Phlebotomines (Diptera: Psychodidae) in a Hydroelectric System Affected Area from Northern Amazonian Brazil: Further Insights into the Effects of Environmental Changes on Vector Ecology

During 2012–2015, an entomological survey was conducted as part of a phlebotomine (Diptera: Psychodidae) monitoring program in an area influenced by the Santo Antônio do Jari hydroelectric system (Amapá State, Brazil). The purpose was to study aspects of Amazon/Guianan American cutaneous leishmaniasis (ACL) vectors subjected to stresses by anthropogenic environmental changes. For sampling, CDC light traps were positioned 0.5, 1, and 20 m above ground at five capture locations along the Jari River Basin. Fluctuations in phlebotomine numbers were analyzed to determine any correlation with rainfall, dam waterlogging, and/or ACL cases, from May 2012 to March 2015. We captured 2,800 individuals, and among 45 species identified, Bichromomyia flaviscutellata, Nyssomyia umbratilis, and Psychodopygus squamiventris s.l. were determined to be the main putative vectors, based on current knowledge of the Amazon/Guianan ACL scenario. Rainfall, but not complete flooding, was relatively correlated with phlebotomine fluctuation, mainly observed for Ps. squamiventris s.l., as were ACL cases with Ny. umbratilis. Behavioral changes were observed in the unexpected high frequency of Bi. flaviscutellata among CDC captures and the noncanopy dominance of Ny. umbratilis, possibly attributable to environmental stress in the sampled ecotopes. Continuous entomological surveillance is necessary to monitor the outcomes of these findings.


Introduction
Insects of Phlebotominae (Diptera: Psychodidae) species are of great medical interest because of their implications in the transmission of some vector-borne diseases, in particular leishmaniasis [1][2][3]. American cutaneous leishmaniasis (ACL) is known to be endemic in Amazonian Brazil and is regarded as a serious risk to public health. The high biodiversity of the region induces a complex mosaic of ecological interactions among reservoirs, vectors, and parasites, and consequently a wide spectrum of ACL clinical manifestations, including disfiguring and potentially life-threatening cases [4]. Moreover, this diversity of transmission cycles becomes even more complex to understand in the context of the influence of anthropic effects on natural ecological systems. The consequences of anthropogenic environmental stress on the expansion of the geographical distribution of ACL are, therefore, difficult to predict with any certainty [5].
Over the past 30 years, one of the main causes of human influence on the environment in the Brazilian Amazon Basin is its exploitation for generating energy from hydropower. Negative effects of some of the resultant environmental changes have been observed; an example is the disturbance caused by the proliferation of Mansonia (Diptera: Culicidae) 2 Journal of Tropical Medicine in the dammed lake associated with the Tucuruí hydroelectric system [6]. Vector monitoring programs, which are essential to being granted a license to operate, are included in environmental and public health planning, in order to predict and minimize the effects of vector-borne diseases in hydroelectric systems [7]. This monitoring includes spatial/temporal studies of phlebotomines and their potential implications for the transmission dynamics of leishmaniasis agents [8].
The geographically closely related Brazilian states of Pará (PA) and Amapá (AP) share a border through the Jari River and cover a region historically associated with the exploitation and processing of cellulose. Early information about leishmaniasis in the region first emerged in the 1970-1980s. In this period, studies conducted in "Monte Dourado" (Almeirim, PA) provided substantial knowledge about ACL ecoepidemiology, with particular reference to the "pianbois," a form of cutaneous leishmaniasis caused by Leishmania (Viannia) guyanensis (formerly referred to as Leishmania braziliensis guyanensis), and its respective identity-obscured vector, Nyssomyia umbratilis [9][10][11][12][13][14][15][16].
Since those original studies were undertaken, the region also now hosts the Santo Antônio do Jari hydroelectric system. The present study, therefore, aimed to characterize phlebotomine fauna in the area in order to assess the potential impact of the Santo Antônio do Jari hydroelectric system and in particular the spatiotemporal implications of environmental changes on the ecology of ACL vectors in that region.

