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Ticks & Mites
Dr.Mittal Rathod,
Community Medicine Dept.,
Shree M.P.Shah GMC, Jamnagar.
Learning Objectives
• To enumerate identification features of Ticks
& Mites.
• To understand Public health importance of
Ticks & Mites.
• To know how to control Ticks & Mites.
Arthropods of medical importance
Class: Insecta Class: Arachnida Class: Crustacea
Mosquitoes
Anophelines
Culicines
Ticks: Hard tick Soft
tick
Cyclops
Flies Mites (Chiggers)
Housefly Leptotrombidium mite
Sandfly
Tromboculid mite
Tsese fly
Itch mite
Blackfly
Human lice
Head & body lice
Crab lice
Fleas
Rat flea
Sand flea
Reduiid bug
Features
Insecta Arachnida Crustacea
Body division Head Thorax
abdomen
Cephalothorax
Abdomen
(No division in
some cases)
Cephalothorax
Abdomen
Legs 3 pairs
4 pairs 5 pairs
Antennae 3 pairs
None 2 pairs
Wings One or two pairs Some
are wingless
None
Where found
On land On land In water
Ticks & Mites:
• Phylum: Arthropoda
• Class: Arachnida
• Order: Acarina
• Families:
Ixodidae – hard tick
Argasidae – soft tick
Trombiculidae- Trombiculid Mite
Sarcoptidae – itch mite
Ticks
Ectoparasite, dorsoventrally compressed, 4 pairs of legs
No antennae
• Hard Tick
• Head: Capatulum
• chitimous shield or
scutum are present
• Soft Tick
• Head: Capatulum: ventrally,
not visible from above
• Absent in soft tick
Hard tick
Capitulum
Eyes
Leg
Scutum
Lateral
groove
Female Male
• Life cycle:
1-3 weeks 3 -13 days 1 – 5 weeks
Egg Larva Nymph Adult
• Total life cycle: 2 months for hard tick
9 – 10 months for soft tick
Habits
Hard Tick
• Feed: Day & Night, cant
stand starvation.
• Found: on Hosts always
• Common Hard Ticks:
1. Dermacentor
2. Haemophysalis
3. Hyalomma
4. Rhipecephalus
5. Boophilus
Soft Tick
• Feed: Night Time, can with
stand starvation.
• Found: in cracks &
crevices.
• Imp. Soft Tick:
1. Ornithotorus moubata
Ticks
Wooded areas
Tall brush/grass
Under plants/leaves to prevent dehydration.
cut/raked lawns or sports fields
Under ground cover (plants) in yard
Around stone walls and woodpiles where mice &
other small mammals live
Hard Tick
• Breeding:
Lay eggs 100-1000 all at one
time, female dies.
• Nymphal stage: 1
• Life span:1 year or more
Soft Tick
• Breeding:
Lay eggs 20-100 over long
period.
• Nymphal stage: 5
• Life span: longer than Hard
tick
• Disease transmitted:
Hard Tick: Soft Tick:
Tick Typhus Relapsing Fever
Viral Encephalitis Q Fever
H’agic Fever( KFD )
Tularaemia
Tick Paralysis
Human Babesiosis
Mode of Transmission
• Biting: Adult, Larva, Nymph.
• Trans-stadial Transmission
• Trans-ovarian Transmission
Control measures:
1) Insecticidal control: application of insecticide over
forest areas(‘hot spots’) using aircraft mounted
equipments.
- DDT, chlordane, dieldrin, lindane, malathion,
fenthion or propoxur
2) Personal protective measures: adequate clothing
and repellants (DEET, indolane, BB lotion)
3) Daily examination of body and removal of tick.
4) Environmental control
5) Avoid infected localities and animals.
Mites
• Chiggers:
• Body: Not well demarcated into head, thorax
& abdomen.
• 4 pairs of legs.
• 2 Types:1. Trombiculid Mite
2.Itch Mite
Trombiculid Mites
• Spider like arthropods
• Speceis:1. Leptotrombidium deliense
2. Leptotrombidium akamushi
Disease: Scrub Typhus in Asia & South Pacific
Itch Mite
• Sarcoptes scabiei or Acarus scabei
• Small, globular arthropod, visible to naked
eyes.
• Habitant: Dogs, Cattle, Horse
• Animals- Humans-Humans
General Features
• 0.4 mm size
• Tortoise shape body, Rounded above &
flattened below.
