Ehrlichiose Monocítica Humana, Anaplasmose Granulocítica Humana, Babesiose, Febre Maculosa das Montanhas Rochosas e Doença de Lyme são doenças transmitidas por carrapatos encontradas no Hemisfério Norte. No Brasil, a DL-símile chamada de Síndrome Baggio-Yoshinari (SBY) é descrita, mas as características epidemiológicas, clínicas e laboratoriais são diferentes da DL original. Nos Brasileiros, as outras doenças transmitidas por carrapatos são pouco estudadas. O objetivo desta pesquisa é estudar a possibilidade de co-infecção entre a SBY e outras doenças transmitidas por carrapatos, através de ensaios laboratoriais para Ehrlichia spp, Babesia spp and Rickettsia spp em um grupo de 70 pacientes com SBY. Dez pacientes estavam na fase inicial da doença e 60 no estágio latente. Eritema Migratório (EM) esteve presente em 27 (38,6%), artrite em 26 (37,1%), febre em 13 (18,5%), cefaléia em 29 (41,4%), artralgia em 36 (51,4%), mialgia em 51 (72,8%), fadiga em 38 (54,3%), meningite em 4 ((5,7%), neurite craniana em 8 (11,4%), radiculopatia periférica em 9 (12,8%), encefalomielite em 4 (5,7%), cardiopatia em 7 (10%), lesão de pele atípica em 10 (14,3%) e anemia em 10 (14,3%). O ELISA (Enzyme Linked Immunosorbent Assay) para Borrelia burgdorferi foi positivo em 21 (30%) pacientes do grupo da SBY e apenas em 3 dos 50 (6%) indivíduos do grupo controle (p = 0.01). Usando o método de Western blotting (WB) modificado para antígenos da B. burgdorferi, trinta e cinco (50%) dos pacientes com SBY foram positivos, e 2 (4%) indivíduos do grupo controle. (p0,001). A Reação de Imunofluorescência Indireta (RIFI) (IgG) apresentou resultados significativos para três das cinco espécies de Rickettsia spp analisadas: R. parkeri (8,6%) (p = 0,032), R. amblyommii (22.8%) ( p = 0,031) e para R. bellii (8.6%) ( p = 0,032). O Teste do Qui-quadrado foi usado para análise estatística. . Poucos pacientes apresentaram positividade para antígenos de B. bovis (RIFI e ELISA) e B. equi (RIFI). A RIFI para antígenos da Ehrlichia canis foi positiva apenas para um (1.4%) paciente com SBY. Isto nos leva a concluir que pacientes com SBY apresentaram co-infecção com R. parkeri, R.. amblyommi e R. belli, sugerindo que a SBY possa ser transmitida pelos mesmos carrapatos responsáveis pela transmissão destas Rickettsias. / Human Monocytic Ehrlichiosis, Human Granulocytic Anaplasmosis, Babesiosis, Rocky Mountain Spotted Fever and Lyme Disease (LD) are tick-borne diseases commonly found in the North hemisphere. In Brazil, a LD-like illness called Baggio- Yoshinari Syndrome (BYS) is described, but epidemiological, clinical and laboratorial features are different from the original LD. In Brazilian humans, the other tick-borne diseases are less frequently studied. The aim of this survey was to verify the possibility of co-infections between BYS and other tick-borne diseases, using laboratorial assays to Ehrlichia spp, Babesia spp and Rickettsia spp in a group of 70 patients with BYS. Ten patients were at initial stage of the disease and 60 patients were in a latent stage. Erythema migrans (EM) was present in 27 patients (38.6%), arthritis in 26 (37,1%), fever in 13 (18.5%), headache in 29 (41.4%) arthralgia in 36 (51.4%), myalgia in 51 (72,8%), fatigue in 38 (54,3%), meningitis in 4 (5.7%), cranial neuritis in 8 (11.4%), peripheral radiculopathy in 9 (12.8%), encephalomyelitis in 4 (5.7%), cardiopathy in 7 (10%), atypical skin eruptions in 10 (14.3%) and anemia in 10 patients (14.3%). ELISA (Enzyme Linked Immunossorbent Assay) for Borrelia burgdorferi antigens was positive in 21 patients (30%) of BYS group, while only 3 (6%) from 50 normal individuals had positive reactions (p = 0.01). Using the modified Western Blotting (WB) method for B. burgdorferi antigens, 35 (50%) of the BYS patients were positive, and 2 normal individuals (4%) from the control group (p 0,001). Indirect Immunofluorescence Assay (IFA) (IgG) presented positive results for three of five species of Rickettsia tested: R. parkeri (8, 6%) (p = 0,032), R. amblyommii (22.8%) (p = 0,031) and for R. bellii (8.6%) (p = 0,032). Chi-square test was used for the statistic analysis. A few patients developed a positive reaction to B. bovis (IFA and ELISA) and B. equi antigens (IFA). IFA for Ehrlichia canis antigens was positive in only one patient (1.4%) with BYS. It was possible to conclude that BYS patients presented a coinfection with R. parkeri, R. amblyommi and R. bellii, suggesting that BYS can be vectored by the same ticks responsible for the transmission of Rickettsial agents.

