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ECOLOGY OF PARASITES

1   Part 1: Introduction to ecology of parasites
 Introduction to ecology of parasites
 Problems and obstacles

 Parasite adaptations




                                         2
THE HOST AS AN ENVIRONMENT
   Ecology is the study of relationships between organisms and
    their environments, with a focus on those factors that regulate
    numbers and distributions of organisms.

   The host is, of course, a parasite’s environment in both
    ecological and evolutionary senses.

   Most parasites encounter a wide variety of environmental
    conditions during their life cycles.

   Although a parasite’s environment is primarily the host,
    transmission stages such as spores, eggs, and often juveniles
    must also survive abiotic conditions.                       3
   A host usually represents a rich and highly regulated supply of
    nutrients.

   Most body fluids of animals have a wide array of dissolved
    proteins, amino acids, carbohydrates, and nucleic acid
    precursors, and virtually all animals have mechanisms for
    maintaining the chemical makeup and osmotic balance of their
    body fluids.

   We should expect parasites to exhibit traits that allow them to
    exploit such living environments, and we should expect
    evolutionary changes in hosts to be accompanied by parallel,
                                                                   4
    perhaps adaptive, changes in their parasites
INFECTION SITES
   Host species include virtually the full spectrum of organisms,
    from humans to protozoans.

   When viewed from a parasite’s perspective, all organisms are
    complex environments with many separate habitats.

   Even the smallest insects and crustaceans offer many places,
    both internally and externally, that can be colonized by
    parasites.

   And larger animals, such as rodents, birds, and human beings,
    provide dozens of microenvironments capable of supporting
    parasites.                                                 5
   Although most endoparasites of vertebrates live in the digestive
    system, adult parasites are found in and on virtually all parts of the
    body, and

   juvenile stages often undergo elaborate migrations through the body
    before arriving at their definitive sites.

   Parasites are generally adapted to and restricted to particular sites
    within or upon a host.

   Examples of this phenomenon are:
    - malarial parasites living inside red blood cells,
    - filarial nematodes that congregate in the heart or beneath the skin,
    - bird mites that occur only on flight feathers, and
    - Monogeneans found in the urinary bladders of frogs.                6
 Site specificity is actually
  evidence of parasite
  adaptation to a particular
  habitat within a host
 Parasites that inhabit the
  lumen of the intestine or
  other hollow organs are
  said to be coelozoic, while
  those living within tissues
  are called histozoic.

                                 7
PARASITE POPULATIONS
1) Quantitative Descriptors
 Parasitologists have adopted a number of terms for
  describing parasite populations and communities of
  different parasite species.

   Can be calculated from the observed data on the number
    of parasites in individual hosts.




                                                        8
ECOLOGICAL TERMS AS APPLIED TO PARASITE
POPULATIONS AND COMMUNITIES

Ecological term            Definition

Population structure       A frequency distribution graph in which numbers of hosts (dependent variable) are plotted
                           against parasite/host classes (independent variable), plus the calculated quantitative
                           descriptors of the frequency distribution
Quantitative descriptors   Numbers such as mean, prevalence, etc., that can be calculated from the observed data
                           on the number of parasites in individual hosts.
Sampling unit              One individual host animal in a collection of such hosts.


Infrapopulation            Number of parasites in an individual host (can take the value of zero).

Density                    Average number of parasites per host in a sample of hosts, equal to the arithmetic mean.


Intensity                  Number of parasites in an infected host (cannot be zero).


Mean intensity             Average number of parasites in infected hosts of a sample of hosts.


Metapopulation             All the infrapopulations in a single host species in an ecosystem.

                                                                                                                9
Suprapopulation            All the parasites of a species regardless of developmental stage, in an ecosystem.
Ecological term       Definition

Infracommunity        All the parasites of all species in an individual host.


Compound community    All the parasites of all species in a sample of hosts of a single species in an ecosystem.


Prevalence            Fraction or percentage of a single host species infected at a given time.


