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Intermediate and definitive hosts of wild Schistosoma mansoni: ecological niche modeling of hosts in low endemicity areas

ABSTRACT

The relationship between the environment and animal life began to be seen as an important tool to help control zoonoses. Climate variations lead to changes in the environment, which can influence the spatial distribution of species and, consequently, the spread of diseases to humans. Considered the main non-human definitive host species of Schistosoma mansoni in Brazil, the wild rodent Nectomys squamipes plays an important role as a reservoir in maintaining the schistosomiasis cycle in the absence of humans. This study demonstrates the results of ecological niche modeling of intermediate and definitive wild hosts of S. mansoni in the Regional Health Superintendence of Barbacena (Minas Gerais State), which has registered 31 municipalities, 80% of which are classified as endemic for parasitosis. Environmental variables associated with the distribution of each species were used based on information from the scientific collections of Global Biodiversity Information Facility (GBIF) and Species Link to project the ecological niche model in the geographic space. Abiotic variables such as the mean annual temperature, isothermality, and precipitation seasonality were obtained from World Clim. Ecological niche modeling of the wild host, N. squamipes, revealed the occurrence of the species in geographic overlap with the Biomphalaria species. Knowing the influence of bioclimatic variables and identifying favorable conditions for the establishment, occurrence, and distribution of species are important information for developing strategic actions for the surveillance and control of this endemic species. The presence of the definitive wild host needs to be considered by control programs of schistosomiasis.

KEYWORDS
Schistosomiasis; Schistosoma mansoni ; Ecological niche modeling; Nectomys squamipes

INTRODUCTION

Schistosomiasis transmission has been reported in 77 countries, in addition to Brazil. The mollusc species Biomphalaria glabrata (Say, 1818), Biomphalaria tenagophila (D’orbigny, 1835), and Biomphalaria straminea (Dunker, 1848) are involved in the spread of Schistosoma mansoni in Brazil, as they were found to be naturally infected11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
https://bvsms.saude.gov.br/bvs/publicaco...

2. World Health Organization. Schistosomiasis. [cited 2024 Mar 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/schistosomiasis
https://www.who.int/news-room/fact-sheet...
-33. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Articulação Estratégica de Vigilância em Saúde. Guia de vigilância em saúde. 5 a ed. rev. atual. Brasília: Ministério da Saúde; 2022. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/guia_vigilancia_saude_5ed_rev_atual.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
. In Minas Gerais State, these three species of molluscs of epidemiological importance in the country can be found, contributing to the high prevalence recorded in the state11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
. Schistosomiasis is endemic across a vast area of the territory of Minas Gerais State, with 387 municipalities (45% of the total of 853 municipalities) classified as endemic, distributed in 19 Regional Health Units (RHUs). In total, five municipalities are classified as areas of focus because they are located in RHUs free from schistosomiasis. In the Regional Health Superintendence of Barbacena (21º13’35’’S 43º46’27’’W), of the 31 recorded municipalities, 80% are classified as endemic44. Minas Gerais. Secretaria Estadual de Saúde. SRS Barbacena. [cited 2024 Mar 20]. Available from: https://www.saude.mg.gov.br/component/gmg/page/210-srs-barbacena-sesmg
https://www.saude.mg.gov.br/component/gm...
,55. Minas Gerais. Secretaria Estadual de Saúde. Coordenação de Zoonoses. Vigilância de Fatores de Riscos Biológicos. Nota Técnica nº 1/SES/SUBVS-SVE-DVAT-CZVFRB/2023. Atualização dos Aspectos Epidemiológicos do Programa de Controle da Esquistossomose..