Study Area.
The Santo Antonio do Jari hydroelectric system (0 ∘ 39 02.4 S 52 ∘ 30 56.9 W) is situated between the municipalities of Almeirim (PA) and Laranjal do Jari (AP), a region within the Guianan Ecoregion Complex. The hydroelectric system comprises 373.4 MW of installed potency and a reservoir area of 31.7 km 2 . Its construction began in 2011, and the system was totally operative from 2014.
The Amazon Region has a "hot-humid" equatorial climate; however, only minor differences are observed in the distinct ecoregions. In this study, four Guianan Ecoregion Complex seasons were characterized as follows: a short rainy (wet) season from mid-November ("novembre humide") to late January; a short dry season between early February and mid-March; a long rainy season from late March to late July; and a long dry season from late July to mid-November [17].

Sampled Locations.
Five locations, each with the following characteristics, were sampled up-and downstream of the caisson ( Figure 1): The eastern bank of the Jari River (AP), covered by alluvial dense forest: (  the five ecotopes surveyed, as described by Roberts and Hsi [20]. Species diversity (Shannon's diversity index, H ) and the coefficient of variation (S ) between monthly records (climatic and epidemiological) were calculated using Past software [21]. All comparisons were performed using a t-test to determine significance level ( value ≤ 0.05).

Results
A total of 2,800 individuals were captured (     "the bold italic font" Proven and/or putative ACL vectors in the Amazon Region, based in Young and Duncan [1], Rangel and Lainson [4], Ready [2], and Lainson and Shaw [16]. 6 Journal of Tropical Medicine  Journal of Tropical Medicine 7 A decrease in the overall phlebotomine population was observed after March until November 2014, coinciding with the transition between the rainy and dry periods and with flooding ( Figure 3).