Incidence             Number of new infections per unit time divided by the number of uninfected hosts at the
                      beginning of the measured time.


Abundance             Another term sometimes used as synonymous with density or mean.


Aggregated            A situation in which most of the parasites occur in a relative minority of hosts and most
                      host
                      individuals are either uninfected or lightly infected.


Overdispersed         A term sometimes used as a synonym for aggregated.


Variance/mean ratio   Quotient of the variable (square of standard deviation of a frequency distribution) divided
                      by the mean; sometimes used as a measure of aggregation.
k                     The value of a parameter of the negative binomial distribution; usually k must be
                      calculated to describe an aggregated parasite population by use of mathematical
                      models                                                                                      10
   Example: Consider a sample of 10 mice with a total of 75
    pinworms.

 Density?
 Mean?

 Abundance?

 Prevalence?




                                                          11
ANSWER
   This sample would have a density (mean, abundance) of
    7.5 worms per host.

   However, these 75 worms could all be in one mouse
    - in which case the prevalence would be 0.10

                or

distributed among all the mice
- the prevalence would equal 1.00
                                                        12
2) Macro- and Microparasites
 Macroparasite

   Large parasites that do not multiply (in the life-cycle
  stage of interest) in or on a host.
  Examples of macroparasites are adult tapeworms, adult
  trematodes, most nematodes, acanthocephalans, and
  arthropods such as ticks and fleas.
  Macroparasites often, if not typically, occur in
  aggregated or clumped populations.
  That is, most of the parasites are in relatively few hosts
  of a species, while the majority of host species individuals
                                                            13
  are either uninfected or lightly infected
Microparasites


 Small parasites that multiply within a host
 and these include bacteria, rickettsia, and protozoan
infections such as those that cause malaria (genus
Plasmodium), trypanosomes, and amebas.
 The measurement of the number of parasites within an
individual host is usually difficult.




                                                     14
POPULATION STRUCTURE
 Parasite population structure is a critical piece of
  information for those seeking to control infections
 Population structure is often described by the density
  (mean, abundance), variance (a statistical parameter
  whose value is related to the shape of a frequency
  distribution), and curve of best fit.
 A graph can be constructed by plotting parasite per host
  classes along the X-axis and numbers of hosts that fall
  into these classes on the Y-axis.
 The result is a frequency distribution that describes the
  parasite’s population structure.
                                                          15
Most of the host individuals
                                                       are uninfected or only lightly
                                                       infected, while most of the
                                                       parasites are in a few host
                                                       individuals.
                                                       These frequency distributions
                                                       match those predicted by the
                                                       mathematical model (equation)
                                                       known as the negative
                                                       binomial.




Population “structure” of the trematode
                                                                                        16
Uvulifer ambloplitis (larvae) in bluegill sunfish in
North Carolina over a three-year period.
EPIDEMIOLOGY
 Epidemiology is the study of all ecological aspects of
  a disease to explain its
   transmission
   distribution
  prevalence and
  incidence in a population.
 2 types:

   Macroepidemiology
   Microepidemiology

                                                      17
1) Macroepidemiology
   - concerns large-scale problems of disease distribution,
  demographic and cultural factors that affect transmission,
  illness and death rates, and economic impacts.
   - Collection of macroepidemiological data requires
  substantial funding, institutions such as hospitals or
  universities, trained personnel, and government policies
  that allow or even promote such data collection.



                                                          18
2) Microepidemiology
   - concerns small-scale problems, for example, the effect
  of individual host-parasite interactions, parasite strains,
  host genetic variation, and immunity on disease
  distribution.
  - A complete understanding of disease transmission,
  especially when human behavioral factors are involved
  (as they typically are), requires study at both levels.



                                                           19
    The distribution of parasitism in a population may be
     influenced by a number of factors including:
1.     The host age and sex,
2.     Social and economic status,
3.     Diet
4.     Ecological conditions that favor completion of parasite
       life cycles




                                                                 20
THE HOST AGE, SEX
   Pinworms are a good example of parasites whose
    distribution tends to be influenced by age, at least in
    developed countries, where children may serve as a
    source of parasites for the entire family.