Schistosomiasis is a neglected endemic disease related to the deficiency or total absence of basic sanitation66. Katz N. Inquérito Nacional de Prevalência da Esquistossomose mansoni e Geo-helmintoses. Belo Horizonte: Fundação Oswaldo Cruz; 2018.. Other conditioning factors contribute to the persistence of the disease, such as the occupation of areas considered at risk for the disease, leisure, professional activities in agriculture and livestock, schooling level, and disinformation11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
. The disease mainly impacts poor and rural communities and contamination occurs via contact with water during agricultural work, domestic activities, or recreational activities. Population movements, such as migration to urban areas and increase in ecotourism in endemic areas, can contribute to the increase in the number of cases and favor the introduction of the disease in new locations11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
,22. World Health Organization. Schistosomiasis. [cited 2024 Mar 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/schistosomiasis
https://www.who.int/news-room/fact-sheet...
.

In the 18th century, the relationship between the environment and animal life began to be seen as a factor of great importance for zoonoses77. Silva JR, Pereira NG. Reservatórios vertebrados extra humanos nas regiões tropicais. Rev Soc Bras Med Trop. 1967;1:197-205.. The discovery of several species of rodents, marsupials, and other mammals found naturally infected demonstrated that S. mansoni infection was not exclusive to humans. The presence of viable eggs capable of infecting hosts indicates that these species can complete the transmission cycle, thus characterizing their epidemiological importance77. Silva JR, Pereira NG. Reservatórios vertebrados extra humanos nas regiões tropicais. Rev Soc Bras Med Trop. 1967;1:197-205.,88. D'Andrea PS, Maroja LS, Gentile R, Cerqueira R, Maldonado Júnior A, Rey L. The parasitism of Schistosoma mansoni (Digenea-Trematoda) in a naturally infected population of water rats, Nectomys squamipes (Rodentia-Sigmodontinae) in Brazil. Parasitology. 2000;120:573-82..

Considered the main nonhuman definitive host species of S. mansoni in Brazil, the wild rodent Nectomys squamipes (Brants, 1827) plays an important role as a reservoir in maintaining the cycle of this parasitic disease in the absence of humans. Its presence in endemic areas is a biological indicator of transmission area and must be considered as one of the factors that hinder control77. Silva JR, Pereira NG. Reservatórios vertebrados extra humanos nas regiões tropicais. Rev Soc Bras Med Trop. 1967;1:197-205.,88. D'Andrea PS, Maroja LS, Gentile R, Cerqueira R, Maldonado Júnior A, Rey L. The parasitism of Schistosoma mansoni (Digenea-Trematoda) in a naturally infected population of water rats, Nectomys squamipes (Rodentia-Sigmodontinae) in Brazil. Parasitology. 2000;120:573-82..

The species is highly susceptible to infection by different strains of S. mansoni and, in general, does not interfere with the animal’s health99. Gentile R, Costa Neto SF, D'Andrea PS. Uma revisão sobre a participação do rato d´água Nectomys squamipes na dinâmica de transmissão da esquistossomose mansônica: um estudo multidisciplinar de longo prazo em uma área endêmica. Mem Inst Oswaldo Cruz. 2010;14:711-25., not playing a role in regulating the number of rodents in the environment, which favors the transmission of the parasite throughout its lifespan88. D'Andrea PS, Maroja LS, Gentile R, Cerqueira R, Maldonado Júnior A, Rey L. The parasitism of Schistosoma mansoni (Digenea-Trematoda) in a naturally infected population of water rats, Nectomys squamipes (Rodentia-Sigmodontinae) in Brazil. Parasitology. 2000;120:573-82.. They do not develop portal hypertension and have a certain immunity, which promotes regulation of the parasite load, despite the ease of reinfection99. Gentile R, Costa Neto SF, D'Andrea PS. Uma revisão sobre a participação do rato d´água Nectomys squamipes na dinâmica de transmissão da esquistossomose mansônica: um estudo multidisciplinar de longo prazo em uma área endêmica. Mem Inst Oswaldo Cruz. 2010;14:711-25..