Parmi les parasites, les échinocoques revêtent une importance majeure en santé publique de par leur distribution mondiale et les maladies potentiellement très graves, qu’ils occasionnent. En Europe, les espèces présentes sont E. multilocularis, qui a un cycle sylvatique et E. granulosus spp., dont les hôtes sont essentiellement domestiques.En France, peu de données étaient disponibles quant à la distribution de ces espèces parasitaires lors de la création du LNR Echinococccus spp. en 2006. Une forte réduction supposée des zones et du niveau d’enzootie pour E. granulosus laissait envisager un risque zoonotique moindre voire désormais absent. S’agissant d’E. multilocularis, l’expansion constatée en Europe était également suspectée en France. La modification des techniques de parasitologie classique ainsi que le développement d’outils moléculaires par le LNR ont contribué à l’actualisation et à une meilleure connaissance de la distribution des espèces parasitaires en France.Une large étude de surveillance menée chez le renard avec la méthode SSCT validée par le LNR a révélé une expansion de la zone d’enzootie d’E. multilocularis jusqu’en Ille-et-Vilaine. L’analyse par microsatellite EmsB a permis d’estimer à plusieurs décennies la dispersion du parasite vers l’ouest et le nord à partir du foyer historique de l’est. Cette expansion a été confirmée à l’ouest chez des rongeurs aquatiques et rétrospectivement au sud chez le renard.Des études de surveillance d’E. granulosus en abattoir ont confirmé sa présence dans le sud de la France et en Corse. Les caractérisations moléculaires ont permis d’identifier E. granulosus sensu stricto dans le sud et E. canadensis G6-7 en Corse. Un plan de surveillance national en abattoir a ensuite montré la présence d’E. granulosus s.s. à travers l’ensemble du territoire continental. Les niveaux de prévalence d’infestation par E. granulosus s.s. estimés chez les ovins à 15,3 et chez les bovins à 8,3 cas pour 1 million de têtes abattues sont très inférieurs à ceux décrits il y a vingt ans. Deux foyers majeurs constitués par les Alpes pour E. granulosus s.s. et la Corse pour E. canadensis G6-7 demeurent, alors que l’identification d’E. ortleppi confirme le maintien de cette espèce zoonotique pourtant désormais rare en Europe.Les niveaux de prévalence d’infestation par E. multilocularis chez le chien et le chat en France confirment leurs importances mineures dans le maintien du cycle parasitaire. Le rôle zoonotique du chat semble négligeable d’après les observations d’infestations naturelles, corroborées par les données obtenues lors d’infestations expérimentales. La vermifugation régulière et adaptée des chiens, en particulier des chiens de chasse, apparait nécessaire. Cette recommandation de vermifugation canine s’applique également pour E. canadensis G6-7 en Corse, où l’accès aux viscères des porcs et des sangliers implique un volet sylvatique dans le cycle.La reconnaissance de l’expertise du LNR a permis d’initier des collaborations internationales qui ont en retour enrichi la diversité des situations épidémiologiques étudiées. Ainsi, l’étude de la diversité génétique d’E. multilocularis (microsatellite EmsB) a contribué à une meilleure compréhension de la dynamique d’expansion du parasite en Europe (Pologne, Suède, Danemark). L’étude des foyers d’hyper enzootie d’E. granulosus (Moldavie, Maroc, Algérie) et la caractérisation des espèces présentes et de leurs niveaux d’infestation chez les hôtes intermédiaires a permis d’envisager des actions de lutte adaptées. Le LNR a participé à l’expérimentation de méthodes de lutte contre E. multilocularis, démontrant la complexité des conditions requises pour leur efficacité tant par la vermifugation des renards que par la régulation de leur population. Au bilan, les nouvelles données épidémiologiques obtenues au cours des dix années de travaux ont permis d’aboutir à une meilleure appréhension du risque zoonotique actuel lié aux échinocoques en France / Among parasites, Echinococcus species are of major public health importance due to their worldwide distribution and the potential severity of the diseases they cause. In Europe, the endemic species are E. multilocularis, which has a sylvatic lifestyle, and E. granulosus spp., which the hosts are mainly domestic species. When the Echinococcus spp. NRL was created in France in 2006, few data were available on the distribution of these parasitic species. The implementation of health measures made it possible to consider a marked reduction of the endemic level and geographical distribution of E. granulosus and consequently a reduced or inexistent zoonotic risk. With regard to E. multilocularis, the parasite spread already observed in Europe was also suspected in France. The development of classical parasitology and molecular techniques for diagnosis and epidemiology has helped improve understanding of the distribution of these parasitic species in France.A large-scale surveillance study in foxes, using the SSCT method validated by the NRL, led to the description of significant westward and northward expansion from E. multilocularis’s historical endemic focus, which was estimated, using a spatio-temporal scenario deduced by EmsB microsatellite analysis, to have begun several decades ago. Molecular analyses of various types of animal samples confirmed its westward expansion in aquatic rodents. Its extension southward was confirmed thanks to fecal samples of foxes.Surveillance studies of E. granulosus at the slaughterhouse confirmed its presence in southern France and in Corsica. The first molecular characterization of this parasite in France resulted in the identification of E. granulosus sensu stricto in southern France and E. canadensis G6-7 in Corsica. The presence of E. granulosus s.s. throughout continental France was then observed on the basis of a national surveillance