Mosquitoes & their related
Diseases
Table of Contents
• Mosquitoes & Public Health Importance
• Mosquito Anatomy & Biology
• Mosquito Identification
• Mosquito Borne Disease
Mosquitoes & Public Health
Importance
Introduction: Public Health Importance
of Mosquitoes
• All mosquitoes, being hematophagous (blood
feeding) on human and other animal hosts are
potentially vectors (transmitters) of various
diseases.
• Mosquitoes are a nuisance since they bite trying
to get a blood meal from man and his animals.
• Mosquitoes known to cause vector borne
diseases.
Introduction: Public Health Importance
of Mosquitoes
• The Aedes mosquito was introduced in the
Caribbean through the African slave trade.
• The Aedes aegypti remains the principal
vector responsible for the transmission of
Dengue, Chikungunya and Zika virus.
Introduction: Public Health Importance
of Mosquitoes
• The presence of mosquitoes means
individuals are at risk of disease transmission
which can impact on the:
– Mental and social well being of individuals
– Economic cost (vector control, sick, loss
productivity)
– Negatively on the tourism sector
Mosquito Anatomy & Biology
What is a Mosquito?
• Mosquito is an insects,
part of a group of
arthropods – crabs,
spiders and shrimps etc.
• They are invertebrate
animals with hard
exoskeletons with joints.
Life Cycle of a Mosquito
• There are four distinct stages in
the life history of the mosquito:
Egg
Larva
Pupa
Adult
•The first three stages occur in
water
• the adult is an active flying
insect that feeds upon the blood
of man and animals or upon plant
juices depending on the species
of mosquitoes.
Life Cycle of a Mosquito
Egg
• The ADULT female mosquito
takes a blood-meal and after
digestion of the blood and
absorbing the protein, flies to
an appropriate location and
lays EGGS in close proximity
to water
• Eggs are laid:
– directly on the water surface,
– on the sides of a container, or
– on plants growing in the water.
Life Cycle of a Mosquito
Egg
• Some mosquito species lay
their eggs on a moist
surface.
• When water is introduced
then the larval stage will
emerge.
• The eggs of some species
can survive up for 3-5 years
without water.
• Depending on the species,
the eggs may hatch in 1-3
days, producing LARVA.
Life Cycle of a Mosquito
Larva
• The larva of all mosquitoes live in
water
• Most mosquitoes are adapted to
almost all kinds of aquatic
environment except:
– Flowing streams
– Open waters of large streams
& seas
• These larvae may grow in 4 instars
(stages)
• They cast off their old skins and
increase in size.
• The larval stage may take up to 7
days or more, depending on the
nutrition, temperature and
species.
Life Cycle of a Mosquito
Larva
• Larval mosquitoes feed on
debris of organic matter.
• Most people can recognize
as the wriggling immature
stage of the mosquito.
• Although, mosquitoes get
their food from the water,
they must come to the
surface for air.
• It is a phase of feeding and
growth for the mosquito.
Life Cycle of a Mosquito
Pupa
• A comma-shaped phase of the
insect.
• The adult features of the adult
mosquito are developed, and only
lasts 1-2 days.
• Mortality in this stage is relatively
low
• The amount of pupa present in any
container, is a good indication of
the productivity of a container.
• The ADULT then emerges from the
pupa, takes to the wing and flies off
to mate and feed - take a blood
meal (females), or plant juices
(males).
Life Cycle of a Mosquito
Adult
• About equal numbers of
male and females
produced.
• Males usually emerge first
and remain near the larval
habitats and mates with
the female soon after their
emergence.
• Female tends to travel
greater distances and
appears to live long.
Life Cycle of a Mosquito
Adult
Habitat: Depend on the species of
mosquito
• The Aedes prefers highly domesticated
areas and breeds in clean, clear water
and bites during the day (dusk to
dawn).
• The Culex mosquito is less particular
about the water quality in which they
breed (drains and dirty bodies of water)
and prefers to feeds at dawn or after
dusk.
• The Anopheles sp. occurs in a wide
range of habitats but most species
prefer clean, unpolluted water. They can
also be found in fresh or salt water
marshes, mangrove swamps, the edge
of streams and rivers and temporary
rain pools. A few species breed in tree
holes or the leaf axils of some plants.
Most Anopheles species are active at
dusk or dawn and at nights.
Mosquito’s Anatomy
Three parts of an adult
mosquito:
• Head (eyes, antennae,
the mouth parts
(proboscis)
• Thorax (wings and
venation)
•Abdomen
Mosquito’s Anatomy
The Head
• Sensory organs which assist in
finding and feeding on people and
animals.
• Two large compound
eyes capable of detecting even
slight movement.
• Antennae, long feathery organs,
which contain sensitive receptors to
detect carbon dioxide in human
breath from distances of more than
100 feet.
• Maxillary palp which pick up the
odor of ocentol and other chemicals
released in human sweat.
• Proboscis is a long serrated
mouthpart used to pierce the skin
and suck out blood. The proboscis
holds two tubes, one that injects
saliva containing an anti-coagulant
and mild painkiller, and a second
Mosquito’s Anatomy
The thorax
• Legs – there are three pairs of legs
resulting in 6 legs. The legs are
used to identify the species of
mosquito. For example the Aedes
species have white banded legs.
Mosquito’s Anatomy
The abdomen
• There are small opening on the
abdomen called spiracles which
draws in air.
• The abdomen is also where the
mosquito stores its eggs.
Mosquito Identification
Mosquito Identification
• In the discipline of medical (public health)
entomology, a system of “keys” has been
developed to identify mosquitoes at the
species and at the generic levels.
• These keys are based on anatomical
features such as the features of:
- the head (the eyes, the
antennae, the mouth parts);
- the thorax (the wings and
venation, the scales on the wings and thorax,
the legs and details;
- the abdomen –( the shape , the
terminal segment, the hairs and scales etc.).
•However, for identification of general
common mosquito types, in the egg, larval,
pupal and adult stages of an Anopheles,
Aedes or Culex types more detail is needed.
Clue: White banded
legs
Clue: Proboscis
longer than Maxillary
Palps
Mosquitoes in St. Vincent
Mosquito Borne Diseases
Mosquito- Borne Diseases
• Aedes – associated with the transmission of Dengue Fever (DF),
Chikungunya and Zika Virus. Yellow Fever although not endemic in SVG
is endemic in Trinidad.
• Anopheles – associated with the transmission of Malaria. Malaria is not
endemic to St. Vincent and the Grenadines. It is transmitted by
Anopheles mosquitoes in Countries such as Guyana, Suriname, Belize,
Jamaica, Haiti and the Dominican Republic (DR).
• Culex associated with the transmission of Lymphatic filarias, but only
confirmed in Guyana and Suriname. The West West Nile virus
infection, transmitted by Culex mosquitoes, may be present in
migratory birds. In 2002, there were confirmed infections in birds in
Jamaica, DR and Puerto Rico. There were human cases in 2002 in
Cayman and the Bahamas, and caged bird and horse infection in
Trinidad in 2004.
Dengue Fever and Chikungunya Virus
• Viral diseases transmitted from an infected to a non-
infected person, by the bite of an Aedes aegypti
mosquito.