Climatic variations can influence the spatial distribution of species and, consequently, the spread of diseases to humans1010. Carvalho ME, Mendonça FA, Santos SS. Variabilidade climática e a modelagem ecológica da Biomphalaria glabrata: cenários futuros (2050 e 2070) para o hospedeiro intermediário da esquistossomose no Brasil. In: Perez Filho A, Amorim RR, organizadores. Os desafios da geografia física na fronteira do conhecimento. Campinas: Unicamp, Instituto de Geociências; 2017. p.1579-89.. Ecological niche modeling aims to analyze the conditions that favor establishment of a species in a given geographic space, enabling decision-making in disease prevention actions1010. Carvalho ME, Mendonça FA, Santos SS. Variabilidade climática e a modelagem ecológica da Biomphalaria glabrata: cenários futuros (2050 e 2070) para o hospedeiro intermediário da esquistossomose no Brasil. In: Perez Filho A, Amorim RR, organizadores. Os desafios da geografia física na fronteira do conhecimento. Campinas: Unicamp, Instituto de Geociências; 2017. p.1579-89..

MATERIALS AND METHODS

The ecological niche model was projected in the geographic space using available data on environmental variables associated with the distribution of each species (B. glabrata, B. straminea, B. tenagophila, and N. squamipes). The sources of data regarding the biotic factors used were collected from the scientific collections of Global Biodiversity Information Facility (GBIF) and Species Link. Data regarding abiotic factors and bioclimatic variables were collected from World Clim1111. Fick SE, Hijmans RJ. WorldClim 2: new 1-km spatial resolution climate surfaces for global land areas. Int J Climatol. 2017;37:4302-15..

To search for GBIF records on the occurrence of species, a filter of points that included geographic coordinates was selected. In Species Link, the filter “geographical coordinates” was selected with the options “original” and “consistent.” The information from both databases was combined and an Excel occurrence spreadsheet was created for each species. At World Clim, a file containing current bioclimatic variables was downloaded.

The R-Studio software (version 4.3.1, R Core Team), a script-based statistical programming environment, was used for ecological niche modeling, in which occurrence data and abiotic variables were loaded. For modeling, the process followed some steps, such as cleaning points of occurrence, removing duplicate records, selecting bioclimatic variables, and plotting and validating models.

The variables associated with the selected species were as follows:

bio_02 = Mean Diurnal Range (Mean of Monthly [max temp – min temp])

bio_03 = Isothermality (P2/P7) (*100)

bio_10 = Mean temperature of the warmest quarter

bio_13 = Precipitation of Wettest Month

bio_15 = Precipitation Seasonality (Coefficient of Variation)

bio_18 = Precipitation of Warmest Quarter

bio_19 = Precipitation of Coldest Quarter

The modeling algorithms used were BIOCLIM and MAXENT (R-Studio packages), which are among the most commonly used tools for ecological niche modeling. They project, in pixels, the area suitable for the establishment of the species, according to the selected bioclimatic variables, and transform the data into binary values on a scale from 0 to 11212. Fawcett T. ROC graphs: notes and practical considerations for researchers. Pattern Recognit Lett. 2004;31:1-38..

The area under the receiver operating characteristic (ROC) curve (AUC) was used to evaluate the models. This method indicates the model’s discrimination capacity, checking the probability of hits and errors, and correctly interpreting true presences and absences of the model’s points1212. Fawcett T. ROC graphs: notes and practical considerations for researchers. Pattern Recognit Lett. 2004;31:1-38..

RESULTS

The isothermality bioclimatic variable presented the highest percentage of contribution to the distribution of the species B. glabrata and B. tenagophila in the environment, and precipitation seasonality was the variable with the greatest contribution in the modeling of the species B. straminea. For N. squamipes, the isothermality and mean diurnal range variables made the greatest contribution to the modeling (Figure 1).

Figure 1
Contribution variables in species distribution modeling: A) B. glabrata; B) B. straminea; C) B. tenagophila; D) N. squamipes.

The MAXENT algorithm model was built for each species. For B. glabrata, 53 points were used in the modeling, presenting higher values and, thus, greater suitability of the species in the studied region (Figure 2A). In modeling the species B. straminea, 25 points were used to validate the model. Figure 2B shows a large area with high values for the species, which represents greater suitability in these regions. For B. tenagophila, 34 points were used, being the species that presented the smallest area favorable to its establishment, not considered representative for the studied region (Figure 2C).