study at the slaughterhouse. The prevalence level of infection by E. granulosus s.s. estimated per million was 15.3 cases in sheep and 8.3 cases in cattle which was much lower than that described 20 years ago. The two main endemic foci – the Alps for E. granulosus s.s. and Corsica for E. canadensis G6-7 – still exist, while the identification of E. ortleppi confirmed maintenance of this species despite its current rarity in Europe.In France, the low prevalence of E. multilocularis infection in dogs and cats was ascertained, confirming the minor contribution of these hosts to the lifecycle. The zoonotic role of the cat appears to be negligible based on observations of natural infection cases and on data obtained from experimental infection. The regular and adapted deworming of dogs, especially hunting dogs, appears to be necessary. This deworming recommendation is also relevant against E. canadensis G6-7 in Corsica where access to viscera of pigs and wild boar adds a sylvatic component at this lifecycle.An acknowledgment of the NRL’s expertise led to several international collaborations which in turn contributed to the diversity of the epidemiological situations studied. Thus, the study of the genetic diversity of E. multilocularis by EmsB microsatellite led to a better understanding of the parasite’s expansion dynamics throughout Europe. The study of foreign foci of E. granulosus led to characterization of the endemic parasitic species and of their prevalence levels in intermediate hosts, which made it possible to plan appropriate control measures. The NRL participated in the testing of control methods against E. multilocularis, including deworming of foxes and population regulation, which demonstrated the complexity of the conditions required for these methods to be effective.The epidemiological data obtained over ten years of studies has led to a better understanding of the current zoonotic risk associated with the Echinococcus species in France

Made available in DSpace on 2016-08-15T20:31:33Z (GMT). No. of bitstreams: 1 WeronaOBF_DISSERT.pdf: 1240251 bytes, checksum: 813cde782f7585af1038e48b12491444 (MD5) Previous issue date: 2015-10-30 / The increasing contact between humans and domestic animals with wild animals has contributed to spread infectious agents, thus increasing the risk of transmission of zoonosis. Therefore, this present study aimed to detect, using different serological techniques, the presence of anti-Leptospira spp., anti-Toxoplasma gondii and anti-Leishmania infantum in six-banded armadillos. For this, was used 33 species of wildlife armadillos Euphractus sexcinctus of both sexes and various ages from the city of Mossoró, Rio Grande do Norte, Brazil. Of the 33 animals subjected to serological analysis, 2/33 (6.06%) were positive for leptospirosis, where serovars reagents were Canicola and Andamana, and both with titration of 200. For the toxoplasmosis research it was noted that 2/33 (6.06%) had antibodies to Toxoplasma gondii, and all of them having the title equal to 400. In relation to leishmaniasis, 3/33 (9.09%) animals were reactive to Leishmania infantum antigen, which had the title of 320. This was the first evidence of Leishmania infantum in six-banded armadillo already described. From the present study, we can confirm the real possibility of these animals act as carriers agent with zoonotic potential / O aumento do contato entre a população humana e doméstica com os animais silvestres tem contribuído para disseminar agentes infeciosos na vida selvagem, aumentando assim, os riscos de transmissão das zoonoses. O número de enfermidades já relatadas nas diferentes espécies de tatus é muito alta. Acredita-se, portanto, que o E. sexcinctus possa atuar como reservatório de uma série de doenças, muitas delas ainda não confirmadas para espécie. Isso ocorre por esta espécie apresentar diversas características compatíveis com a manutenção dos agentes na natureza, tais como, suas características fisiológicas, ampla distribuição, partilhar suas tocas com outras espécies e manter contato direto com o homem e animais domésticos. Com isso, este estudo objetivou detectar, a partir de diferentes técnicas sorológicas, a presença de anticorpos anti-Leptospira spp., anti-Toxoplasma gondii e anti-Leishmania infantum nos tatus-peba, de vida livre. Para tanto, foram utilizados 33 tatus da espécie Euphractus sexcinctus, de ambos os sexos e variadas idades provenientes da cidade de Mossoró-RN. Dos 33 animais submetidos as análises sorológicas, 2/33 (6,06%) foram positivos para leptospirose. Um deles reagiu para o sorovar Canicola (200) e outro para o sorovar Andamana (200). Para a pesquisa de toxoplasmose, 2/33 (6,06%) apresentaram anticorpos anti-Toxoplasma gondii, todas apresentando título igual a 400. Em relação a leishmaniose, 3/33 (9,09%) animais foram reativos para o antígeno L. infantum, todos apresentando título de 320. Esta foi a primeira evidência de anticorpos anti-Leishmania infantum em Euphractus sexcinctus já descrita. A partir do presente estudo, foi possível confirmar a real possibilidade destes aninais atuarem como portadores de agentes com potencial zoonótico

