Phlebotomine sand flies

Classification
Taxonomy
The name sand fly is a misnomer and wrongly suggests to the layman that he or she may be at risk of leishmaniasis while on holiday on the beach. There is further confusion because in some parts of the world midges (genus Culicoides) or black flies (family Simulidae) are called sand flies. A distinction must therefore be made for the vectors of the leishmaniases which are correctly termed phlebotomine sand flies. They are grouped in the suborder Nematocera of the order Diptera (two-winged flies). Below that, the classification is not universally agreed, but they are generally put in the Family Psychodidae, subfamily Phlebotominae. Six genera are generally recognised of which only two are of medical importance, namely Phlebotomus of the Old World (divided into 12 subgenera), and Lutzomyia of the New World, (divided into 25 subgenera and species groups). All proven vectors of the leishmaniases are species of these two genera.

Etymology
Phlebotomus is based on the Greek phleps, phlebos meaning ‘vein’ and refers to the blood sucking habit of sand flies.

Lutzomyia was named in honour of Adolfo Lutz (b.1855), a German entomologist who worked in Brazil and, in 1912 with his colleague Arturo Neiva, named the New World vector of human visceral leishmaniasis and canine leishmaniasis, now known as Lutzomyia longipalpis.


Adolfo Lutz



Distribution Top

Although sand flies are principally found in the warm parts of the world including southern Europe, Asia, Africa, Australia and Central and South America, their distribution extends northwards to just above latitude 50ºN in south west Canada and just below this latitude in northern France and Mongolia. Their southernmost distribution is at about latitude 40ºS, but they are absent from New Zealand and the Pacific islands. Their altitudinal distribution is from below sea level (by the Dead Sea) to 3300 m above sea level in Afghanistan.


Significance Top

Phlebotomine sand flies are vectors of all forms of leishmaniasis of both dogs and the human population in southern Europe, Africa, Asia and the Americas. WHO estimated that the global prevalence of all forms of human leishmaniasis is 12 million cases and that the annual incidence is 1.5 – 2 million cases. Of human diseases caused by protozoal parasites, visceral leishmaniasis alone comes second in public health importance (after malaria) as measured by DALYs (Disability Adjusted Life Years).

Sand flies are also vectors of the sand fly fever group of viruses (Bunyaviridae: Phlebovirus) seven serotypes of which have been isolated from humans in Central America, South America, Southern Europe, North Africa and the Far East. They are also probable vectors of:

In the mountain valleys of the Andes in Peru, Ecuador and Colombia, sand flies are vectors of a bacterium (Bartonella baciliformis), the causative organism of bartonellosis (= Oroya fever and/or verruga peruana) in the human population. Untreated, the case-fatality rate of Oroya fever is 10-40%.


Control Top

Control via other means

Other countermeasures

Identification Top

Useful samples


Specimen storage


Transport of samples


Field diagnosis


Male sand fly
Female sand fly taking a blood meal

Sources Top


Publications
Refereed papers

Other sources of information

Vetstream contributor(s)



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