   Acute Toxoplasmosis is usually associated with young
    animals.

   Trichomonas vaginalis lives in the vagina and urethra of
    women and in the prostate, seminal vesicles, and urethra
    of men.
                                                              21
   It is transmitted primarily by sexual intercourse.
SOCIAL AND ECONOMIC STATUS
 Parasite infections  poor country diseases.
 Poor maintenance of sanitation system.

 Level of education low

 Limited supply of clean drinking water

 Increase the risks of parasite infections

 E.g Leishmania mexicana infections often occur in
  agricultural workers, thus illustrating the influence of
  occupation on health


                                                             22
DIET
   In many cultures certain food are considered best eaten
    raw and this can increase the risk of contracting parasitic
    diseases.

   For example: The popularity of Japanese sushi and
    sashimi cuisine which includes raw fish – poses a risk of
    becoming infected with the number of infectious diseases
    including the nematode Anisakis spp.

   In Europe countries, raw beef and pork are very popular
     risks of contracting Trichinella spiralis and tapeworm
                                                             23
    infection.
ECOLOGICAL CONDITIONS THAT FAVOR
COMPLETION OF PARASITE LIFE CYCLES

 Some parasite  simple or direct life cycle
 Some required  intermediate host or the vector



    2 factors
1.    Climatic
2.    The present of vectors




                                                    24
CLIMATIC FACTORS
   Climatic changes have an important influence on the
    epidemiology of most infectious diseases of humans.

   Environmental factors such as temperature and rainfall
    vary seasonally in the majority of habitats, tending to
    induce regular cyclic fluctuations in the prevalence and
    intensity of parasitic infection.

   The action of climate on host and parasite, however, is
    independent of population abundance.
                                                               25
    Climatic factors influence the population biology of
     human/animal disease agents in the following principal
     ways.
1.    Host behaviour.
2.    Intermediate host abundance.
3.    Infective stage longevity
4.    Infectivity.
5.    Parasite development


                                                              26
HOST BEHAVIOUR
   Several changes in host behaviour, induced by the
    prevailing climatic conditions, often generate cyclic
    fluctuations in disease incidence.

   E.g Such changes may be the result of differing work
    patterns associated with agricultural practices (the
    planting and harvesting of crops at different times of the
    year), or may result from social patterns influencing the
    behaviour of children

   Agricultural practices are imponant to the transmission of
    helminth infections such as Ascaris and schistosomiasis
                                                                 27
INTERMEDIATE HOST ABUNDANCE
   Seasonal changes in the prevalence of many indirectly
    transmitted parasites are in pan determined by the
    influence of climatic factors on the abundance of
    intermediate host populations.

   Seasonal fluctuations in the transmission of malaria and
    schistosomiasis, for example, are to a large extent the
    result of changes in the abundance of mosquitoes and
    snails respectively


                                                            28
INFECTIVE STAGE LONGEVITY

   Climate has an important influence on the longevity of parasite
    transmission stages such as helminth eggs and larvae, the
    cysts of protozoa and free viral particles.

   Temperature, for example, is a major determinant of the
    survival of the miracidia and cercariae of schistosome flukes
    and the L3 infective larvae of hookworms

   The longevity of transmission stages which live in terrestrial
    habitats, such as the eggs of Ascaris and larvae of hookworms
    are also markedly influenced by soil moisture.
                                                                    29
INFECTIVITY

   In addition to their influence on infective stage longevity,
    factors such as temperature and humidity have an impact
    on the infectivity of both transmission stages and
    infectious intermediate hosts.

   Temperature, for instance controls the activity of
    schistosome miracidia and thus influences their ability to
    contact and penetrate the molluscan host.

   ln addition, this factor also affects the rate at which
    infected snails produce cercariae.
                                                              30
 Climate may play a role in determining the activity and
  infectiousness of arthropod vectors.
 For example, the optimum air temperature for the
  transmission of a filarial worm (Dirofilaria immitis) from
  dog to mosquito (Aedes trivittatus) is roughly 23°C, the
  biting efficiency of the vector decreases at lower or higher
  temperatures.