Made available in DSpace on 2014-07-29T15:29:11Z (GMT). No. of bitstreams: 1 Dissertacao Talita Silva Ramos.pdf: 3387095 bytes, checksum: 04f2c9013d8026bdbc34d13d75a0c272 (MD5) Previous issue date: 2011-04-27 / The narrowing between humans, domestic and wild animals has increased the dissemination of infectious agents for new hosts. The result of this interaction has lead to zoonosis. Among these animals are birds, which are natural reservoirs, carriers and disseminators of several infectious agents, potentially transmissible to humans. This dissemination can occur through direct and indirect contact with migratory birds originated from smuggling of wild animals. The objective was to detect viral, bacterial and fungal agents with zoonotic potential in wild birds in the county of Goiânia, Goiás. It was carried out a systematic review to assess the State of Goiás in relation to the performance of wild birds as carries of infectious agents to humans. Blood samples and cloacal swabs were collected from 88 different species of birds, as most of them were originated from smuggling and sent to CETAS-IBAMA in Goiânia in the first semester of 2010. The collects were analyzed in the Laboratory of Animal Virology at Federal University of Goiás (UFG) and the bacteriological and fungal analyses were done in the Laboratory of Microbiology at National Service of Industrial Education (SENAI) in Anápolis, Goiás. The blood was stored in tubes without anticoagulant in order to obtain serum and it was carried out a research with Enzyme-Linked Immunosorbent to search for the antibody of influenza virus and the cause of Newcastle disease. In order to isolate and identify filamentous fungus, Candida spp, bacteria, Salmonella sp and Escherichia coli, samples were collected from cloacal excretion through swabs. In the systematic review, three articles were selected using two tests of Relevance. From the interpretation of these studies, it was proved the role of migratory birds as carriers and disseminators in short and long distances of several pathogenic virus to humans. Furthermore, there are no records or even systematic studies about this process in the state of Goiás. From 88 analyzed samples, none of them presented antibodies for the two researched virus. The analysis of samples from cloacal swabs indicated a positivity of 9,1% for Candida tropicalis , 9,1% for Salmonella sp, 1,1% for Aspergillus fumigatus, 11,4% for Candida albicans, 12,5% for Candida krusei, 27,3% for Candida spp, and 43,2% for Escherichia coli. The literature review suggests that further researches should be carried out as the distribution of this zoonosis can possibly be wider, even in the State of Goiás. Regarding the negative results for the viral agents, they indicate that part of the wild birds in Goiânia-Goiás did not have contact with influenza and Newcastle viral antigens yet. Therefore they are not carriers of these photogenes. In relation to presumptive identifications of pathogenic bacteria and fungal agents in wild birds, they confirm the possibility of transmission of these agents among animals and to humans. Besides, this study also reinforces that researches about zoonosis transmitted by wild birds in the state of Goiás are still recent and incipient, highlighting the need of continuation of these studies in the region. / O estreitamento entre a população humana e os animais domésticos com animais silvestres aumentou a disseminação de agentes infecciosos para novos hospedeiros, sendo uma importante consequência, as zoonoses. Entre estes animais, estão as aves, que são reservatórios naturais, portadores e disseminadores de diversos agentes infecciosos, potencialmente patogênicos transmissíveis aos humanos. A disseminação pode ocorrer por meio de contato direto ou indireto com aves migratórias e provenientes do tráfico de animais silvestres. O objetivo foi detectar agentes virais, bacterianos e fúngicos, com potencial zoonótico em aves silvestres no município de Goiânia-Goiás. Foi conduzida uma revisão sistemática para avaliar com ênfase, o Estado de Goiás em relação a atuação das aves silvestres como portadoras de agentes infecciosos para humanos. Amostras de sangue e de swabs cloacais foram coletadas em 88 aves de distintas espécies, sendo a maioria, proveniente do tráfico e encaminhadas ao CETAS-IBAMA de Goiânia. As coletas foram realizadas em cinco incursões ao CETAS no primeiro semestre de 2010. As análises virais foram realizadas no Laboratório de Virologia Animal da UFG e as análises bacteriológicas e fúngicas no Laboratório de Microbiologia do SENAI em Anápolis. O sangue foi coletado em tubos sem anticoagulante para obtenção de soro e com o ensaio imunoenzimático indireto pesquisou-se anticorpos para os vírus influenza e causador da doença de Newcastle. As amostras de excreção cloacal foram coletadas por meio de swabs e realizouse o isolamento e identificação de fungos filamentosos, Candida spp, Salmonella sp e Escherichia coli. Na revisão sistemática, três artigos foram selecionados por meio de dois Testes de Relevância e a partir da interpretação destes estudos foi comprovado o papel das aves silvestres como portadoras e disseminadoras, a curta ou longa distância, de vários agentes infecciosos aos humanos e que não existem registros ou estudos sistemáticos sobre este processo no Estado de Goiás. Das 88 amostras analisadas, nenhuma apresentou anticorpos para os dois vírus pesquisados. As análises das amostras procedentes de swabs cloacais houve uma positividade de 9,1% para Candida tropicalis, 9,1% para Salmonella sp, 1,1% para Aspergillus fumigatus, 11,4% para Candida albicans, 12,5% para Candida krusei, 27,3% para Candida spp e 43,2% para Escherichia coli. Na revisão observou-se que novos estudos devem ser realizados, pois a distribuição destas zoonoses, possivelmente deve ser mais ainda mais ampla, inclusive em relação ao Estado de Goiás. Quanto aos resultados negativos para os agentes virais, estes sugerem que uma parcela das aves silvestres circulantes em Goiânia, ainda não entrou em contato com os agentes virais influenza e Newcastle, não sendo, portanto, portadoras destes patógenos. Em relação às identificações presuntivas de agentes bacterianos e fúngicos, em aves silvestres, estas confirmam a possibilidade da transmissão destes agentes entre os animais, incluindo os humanos. Além disso, este estudo reforça que ainda são incipientes as investigações desenvolvidas na área de zoonoses transmitidas por aves silvestres no Estado de Goiás, ressaltando a necessidade da continuidade destes estudos na região.

