Abstract.A two-year study was conducted of phlebotomine sand fly fauna in a defined focus of Leishmania tropica. A total of 17,947 sand flies representing 10 species were collected from the location. Phlebotomus guggisbergi, a vector of L. tropica in Kenya, was the most prevalent species through the entire period, representing about 80% of the total catch. There was marked seasonal fluctuation in the populations of the three most common species, with highest population levels reached in December and lowest levels reached in July and August. Leishmania-like infections were encountered in 489 P. guggisbergi. No flagellate infections were observed in any other species of sand fly. Although infected P. guggisbergi were collected during each month of the year, the percent parous infected flies was highest (27.5%) during the November through January time period. These data show that the greatest risk of transmission to humans at this focus occurs during December, when the vector is prevalent and infections are common.It has been more than 10 years since the first report of autochthonous human cases of cutaneous leishmaniasis (CL) due to Leishmania tropica in Kenya. 1 Subsequent surveys focused on additional cases in indigenous Kenyans. 2 This led to the discovery of a defined focus of the disease in Muruku Sublocation, Laikipia District, 2,3 and the determination that Phlebotomus guggisbergi is a vector. 4 Further studies have led to the discovery of additional foci of L. tropica-induced CL in central Kenya and the Rift Valley. 5,6 More recent determination of a new species of Phlebotomus further complicates the ecology of the disease in the newer foci. 7 We report here on the results of a two-year survey of the sand fly fauna at the well-defined, first reported focus of CL in Kenya.
MATERIALS AND METHODSDescription of the study area. The study site, as first described by Lawyer and others, 4 encompassed a 1-km gorge at the head of which was a shallow semi-circular cave with a 100 m-wide entrance. The site was located in the Muruku Sublocation, Laikipia District in Kenya. A shallow pond at the base of the cave, which was present for about 10 or 11 months of the year, was used as a watering hole for domestic animals. The cave showed extensive use by rodents as well 4 (Figures 1 and 2).Sand fly collection and examination. Five light trap locations were selected along the mouth of the cave, in areas with abundant crevices and chambers. Four trap locations were selected in the gorge floor below the cave, at distances of approximately 40, 55, 70, and 100 m from the mouth of the cave. Additional trap sites were selected in the environs of a homestead of two confirmed CL cases on the rim of the gorge, 500 m from the cave (designated homestead #3). The homestead consisted of two buildings, an adjacent pen for goats and sheep, and a pen for 5-8 cattle.We performed one-week surveys at monthly intervals from January 1989 through March 1991. Sand flies were captured using solid-state army miniature light traps (John W. Hock Co., ...