                                                            31
PARASITE DEVELOPMENT

   Temperature is an important determinant of the rate of parasite
    development either in the external habitat or within
    poikilothermic intermediate hosts such as snails or mosquitoes.

   The rate of development of human hookworms, from egg to
    infective larva is most rapid at around 25-30C in moist
    conditions (roughly 5 days).

   If temperatures are below 17-20C, the ova and larvae of
    Necator cease development and death rapidly follows.

   Ancylostoma is able to develop at slightly lower temperatures
    than Necator and is thus found in certain temperate regions of
    the world.
                                                                32
The influence of water temperature on
a) The survival of Schistosoma mansoni miracidia
b) The infectivity of S. mansoni miracidia to Biomphalaria
c) The prepatent period prior to cercarial release of S. mansoni in   33
   Biomphalaria.
VECTOR
   Among the most important epidemiological factors in
    parasitic infections are vectors which are often snails or
    blood-sucking arthropods.

   Some of the most medically important vectors are
    anopheline mosquitoes, which transmit malarial parasites
    and snails of certain genera, which carry infective larval
    blood flukes, or schistosomes.



                                                             34
Bulinus globosus is an important intermediate
host for the trematode parasiteSchistosoma
haematobium




  Aedes egypti




Aedes albopictus




                                            35
TRANSMISSION BETWEEN HOSTS
   Parasites may complete their life cycles by passing from
    one host to the next either directly or indirectly via one or
    more intermediate host species.

   2 types

1) Direct transmission

2) Indirect transmission

                                                               36
DIRECT TRANSMISSION
   May be by contact between hosts (for example venereal
    diseases) or

   By specialized or unspecialized transmission stages of
    the parasite that are picked up by inhalation (respiratory
    viruses),

   ingestion (such as pinworm) or

   penetration of the skin (such as hookworm).
                                                            37
INDIRECT TRANSMISSION
   Can involve biting by vectors (flies, mosquitoes, ticks and
    others) that serve as intermediate hosts (the parasite
    undergoing obligatory development within the vector).

   In other cases, the parasite is ingested when an infected
    intermediate host is eaten by the predatory or scavenging
    final host.

   A special case of direct transmission arises when the
    infection is conveyed by a parent to its unborn offspring
    (egg or embryo).
                                                                38
TRANSMISSION BETWEEN HOSTS
 Transmission by contact between hosts
 Transmission by an infective agent

 Transmission by ingestion

 Transmission by biting arthropod




                                          39
TRANSMISSION BY CONTACT BETWEEN HOSTS


 Many direct transmitted viral and protozoan diseases,
  infection results from physical contact between hosts or
  by means of a very short-lived infective agent.
 There are an agreement between observation and theory
  supports the assumption that transmission of many direct
  life cycle microparasites is directly proportional to the rate
  of encounter between hosts.
 'Who mixes with whom' is an important determinant of the
  pattern of infection observed for directly transmitted
  infectious agents.

                                                             40
TRANSMISSION BY AN INFECTIVE AGENT

   Many directly and indirectly transmitted parasites produce
    transmission stages with a not insignificant lifespan
    outside of the host.

   Examples:
    - The miracidia and cercariae of schistosomes,
    - The infective larvae of hookworms and
    - The eggs of Ascaris


                                                            41
TRANSMISSION BY INGESTION

 Transmission of a parasite which gains entry to the host by
  ingestion is influenced by the feeding behaviour of the host.
 Ingestion may occur as a result of:

 - the host actively preying on infective stages (fish predating
  digenean cercaria),
 - consuming food contaminated with infective agents (human
  consumption of vegetables contaminated with Ascaris eggs) or
 - consuming an intermediate host which is infected with larval
  parasites (human consumption of fish infected with
  Diphyllobothrium)- a predator-prey association existing
  between final and intermediate hosts.
                                                              42
TRANSMISSION BY BITING ARTHROPOD