Characterised by the sudden onset of:
Dengue Fever Chikungunya Virus
Fever High fever
Headache Headache
Retro-orbital pains Severe joint pain mainly in arms
and legs
Backache Back pain
Loss of appetite Rash (about 50% of persons
affected)
Muscle and joint pain Muscle pain
Dengue Fever Chikungunya Virus
Typically 3 to 5 days with a
range of 3 to 15 days
Typically 3 to 7days with a
range of 1 to 12 days.
The infection is self-limiting,
and the patient infected with
one of the 4 Dengue serotypes
recovers after being unwell for
10- 15 days.
Most people start to feel
better after 7 to 10 days
although some people will
develop longer term joint
pain.
Dengue Fever and Chikungunya Virus
Incubation Period
Yellow Fever
• The "yellow" in the name refers to the jaundice that affects some patients.
• Symptoms of yellow fever include:
– Fever
– Headache
– Jaundice
– Muscle Pain
– Nausea
– Vomiting and Fatigue
• A small proportion of patients who contract the virus develop severe
symptoms and approximately half of those die within 7 to 10 days.
• The virus is endemic in tropical areas of Africa and Central and South
America but is currently not endemic to St. Vincent & the Grenadines.
• Since the launch of the Yellow Fever Initiative in 2006, significant progress
in combatting the disease has been made in West Africa and more than
105 million people have been vaccinated in mass campaigns.
Yellow Fever
• Large epidemics of yellow fever occur when infected people
introduce the virus into heavily populated areas with high
mosquito density and where most people have little or no
immunity, due to lack of vaccination. In these conditions,
infected mosquitoes transmit the virus from person to person.
• Yellow fever is prevented by an extremely effective vaccine,
which is safe and affordable. The vaccine provides effective
immunity within 30 days for 99% of persons vaccinated.
• Good supportive treatment in hospitals improves survival
rates. There is currently no specific anti-viral drug for yellow
fever.
Zika Virus
• Zika is also spread to people through the bite of an
infected Aedes aegypti mosquito.
• The virus can also be transmitted from an infected
mother to an unborn child – resulting in
microcephaly.
• This disease can also caused a paralytic disease
called Guillain-Barre Syndrome.
• Studies also shown that the virus can also be
transmitted via sexual intercourse.
Zika Virus
• People with Zika virus disease can have symptoms including:
– mild fever,
– skin rash,
– conjunctivitis,
– muscle and joint pain, malaise or
– headache.
• These symptoms normally last for 2-7 days.
• The symptoms are similar to other arbovirus
infections such as Dengue Fever, Yellow Fever and
Chikungunya
• Confirmation of diseases is done through laboratory
testing
Factors affecting Disease Transmission:
Climate/Weather conditions
• In some years there are more episodes of DF transmission
than other years, and this may be affected by climatic
conditions.
• Dry hot periods such as occur in an El Nino period – as
happened in late 2009 and early 2010 in the Caribbean – are
not very conducive for mosquito production.
• However, research has shown that the year after (El Nino +1),
when it is wet and warm could be good for mosquito
production and virus multiplication in the mosquito and
transmission to new susceptible hosts.
• Thus late 2010 may well be a dangerous year for DF
transmission in EC countries (Fig.12).
Climate/Weather conditions
• The role of the Vector Control Inspectors thus
very important in disease prevention, since:-
• There are no effective treatment or vaccines
for most diseases transmitted by the
mosquitoes.
• It is therefore, important to control/eliminate
the immature and mature stages of the
mosquito!
Questions?
41
• Members of class insecta,
order diptera
• 127 families, >85,000 species.
• Diptera - most important
vectors human disease.
 > 1 million deaths p.a.
1-1.5mm
1-3mm
18-22mm
42
Flies - blackfly
Family Simuliidae.
• Simulium damnosum, S. neavei - important vectors in Africa.
• Simulium ochraceum - important vector in New World
(Australia – New Zealand)
• Breeds close to fast moving water or water falls
– Eggs are laid on running water, larvae attach on submerged
structures e.g. rocks, trees & vegetation
– S. neavei in Africa occur on arthropods
1-3mm
1-3mm
43
Black fly
Effects on hosts.
Allergic reactions. "Blackfly fever"
Vector - Onchocerca volvulus – filarial nematode.
Vectors - Leucocytozoon spp. - "malaria" in birds.
1-3mm
44
Midges.
Effects on vertebrate hosts:
• Annoyance.
• Vectors of Acanthocheilonema perstans -
filarial parasite humans and other filarial
nematodes.
1-1.5mm
45
Tabanids
Order Diptera.
Suborder Brachycera
Family Tabanidae.
• ~ 4000 species
• Females intermittent parasites
• Males not parasitic
• Adults - large body (6-25mm long)
• Large eyes - facilitates host location
• Mouthparts - cut large wound, where they feed
from a formed pool of blood
18-22mm
46
(c). Flies - tabanids
& bacteria.
Suborder Brachycera, Family Tabanidae.
• Mechanical vectors:
– Bacillus anthracis – anthrax.
– Francisella tularensis - tularemia – deerflies Chrysops spp.
• Blood loss
Important genera:
• Tabanus
18-22mm
18-22mm
47
Flies - tabanids
• Vectors Loa loa, - filarial nematode.
• “Eye worm“.
• Vectors for Chrysops spp. (deerflies).
• C. dimidiata - most important.
18-22mm
18-22mm
48
Flies - tsetse fly
Family Glossinidae, genus Glossina.
• Hosts & vectors of trypanosome protozoans.
• Trypanosoma brucei species complex.
• Sub-saharan Africa.
49
Flies - sandflies
Family Psychodidae
Phlebotomus & Lutzomyia species
• Vectors of Leishmania - protozoa
• Cutaneous leishmaniasis (L. tropica - Old World
• L. mexicana- New World)
• Mucocutaneous leishmaniasis (espundia) - L.
braziliensis
• Visceral leishmanisis (kala azar) - L. donovani
50
Sand fly
• Sand flies
• Phlebotomus & Lutzomyia
• Short mouth parts, pool feeders
• Only ♀♀ take blood
• Vector of Leishmania, bartonellosis
(bacterial) & sand fly fever (viral)
• Less than 5mm length, hairy body &
wings
• Old world species live in arid/semi-
arid conditions, new world species are
forest dwellers
• Epidemiological implication
• Have limited flight range close to
breeding sites
• Most active at twilight, night & shade
51
House fly
• Musca domestica
• Domestic flies act as mechanical vectors of
many diseases
52
Public Health importance
1. Nuisance
• Large numbers flies can be bring significant
nuisance by disturbing people during work
and at leisure.
• Flies soil the inside and outside of houses
with their feaces.
• They can also have a negative psychological
impact because their presence is considered a
sign of unhygienic conditions.