Discussion
It is important to consider current investigations of phlebotomine fauna in the Jari River Basin in the context of the historical findings from the 1970s and 1980s. These earlier studies represent comprehensive research conducted in Monte Dourado (northern PA), a region close to the area investigated in the present study and on which the present epidemiological background to ACL transmission in the associated region is based. In brief, the previous research includes a description of Ny. umbratilis (formerly "obscured" as Ny. anduzei) [13] and its incrimination as the main vector of L. (V.) guyanensis [9][10][11], confirmed by strong ecological associations [15]. Just as important, a parasite, more recently described as L. (V.) naiffi, was isolated from the armadillo, Dasypus novemcinctus, for which transmission was locally driven and attributed to Ps. squamiventris s.l., and other Psychodopygus species [22]; this comprised a primarily enzootic ACL, occasionally infecting humans [23]. Finally, the isolation of L. (L.) amazonensis from rodents in an area affected by occurrence of the main vector Bi. flaviscutellata [11] comprised the third known Jari ACL transmission cycle. These facts described above suggest that Ny. umbratilis, Ps. squamiventris s.l., and Bi. flaviscutellata are implicated in the transmission scenario of the area covered by the present study and thus merit particular attention.
The present study incorporated a representative composition of the known AP fauna. Considering the substantial sampling effort (2,520 h), the determined diversity showed agreement with the findings of other inventories from the Brazilian Amazon basin [1,24]. Moreover, all new records for AP have already been recorded for PA [25].
Among the above species, Ps. davisi is notable as the third highest ranking according to SISA (0.74) and as having the highest presence in all vertical strata, in particular, at the canopy level. This species is generally anthropophilic, is widely distributed in the Amazon Basin [1,24], and is related to Leishmania (Viannia) infections in the States of Rondônia (RO) [29] and PA [27,30]. Interestingly, this species remains frequent in recently surveyed areas affected by hydroelectric schemes in RO [8] and PA (TVS, unpublished). These observations add weight to the need for further investigation into the putative epidemiological role of Ps. davisi in Jari.
The species most frequently captured, Sc. sordellii, would appear not to be of epidemiological concern. Firstly, the apparent abundance of a given phlebotomine species is not sufficient of itself to incriminate it as a vector [31], particularly when it does not demonstrate high levels of anthropophilic behavior. Secondly, flagellate infections isolated from this species (formerly referred to as Lutzomyia nordestina) are historically recognized as distinct from Leishmania [22] or remain undetermined, [32] and are more likely to be other trypanosomatids [22]. Furthermore, despite recent reports of molecular Leishmania ascribed to this fly [33,34], currently, polymerase chain reaction-based techniques do not allow "true infection" to be distinguished from a "simple and occasionally ingested" DNA fragment [3]. Thus, there remains insufficient evidence for a potential vector role of S. sordellii in Leishmania transmission.
High frequencies of light-trapped Bi. flaviscutellata have been documented [8,35], despite rodent-baited trapping being better recognized as a method for attracting the species. Additionally, the first SISA Rank (0.95) was indicative of this high presence in all five surveyed ecotopes; this has been observed in the Belém metropolitan area (PA), where Bi. flaviscutellata was the only omnipresent species in seven urban and ecologically isolated forest fragments surveyed [36]. Furthermore, this species has been reported as being able to adapt to plantations of introduced tree species and in other nonclimax forests in Jari [14], suggesting it is capable of responding positively to environmental change, such as the vegetal suppression and flooding caused by hydroelectric operations. Nonetheless, ecological niche model projections predict no change in spatial distribution for Bi. flaviscutellata in the Jari area, which is an environment that remains suitable for the species [37].
In an area in Regina, French Guiana, ecologically disturbed due to agricultural practices, flagellates infecting a Bi. flaviscutellata specimen have been determined to be L. (V.) guyanensis [38], in similar circumstances to the observed low presence of Ny. umbratilis. Although this possibly changing pattern in ACL transmission should be interpreted with caution, it raises an intriguing possibility about the permissiveness of Bi. flaviscutellata to L. (V.) guyanensis in the Amazon/Guianan ACL scenario.
In the present study, a higher number of Bi. flaviscutellata individuals was captured compared to Ny. umbratilis (265 versus 146, resp.). A lack of available evidence for natural infection in this unnatural vector/parasite system, however, precludes speculation about the possible involvement of Bi. flaviscutellata, even in the context of occasional transmission of parasites distinct from L. (L.) amazonensis. Nevertheless, the current high occurrence of Bi. flaviscutellata in the Amazon/Guianan ACL scenario may be of future concern; unnatural parasite/vector/reservoir systems, when closely related in an ecological context, can, on a century-level scale,