 Many microparasites and macroparasites have indirect
  life cycles where transmission between hosts is achieved
  by a biting arthropod,
 For example yellow fever, malaria, sleeping sickness and
  filariasis.
 Transmission of a vector-bome disease is also influenced
  by the developmental period of the parasite in the vector,
  a period during which the host is infected but not
  infectious
 This development delay is called the latent period and
  may often be significant in relation to the expected
                                                          43
  lifespan of the intermediate host.
 Mosquitoes
 Black flies

 Biting midges

 Sand fly

 Tick, mite and fleas




                         44

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4 ecology of parasites part 1

  • 1. ECOLOGY OF PARASITES 1 Part 1: Introduction to ecology of parasites
  • 2.  Introduction to ecology of parasites  Problems and obstacles  Parasite adaptations 2
  • 3. THE HOST AS AN ENVIRONMENT  Ecology is the study of relationships between organisms and their environments, with a focus on those factors that regulate numbers and distributions of organisms.  The host is, of course, a parasite’s environment in both ecological and evolutionary senses.  Most parasites encounter a wide variety of environmental conditions during their life cycles.  Although a parasite’s environment is primarily the host, transmission stages such as spores, eggs, and often juveniles must also survive abiotic conditions. 3
  • 4. A host usually represents a rich and highly regulated supply of nutrients.  Most body fluids of animals have a wide array of dissolved proteins, amino acids, carbohydrates, and nucleic acid precursors, and virtually all animals have mechanisms for maintaining the chemical makeup and osmotic balance of their body fluids.  We should expect parasites to exhibit traits that allow them to exploit such living environments, and we should expect evolutionary changes in hosts to be accompanied by parallel, 4 perhaps adaptive, changes in their parasites
  • 5. INFECTION SITES  Host species include virtually the full spectrum of organisms, from humans to protozoans.  When viewed from a parasite’s perspective, all organisms are complex environments with many separate habitats.  Even the smallest insects and crustaceans offer many places, both internally and externally, that can be colonized by parasites.  And larger animals, such as rodents, birds, and human beings, provide dozens of microenvironments capable of supporting parasites. 5
  • 6. Although most endoparasites of vertebrates live in the digestive system, adult parasites are found in and on virtually all parts of the body, and  juvenile stages often undergo elaborate migrations through the body before arriving at their definitive sites.  Parasites are generally adapted to and restricted to particular sites within or upon a host.  Examples of this phenomenon are: - malarial parasites living inside red blood cells, - filarial nematodes that congregate in the heart or beneath the skin, - bird mites that occur only on flight feathers, and - Monogeneans found in the urinary bladders of frogs. 6
  • 7.  Site specificity is actually evidence of parasite adaptation to a particular habitat within a host  Parasites that inhabit the lumen of the intestine or other hollow organs are said to be coelozoic, while those living within tissues are called histozoic. 7
  • 8. PARASITE POPULATIONS 1) Quantitative Descriptors  Parasitologists have adopted a number of terms for describing parasite populations and communities of different parasite species.  Can be calculated from the observed data on the number of parasites in individual hosts. 8
  • 9. ECOLOGICAL TERMS AS APPLIED TO PARASITE POPULATIONS AND COMMUNITIES Ecological term Definition Population structure A frequency distribution graph in which numbers of hosts (dependent variable) are plotted against parasite/host classes (independent variable), plus the calculated quantitative descriptors of the frequency distribution Quantitative descriptors Numbers such as mean, prevalence, etc., that can be calculated from the observed data on the number of parasites in individual hosts. Sampling unit One individual host animal in a collection of such hosts. Infrapopulation Number of parasites in an individual host (can take the value of zero). Density Average number of parasites per host in a sample of hosts, equal to the arithmetic mean. Intensity Number of parasites in an infected host (cannot be zero). Mean intensity Average number of parasites in infected hosts of a sample of hosts. Metapopulation All the infrapopulations in a single host species in an ecosystem. 9 Suprapopulation All the parasites of a species regardless of developmental stage, in an ecosystem.