53
2. Diseases
• Flies can spread diseases because they feed freely on
human food and filthy matter
• Flies pick up disease-causing organisms while
crawling and feeding
• Those that stick to the outside surfaces of the fly
may survive for only a few hours, but those that are
ingested with the food may survive in the fly’s crop
or gut for several days
54
Diseases that flies can transmit include enteric
infections (such as dysentery, diarrhoea,
typhoid, cholera and certain helminth
infections), eye Infections (such as trachoma)
• Triatomine Bugs
(Order Hemiptera,
Genus Triatoma)
• Fleas (Order Siphonaptera)
Human Flea (Pulex)
Rat Flea (Xenopsylla)
Cat Flea (Ctenocephalides)
Jigger Flea(Tunga)
Bedbugs (Cimex)
Bugs
• Class: Insecta
• Order: Hemiptera
• Family: Cimicidae ( bed bugs )
• Family: Reduviidae
• Sub-family: Triatominae
• 15 genera with > 100 spp
• Panstrongylus, Triatoma, Rhodnius
Bed bugs
• Family: Cimicidae
• Blood sucking
• Temporary ectoparasites of birds and
mammals
• Human parasites:
–Cimex lectularis - main
–Cimex hemipterus
57
Morphology
• Oval, dorso-ventrally flattened, red-brown
bodies
• They are covered with short, stout hairs
• They are 5-7mm long, with females slightly
larger than males
• Head have prominent compound eyes.
• The proboscis is flexed backwards under the
head when not in use
• Legs terminate in a pair of simple claws
• Forewings reduced (hemielytra pads), hind wings
absent
58
59
Habits
• They feed at night on humans or other
mammals
• A blood meal is essential to production
of eggs
• Conceal themselves during the day in
crevices of wooden beds, mattresses,
or under loose wallpaper.
• In search for hosts, they respond to
warmth & CO2, odours
60
Habits...
• Are easily transported in clothing and
baggage
• In cold weather they remain inactive in
hiding places
• They can survive starvation for over a
year
• Emit a characteristic odour from scent
glands
• Often found in dwellings with high rate of
occupant turnover – hotels, motels,
hostels, shelters & apartment complexes
61
Life Cycle
• Females deposit about 200 eggs in cracks
and crevices
• Eggs
– White, ovoid, about 1mm in length
– Have an operculum at the anterior end
– They are coated with transparent cement
– They hatch in 4-10days
– No hatching at 37⁰ or below 13⁰ C
• Incomplete metamorphosis
62
Life cycle...
• Nymph
–Yellowish-white to brown
–Passes through 5 or 6 moults before
becoming a sexually mature adult
• At 30⁰C, development from eggs to adult
takes 3 weeks
• The life span of the adult is 6-12 months
63
Medical Importance
• Sleep disturbance
• Biting nuisance
– The bite produces red, itching wheals
– Allergic symptoms – local or generalised urticaria and
asthma
• Transmission of diseases?
– Not believed to be a vector of disease
– As a mechanical carrier - Hepatitis B virus from human
to human. Virus from faeces could infect a person by
contamination of skin lesions or mucosal surfaces or
by ingestion of dust
64
Triatomine bugs
Family: reduviidae
Sub-family: triatominae
• Cone nose/assassin/kissing bugs
• Medically important, only found in americas
• Size: 1-4 cm long
• Elongated head
• Lateral 4- segmented antennae
• Eyes lateral
Tritomine bugs...
• Proboscis ventrad
• Two pairs of wings
• Basal fore wing thick/hardened, posterior wing
membrenous = heteroptera
• Lateral margins of abdomen visible dorsally
Triatomine bugs…
• Most are dull brown but some may have markings
• The shape of the head, position of the antennae
relative to the eyes: genera specific
• Hemimetabolous
• Eggs laid in/near host habitations: cracks on walls
etc
Life cycle…
• Eggs are laid in batches 100-800
• Hatch into wingless nymphs
• There are 5 nymphal instars, each requiring
blood
• N4 and N5 have rudimentary wings
• May take in blood up to 10x body weight
• Assassin?
Life cycle…
• Both nymphs and adults feed nocturnally
• Feed on exposed parts of the body: face, eyes,
nose, mouth - kissing
• Defecates during feeding
• Feed on humans, wild and domestic animals.
Life cycle…
• Development from egg to egg takes 3 months in lab
but may take 1-2 yrs in nature
• Vectors of T. cruzi:
• R. prolixus, P. megistus, T. dimidiata and T.
infestans
• Prevention and control
• Insecticide residual spraying, Insecticide treated
bednets, improved housing
Order Siphonaptera
• SIPHONAPTERA: Greek "siphon" (hollow tube) + "a"
(without) + "pteron" (wing); fleas are wingless and have
tube-like mouthparts for sucking blood
• Body hard, laterally compressed, and bristly
• Legs long with large coxae and 5-segmented tarsi
• Generally live as ectoparasites of mammals and birds.
• Fleas transmit various pathogens, including tapeworm and
bubonic plague.
• About 1,100 species of Siphonaptera in the world, 238 in
North America.
• 7 families of fleas based on characters of the head,
abdomen, and various bristles. Many characters are visible
only on specimens mounted on microscope slides.
Order Siphonaptera...
Pulicidae -- common fleas
Ischnopsyllidae -- bat fleas
Tungidae -- sticktight and chigoe fleas
Dolichopsyllidae --rodent fleas
Hystrichopsyllidae -- rat and mouse fleas
Malacopsyllidae -- malacopsyllid fleas
Vermipsyllidae -- carnivore fleas
Distribution
• Species and genera are distributed in East-Asian,
Central-Asian, West-American, Patagonian, Papuan
(New Guinean), and East-African zoogeographical
subregions.
• Forest foothills with temperate and subtropical climate
most favourable conditions for the fleas.
Morphology
• Shape of the head, flat body & prehensile claws
of legs help it to move easily through host’s
wool
• Length of jump some flea species attain ~32
cm, average body length being from 1 to 5 mm
Biology
• Fleas are obligatory blood feeders parasitizing warm-
blooded vertebrates. More than 94% of known species
are parasites of mammals and only about 5% of them
occur on birds
• Fleas have 4 phases of development - the egg, the free-
living larva, pupa and the imago
• The larvae is wormlike, legless & eyeless with biting
mouth parts. The larvae undergoes 3 instars. Prior to
pupation it empties the alimentary canal, and spin a
silken cocoon
• The majority of fleas are closely associated with the
host's home (nest, burrow etc), attacking the host for
feeding
Life cycle
• Adult flea jumps onto a host, gets a meal. A flea
bite becomes inflamed, itchy and swollen
• Once fed, the flea will mate and lay eggs. This
occurs in yards, houses, & on pets
• In the next two to three weeks, hundreds of eggs
will be laid in yard, house and on the host
• Eggs hatch into small larvae, which feed on
anything organic. Including dried blood, flea
faeces, animal hair.
Life cycle...
• The larva will feed for days, spin a cocoon and undergo
metamorphosis
• This stage is called the flea pupa. Its a worst stage
because of its resistance to control
• The cycle is completed when the flea pupa hatches
out. Hatching occurs when a host is close, will bite and
the cycle will start all over again
Medical significance
• Fleas transmit pathogens that cause disease in
humans and other animals.
• The Cat and Dog flea are intermediate hosts for a tapeworm
(Dipylidium caninum) that infects dogs, cats, and humans
• The Rabbit flea spreads a myxomatosis virus within rabbit
populations
• Oriental Rat Flea is the primary vector of Yersinia pestis,
the bacterial pathogen for bubonic plague.
• The cat flea commonly infests dogs, dog flea may
infest cats; both species may bite humans
Medical significance...
• Sand flea/jigger, Tunga penetrans
• Infect humans, pigs, birds
• Adapted to intracutaneous attachment, larvae free living, adults
free living but after mating penetrate the hosts.
