Study of the malariogenic potential of Eastern Spain.

Recent autochtonous malaria cases which occurred in Spain, France, Greece or Italy have shown the need to delve into the knowledge of potential influence of tropical diseases in Southern Europe. The malariogenic potential of a formerly endemic area of Spain was analyzed in present manuscript according to the epidemiological parameters of receptivity, infectivity and vulnerability. During a five years period (2005-2009) comprehensive larval surveys of anophelines and continuous analysis of imported malaria cases were conducted in a study region of about 23 260 km². The next seven potential malaria vectors were collected: Anopheles algeriensis, Anopheles atroparvus, Anopheles claviger, Anopheles maculipennis, Anopheles marteri, Anopheles petragnani and Anopheles plumbeus. The entomological results conclude that malaria receptivity is still high in different rural and hinterland regions where it is possible to find high densities of An. atroparvus. Moreover An. algeriensis was also commonly found breeding in irrigation channels surrounding urban areas. Although receptivity is relevant in much of the study area, fortunately the vulnerability of the territory is very low. In conclusion, despite our data together with current socio-economic and sanitary conditions of Spain indicate a relatively low malariogenic potential, we must maintain the entomological and epidemiological vigilance in order to prevent the potential appearance of indigenous malaria cases. Therefore, the present Spanish situation can be described as what malariologists of the first half of the last century would have called "anophelism without malaria."