  • 10. Ecological term Definition Infracommunity All the parasites of all species in an individual host. Compound community All the parasites of all species in a sample of hosts of a single species in an ecosystem. Prevalence Fraction or percentage of a single host species infected at a given time. Incidence Number of new infections per unit time divided by the number of uninfected hosts at the beginning of the measured time. Abundance Another term sometimes used as synonymous with density or mean. Aggregated A situation in which most of the parasites occur in a relative minority of hosts and most host individuals are either uninfected or lightly infected. Overdispersed A term sometimes used as a synonym for aggregated. Variance/mean ratio Quotient of the variable (square of standard deviation of a frequency distribution) divided by the mean; sometimes used as a measure of aggregation. k The value of a parameter of the negative binomial distribution; usually k must be calculated to describe an aggregated parasite population by use of mathematical models 10
  • 11. Example: Consider a sample of 10 mice with a total of 75 pinworms.  Density?  Mean?  Abundance?  Prevalence? 11
  • 12. ANSWER  This sample would have a density (mean, abundance) of 7.5 worms per host.  However, these 75 worms could all be in one mouse - in which case the prevalence would be 0.10 or distributed among all the mice - the prevalence would equal 1.00 12
  • 13. 2) Macro- and Microparasites  Macroparasite  Large parasites that do not multiply (in the life-cycle stage of interest) in or on a host. Examples of macroparasites are adult tapeworms, adult trematodes, most nematodes, acanthocephalans, and arthropods such as ticks and fleas. Macroparasites often, if not typically, occur in aggregated or clumped populations. That is, most of the parasites are in relatively few hosts of a species, while the majority of host species individuals 13 are either uninfected or lightly infected
  • 14. Microparasites   Small parasites that multiply within a host  and these include bacteria, rickettsia, and protozoan infections such as those that cause malaria (genus Plasmodium), trypanosomes, and amebas.  The measurement of the number of parasites within an individual host is usually difficult. 14
  • 15. POPULATION STRUCTURE  Parasite population structure is a critical piece of information for those seeking to control infections  Population structure is often described by the density (mean, abundance), variance (a statistical parameter whose value is related to the shape of a frequency distribution), and curve of best fit.  A graph can be constructed by plotting parasite per host classes along the X-axis and numbers of hosts that fall into these classes on the Y-axis.  The result is a frequency distribution that describes the parasite’s population structure. 15
  • 16. Most of the host individuals are uninfected or only lightly infected, while most of the parasites are in a few host individuals. These frequency distributions match those predicted by the mathematical model (equation) known as the negative binomial. Population “structure” of the trematode 16 Uvulifer ambloplitis (larvae) in bluegill sunfish in North Carolina over a three-year period.
  • 17. EPIDEMIOLOGY  Epidemiology is the study of all ecological aspects of a disease to explain its  transmission  distribution prevalence and incidence in a population.  2 types:  Macroepidemiology  Microepidemiology 17
  • 18. 1) Macroepidemiology - concerns large-scale problems of disease distribution, demographic and cultural factors that affect transmission, illness and death rates, and economic impacts. - Collection of macroepidemiological data requires substantial funding, institutions such as hospitals or universities, trained personnel, and government policies that allow or even promote such data collection. 18
  • 19. 2) Microepidemiology - concerns small-scale problems, for example, the effect of individual host-parasite interactions, parasite strains, host genetic variation, and immunity on disease distribution. - A complete understanding of disease transmission, especially when human behavioral factors are involved (as they typically are), requires study at both levels. 19
  • 20. The distribution of parasitism in a population may be influenced by a number of factors including: 1. The host age and sex, 2. Social and economic status, 3. Diet 4. Ecological conditions that favor completion of parasite life cycles 20