• Soft areas are preferred for penetration
• In the body attaches with mouth, swells and envelops itself
leaving a spiracle for breathing
• Irritations start when a flea is mature, scratching helps to release
eggs
Control
• Best stage to control is an egg
• Treating animal pets
• If the pet is an inside animal, treat the home and the pet
• If the pet is an outside animal, treat the pet & the area the pet has
access to
• Treat home areas when fleas suspected
• Application of repellents
• Keeping environments clean out of organic matter
• Sweeping, mopping floors
• Treating floors with insecticides; DDT, OPs, PY, Cb
• Burning off infested soils
• Flea trap to induce hatching of pupae
Control...
• Wearing good, intact shoes
• Daily inspection of areas of the feet (interdigital
clefts)
83
Other ectoparasites
Arachnid Vectors
1. TICKS
Soft Ticks (Ornithodorus)
Hard Ticks (Ixodes, Amblyomma,
Rhipicephalus, Dermacentor)
2. MITES
(Dematophagoides, Demodex,
Sarcoptes)
• Lice (Order Phthiraptera)
– Head/Body Lice (Pediculus)
Crab Lice (Phthirus)
TICKS
• Soft Ticks
Class: Arachnida
Order: Acarina
Family: Argasidae
Genus: Ornithodorous
General Characteristics
-tough leathery integument
-flattened oval shape when examined
dorsally
-they lack the dorsal shield
-they need to be examined ventrally to
observe their capitulum or
mouthparts.
84
Ticks
• Ornithodoros spp. is the
most important soft tick
disease vector found
throughout the world
Ornithodoros populating in
Europe, Africa, Asia and
Americas.
Life cycles
• Soft ticks have a
hemimetabolous life cycle,
eggs hatching six legged
larvae, which moult to eight
legged nymphs
85
• There are 5 - 7 larval instars
depending on the species
• Each stage requiring a blood
meal to proceed except of
Ornithodoros moubata
• Adult females lay small egg
batches following each blood
meal
• The duration of the life cycle
depends on temperature, host
availability and species
Disease
• Soft Ticks are vectors for
serious disease including :
– Tick borne relapsing fever
(Borrelia duttoni)
– Rickettsial disease (Coxiella
burneti), and some arboviruses
86
Hard Ticks
• Class: Arachnida
• Order: Acarina
• Family: Ixodidae
• Genus: Ixodes, Amblyomma, Rhipicephalus,
Dermacentor
87
• They are flattened when examined dorsally
• Characterized by the presence of a dorsal plate or
scutum, and a capitulum that projects beyond the body
outline
• The scutum regularly covers the entire dorsal area
• Ixodes spp. inhabit in Canada, Europe, Russia,
China, Japan and Australia
General Characteristics
88
• Ixodes Adult male
showing the scutum
covering the whole length
of the body
• The capitulum is seen
protruding forward
beyond the body outline
89
Life Cycle
• Similar to that of Soft Ticks
• There is only one nymph stage in Ixodes, and
following several weeks of stasis the nymph
will metamorphose into an adult
91
Diseases
• Hard ticks transmit lyme disease, tick paralysis and
Rickettsiae
• Arboviruses that are responsible for encephalitis and
haemorrhagic fevers, tularaemia and Babesia microti
infection
92
Other medically important Hard Ticks
Wood ticks
(Dermacentor andersoni)
• Found in the
mountainous west of
North America;
• Dog ticks
(Rhipicephalus) found in
coastal areas.
• Lone Star ticks
(Amblyomma
mericanum) found in
forests in SE USA
• The females of these
species causes tick
paralysis.
93
• Dermacentor variabilis • Amblyomma, male hard
tick.
94
• Both Dermacentor and Amblyomma transmit Rocky
Mountain Spotted Fever (Rickettsia rickettsia).
• Dermacentor transmit arboviruses responsible for
encephalitis and heamorrhagic fevers.
• D. variabilis is also responsible for spreading
tularaemia, Mediterranean Spotted Fever and
African Tick Typhus.
95
Control
• Improve sanitation
• Cementing floors to eliminate cracks and crevices
and facilitate cleanliness
• Where floors are not cemented should be kept out
of dust
• The floors and walls up to a height of about half a
meter should be spread or dusted with lindane
96
• With dust floor monthly application would be
necessary
• Other chlorinated hydrocabons, organophosphorus
compounds, carbomates or pyrethroids may be
used
97
Mites
• Class: Arachnida
• Order: Acarina
• Genus: Dematophagoides,
Demodex, Sarcoptes
• General Characteristics
• Dematophagoides, is a
common dust mite,
inhabit beds,
mattresses, carpets and
house dust
98
• They are motile
• They feed on residual
organic debris 0.3 mm
in length
• They have four long
legs, suckers and pincer
chelicerae
99
• Dermatophagoides are antigenic, even when dead
(fecal pellets are also allergenic)
• Associated with complex allergies & symptoms such
as asthma, conjunctivitis and dermatitis.
• A treatment involves removal of accumulated
antigens from mattresses and pillows
100
• Demodex have been implicated in dermatitis and
should be considered in chronic, therapy-resistant
cases of blepharitis (inflammation of eyelids)
• The role of this mite in ocular disease is uncertain
washing with soap and water is the most effective
method of prevention.
101
• The mite, Sarcoptes scabiei, lives
on human skin causes scabies
• It is small (larger female is 0.3-
0.4 mm), colorless and oval with
8 short legs
102
• Symptoms of Sarcoptes infection arise after 4-6
weeks post invasion
• Comprise a papular pruritic eruption at a site
often unrelated to the site of infestation;
symptoms of secondary infestations arise almost
immediately
103
• Persistent nodular scabies involve itchy
erythematous or scabbed nodules
• When the immune system is impaired, Norwegian
(crusted) scabies may develop
– This presents with erythema and hyperkeratosis but little
itching
104
Diagnosis
• Discovery of mites or eggs by epidermal shave
biopsy or superficial scraping
• Burrows are best seen on wrists and inter-digital
spaces
• They fluoresce under a Wood's lamp after
application of liquid tetracycline and alcohol;
alternatively ink may be used
105
Treatment and control
• Lindane lotion is the treatment of choice,
permethrin is another alternative
• Ivermectin has been recommended for
Norwegian scabies
• Malathion liquid can also be used, benzyl
benzoate is also active
106
• Malathion should be avoided in infants
• Lindane should be avoided in pregnancy, breast-
feeding and in young children
• Treatment is applied over the whole body except
the head and neck and washed off after 24 hours
107
• Normal laundering of bed linen and clothes is
recommended
• Household and sexual contacts should also be
treated
• Symptoms may continue after treatment
because of persisting antigens, Calamine lotion
may be used
– other problems include re-infestation and secondary
bacterial infection
Myiasis
• Infestation of the organs and tissues
of humans or animals by fly larvae that
for some period of time, feed upon the
living or dead tissues or the ingested
food of the host
• It is the condition in which larvae of
flies exist as parasites in bodies of
vertebrates
Myasis
• Myasis is caused when fly maggots
(larvae of dipterans) invade living tissue or
when they are harboured in the intestines
or bladder
• Clinically, maggots causing myasis attack
three parts of the bogy: Cutaneous tissue,
body cavities and gut lumen
Myasis
• Some spp of maggots cause subcutaneous myasis, invade sores
&wounds (wound myasis), burrow under the skin (dermal
myasis)
• Body cavity myasis: Nasal myasis, ocular myasis ear myasis,
myasis of the anus and vagina
• Intestinal myasis-Eggs/larvae of many spp are deposited on
food stuffs may survive the journey to intestinal tract. They may
persist for months producing severe anxiety, and intestinal
irritation
Myasis
• Accidental = Facultative Myiasis
• Obligatory Myiasis
Myasis
• A number of families of flies e.g. Calliphoridae, Sarcophagidae
and Oestridae are composed of flies that are have either
facultative or obligate parasitic larval forms
• Family: Calliphoridae
• Non- metallic flies e.g. Cordylobia anthropophaga(Tumbu fly),
Auchmeromya senegalensis (Congo floor maggot)
• Metallic flies screw worms e.g. Cochliomya hominivorax(New
World), Chrysomia spp (Old World)
• Blow flies e.g. Lucilia spp (green bottles), Calliphora spp
Myasis
Family Sarcophagidae(Flesh flies)
The two genera Sarcophaga and Wohlfahrtia are of medical
importance
Family Oestridae
Subfamilies: Oestrinae, Gasterophilinae, Hypodermatinae and
Cuterebrinae.