• No demarcation into cephalothorax or
abdomen.
• Body- folds, Bristles.
• Male vs. Females
• 4 pair of legs: 2 in front, 2 behind
Mode of spread:
1. Close contact :
-Sleeping in same bed,
-children playing with each other.
Familial or house hold infection.
2. Contaminated Clothes & bed linen.
3. Contact with animals.
• Scabies is a contagious skin disease marked
by itching and small raised red spots,
caused by the itch mite.
Site of Lesions:
Hands and wrist :63%
Extensor aspect of elbow 10.9%
Axilla, buttocks, lower abdomen
Palm in infants are all common
sites of infestation.
29
Diagnosis
1. c/o itching-worse at night.
2. On examination: follicular lesions at the
affected site.
3. Secondary infection: crusted papules &
pustules.
4. Family History
5. Microscope: parasite under skin debris.
Control of Scabies
• Essential to treat all the members of family
whether or not they appears to be infested.
• Before start of treatment patient is given agood
scrub with soap and hot water.
• Benzyl benzoate 25% - be applied with a paint
brush or shaving brush to every inch of the
body below the chin including the sole of feet
and allowed to dry.
• The application repeated after 12 hours, then
after 12 hrs, bath taken and all cloths should
be changed & washed.
• The application should not be repeated for 1
week, ow it causes Irritant dermatitis.
• HCH: 0.5 to 1.0% strength of gamma HCH
(lindane) in coconut oil or any vegetable oil.
Lindane is rarely used because of its side
effects.
• Tetmoslol 5% of its solution is effective,
there daily application are recommended.
• Sulphur ointment: 2.5 to 10% daily for 4 days
is a cheap remedy.
• Before Rx., wash all wears, towels in hot
water.
• Items that cannot be washed or dry-cleaned
can be decontaminated by removing from
any body contact for at least 72 hours.
• Vacuum the carpets and upholstered
furniture.
• Use calamine lotion and soak in a cool bath to
ease itching.
• Take an oral antihistamine.
Drug of choice
• 5% Permethrin- Topical application.
• Ivermectin ( Single dose)- Oral DOC.
77
Trombiculid
Mite
Flea Louse Hard tick
Thank You…

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Identify and Control Ticks, Mites, and Their Transmitted Diseases

  • 1. Ticks & Mites Dr.Mittal Rathod, Community Medicine Dept., Shree M.P.Shah GMC, Jamnagar.
  • 2. Learning Objectives • To enumerate identification features of Ticks & Mites. • To understand Public health importance of Ticks & Mites. • To know how to control Ticks & Mites.
  • 3. Arthropods of medical importance Class: Insecta Class: Arachnida Class: Crustacea Mosquitoes Anophelines Culicines Ticks: Hard tick Soft tick Cyclops Flies Mites (Chiggers) Housefly Leptotrombidium mite Sandfly Tromboculid mite Tsese fly Itch mite Blackfly Human lice Head & body lice Crab lice Fleas Rat flea Sand flea Reduiid bug
  • 4. Features Insecta Arachnida Crustacea Body division Head Thorax abdomen Cephalothorax Abdomen (No division in some cases) Cephalothorax Abdomen Legs 3 pairs 4 pairs 5 pairs Antennae 3 pairs None 2 pairs Wings One or two pairs Some are wingless None Where found On land On land In water
  • 5. Ticks & Mites: • Phylum: Arthropoda • Class: Arachnida • Order: Acarina • Families: Ixodidae – hard tick Argasidae – soft tick Trombiculidae- Trombiculid Mite Sarcoptidae – itch mite
  • 6. Ticks Ectoparasite, dorsoventrally compressed, 4 pairs of legs No antennae • Hard Tick • Head: Capatulum • chitimous shield or scutum are present • Soft Tick • Head: Capatulum: ventrally, not visible from above • Absent in soft tick
  • 7.
  • 9. • Life cycle: 1-3 weeks 3 -13 days 1 – 5 weeks Egg Larva Nymph Adult • Total life cycle: 2 months for hard tick 9 – 10 months for soft tick
  • 10.