  • 21. THE HOST AGE, SEX  Pinworms are a good example of parasites whose distribution tends to be influenced by age, at least in developed countries, where children may serve as a source of parasites for the entire family.  Acute Toxoplasmosis is usually associated with young animals.  Trichomonas vaginalis lives in the vagina and urethra of women and in the prostate, seminal vesicles, and urethra of men. 21  It is transmitted primarily by sexual intercourse.
  • 22. SOCIAL AND ECONOMIC STATUS  Parasite infections  poor country diseases.  Poor maintenance of sanitation system.  Level of education low  Limited supply of clean drinking water  Increase the risks of parasite infections  E.g Leishmania mexicana infections often occur in agricultural workers, thus illustrating the influence of occupation on health 22
  • 23. DIET  In many cultures certain food are considered best eaten raw and this can increase the risk of contracting parasitic diseases.  For example: The popularity of Japanese sushi and sashimi cuisine which includes raw fish – poses a risk of becoming infected with the number of infectious diseases including the nematode Anisakis spp.  In Europe countries, raw beef and pork are very popular  risks of contracting Trichinella spiralis and tapeworm 23 infection.
  • 24. ECOLOGICAL CONDITIONS THAT FAVOR COMPLETION OF PARASITE LIFE CYCLES  Some parasite  simple or direct life cycle  Some required  intermediate host or the vector  2 factors 1. Climatic 2. The present of vectors 24
  • 25. CLIMATIC FACTORS  Climatic changes have an important influence on the epidemiology of most infectious diseases of humans.  Environmental factors such as temperature and rainfall vary seasonally in the majority of habitats, tending to induce regular cyclic fluctuations in the prevalence and intensity of parasitic infection.  The action of climate on host and parasite, however, is independent of population abundance. 25
  • 26. Climatic factors influence the population biology of human/animal disease agents in the following principal ways. 1. Host behaviour. 2. Intermediate host abundance. 3. Infective stage longevity 4. Infectivity. 5. Parasite development 26
  • 27. HOST BEHAVIOUR  Several changes in host behaviour, induced by the prevailing climatic conditions, often generate cyclic fluctuations in disease incidence.  E.g Such changes may be the result of differing work patterns associated with agricultural practices (the planting and harvesting of crops at different times of the year), or may result from social patterns influencing the behaviour of children  Agricultural practices are imponant to the transmission of helminth infections such as Ascaris and schistosomiasis 27
  • 28. INTERMEDIATE HOST ABUNDANCE  Seasonal changes in the prevalence of many indirectly transmitted parasites are in pan determined by the influence of climatic factors on the abundance of intermediate host populations.  Seasonal fluctuations in the transmission of malaria and schistosomiasis, for example, are to a large extent the result of changes in the abundance of mosquitoes and snails respectively 28
  • 29. INFECTIVE STAGE LONGEVITY  Climate has an important influence on the longevity of parasite transmission stages such as helminth eggs and larvae, the cysts of protozoa and free viral particles.  Temperature, for example, is a major determinant of the survival of the miracidia and cercariae of schistosome flukes and the L3 infective larvae of hookworms  The longevity of transmission stages which live in terrestrial habitats, such as the eggs of Ascaris and larvae of hookworms are also markedly influenced by soil moisture. 29
  • 30. INFECTIVITY  In addition to their influence on infective stage longevity, factors such as temperature and humidity have an impact on the infectivity of both transmission stages and infectious intermediate hosts.  Temperature, for instance controls the activity of schistosome miracidia and thus influences their ability to contact and penetrate the molluscan host.  ln addition, this factor also affects the rate at which infected snails produce cercariae. 30
  • 31.  Climate may play a role in determining the activity and infectiousness of arthropod vectors.  For example, the optimum air temperature for the transmission of a filarial worm (Dirofilaria immitis) from dog to mosquito (Aedes trivittatus) is roughly 23°C, the biting efficiency of the vector decreases at lower or higher temperatures. 31