Figure 2
Ecological niche modeling: A) B. glabrata; B) B. straminea; C) B. tenagophila).

In modeling the ecological niche of the wild rodent N. squamipes, a wild reservoir, 55 points were used to validate the model. Figure 3 shows the occurrence of the species in geographic overlap with the occurrence of Biomphalaria species in the studied region.

Figure 3
Ecological niche modeling for N. squamipes.

Analyzing the AUC—curve generated by MAXENT that determines the validity of the model—for the models, we found that the model for the species B. tenagophila presents a value that approaches unity, which means that the model presented high performance. The value (0.8560) means that when two points are drawn, a true presence and a true absence, the algorithm holds an 85% probability of correctly classifying each of them. For the species B. straminea (0.6935) and B. glabrata (0.5097), despite showing a larger area and representation in the region, the model evaluations hold a 69% and 50% probability of success, respectively. For N. squamipes, the model evaluation holds a 58% chance of success (Table 1).

Table 1
Results obtained in the evaluation of species models.

DISCUSSION

The breeding sites of snail species are influenced by the climate (rainfall, temperature, and humidity), which can determine the establishment and distribution of the species1313. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Vigilância e controle de moluscos de importância epidemiológica: diretrizes técnicas. 2ª ed. Brasília: Ministério da Saúde; 2008. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_controle_moluscos_import_epidemio_2ed.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
. Climate change, especially the rise in temperatures in the Earth’s atmosphere in the last two centuries, has caused changes in the environment that impact habitats and vectors, consequently influencing disease transmission1414. Mendonça F. Aquecimento global e saúde: uma perspectiva geográfica: notas introdutórias. Terra Livre. 2003;1:205-21..

Limnic molluscs can be found in various water collections, such as streams, rivers and lakes, flooded areas, sewage, and drainage ditches, and can also be observed buried at the bottom of the water collection11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
,1313. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Vigilância e controle de moluscos de importância epidemiológica: diretrizes técnicas. 2ª ed. Brasília: Ministério da Saúde; 2008. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_controle_moluscos_import_epidemio_2ed.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
. Burying is also a survival mechanism in response to drought of temporary water collections, such as puddles of water formed by rain or floods11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
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. Adaptive behaviors of the species allow them to survive even after the use of molluscicides.

Evaluating ecological niche models and the variables that influence species distribution, temperature is a determining factor in the schistosomiasis transmission cycle, as the release of cercariae depends on light and water temperature1515. Barbosa FS, Barbosa CS. The bioecology of snail vectors for schistossomiasis in Brazil. Cad Saúde Pública. 1994;10:200-9..

The ideal temperature for the development of molluscs varies from 20 to 26 °C, with B. glabrata being the most resistant species to temperature variations. Precipitation is another climate variable that determines the occurrence and increase in the number of Biomphalaria breeding sites1515. Barbosa FS, Barbosa CS. The bioecology of snail vectors for schistossomiasis in Brazil. Cad Saúde Pública. 1994;10:200-9..

The same variables were used in modeling N. squamipes, a semiaquatic species that prefers small tributaries since its swimming capacity is not as efficient1616. Barbara RS. Morphology and allometry in several genera of semiaquatic rodents (Ondatra, nectomys, and Oryzomys). J Mammal. 1988;69:500-11.. Considering that it uses rivers and streams for movement and dispersion, the characteristic of the region called Campo das Vertentes would be the most favorable to the establishment of the species.