Em área classificada como área contaminada sob investigação, de acordo com os processos de investigação de áreas contaminadas da Companhia de Tecnologia de Saneamento Ambiental (CETESB, 2001), no Município de Pirassununga (SP), foi instalado um processo de pesquisa objetivando avaliar possível contaminação do solo e das águas subterrâneas por sepultamento de carcaças de animais no solo. Foram instalados poços de monitoramento que permitiram a coleta de água para análise física, química e microbacteriológica, localizados a partir de sondagens geofísicas e estudos geológicos, geomorfológicos e pedológicos. Os resultados preliminares indicaram forte presença de microorganismos que, de acordo com os índices de potabilidade de águas estipulados pela Agência Nacional de Vigilância Sanitária (ANVISA, 2005) e Ministério da Saúde (2004), implicam impactos ambientais e riscos à saúde pública. A partir de questões surgidas em campo e problemas técnicos encontrados, novas metodologias foram desenvolvidas e aplicadas, tendo, em uma primeira análise, se mostrado bastante eficazes. Essas novas metodologias incluem novos procedimentos de coleta e de acondicionamento e transporte das amostras de água e de solo. Os resultados obtidos nas análises das águas subterrâneas e do solo revelam que há uma expressiva contaminação por uma importante diversidade de microorganismos, alguns muito importantes para a saúde pública, como Salmonella sp e Clostridium perfringens, além de diversidade de outros patógenos de origem fecal. Também foram detectados esporos de bactérias mesófilas anaeróbias e de bactérias mesófilas aeróbias, que podem representar, no caso de contaminação causada por cadáveres de origem animal, patógenos importantes como o Clostridium botulinum e o Bacillus anthracis, que representam risco epidemiológico e morte. Estes dados, interpretados em conjunto com as interpretações pedológicas e climáticas, revelam que há uma notável possibilidade de que esses contaminantes estejam sendo transportados a distâncias consideráveis, para além da área de sepultamento de cadáveres e partes de animais. / In the area classified as contaminated area under investigation, according to the procedures for investigation of contaminated areas of the Technology and Environmental Sanitation Company (CETESB, 2001), in the city of Pirassununga (SP), was installed a research process to evaluate possible soil and groundwater contamination by animal carcasses burial on the ground. Monitoring wells were installed that allowed the collection of water for physics, chemistry and microbacteriological analysis, located from geophysical surveys and geological, geomorphological and soil studies. Preliminary results show a strong presence of microorganisms that, according to the indices of drinking water stipulated by the National Sanitary Surveillance Agency (ANVISA, 2005) and Ministry of Health (2004), indicate environmental impacts and risks to public health. The questions raised in the field and encountered technical problems, new methodologies were developed and implemented, and on a first analysis, proved quite effective. New methodologies include new procedures for collecting and packaging and transportation of water and soil samples. The analysis results of groundwater and soil analysis show that there is significant contamination by a large diversity of microorganisms, some very important public health such as Salmonella and Clostridium perfringens, and diversity of other pathogens of faecal origin. Were also detected spores of mesophilic anaerobic and aerobic mesophilic bacteria, which may represent, in the case of contamination from animal corpses, important pathogens such as Clostridium botulinum and Bacillus anthracis, which represent epidemiological risk and death. These data, interpreted in conjunction with soil and climatic interpretations show that there is a remarkable possibility that these contaminants are being transported considerable distances beyond the area of burial of corpses and animal parts.

