In this work we reviewed historical and recent data on Leishmania spp. infection combining data collected in Turkmenistan, Uzbekistan, Kazakhstan, Kyrgyzstan, Iran, China and Mongolia. We specifically focused on a complex of co-existing species (Leishmania major, Leishmania turanica and Leishmania gerbilli) sharing the same animal reservoirs and vectors. In addition, we analysed the presence of dsRNA viruses in these species and discussed future research directions to identify species-specific traits, which may determine susceptibility of different Leishmania spp. to viral infection.

In a sleeping sickness focus of Côte d'Ivoire, trypanosomes were characterized in humans, pigs and tsetse using various techniques. Out of 74 patients, all the 43 stocks isolated by KIVI (Kit for In Vitro Isolation) appeared to belong to only one zymodeme of Trypanosoma brucei gambiense group 1 (the major zymodeme Z3). The only stock isolated on rodents belonged to a different, new, zymodeme (Z50), of T. b. gambiense group 1. From 18 pigs sampled in the same locations as the patients, PCR showed a high proportion of mixed infections of T. brucei s. l. and T. congolense riverine-forest. Zymodemes of T. brucei s. l. from these pigs were different from those found in humans. From a total of 16260 captured tsetse (Glossina palpalis palpalis), 1701 were dissected and 28% were found to be infected by trypanosomes. The most prevalent trypanosome was T. congolense riverine-forest type, followed by T. vivax, T. brucei s. l. and T. congolense savannah type, this latter being associated to the forest type of T. congolense in most cases. Mixed infections by 2 or 3 of these trypanosomes were also found. Use of a microsatellite marker allowed us to distinguish T. b. gambiense group 1 in some of the mature infections in tsetse. Differences in infection rates and in trypanosome genotypes according to the host might indicate that the pig may not be an active animal reservoir for humans in this focus.

Animals were trapped in Marigat, Baringo District to investigate animal reservoirs of visceral leishmaniasis in an endemic focus of the disease. Several species of rodents, carnivores and reptiles were captured. Specimens of spleen, liver and blood tissues were taken from the animals. The specimens were triturated into sterile saline and then cultured into NNN medium, and some of it injected into hamsters intraperitoneally. Skin biopsies were also taken and cultured in NNN medium. Slide smears of all the tissues taken were made stained with Giemsa stain and examined under the microscope for amastigotes. Four isolates of leishmanial parasites were made from a gerbil and three monitor lizards.

The control of Trypanosoma rhodesiense sleeping sickness by clinical methods is often complicated by the existence of animal reservoir hosts which greatly contribute to the persistence of the disease in many parts of East Africa. The control of sleeping sickness should, therefore, include control of the vector and elimination of the reservoir hosts. Another factor which is often ignored, when planning sleeping sickness control measures, is the influence of cultural practices of the resident human population on the epidemiology of the disease in any given location in East Africa. At Lower Kitete, northern Tanzania, trypanosomiasis due to T. rhodesiense is occupational in nature so that many of the individuals are infected in Lossitete Forest while engaged in various activities. The factors favouring infection within the area, and the role played by the cultural practices of the Masai around the area in bringing about the outbreak of an epidemic, are discussed. The importance of understanding the cultural practices and occupational tendencies of the Masai in Lower Kitete, where trypanosomiasis outbreaks have occurred in the last 10 years, is stressed. With such an understanding the management of trypanosomiasis at Lower Kitete may be successful.