Corroborating the malacological survey on the distribution of Biomphalaria species reported in the document “Surveillance and Control of Molluscs of Epidemiological Importance” (SCMEI), based on various databases, publications on schistosomiasis, and information from Brazilian Control Program of Schistosomiasis (PCE)1313. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Vigilância e controle de moluscos de importância epidemiológica: diretrizes técnicas. 2ª ed. Brasília: Ministério da Saúde; 2008. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_controle_moluscos_import_epidemio_2ed.pdf
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, the ecological niche modeling reveals the occurrence of the three species B. glabrata, B. straminea, and B. tenagophila in the studied region in varying proportions. The SCMEI reports the occurrence of Biomphalaria species in the municipalities referenced by the Regional Health Superintendency (SRS) of Barbacena municipality: (a) B. glabrata was recorded in the municipalities of Barbacena, Caranaiba, Catas Altas da Noruega, Conselheiro Lafaiete, and Ouro Branco; (b) B. tenagophila was recorded in the municipalities of Barbacena, Conselheiro Lafaiete, and Ouro Branco; and (c) B. straminea was recorded in the municipalities of Barbacena, Caranaiba, and Conselheiro Lafaiete1313. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Vigilância e controle de moluscos de importância epidemiológica: diretrizes técnicas. 2ª ed. Brasília: Ministério da Saúde; 2008. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_controle_moluscos_import_epidemio_2ed.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
.

Ecological niche modeling of the wild host N. squamipes revealed the occurrence of the species in geographic overlap with the Biomphalaria species, which requires attention in the activities of control programs of schistosomiasis, as the species is responsible for maintaining the cycle of parasitosis in the absence of humans and the region is predominantly classified as endemic.

The correlation between high prevalence of schistosomiasis and poor sanitation infrastructure, including sewage treatment and water supply networks, has been observed in many Brazilian municipalities1717. Saucha CV, Silva JA, Amorim LB. Condições de saneamento básico em áreas hiperendêmicas para esquistossomose no estado de Pernambuco em 2012. Epidemiol Serv Saude. 2015;24:497-506.. Considering the sewage coverage in the studied region, which varies from 28.24% to 90.8% (Brazilian Institute of Geography and Statistics), and the coverage of water supply networks, from 40.94% to 96.75%1818. Minas Gerais. Secretaria de Estado de Saúde. Planejamento regional integrado: macrorregião Centro Sul. [cited 2024 Mar 20]. Available from: https://www.saude.mg.gov.br/images/1_noticias/06_2023/1-out-nov-dez/planos-macrorregionais/Plano_Centro%20Sul.pdf
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, we can correlate the maintenance of schistosomiasis transmission due to environmental and socioeconomic factors. The snail, an intermediate host of the disease, in water collections, associated with precarious basic sanitation conditions and the exposure of communities in domestic, professional, and/or activities are important factors for the persistence of transmission11. Brasil. Ministério da Saúde. Departamento de Vigilância das Doenças Transmissíveis. Vigilância da esquistossomose mansoni: diretrizes técnicas. 4ª ed. Brasília: Ministério da Saúde; 2014. [cited 2024 Mar 20]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigilancia_esquistossome_mansoni_diretrizes_tecnicas.pdf
https://bvsms.saude.gov.br/bvs/publicaco...
.

CONCLUSION

We identified areas with the presence of intermediate and definitive host species involved in the schistosomiasis transmission cycle via ecological niche modeling. The presence of these species associated with poor coverage of sewage systems and water supply networks are determining factors for the maintenance of disease transmission. Knowing the influence of bioclimatic variables and identifying the conditions that favor the establishment, occurrence, and distribution of the species is important information for developing strategic actions for the surveillance and control of endemic diseases.

Understanding the concept of One Health, which highlights the relationship between human, animal, and environmental health, is crucial for combating the disease. Therefore, continuous efforts are needed to understand the factors that complicate disease control and resist conventional interventions.

ACKNOWLEDGMENTS

We would like to thank the Coordination of the Stricto Sensu Postgraduate Program in Vector Surveillance and Control, FAPERJ and the Barbacena Regional Health Superintendence, especially the team at the Epidemiological Surveillance Center for providing the opportunity to develop this work.

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    » https://www.saude.mg.gov.br/images/1_noticias/06_2023/1-out-nov-dez/planos-macrorregionais/Plano_Centro%20Sul.pdf

Publication Dates

  • Publication in this collection
    06 Sept 2024
  • Date of issue
    2024

History

  • Received
    22 Oct 2023
  • Accepted
    14 Mar 2024
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