Oestrinae, Gasterophilinae, Hypodermatinae are obligatory parasites of
domestic animals
Cuterebrinae has six genera that cause myasis in rodents, monkeys and
livestock
-Dermatobia hominis causes obligatory myasis in people and animals
living in central and south America
Facultative Myiasis
• Cutaneous myiasis - usually around wounds
• Larvae normally found in meat or carrion occasionally adapt
to a parasitic existence
• Usually do not invade healthy tissues
• Typically blow flies: species of Calliphora (bluebottles),
Lucilia (greenbottles), Phormia, Sarcophaga and
Wohlfahrtia (flesh flies), Cochliomyia macellaria (secondary
screw-worm), and others
Forensic Entomology, 2001. Byrd and Castner, Eds.
Forensic Entomology, 2001. Byrd and Castner, Eds.
Forensic Entomology, 2001. Byrd and Castner, Eds.
Facultative Myiasis
• Enteric Myiasis - accidental ingestion
• 50 species reported - most Muscidae and
Sarcophagidae
• Passive transport of larvae - no development in host
digestive tract
• Severity depends on fly species, number, location
• Genera commonly involved: Musca, Fannia,
Muscina
Facultative Myiasis
• Rectal/Urogenital Myiasis – access to intestine via
anus; larvae feed on excrement
• Immature stages may be completed in rectum or
terminal part of intestine
• Can occur in humans under unsanitary conditions
• Primary genera - Fannia, Musca, Sarcophaga
Sarcophaga Species
Obligatory Myiasis
• Calliphorids (non-metallic):
 Cordylobia anthropophaga - tumbu or mango fly (Africa);
larvae attach and burrow into skin leaving spiracles
exposed - boil-like swelling [cover with paraffin or oil to
extract]
 Auchmeromyia senegalensis - Congo floor-maggot
(Africa); adult looks like tumbu fly, but larvae do not
remain attached; feed nightly from people sleeping on
the floor
Obligatory Myiasis
• Calliphorids (metallic):
 Cochliomyia hominivorax - New World screw-worm;
eradicated from US and Mexico, but outbreaks possible
 Chrysomya bezziana - Old World screw-worm
• Sarcophagids (flesh flies):
 Wohlfahrtia magnifica - ear, eye, nose
• Oestrids (bot flies):
 Gasterophilus, Hypoderma, Oestrus, Cuterebra sp., and
Dermatobia hominis (human bot fly)
Dermatobia hominis larva
(human bot fly)
Control of Myiasis Species
• Control or eradication of the fly population - through
environmental sanitation or chemical control
• Avoidance of infestation (mechanical control) - do not sleep
outdoors or on the ground during fly activity, dress or cover
wounds to avoid fly strikes, use screening
• Treatment of infestation (remove larvae - antibiotic follow-up)

MEDICAL ENTOMOLOGY AND VECTOR SCIENCES MERGED sssss.pptx

  • 1.
    Mosquitoes & theirrelated Diseases
  • 2.
    Table of Contents •Mosquitoes & Public Health Importance • Mosquito Anatomy & Biology • Mosquito Identification • Mosquito Borne Disease
  • 3.
    Mosquitoes & PublicHealth Importance
  • 4.
    Introduction: Public HealthImportance of Mosquitoes • All mosquitoes, being hematophagous (blood feeding) on human and other animal hosts are potentially vectors (transmitters) of various diseases. • Mosquitoes are a nuisance since they bite trying to get a blood meal from man and his animals. • Mosquitoes known to cause vector borne diseases.
  • 5.
    Introduction: Public HealthImportance of Mosquitoes • The Aedes mosquito was introduced in the Caribbean through the African slave trade. • The Aedes aegypti remains the principal vector responsible for the transmission of Dengue, Chikungunya and Zika virus.
  • 6.
    Introduction: Public HealthImportance of Mosquitoes • The presence of mosquitoes means individuals are at risk of disease transmission which can impact on the: – Mental and social well being of individuals – Economic cost (vector control, sick, loss productivity) – Negatively on the tourism sector
  • 7.
  • 8.
    What is aMosquito? • Mosquito is an insects, part of a group of arthropods – crabs, spiders and shrimps etc. • They are invertebrate animals with hard exoskeletons with joints.
  • 9.
    Life Cycle ofa Mosquito • There are four distinct stages in the life history of the mosquito: Egg Larva Pupa Adult •The first three stages occur in water • the adult is an active flying insect that feeds upon the blood of man and animals or upon plant juices depending on the species of mosquitoes.
  • 10.
    Life Cycle ofa Mosquito Egg • The ADULT female mosquito takes a blood-meal and after digestion of the blood and absorbing the protein, flies to an appropriate location and lays EGGS in close proximity to water • Eggs are laid: – directly on the water surface, – on the sides of a container, or – on plants growing in the water.
  • 11.
    Life Cycle ofa Mosquito Egg • Some mosquito species lay their eggs on a moist surface. • When water is introduced then the larval stage will emerge. • The eggs of some species can survive up for 3-5 years without water. • Depending on the species, the eggs may hatch in 1-3 days, producing LARVA.
  • 12.
    Life Cycle ofa Mosquito Larva • The larva of all mosquitoes live in water • Most mosquitoes are adapted to almost all kinds of aquatic environment except: – Flowing streams – Open waters of large streams & seas • These larvae may grow in 4 instars (stages) • They cast off their old skins and increase in size. • The larval stage may take up to 7 days or more, depending on the nutrition, temperature and species.
  • 13.
    Life Cycle ofa Mosquito Larva • Larval mosquitoes feed on debris of organic matter. • Most people can recognize as the wriggling immature stage of the mosquito. • Although, mosquitoes get their food from the water, they must come to the surface for air. • It is a phase of feeding and growth for the mosquito.
  • 14.
    Life Cycle ofa Mosquito Pupa • A comma-shaped phase of the insect. • The adult features of the adult mosquito are developed, and only lasts 1-2 days. • Mortality in this stage is relatively low • The amount of pupa present in any container, is a good indication of the productivity of a container. • The ADULT then emerges from the pupa, takes to the wing and flies off to mate and feed - take a blood meal (females), or plant juices (males).
