American cutaneous leishmaniasis (ACL) is a focal disease whose surveillance and control require complex actions. The present study aimed to apply integrated tools related to entomological surveillance, environmental management, and health education practices in an ACL-endemic area in Rio de Janeiro city, RJ, Brazil. The distribution of the disease, the particular characteristics of the localities, and entomological data were used as additional information about ACL determinants. Environmental management actions were evaluated after health education practices. The frequency of ACL vectors Lutzomyia (N.) intermedia and L. migonei inside and outside houses varied according to environment characteristics, probably influenced by the way of life of the popular groups. In this kind of situation environmental management and community mobilization become essential, as they help both specialists and residents create strategies that can interfere in the dynamics of vector's population and the contact between man and vectors.
This no-choice, laboratory study focuses on the feeding of dried, ground, homogeneous powdered, unprocessed fruit and leaves of Azadirachta indica and Melia azedarach to Lutzomyia longipalpis larvae to determine the effects on their mortality and metamorphosis. A. indica and M. azedarach fruit and leaves significantly increased larval mortality in comparison to larvae fed the untreated, standard diet. A. indica fruit and leaves blocked the molting of the larvae to the fourth instar, resulting in them remaining as third instars until the end of the experiment. M. azedarach fruit also blocked the molting of larvae, which remained permanently in the fourth instar. Feeding M. azedarach leaves resulted in greater molt inhibition. All insects in this group stopped their development as second-instar larvae. No antifeedant effect was detected for any experimental treatment. The results indicate that nontoxic, unprocessed materials obtained from A. indica and M. azedarach are potent development inhibitors of L. longipalpis larvae.
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