  • 32. PARASITE DEVELOPMENT  Temperature is an important determinant of the rate of parasite development either in the external habitat or within poikilothermic intermediate hosts such as snails or mosquitoes.  The rate of development of human hookworms, from egg to infective larva is most rapid at around 25-30C in moist conditions (roughly 5 days).  If temperatures are below 17-20C, the ova and larvae of Necator cease development and death rapidly follows.  Ancylostoma is able to develop at slightly lower temperatures than Necator and is thus found in certain temperate regions of the world. 32
  • 33. The influence of water temperature on a) The survival of Schistosoma mansoni miracidia b) The infectivity of S. mansoni miracidia to Biomphalaria c) The prepatent period prior to cercarial release of S. mansoni in 33 Biomphalaria.
  • 34. VECTOR  Among the most important epidemiological factors in parasitic infections are vectors which are often snails or blood-sucking arthropods.  Some of the most medically important vectors are anopheline mosquitoes, which transmit malarial parasites and snails of certain genera, which carry infective larval blood flukes, or schistosomes. 34
  • 35. Bulinus globosus is an important intermediate host for the trematode parasiteSchistosoma haematobium Aedes egypti Aedes albopictus 35
  • 36. TRANSMISSION BETWEEN HOSTS  Parasites may complete their life cycles by passing from one host to the next either directly or indirectly via one or more intermediate host species.  2 types 1) Direct transmission 2) Indirect transmission 36
  • 37. DIRECT TRANSMISSION  May be by contact between hosts (for example venereal diseases) or  By specialized or unspecialized transmission stages of the parasite that are picked up by inhalation (respiratory viruses),  ingestion (such as pinworm) or  penetration of the skin (such as hookworm). 37
  • 38. INDIRECT TRANSMISSION  Can involve biting by vectors (flies, mosquitoes, ticks and others) that serve as intermediate hosts (the parasite undergoing obligatory development within the vector).  In other cases, the parasite is ingested when an infected intermediate host is eaten by the predatory or scavenging final host.  A special case of direct transmission arises when the infection is conveyed by a parent to its unborn offspring (egg or embryo). 38
  • 39. TRANSMISSION BETWEEN HOSTS  Transmission by contact between hosts  Transmission by an infective agent  Transmission by ingestion  Transmission by biting arthropod 39
  • 40. TRANSMISSION BY CONTACT BETWEEN HOSTS  Many direct transmitted viral and protozoan diseases, infection results from physical contact between hosts or by means of a very short-lived infective agent.  There are an agreement between observation and theory supports the assumption that transmission of many direct life cycle microparasites is directly proportional to the rate of encounter between hosts.  'Who mixes with whom' is an important determinant of the pattern of infection observed for directly transmitted infectious agents. 40
  • 41. TRANSMISSION BY AN INFECTIVE AGENT  Many directly and indirectly transmitted parasites produce transmission stages with a not insignificant lifespan outside of the host.  Examples: - The miracidia and cercariae of schistosomes, - The infective larvae of hookworms and - The eggs of Ascaris 41
  • 42. TRANSMISSION BY INGESTION  Transmission of a parasite which gains entry to the host by ingestion is influenced by the feeding behaviour of the host.  Ingestion may occur as a result of: - the host actively preying on infective stages (fish predating digenean cercaria), - consuming food contaminated with infective agents (human consumption of vegetables contaminated with Ascaris eggs) or - consuming an intermediate host which is infected with larval parasites (human consumption of fish infected with Diphyllobothrium)- a predator-prey association existing between final and intermediate hosts. 42
  • 43. TRANSMISSION BY BITING ARTHROPOD  Many microparasites and macroparasites have indirect life cycles where transmission between hosts is achieved by a biting arthropod,  For example yellow fever, malaria, sleeping sickness and filariasis.  Transmission of a vector-bome disease is also influenced by the developmental period of the parasite in the vector, a period during which the host is infected but not infectious  This development delay is called the latent period and may often be significant in relation to the expected 43 lifespan of the intermediate host.
  • 44.  Mosquitoes  Black flies  Biting midges  Sand fly  Tick, mite and fleas 44