  • 15.
    Life Cycle ofa Mosquito Adult • About equal numbers of male and females produced. • Males usually emerge first and remain near the larval habitats and mates with the female soon after their emergence. • Female tends to travel greater distances and appears to live long.
  • 16.
    Life Cycle ofa Mosquito Adult Habitat: Depend on the species of mosquito • The Aedes prefers highly domesticated areas and breeds in clean, clear water and bites during the day (dusk to dawn). • The Culex mosquito is less particular about the water quality in which they breed (drains and dirty bodies of water) and prefers to feeds at dawn or after dusk. • The Anopheles sp. occurs in a wide range of habitats but most species prefer clean, unpolluted water. They can also be found in fresh or salt water marshes, mangrove swamps, the edge of streams and rivers and temporary rain pools. A few species breed in tree holes or the leaf axils of some plants. Most Anopheles species are active at dusk or dawn and at nights.
  • 17.
    Mosquito’s Anatomy Three partsof an adult mosquito: • Head (eyes, antennae, the mouth parts (proboscis) • Thorax (wings and venation) •Abdomen
  • 18.
    Mosquito’s Anatomy The Head •Sensory organs which assist in finding and feeding on people and animals. • Two large compound eyes capable of detecting even slight movement. • Antennae, long feathery organs, which contain sensitive receptors to detect carbon dioxide in human breath from distances of more than 100 feet. • Maxillary palp which pick up the odor of ocentol and other chemicals released in human sweat. • Proboscis is a long serrated mouthpart used to pierce the skin and suck out blood. The proboscis holds two tubes, one that injects saliva containing an anti-coagulant and mild painkiller, and a second
  • 19.
    Mosquito’s Anatomy The thorax •Legs – there are three pairs of legs resulting in 6 legs. The legs are used to identify the species of mosquito. For example the Aedes species have white banded legs.
  • 20.
    Mosquito’s Anatomy The abdomen •There are small opening on the abdomen called spiracles which draws in air. • The abdomen is also where the mosquito stores its eggs.
  • 21.
  • 22.
    Mosquito Identification • Inthe discipline of medical (public health) entomology, a system of “keys” has been developed to identify mosquitoes at the species and at the generic levels. • These keys are based on anatomical features such as the features of: - the head (the eyes, the antennae, the mouth parts); - the thorax (the wings and venation, the scales on the wings and thorax, the legs and details; - the abdomen –( the shape , the terminal segment, the hairs and scales etc.). •However, for identification of general common mosquito types, in the egg, larval, pupal and adult stages of an Anopheles, Aedes or Culex types more detail is needed.
  • 23.
  • 24.
  • 27.
  • 28.
  • 29.
    Mosquito- Borne Diseases •Aedes – associated with the transmission of Dengue Fever (DF), Chikungunya and Zika Virus. Yellow Fever although not endemic in SVG is endemic in Trinidad. • Anopheles – associated with the transmission of Malaria. Malaria is not endemic to St. Vincent and the Grenadines. It is transmitted by Anopheles mosquitoes in Countries such as Guyana, Suriname, Belize, Jamaica, Haiti and the Dominican Republic (DR). • Culex associated with the transmission of Lymphatic filarias, but only confirmed in Guyana and Suriname. The West West Nile virus infection, transmitted by Culex mosquitoes, may be present in migratory birds. In 2002, there were confirmed infections in birds in Jamaica, DR and Puerto Rico. There were human cases in 2002 in Cayman and the Bahamas, and caged bird and horse infection in Trinidad in 2004.
  • 31.
    Dengue Fever andChikungunya Virus • Viral diseases transmitted from an infected to a non- infected person, by the bite of an Aedes aegypti mosquito. Characterised by the sudden onset of: Dengue Fever Chikungunya Virus Fever High fever Headache Headache Retro-orbital pains Severe joint pain mainly in arms and legs Backache Back pain Loss of appetite Rash (about 50% of persons affected) Muscle and joint pain Muscle pain
  • 32.
    Dengue Fever ChikungunyaVirus Typically 3 to 5 days with a range of 3 to 15 days Typically 3 to 7days with a range of 1 to 12 days. The infection is self-limiting, and the patient infected with one of the 4 Dengue serotypes recovers after being unwell for 10- 15 days. Most people start to feel better after 7 to 10 days although some people will develop longer term joint pain. Dengue Fever and Chikungunya Virus Incubation Period
  • 33.
    Yellow Fever • The"yellow" in the name refers to the jaundice that affects some patients. • Symptoms of yellow fever include: – Fever – Headache – Jaundice – Muscle Pain – Nausea – Vomiting and Fatigue • A small proportion of patients who contract the virus develop severe symptoms and approximately half of those die within 7 to 10 days. • The virus is endemic in tropical areas of Africa and Central and South America but is currently not endemic to St. Vincent & the Grenadines. • Since the launch of the Yellow Fever Initiative in 2006, significant progress in combatting the disease has been made in West Africa and more than 105 million people have been vaccinated in mass campaigns.
  • 34.
    Yellow Fever • Largeepidemics of yellow fever occur when infected people introduce the virus into heavily populated areas with high mosquito density and where most people have little or no immunity, due to lack of vaccination. In these conditions, infected mosquitoes transmit the virus from person to person. • Yellow fever is prevented by an extremely effective vaccine, which is safe and affordable. The vaccine provides effective immunity within 30 days for 99% of persons vaccinated. • Good supportive treatment in hospitals improves survival rates. There is currently no specific anti-viral drug for yellow fever.
  • 35.
    Zika Virus • Zikais also spread to people through the bite of an infected Aedes aegypti mosquito. • The virus can also be transmitted from an infected mother to an unborn child – resulting in microcephaly. • This disease can also caused a paralytic disease called Guillain-Barre Syndrome. • Studies also shown that the virus can also be transmitted via sexual intercourse.
  • 36.
    Zika Virus • Peoplewith Zika virus disease can have symptoms including: – mild fever, – skin rash, – conjunctivitis, – muscle and joint pain, malaise or – headache. • These symptoms normally last for 2-7 days. • The symptoms are similar to other arbovirus infections such as Dengue Fever, Yellow Fever and Chikungunya • Confirmation of diseases is done through laboratory testing
  • 37.
    Factors affecting DiseaseTransmission: Climate/Weather conditions • In some years there are more episodes of DF transmission than other years, and this may be affected by climatic conditions. • Dry hot periods such as occur in an El Nino period – as happened in late 2009 and early 2010 in the Caribbean – are not very conducive for mosquito production. • However, research has shown that the year after (El Nino +1), when it is wet and warm could be good for mosquito production and virus multiplication in the mosquito and transmission to new susceptible hosts. • Thus late 2010 may well be a dangerous year for DF transmission in EC countries (Fig.12).
  • 38.
  • 39.
    • The roleof the Vector Control Inspectors thus very important in disease prevention, since:- • There are no effective treatment or vaccines for most diseases transmitted by the mosquitoes. • It is therefore, important to control/eliminate the immature and mature stages of the mosquito!
  • 40.
  • 41.
    41 • Members ofclass insecta, order diptera • 127 families, >85,000 species. • Diptera - most important vectors human disease.  > 1 million deaths p.a. 1-1.5mm 1-3mm 18-22mm
  • 42.