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Journal of Tropical Medicine undergo stress adaptation (evolutionary fitness) and form new ecological systems driven by coevolution [39].
There is no doubt that Ny. umbratilis is the main vector of ACL in the Jari River Basin [15]. Surprisingly, the welldocumented tree-dwelling behavior of this species [15,40] was not observed in CDC canopy captures in the present study; very little difference was found between the number of individuals captured in the three sampled strata (58 at 0.5 m, 39 at 1 m, and 49 at 20 m). Although Ny. umbratilis is known to climb into the canopy at night to feed on edentates (mainly sloths) [12,41], it is possible that an alternative terrestrial source of blood, such as rodents, may be attracting females toward ground level. Sloths are very slow moving and are therefore commonly rescued for relocation during environmental monitoring operations; their resulting rareness means Ny. umbratilis has had to find other food sources. Conversely, blood meal analysis conducted during studies in a forest fragment of the Western Amazon has shown rodent blood to be the predominant feeding source for Ny. umbratilis [42]. Wild and synanthropic rodents have been shown to survive environmental disturbance in Jari and to proliferate in areas of introduced tree species [14]; this indicated a plausible reason not only for the putative adaptation of Ny. umbratilis, but also for the increasing population levels of the rodent blood-feeder Bi. flaviscutellata, as already discussed.
Given the clear importance of Psychodopygus of the Chagasi series (formerly referred to as the Squamiventris series) in the context of ACL transmission [22], taxonomic studies on identifying the cryptic females have been undertaken previously [43] and more recently, with interesting results (Rodrigo E. Godoy, unpublished). These techniques, however, could not be employed in the field at the time. Early consideration of the assumed geographic distribution of the complex Ps. squamiventris s.l. [1,44] shows that individuals from AP are likely to be predominantly Ps. s. maripaensis. Determining males of the species present could clarify these taxonomic uncertainties in the area covered by the present study; however, doubts about identification of some male specimens meant they were grouped as Ps. squamiventris s.l.
Ryan et al. [22] did not find Ps. squamiventris s.l. to be naturally infected in the Jari area but proposed a link to L. (V.) naiffi along the same northern bank of the Amazon River through studies in Cachoeira Porteira (PA); Fouque et al. [38] came to the same conclusions in French Guiana. Interestingly, this fly species complex was found alongside L. (V.) braziliensis DNA in Suriname [45], an area where the known Amazonian vectors of this parasite, Ps. complexus and Ps. wellcomei, are unlikely to occur. As previously discussed in the context of Bi. flaviscutellata, the changing transmission patterns of unnatural vector/parasite systems must be carefully interpreted and only after strong ecological associations have been determined. Thus, the putative vector importance of Ps. squamiventris s.l. in Jari can only be assumed in respect of L. (V.) naiffi.
The five surveyed areas presented, in general, different diversity indexes, showing variations in the phlebotomine composition along the affected area. This finding can be attributed not only to the distance between capture sites, but also to forest composition, fragmentation, geographic barriers, and migration of mammal fauna between sites; this latter can occur naturally or be induced by rescue operations involved in hydroelectric planning, whereby animals are moved to suitable "dry land" environments safe from potential flooding.
A decrease in the phlebotomine population in 2014, in the period after filling the reservoir, could not be attributed exclusively either to flooding or to the transition from the rainy to the dry season. Both eventualities, although opposite in effect, are likely to lead to unsuitable conditions for phlebotomine reproduction. However, they did coincide in May 2014, when rainfall decreased and the lake was formed.
Conversely, rainfall was a valid determinant of overall phlebotomine fluctuation; Ps. squamiventris s.l. was the main putative vector directly correlated with this. Other variables, such as forest composition and altitudinal variation, are known to influence seasonal dynamics of species from the complex Ps. squamiventris s.l. For example, the dry period from October to November in Serra dos Carajás (southern PA) can be unsuitable for Ps. wellcomei, which is adapted to high altitudes, in contrast to Ps. complexus, which flourishes in lowland areas during the same months [46].
An insignificant negative to a moderate positive correlation was observed between cases of ACL and phlebotomine fluctuations. In the case of Ny. umbratilis, however, the apparently higher correlation when compared with other species is in agreement with its known vector importance in Amazon/Guianan ACL. A strong spatiotemporal association between a given vector and ACL cases is considered essential to maintenance of the Leishmania life cycle [2,14].
In summary, the present study filled a temporal gap on phlebotomine data relating to the Jari area. It provides a meaningful update on species composition and further insights into seasonal dynamics of species under pressures caused by environmental change. The presence of ACL vectors, in particular Ny. umbratilis, Bi. flaviscutellata, and Ps. squamiventris s.l., is noteworthy, due to their direct association with Amazon/Guianan-ACL transmission. For Ny. umbratilis, the lower frequency associated with the unpredicted lack of tree-dwelling behavior may be attributable to a reduction in numbers of canopy-dwelling mammals, due to the environmental disturbance and relocation efforts; this could consequently have led to seeking for alternative terrestrial blood sources at ground level. The possible association of Ps. davisi with Leishmania transmission cycles in other Amazon ecoregions draws attention to its high rank position in Jari. Rainfall can be partly associated with local seasonal fluctuations in fly numbers, mainly with respect to Ps. squamiventris s.l. Cases of ACL were also more highly correlated with Ny. umbratilis dynamics. Further attention was also given to results for Bi. flaviscutellata, which has been apparently tolerant of anthropic activity: continued phlebotomine monitoring is proposed in order to evaluate the implication for social welfare and health in the future.