Browsing by Author "Graham, Christine B."

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    Blood Meal Identification in Off-Host Cat Fleas (Ctenocephalides felis) from a Plague-Endemic Region of Uganda
    (The American journal of tropical medicine and hygiene, 2013) Graham, Christine B.; Borchert, Jeff N.; Black IV, William C.; Atiku, Linda A.; Mpanga, Joseph T.; Boegler, Karen A.; Moore, Sean M.; Gage, Kenneth L.; Eisen, Rebecca J.
    The cat flea, Ctenocephalides felis, is an inefficient vector of the plague bacterium (Yersinia pestis) and is the predominant off-host flea species in human habitations in the West Nile region, an established plague focus in Northwest Uganda. To determine if C. felis might serve as a Y. pestis bridging vector in the West Nile region, we collected on- and off-host fleas from human habitations and used a real-time polymerase chain reaction-based assay to estimate the proportion of off-host C. felis that had fed on humans and the proportion that had fed on potentially infectious rodents or shrews. Our findings indicate that cat fleas in human habitations in the West Nile region feed primarily on domesticated species. We conclude that C. felis is unlikely to serve as a Y. pestis bridging vector in this region.
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    Evaluation and Modification of Off-Host Flea Collection Techniques Used in Northwest Uganda: Laboratory and Field Studies
    (Journal of medical entomology, 2012) Borchert, Jeff N.; Eisen, Rebecca J.; Holmes, Jennifer L.; Atiku, Linda A.; Mpanga, Joseph T.; Brown, Heidi E.; Graham, Christine B.; Babi, Nackson; Montenieri, John A.; Enscore, Russell E.; Gage, Kenneth L.
    Quantifying the abundance of host-seeking ßeas is critical for assessing risk of human exposure to ßea-borne disease agents, including Yersinia pestis, the etiological agent of plague. Yet, reliable measures of the efÞcacy of existing host-seeking ßea collection methods are lacking. In this study, we compare the efÞcacy of passive and active methods for the collection of host-seeking ßeas in both the laboratory and human habitations in a plague-endemic region of northwest Uganda. In the laboratory, lighted “Kilonzo” ßea traps modiÞed with either blinking lights, the creation of shadows or the generation of carbon dioxide were less efÞcient at collecting Xenopsylla cheopis Rothchild and Ctenocephalides felis Bouche´ ßeas than an active collection method using white cotton socks or cotton ßannel. Passive collection using Kilonzo light traps in the laboratory collected signiÞcantly more X. cheopis than C. felis and active collection, using white socks and ßannel, collected signiÞcantly more C. felis than X. cheopis. In Þeld studies conducted in Uganda, Kilonzo traps using a ßashlight were similar in their collection efÞcacy to Kilonzo traps using kerosene lamps. However, in contrast to laboratory studies, Kilonzo ßea traps using ßashlights collected a greater number of ßeas than swabbing. Within human habitations in Uganda, Kilonzo traps were especially useful for collecting C. felis, the dominant species found in human habitations in this area.
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    Identification of Risk Factors for Plague in the West Nile Region of Uganda
    (The American journal of tropical medicine and hygiene, 2014) Eisen, Rebecca J.; MacMillan, Katherine; Atiku, Linda A; Mpanga, Joseph T.; Zielinski-Gutierrez, Emily; Graham, Christine B.; Boegler, Karen A.; Enscore, Russell E.; Gage, Kenneth L.
    Plague is an often fatal, primarily flea-borne rodent-associated zoonosis caused by Yersinia pestis. We sought to identify risk factors for plague by comparing villages with and without a history of human plague cases within a model-defined plague focus in the West Nile Region of Uganda. Although rat (Rattus rattus) abundance was similar inside huts within case and control villages, contact rates between rats and humans (as measured by reported rat bites) and host-seeking flea loads were higher in case villages. In addition, compared with persons in control villages, persons in case villages more often reported sleeping on reed or straw mats, storing food in huts where persons sleep, owning dogs and allowing them into huts where persons sleep, storing garbage inside or near huts, and cooking in huts where persons sleep. Compared with persons in case villages, persons in control villages more commonly reported replacing thatch roofing, and growing coffee, tomatoes, onions, and melons in agricultural plots adjacent to their homesteads. Rodent and flea control practices, knowledge of plague, distance to clinics, and most care-seeking practices were similar between persons in case villages and persons in control villages. Our findings reinforce existing plague prevention recommendations and point to potentially advantageous local interventions.