    42 Flies - blackfly FamilySimuliidae. • Simulium damnosum, S. neavei - important vectors in Africa. • Simulium ochraceum - important vector in New World (Australia – New Zealand) • Breeds close to fast moving water or water falls – Eggs are laid on running water, larvae attach on submerged structures e.g. rocks, trees & vegetation – S. neavei in Africa occur on arthropods 1-3mm 1-3mm
  • 43.
    43 Black fly Effects onhosts. Allergic reactions. "Blackfly fever" Vector - Onchocerca volvulus – filarial nematode. Vectors - Leucocytozoon spp. - "malaria" in birds. 1-3mm
  • 44.
    44 Midges. Effects on vertebratehosts: • Annoyance. • Vectors of Acanthocheilonema perstans - filarial parasite humans and other filarial nematodes. 1-1.5mm
  • 45.
    45 Tabanids Order Diptera. Suborder Brachycera FamilyTabanidae. • ~ 4000 species • Females intermittent parasites • Males not parasitic • Adults - large body (6-25mm long) • Large eyes - facilitates host location • Mouthparts - cut large wound, where they feed from a formed pool of blood 18-22mm
  • 46.
    46 (c). Flies -tabanids & bacteria. Suborder Brachycera, Family Tabanidae. • Mechanical vectors: – Bacillus anthracis – anthrax. – Francisella tularensis - tularemia – deerflies Chrysops spp. • Blood loss Important genera: • Tabanus 18-22mm 18-22mm
  • 47.
    47 Flies - tabanids •Vectors Loa loa, - filarial nematode. • “Eye worm“. • Vectors for Chrysops spp. (deerflies). • C. dimidiata - most important. 18-22mm 18-22mm
  • 48.
    48 Flies - tsetsefly Family Glossinidae, genus Glossina. • Hosts & vectors of trypanosome protozoans. • Trypanosoma brucei species complex. • Sub-saharan Africa.
  • 49.
    49 Flies - sandflies FamilyPsychodidae Phlebotomus & Lutzomyia species • Vectors of Leishmania - protozoa • Cutaneous leishmaniasis (L. tropica - Old World • L. mexicana- New World) • Mucocutaneous leishmaniasis (espundia) - L. braziliensis • Visceral leishmanisis (kala azar) - L. donovani
  • 50.
    50 Sand fly • Sandflies • Phlebotomus & Lutzomyia • Short mouth parts, pool feeders • Only ♀♀ take blood • Vector of Leishmania, bartonellosis (bacterial) & sand fly fever (viral) • Less than 5mm length, hairy body & wings • Old world species live in arid/semi- arid conditions, new world species are forest dwellers • Epidemiological implication • Have limited flight range close to breeding sites • Most active at twilight, night & shade
  • 51.
    51 House fly • Muscadomestica • Domestic flies act as mechanical vectors of many diseases
  • 52.
    52 Public Health importance 1.Nuisance • Large numbers flies can be bring significant nuisance by disturbing people during work and at leisure. • Flies soil the inside and outside of houses with their feaces. • They can also have a negative psychological impact because their presence is considered a sign of unhygienic conditions.
  • 53.
    53 2. Diseases • Fliescan spread diseases because they feed freely on human food and filthy matter • Flies pick up disease-causing organisms while crawling and feeding • Those that stick to the outside surfaces of the fly may survive for only a few hours, but those that are ingested with the food may survive in the fly’s crop or gut for several days
  • 54.
    54 Diseases that fliescan transmit include enteric infections (such as dysentery, diarrhoea, typhoid, cholera and certain helminth infections), eye Infections (such as trachoma)
  • 55.
    • Triatomine Bugs (OrderHemiptera, Genus Triatoma) • Fleas (Order Siphonaptera) Human Flea (Pulex) Rat Flea (Xenopsylla) Cat Flea (Ctenocephalides) Jigger Flea(Tunga) Bedbugs (Cimex)
  • 56.
    Bugs • Class: Insecta •Order: Hemiptera • Family: Cimicidae ( bed bugs ) • Family: Reduviidae • Sub-family: Triatominae • 15 genera with > 100 spp • Panstrongylus, Triatoma, Rhodnius
  • 57.
    Bed bugs • Family:Cimicidae • Blood sucking • Temporary ectoparasites of birds and mammals • Human parasites: –Cimex lectularis - main –Cimex hemipterus 57
  • 58.
    Morphology • Oval, dorso-ventrallyflattened, red-brown bodies • They are covered with short, stout hairs • They are 5-7mm long, with females slightly larger than males • Head have prominent compound eyes. • The proboscis is flexed backwards under the head when not in use • Legs terminate in a pair of simple claws • Forewings reduced (hemielytra pads), hind wings absent 58
  • 59.
  • 60.
    Habits • They feedat night on humans or other mammals • A blood meal is essential to production of eggs • Conceal themselves during the day in crevices of wooden beds, mattresses, or under loose wallpaper. • In search for hosts, they respond to warmth & CO2, odours 60
  • 61.
    Habits... • Are easilytransported in clothing and baggage • In cold weather they remain inactive in hiding places • They can survive starvation for over a year • Emit a characteristic odour from scent glands • Often found in dwellings with high rate of occupant turnover – hotels, motels, hostels, shelters & apartment complexes 61
  • 62.
    Life Cycle • Femalesdeposit about 200 eggs in cracks and crevices • Eggs – White, ovoid, about 1mm in length – Have an operculum at the anterior end – They are coated with transparent cement – They hatch in 4-10days – No hatching at 37⁰ or below 13⁰ C • Incomplete metamorphosis 62
  • 63.
    Life cycle... • Nymph –Yellowish-whiteto brown –Passes through 5 or 6 moults before becoming a sexually mature adult • At 30⁰C, development from eggs to adult takes 3 weeks • The life span of the adult is 6-12 months 63
  • 64.
    Medical Importance • Sleepdisturbance • Biting nuisance – The bite produces red, itching wheals – Allergic symptoms – local or generalised urticaria and asthma • Transmission of diseases? – Not believed to be a vector of disease – As a mechanical carrier - Hepatitis B virus from human to human. Virus from faeces could infect a person by contamination of skin lesions or mucosal surfaces or by ingestion of dust 64
  • 65.
    Triatomine bugs Family: reduviidae Sub-family:triatominae • Cone nose/assassin/kissing bugs • Medically important, only found in americas • Size: 1-4 cm long • Elongated head • Lateral 4- segmented antennae • Eyes lateral
  • 66.
    Tritomine bugs... • Proboscisventrad • Two pairs of wings • Basal fore wing thick/hardened, posterior wing membrenous = heteroptera • Lateral margins of abdomen visible dorsally
  • 67.
    Triatomine bugs… • Mostare dull brown but some may have markings • The shape of the head, position of the antennae relative to the eyes: genera specific • Hemimetabolous • Eggs laid in/near host habitations: cracks on walls etc
  • 68.
    Life cycle… • Eggsare laid in batches 100-800 • Hatch into wingless nymphs • There are 5 nymphal instars, each requiring blood • N4 and N5 have rudimentary wings • May take in blood up to 10x body weight • Assassin?
  • 69.
    Life cycle… • Bothnymphs and adults feed nocturnally • Feed on exposed parts of the body: face, eyes, nose, mouth - kissing • Defecates during feeding • Feed on humans, wild and domestic animals.
  • 70.