Les canidés et félidés peuvent être hôtes définitifs d’Echinococcus multilocularis, Toxoplasma gondii ou Toxocara spp., parasites responsables de zoonoses transmissibles par l’alimentation. La consommation crue de fruits et légumes porteurs de leurs œufs ou oocystes peut être source de contamination humaine. Cette étude visait à évaluer et caractériser le risque d’exposition humaine lié au dépôt de fèces de chats, chiens et renards dans les terrains potagers localisés en régions d’endémie. Ce dépôt s’est avéré important dans certains potagers des Ardennes. De plus, l’ADN d’E. multilocularis et Toxocara spp. a été détecté dans 1/3 des fèces collectées et 23 % des rongeurs piégés autours des potagers ont été trouvés infectés par au moins un des parasites d’intérêt, confirmant le risque d’exposition des hôtes intermédiaires. Parallèlement, l’identification précise des facteurs responsables du dépôt de fèces de carnivores a été conduite sur 192 potagers familiaux ou professionnels des Ardennes et de la Moselle. Au total, 1016 fèces de carnivores (59% de chats, 31% de renards et 10% de chiens) ont été collectées au cours de huit sessions de prospection. Par modélisation, nous avons montré que la présence d’une clôture limite très efficacement le dépôt de fèces de renard, tandis que la présence de rongeurs ou d’arbres fruitiers à proximité le favorise. Enfin, la mise au point d’une méthode sensible a permis la détection de l’ADN d’E. multilocularis et Toxocara spp dans 42 % et 12 % des terrains potagers. Au final, l’exposition humaine aux parasites étudiés semble élevée dans certains potagers. Des mesures de prévention basées sur les résultats de l’étude sont proposées. / Canids and Felids can be definitive hosts of Echinococcus multilocularis, Toxoplasma gondii and Toxocara spp., which are food-borne parasites responsible of zoonoses. The consumption of raw fruit or vegetables carrying their eggs or oocysts can be source of human contamination. This study aimed to assess and characterize the risk of human exposure linked to the faecal deposition by cats, red foxes and dogs in kitchen gardens located in endemic areas. This deposit was found to be important in some kitchen gardens located in the Ardennes region. Furthermore, DNA of E. multilocularis and Toxocara spp were detected in 1/3 of the collected faeces and 23% of the rodents trapped in kitchen gardens proximity were found infected with at least one of the canids or felids parasites, confirming the risk of intermediate host exposure. Concurrently, the accurate identification of factors responsible for carnivore faeces deposit was conducted from eight prospection sessions of 192 kitchen gardens, family or professional ones, located in the Ardennes and Moselle regions. A total of 1016 carnivore faeces (59% from cats, 31% from foxes and 10% from dogs) were collected. By using models to test the effect of various variables on faeces deposit, we showed that fencing efficiently limits fox faeces deposit whereas presence of rodents or fruit trees in the vicinity increases it. Finally, thanks to the development of a sensitive method, E. multilocularis and Toxocara spp. DNA was detected in 42% and 12% of the kitchen gardens. In conclusion, the human exposure to canids and felids foodborne parasites seems high in certain kitchen gardens. Prevention methods are proposed based on our results.

A leptospirose é uma zoonose causada por bactérias do gênero Leptospira. A patogênese da doença em humanos é observada principalmente no pulmão, fígado e rins. Neste trabalho, foi avaliado o papel da resposta imune inata na proteção contra a leptospirose usando camundongos como modelo experimental. Os animais foram infectados com L. interrogans e o desenvolvimento da doença foi acompanhado, observando-se a morte de animais C3H/HeJ, enquanto C3H/HePas apresentou icterícia e BALB/c não apresentou sintomas. O perfil de mRNA foi medido por qPCR nas amostras de rim, fígado e pulmão e as concentrações de proteinas TNF-<font face=\"Symbol\">&#945;, TGF-<font face=\"Symbol\">b, MCP-1, MIP-1<font face=\"Symbol\">&#945;, MIP-2 e IL-8 foram analisadas por ELISA em extratos dos tecidos e no soro. Os resultados demonstraram que L. interrogans estimula a expressão prematura de TNF-<font face=\"Symbol\">&#945;, TGF-<font face=\"Symbol\">b, MCP-1, MIP-1<font face=\"Symbol\">&#945;, MIP-2 e IL-8 na linhagem BALB/c resistente à infecção. A análise histológica indica que estes mediadores podem estar relacionados com o influxo de diferentes células do sistema imune desempenhando importantes funções na proteção contra leptospirose. / Leptospirosis is a worldwide zoonosis caused by Leptospira. The pathogenesis in humans is mainly observed in lungs, livers and kidneys. In this work the role of innate immune response in protection against leptospirosis is being studied using different mice models. The animals were infected intraperitoneally with virulent cells of L. interrogans serovar Copenhageni and the development of the disease was followed, being observed mortality of C3H/HeJ mice, whereas C3H/HePas presented jaundice and BALB/c mice remained asymptomatic. Samples of liver, kidney, lungs and sera were analyzed following the profiles of mRNA and protein of the cytokines TNF-<font face=\"Symbol\">&#945; and TGF-<font face=\"Symbol\">b and chemokine MCP-1, MIP-1<font face=\"Symbol\">&#945;, MIP-2 and CXCL1/IL-8. We showed that Leptospira infection stimulates early expression of cytokine TNF-<font face=\"Symbol\">&#945; and TGF-<font face=\"Symbol\">b and chemokine MCP-1, MIP-1<font face=\"Symbol\">&#945;, MIP-2 and IL-8 in the resistant mice strain BALB/c. Histological analysis indicates that the expression of those molecules can be related to the influx of distinct immune cells, which play a role in the naturally acquired protective immunity.

