 50.0 50.0 0 0 2.50 ±
Bochalema TR 4 75.0 75.0 75.0 100 0 50.0 25.0 4.00 Chire/Quemador
Gramalote TR 3 100 100 100 66.7 66.7 33.3 0 4.6 Quemador/Aliblanco
IN 2 50.0 50.0 0 50.0 50.0 0 50.0 2.50 Quemador/Pito
Labateca TR 5 100 100 80.0 0 0 50.0 0 3.20 Chire
IN 2 100 50.0 0 0 100 0 0 2.50 Chire
Toledo TR 3 66.7 50.0 0 100 0 100 66.7 3.67 Chire
IN 2 50.0 100 50.0 50.0 0 50.0 0 3.00 Chire
Overall TR 34 79.4 73.5 61.8 61.8 41.1 38.2 23.5 4.00 ±
IN 22 68.2 63.7 45.4 13.6 31.8 4.5 4.5 2.67 ±
Both 56 75.0 69.7 55.3 42.8 37.5 25.0 16.1 3.43 ±
t-test comparing means of traditional and intensi®ed plantations, t = 3.47, P = 0.004**
**Statistically signi®cant at P <0.01.
ã 2001 Blackwell Science Ltd, Medical and Veterinary Entomology, 15, 364±373
370 B. Alexander et al.370 B. Alexander et al.
and 28 persons at least four. Seven of the people questioned
had no knowledge of the insects and three gave only one of the
characteristics. The four most frequently cited characteristics
were that the insects were small (75.0% of respondents),
nocturnal (69.6%), whitish in colour (57.1%) and gave a
painful bite (55.3%). Twenty-®ve people (44.6%) described
the insects as silent and 16 people (25.0%) mentioned the habit
of holding the wings at rest in an erect `V' shape. The least
frequently cited characteristic was that of the direct (non-
hovering) ¯ight, mentioned by only nine respondents. The
common names given for the sand¯y differed between the two
different regions. In Norte de Santander the insect is known as
`quemador' in Gramalote and `chire' in Bochalema, Labateca
and Toledo. The latter term presumably refers to the insect's
small size, perhaps a corruption of the word `chiriquitico'
(tiny). One person in Bochalema cited both these names, others
used less frequently being `aliblanco' (white wing) and `pito'
(the latter term, meaning `bug' is also used to refer to
leishmaniasis). The name `pito' was also given by two people
in Caldas (both in Aguadas), although `palomilla' or `paloma'
were cited by all respondents from the Eje Cafetero (including
the two mentioned) able to identify the insects. The mean
number of characteristics cited by residents of traditional
plantations was 4.00, signi®cantly greater than that given by
people living on intensi®ed ones (2.59) (t = 3.47; P = 0.004),
suggesting that awareness of the insects is greater in the
former, presumably due to greater biting activity.
Discussion
Coffee plantations, particularly those still under the traditional
system of cultivation, represent the only signi®cant forest
cover in many areas of Colombia. Traditional plantations
harbour a greater diversity of plants, insects, spiders, reptiles,
mammals and birds (Perfecto et al., 1996) and also provide
important refuges for bird species migrating from North
America (Tangley, 1996; Greenberg et al., 1997). Many
species of phlebotomine sand¯y have adapted to living within
their con®nes. Alexander et al. (1992) recorded 17 species
within one small (2 ha) traditional coffee plantation in
Arboledas, Norte de Santander, of which 15 belonged to the
genus Lutzomyia, including ®ve members of the medically
important Lu.verrucarum species group. Eleven of these
species (64.6%) were opportunistic man-biters (Alexander
et al., 1992) and natural infections with Le. (V.) braziliensis
were found in Lu. spinicrassa (Young et al., 1987). At least
two other species (Lu. ovallesi and Lu. gomezi) are suspected
vectors of Leishmania in other parts of their ranges (Killick-
Kendrick, 1990; Young & Duncan, 1994).
Colombia is the world's second biggest coffee producer, the
558 000 tons harvested in 1998 (10.1% of the world total)
being exceeded only by Brazil and far greater than the
production of any other country. Coffee provides 37% of
Colombia's agricultural employment, involving 3.3 million
people on 566 000 farms in 590 municipalities (Anon, 1999).
Although the importance of coffee to the Colombian economy
has steadily fallen from 84% of exports in 1954 to only 12% in
1998, as a legitimate source of export earnings it is still
exceeded only by petroleum. The population at risk of
acquiring tegumentary leishmaniasis is therefore considerable
and although treatment is provided free of charge to patients
this is a strain on the economic resources of the health
authorities. In addition, chemotherapy is not always available
and many patients seek a variety of alternative remedies, most
of which have no effect and may allow mucocutaneous lesions
to develop at a later date (WHO, 1990).