  • 11. Habits Hard Tick • Feed: Day & Night, cant stand starvation. • Found: on Hosts always • Common Hard Ticks: 1. Dermacentor 2. Haemophysalis 3. Hyalomma 4. Rhipecephalus 5. Boophilus Soft Tick • Feed: Night Time, can with stand starvation. • Found: in cracks & crevices. • Imp. Soft Tick: 1. Ornithotorus moubata
  • 12. Ticks Wooded areas Tall brush/grass Under plants/leaves to prevent dehydration. cut/raked lawns or sports fields Under ground cover (plants) in yard Around stone walls and woodpiles where mice & other small mammals live
  • 13. Hard Tick • Breeding: Lay eggs 100-1000 all at one time, female dies. • Nymphal stage: 1 • Life span:1 year or more Soft Tick • Breeding: Lay eggs 20-100 over long period. • Nymphal stage: 5 • Life span: longer than Hard tick
  • 14. • Disease transmitted: Hard Tick: Soft Tick: Tick Typhus Relapsing Fever Viral Encephalitis Q Fever H’agic Fever( KFD ) Tularaemia Tick Paralysis Human Babesiosis
  • 15. Mode of Transmission • Biting: Adult, Larva, Nymph. • Trans-stadial Transmission • Trans-ovarian Transmission
  • 16.
  • 17. Control measures: 1) Insecticidal control: application of insecticide over forest areas(‘hot spots’) using aircraft mounted equipments. - DDT, chlordane, dieldrin, lindane, malathion, fenthion or propoxur 2) Personal protective measures: adequate clothing and repellants (DEET, indolane, BB lotion) 3) Daily examination of body and removal of tick. 4) Environmental control 5) Avoid infected localities and animals.
  • 18.
  • 19.
  • 20. Mites • Chiggers: • Body: Not well demarcated into head, thorax & abdomen. • 4 pairs of legs. • 2 Types:1. Trombiculid Mite 2.Itch Mite
  • 21. Trombiculid Mites • Spider like arthropods • Speceis:1. Leptotrombidium deliense 2. Leptotrombidium akamushi Disease: Scrub Typhus in Asia & South Pacific
  • 22.
  • 23. Itch Mite • Sarcoptes scabiei or Acarus scabei • Small, globular arthropod, visible to naked eyes. • Habitant: Dogs, Cattle, Horse • Animals- Humans-Humans
  • 24. General Features • 0.4 mm size • Tortoise shape body, Rounded above & flattened below. • No demarcation into cephalothorax or abdomen. • Body- folds, Bristles. • Male vs. Females • 4 pair of legs: 2 in front, 2 behind
  • 25.
  • 26.
  • 27. Mode of spread: 1. Close contact : -Sleeping in same bed, -children playing with each other. Familial or house hold infection. 2. Contaminated Clothes & bed linen. 3. Contact with animals.
  • 28. • Scabies is a contagious skin disease marked by itching and small raised red spots, caused by the itch mite.
  • 29. Site of Lesions: Hands and wrist :63% Extensor aspect of elbow 10.9% Axilla, buttocks, lower abdomen Palm in infants are all common sites of infestation. 29
  • 30. Diagnosis 1. c/o itching-worse at night. 2. On examination: follicular lesions at the affected site. 3. Secondary infection: crusted papules & pustules. 4. Family History 5. Microscope: parasite under skin debris.
  • 31. Control of Scabies • Essential to treat all the members of family whether or not they appears to be infested. • Before start of treatment patient is given agood scrub with soap and hot water. • Benzyl benzoate 25% - be applied with a paint brush or shaving brush to every inch of the body below the chin including the sole of feet and allowed to dry.
  • 32. • The application repeated after 12 hours, then after 12 hrs, bath taken and all cloths should be changed & washed. • The application should not be repeated for 1 week, ow it causes Irritant dermatitis.
  • 33. • HCH: 0.5 to 1.0% strength of gamma HCH (lindane) in coconut oil or any vegetable oil. Lindane is rarely used because of its side effects. • Tetmoslol 5% of its solution is effective, there daily application are recommended. • Sulphur ointment: 2.5 to 10% daily for 4 days is a cheap remedy.
  • 34. • Before Rx., wash all wears, towels in hot water. • Items that cannot be washed or dry-cleaned can be decontaminated by removing from any body contact for at least 72 hours. • Vacuum the carpets and upholstered furniture. • Use calamine lotion and soak in a cool bath to ease itching. • Take an oral antihistamine.
  • 35. Drug of choice • 5% Permethrin- Topical application. • Ivermectin ( Single dose)- Oral DOC.