O Brasil possui o maior rebanho de equinos da América Latina e o terceiro do mundo, gerando um mercado de grande importância econômica para a sociedade brasileira. Esta complexa cadeia de negócios sofre também a influência de variáveis que orbitam as diversas relações estabelecidas. Entre elas, destacam-se as variáveis de ordem macroeconômica (influenciando o mercado e as relações de troca), ambientais e legais, derivadas da ação de órgãos reguladores (MAPA, ANVISA, entre outros). Recentemente, o estado brasileiro se viu refém de uma crise sanitária da zoonose do Mormo em equinos, que afetou diretamente o complexo do agronegócio do cavalo, incluindo dificuldades no âmbito internacional, como a realização das Olimpíadas do Rio 2016. Desta maneira, busca-se contribuir na análise dos pontos críticos ocasionados por esta ameaça de ordem legal/sanitária junto à cadeia de negócios, buscando respostas para melhoria da gestão estratégica entre os atores envolvidos, com base na proposta de gerenciamento de processos de negócios. A abordagem metodológica utilizada nesta pesquisa foi de natureza qualitativa e caracteriza-se como exploratória, quanto ao seu foco, e descritiva, quanto aos seus resultados e conclusões. Na descrição das etapas do Fluxograma de controle e erradicação do Mormo, foram observadas algumas atividades críticas para a consecução deste objetivo no Estado brasileiro. Todas essas atividades foram trabalhadas dentro uma matriz de priorização e, confirmados níveis altos de impacto e de probabilidade, passaram por uma análise de risco. Ao final são formuladas uma série de propostas de melhoria ao Fluxograma atual, buscando-se contribuir na mitigação de riscos para este importante segmento do agronegócio brasileiro. / Brazil has the largest equine population of Latin America and the third one in the world, generating a market of huge economic importance for Brazilian society. This complex business chain also suffers the influence of the variables surrounding these established relationships. Among them, the macroeconomics variables (affecting market and exchange relations), environmental and legal, resulting from the regulatory agencies\" (MAPA, ANVISA and others) actions, are highlighted. Recently the Brazilian state found itself taken into a health crisis of glanders zoonosis in horses, that affected directly the horse agrobusiness complex, including challenges of international context, related to Rio 2016 Olympic Games fulfilment. In this regard, the intention is to contribute towards the analysis of critical points related to this legal/health threat within the business chain, seeking answers for strategic management improvement among engaged actors, based on the propositions of business process management. The research\'s methodologic approach was of qualitative nature; characterized as exploratory regarding their focus, and descriptive in terms of outcomes and conclusions. In the description of the steps of control flowchart and glanders\'s eradication, were sighted some critical activities for the achievement of this goal in Brazil. All of them were worked out within a prioritizin matrix, and confirmed high levels of impact and probability, undergoing a risk analysis. Several improvement proposals for the current flowchart are offered, seeking to contribute towards the mitigation of risks for this fundamental segment of Brazilian agribusiness.

Les zoonoses émergentes sont en augmentation au cours des dernières décennies. Ainsi, il y est urgent de comprendre les mécanismes de cette émergence, en particulier d’étudier les facteurs écologiques sous-jacents qui déterminent les transferts de ces maladies de l’animal à l’homme.Originaire d’Asie, le moustique tigre Aedes albopictus est arrivé au Brésil dans les années 80 et s’est établi dans 60% des villes brésiliennes. Les forêts brésiliennes sont considérées comme un point chaud de la biodiversité mondiale, abritant des centaines d'arbovirus zoonotiques. Ces forêts que, par fois, cercles des grandes agglomérations urbaines, souffrent de la transformation du paysage réalisé par l’homme, un terreau idéal pour l'apparition de zoonoses. Cette espèce représente une préoccupation majeure pour la transmission d’arbovirus épidémiques (Dengue, Chikungunya, Zika) mais également une menace potentielle pour l’émergence de maladies zoonotiques en raison de sa présence dans les interfaces ville / forêt, de son comportement alimentaire opportuniste et de sa compétence vectorielle pour nombreux virus. Ainsi, Ae. albopictus pourrait potentiellement jouer le rôle de vecteur pont pour le transfert en milieu urbain de arbovirus zoonotiques qui circulent dans les forêts brésiliennes. Dans cette étude, nous évaluons le potentiel de cette espèce à servir de vecteur de pont entre la faune et l'homme. Pour cette proposition (i) Nous avons effectué une recherche et une analyse bibliographiques portant sur trois éléments clés permettant d’évaluer la capacité de ce moustique à assurer le transfert interspécifique des arbovirus dans les zones sylvatiques : 1) la capacité à exploiter les sites de reproduction larvaire naturels, 2) le comportement alimentaire et 3) la compétence vectorielle pour les dif férentes arbovirus. (ii) Nous avons étudié sur le terrain la colonisation, la dispersion, le comportement trophic et l'impact sur la biodiversité d'Ae. albopictus dans l'interface ville / forêt au Brésil. Ce travail de terrain a été réalisé à partir de dix écosystèmes de fragments de forêts dans trois Biomes au Brésil: 1) Biome Amazonia dans la réserve forestière d'Adolpho Ducke à Manaus; 2) Biome Mata Atlantica dans la réserve forestière de Pedra Branca à Rio de Janeiro, dans les fragments de forêt urbaine à Salvador, Serra, Belo Horizonte et dans les fragments de forêt rurale à Domingos Martins, Simonésia, Casimiro de Abreu, Marica-RJ; Biome