Many cases could be prevented by better understanding the
transmission cycle of leishmaniasis in coffee plantations and
providing susceptible individuals with information on how to
avoid being bitten by sand¯ies. Intradomiciliary transmission
of Leishmania is probably the most important type of contact
between man and vector in coffee plantations. Extradomi-
ciliary and peridomiciliary transmission of Leishmania is
likely to be less important for three reasons: (a) the disease
occurs in both sexes and all age groups, including very young
children, (b) coffee plantations do not support large game
animals suitable for hunting at night, (c) although sand¯ies
may bite during the day this is relatively rare, and (d) the cool
nocturnal temperatures of the Colombian Andes tend to force
people indoors after dark (Alexander et al., 1995).
Insecticidal treatment of sand¯y resting and breeding sites in
coffee plantations would be costly, impractical and unaccept-
able because of the risk of tainting the crop. Residual spraying
of human habitations would be also be logistically impractical,
because farms are widely dispersed over mountainous terrain
and often inaccessible by road. Impregnated mosquito nets
may offer the most practical solution, provided that the
insecticidal formulations involved were available in quantities
that could be used by families rather than at the community
level, at low cost and with minimal risk of accidental
intoxication through lack of supervision. The ef®cacy of
bednets impregnated with the synthetic pyrethroid deltame-
thrin in reducing sand¯y biting rate was demonstrated in a
coffee-growing community of Valle del Cauca, Colombia by
Alexander et al. (1995), although whether or not impregnated
bednet use could also reduce the incidence of Leishmania
infection remains to be demonstrated. Impregnated bednets are
unlikely to have a signi®cant effect on sand¯y populations in
the plantations themselves, as the insects entering houses to
bite probably represent a relatively small fraction of the total
number. This has been demonstrated for Anopheles mosquitoes
in areas of Africa where bednets are used for malaria control
(QuinÄones et al., 1998).
The degree of protection from the sun provided by certain
trees could modulate sand¯y biting activity. With respect to
resting sites/lekking sites, the most suitable species are those
with rough bark and/or buttress roots such as Albizzia
carbonaria, Anacardium rhinocarpus, Cordia alliodora,
Erythrina edulis and Ficus glabrata. Several of these species
lose all their leaves during the dry season, increasing the
covering of leaf litter on the plantation ¯oor and impeding the
growth of other species (Acero Duarte, 1985). Slender, quick-
growing and smooth-trunked trees such as Inga spp. are less
favourable as resting sites (Alexander et al., 1992), although
ã 2001 Blackwell Science Ltd, Medical and Veterinary Entomology, 15, 364±373
Phlebotomine sand¯ies and leishmaniasis risks 371Phlebotomine sand¯ies and leishmaniasis risks 371
they are widely grown and often predominate in Colombian
plantations.
Thus, although the intensi®cation of coffee plantations
might be expected to affect Leishmania transmission by
creating less favourable conditions for vectors and reservoirs
as well as reducing man-vector contact, several sand¯y species
have adapted to the new conditions and the disease still occurs
(Alexander et al., unpublished data). This and the environ-
mental problems associated with removing shade trees may be
used to argue against the continued intensi®cation of
Colombian plantations, despite the increased productivity of
the new system. The production of `ecological coffee' has been
suggested as a solution to this dilemma, biodiversity and soil
quality being as important in rating plantations as non-use of
insecticides (Perfecto et al., 1996). Several groups of insects
have been proposed as indicators of biodiversity and habitat
quality, including ants, butter¯ies (Osborn et al., 1999) and
mosquitoes (DorvilleÂ, 1996). Phlebotomine sand¯ies are
themselves particularly suitable as indicators, being a well-
studied group of medical importance whose members are easy
to transport and identify. They are directly dependent on the
vertebrate fauna of the areas they inhabit and harbour parasites
that are themselves of phylogenetic interest (Barrett et al.,
1996). They also have a relatively long life cycle (4±6 weeks),
which precludes them from colonizing ephemeral micro-
habitats, and have a limited ¯ight capacity. As such, they can
be considered true residents of a particular habitat rather than
transient opportunists (Alexander, 1999).
Acknowledgements
The logistic support provided by the following people is
gratefully acknowledged: Idelfonso Cepeda of the MinisteÂrio
de Salud, Fiorentino CeÂlis and Hector Anaya of the Servicio
Seccional de Salud de Norte de Santander, Humberto Bedoya
and Julian Montoya of the Servicio Seccional de Salud de
Caldas, Pablo Ruiz and Alba Nidia Salazar of the Servicio
Seccional de Salud de Risaralda, Cesar Augusto Pineda
CastanÄo of the Comite Departamental de Cafeteros de
Marsella and Ivan Dario Velez of the University of
Antioquia. The study was funded by a grant no. 9403334 of
the WHO/TDR.
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Phlebotomine sand¯ies and leishmaniasis risks 373Phlebotomine sand¯ies and leishmaniasis risks 373