Cerrado dans la forêt de Morro dos Macacos à Goiania. Dans cette thèse nous avons confirmé qu’Ae. albopictus a la capacité de coloniser des sites de reproduction naturels avec un comportement alimentaire opportuniste et une claire préférence pour les sources de sang humain, suivi par d'autres mammifères et oiseaux. Nous observons que le processus de colonisation et de dispersion est limité à la bordure de la forêt avec un impact sur la composition des espèces dans ces environnements. Nous avons observé également que ce moustique est capable de transmettre 13 arbovirus dans notre recherche bibliografic, mais aucun arbovirus n’a été détecté chez des moustiques prélevés lors du travail de terrain. Globalement, nos résultats confirment et estiment le rôle potentiel d’Ae. albopictus comme vecteur pont des maladies zoonotiques aux interfaces forêt / ville au Brésil. Ces travaux ouvrent un domaine de recherche dans lequel de nouvelles investigations pourraient évaluer le risque potentiel de propagation des maladies zoonotiques des zones forestières aux zones urbaines, dans le but de limiter les futures émergences virales. / Zoonotic emerging diseases are increasing during the last decades. There is an urgent need to understand the mechanisms of this emergence, in particular to study the underlying ecological factors determining spill-over events, the transfer from animals to humans. Being native from Asia, the tiger mosquito Aedes albopictus arrived to Brazil in the 80’s being nowadays established in 60% of brazilian cities. Brazilian forests are considered a hotspot of wildlife biodiversity, harbouring hundreds of zoonotic arboviruses, suffering human landscape transformation and surrounding large urban cities, an optimal breeding ground for the emergence of zoonotic diseases. This species represents a major concern for the transmission of epidemic arboviruses (dengue, chikungunya, Zika) but also a potential threat for the emergence of zoonotic diseases due to its presence in urban/forest interfaces, its opportunistic feeding behavior and its vector competence to transmit numerous viruses. Thus, Ae. albopictus might potentially participate as a bridge vector for the transfer to urban environments of zoonotic arboviruses that are circulating on Brazilian forests. In this study we evaluate the potential of this species to act as a bridge vector between wildlife and humans. For this propose (i) we performed a bibliographic research and analysis focusing on three key components for assessing the ability of a mosquito to ensure interspecies transfer of arboviruses in sylvatic areas: 1) the capacity to exploit natural larval breeding sites, 2) blood-feeding behaviour and 3) the vector competence for arboviruses. (ii) We investigated from fieldwork the colonization, dispersion, host feeding and potential impact of biodiversity patterns of Ae. albopictus in the urban/forest interface in Brasil. This field work was realized from ten forest-fragments ecosystems in tree Brazilians Biome: Biome Amazonia in Adolpho Ducke forest reserve-Manaus; Biome Mata Atlantica in Pedra Branca forest reserve- Rio de Janeiro, in the urban forest fragment Salvador, Serra, Belo Horizonte and in the rural forest fragment Domingos Martins, Simonésia, Casimiro de Abreu, Marica-RJ; Biome Cerrado in Morro dos Macacos forest – Goiania. This work confirmed that Ae. albopictus has the capacity to colonize natural breeding sites with the opportunistic feeding behavior with a preference for human blood sources, followed by other mammals and birds. We observe that the colonization and dispersion process is limited to the edge forest with an impact in species composition in this environments. We observed that this mosquitos is vector competence for 13 arbovirus from bibliographic recherché, but no arbovirus was detected from fildework collected mosquitos. Globally our results confirm and estimates the potential role of Ae. albopictus to act as a bridge vector of zoonotic diseases at the forest/urban interfaces in Brazil. This work opens a research area in which further investigations may assess the potential spill-over risk of zoonotic disease from forested to urban areas with the aim to mitigate potential future viral emergences.

Orientador: Helio Langoni / Resumo: O interesse pelo estudo das zoonoses, enfermidades comuns aos humanos e aos animais, aumentou acentuadamente nos últimos anos, sugerindo maior integração, conhecimento e relacionamento entre profissionais da área da saúde. Dentre estas zoonoses a brucelose, a toxoplasmose, a leptospirose e a doença de Chagas (DC) têm elevada importância veterinária e para a saúde pública, pela gravidade e potencial letalidade com que se apresentam em humanos. Atenção especial deve ser dada às pessoas vivendo com HIV/aids (PVHA), pois a imunossupressão à que estão sujeitas pode agravar ainda mais o seu quadro clínico, fato que gera necessidade de diagnósticos mais eficientes para essas infecções. Com o objetivo de determinar o perfil sorológico destas zoonoses em PVHA, atendidos no Serviço de Ambulatório Especializado de Infectologia “Domingos Alves Meira” (SAEI-DAM), entidade pertencente ao complexo de assistência da Faculdade de Medicina de Botucatu – UNESP, bem como relacionar aos hábitos, comportamentos e fatores de risco de exposição a essas doenças, além da obtenção de dados referentes ao grau de conhecimento em relação às zoonoses estudadas. Foram analisadas 236 amostras de soro desses pacientes para a presença de anticorpos anti- Brucella abortus, que mostraram-se negativas para todas as amostras. Para leptospirose quatro (1,69%) amostras foram positivas, para a toxoplasmose 154 (65%) amostras positivas, sendo 146 (94,8%) somente para anticorpos da classe IgG, dois (1,3%) somente para ... (Resumo completo, clicar acesso eletrônico abaixo) / Doutor