    Life cycle… • Developmentfrom egg to egg takes 3 months in lab but may take 1-2 yrs in nature • Vectors of T. cruzi: • R. prolixus, P. megistus, T. dimidiata and T. infestans • Prevention and control • Insecticide residual spraying, Insecticide treated bednets, improved housing
  • 71.
    Order Siphonaptera • SIPHONAPTERA:Greek "siphon" (hollow tube) + "a" (without) + "pteron" (wing); fleas are wingless and have tube-like mouthparts for sucking blood • Body hard, laterally compressed, and bristly • Legs long with large coxae and 5-segmented tarsi • Generally live as ectoparasites of mammals and birds. • Fleas transmit various pathogens, including tapeworm and bubonic plague. • About 1,100 species of Siphonaptera in the world, 238 in North America. • 7 families of fleas based on characters of the head, abdomen, and various bristles. Many characters are visible only on specimens mounted on microscope slides.
  • 72.
    Order Siphonaptera... Pulicidae --common fleas Ischnopsyllidae -- bat fleas Tungidae -- sticktight and chigoe fleas Dolichopsyllidae --rodent fleas Hystrichopsyllidae -- rat and mouse fleas Malacopsyllidae -- malacopsyllid fleas Vermipsyllidae -- carnivore fleas
  • 73.
    Distribution • Species andgenera are distributed in East-Asian, Central-Asian, West-American, Patagonian, Papuan (New Guinean), and East-African zoogeographical subregions. • Forest foothills with temperate and subtropical climate most favourable conditions for the fleas.
  • 74.
    Morphology • Shape ofthe head, flat body & prehensile claws of legs help it to move easily through host’s wool • Length of jump some flea species attain ~32 cm, average body length being from 1 to 5 mm
  • 76.
    Biology • Fleas areobligatory blood feeders parasitizing warm- blooded vertebrates. More than 94% of known species are parasites of mammals and only about 5% of them occur on birds • Fleas have 4 phases of development - the egg, the free- living larva, pupa and the imago • The larvae is wormlike, legless & eyeless with biting mouth parts. The larvae undergoes 3 instars. Prior to pupation it empties the alimentary canal, and spin a silken cocoon • The majority of fleas are closely associated with the host's home (nest, burrow etc), attacking the host for feeding
  • 77.
    Life cycle • Adultflea jumps onto a host, gets a meal. A flea bite becomes inflamed, itchy and swollen • Once fed, the flea will mate and lay eggs. This occurs in yards, houses, & on pets • In the next two to three weeks, hundreds of eggs will be laid in yard, house and on the host • Eggs hatch into small larvae, which feed on anything organic. Including dried blood, flea faeces, animal hair.
  • 78.
    Life cycle... • Thelarva will feed for days, spin a cocoon and undergo metamorphosis • This stage is called the flea pupa. Its a worst stage because of its resistance to control • The cycle is completed when the flea pupa hatches out. Hatching occurs when a host is close, will bite and the cycle will start all over again
  • 79.
    Medical significance • Fleastransmit pathogens that cause disease in humans and other animals. • The Cat and Dog flea are intermediate hosts for a tapeworm (Dipylidium caninum) that infects dogs, cats, and humans • The Rabbit flea spreads a myxomatosis virus within rabbit populations • Oriental Rat Flea is the primary vector of Yersinia pestis, the bacterial pathogen for bubonic plague. • The cat flea commonly infests dogs, dog flea may infest cats; both species may bite humans
  • 80.
    Medical significance... • Sandflea/jigger, Tunga penetrans • Infect humans, pigs, birds • Adapted to intracutaneous attachment, larvae free living, adults free living but after mating penetrate the hosts. • Soft areas are preferred for penetration • In the body attaches with mouth, swells and envelops itself leaving a spiracle for breathing • Irritations start when a flea is mature, scratching helps to release eggs
  • 81.
    Control • Best stageto control is an egg • Treating animal pets • If the pet is an inside animal, treat the home and the pet • If the pet is an outside animal, treat the pet & the area the pet has access to • Treat home areas when fleas suspected • Application of repellents • Keeping environments clean out of organic matter • Sweeping, mopping floors • Treating floors with insecticides; DDT, OPs, PY, Cb • Burning off infested soils • Flea trap to induce hatching of pupae
  • 82.
    Control... • Wearing good,intact shoes • Daily inspection of areas of the feet (interdigital clefts)
  • 83.
    83 Other ectoparasites Arachnid Vectors 1.TICKS Soft Ticks (Ornithodorus) Hard Ticks (Ixodes, Amblyomma, Rhipicephalus, Dermacentor) 2. MITES (Dematophagoides, Demodex, Sarcoptes) • Lice (Order Phthiraptera) – Head/Body Lice (Pediculus) Crab Lice (Phthirus) TICKS • Soft Ticks Class: Arachnida Order: Acarina Family: Argasidae Genus: Ornithodorous General Characteristics -tough leathery integument -flattened oval shape when examined dorsally -they lack the dorsal shield -they need to be examined ventrally to observe their capitulum or mouthparts.
  • 84.
    84 Ticks • Ornithodoros spp.is the most important soft tick disease vector found throughout the world Ornithodoros populating in Europe, Africa, Asia and Americas. Life cycles • Soft ticks have a hemimetabolous life cycle, eggs hatching six legged larvae, which moult to eight legged nymphs
  • 85.
    85 • There are5 - 7 larval instars depending on the species • Each stage requiring a blood meal to proceed except of Ornithodoros moubata • Adult females lay small egg batches following each blood meal • The duration of the life cycle depends on temperature, host availability and species Disease • Soft Ticks are vectors for serious disease including : – Tick borne relapsing fever (Borrelia duttoni) – Rickettsial disease (Coxiella burneti), and some arboviruses
  • 86.
    86 Hard Ticks • Class:Arachnida • Order: Acarina • Family: Ixodidae • Genus: Ixodes, Amblyomma, Rhipicephalus, Dermacentor
  • 87.
    87 • They areflattened when examined dorsally • Characterized by the presence of a dorsal plate or scutum, and a capitulum that projects beyond the body outline • The scutum regularly covers the entire dorsal area • Ixodes spp. inhabit in Canada, Europe, Russia, China, Japan and Australia General Characteristics
  • 88.
    88 • Ixodes Adultmale showing the scutum covering the whole length of the body • The capitulum is seen protruding forward beyond the body outline
  • 89.
    89 Life Cycle • Similarto that of Soft Ticks • There is only one nymph stage in Ixodes, and following several weeks of stasis the nymph will metamorphose into an adult
  • 91.
    91 Diseases • Hard tickstransmit lyme disease, tick paralysis and Rickettsiae • Arboviruses that are responsible for encephalitis and haemorrhagic fevers, tularaemia and Babesia microti infection
  • 92.
    92 Other medically importantHard Ticks Wood ticks (Dermacentor andersoni) • Found in the mountainous west of North America; • Dog ticks (Rhipicephalus) found in coastal areas. • Lone Star ticks (Amblyomma mericanum) found in forests in SE USA • The females of these species causes tick paralysis.
  • 93.
    93 • Dermacentor variabilis• Amblyomma, male hard tick.
  • 94.
    94 • Both Dermacentorand Amblyomma transmit Rocky Mountain Spotted Fever (Rickettsia rickettsia). • Dermacentor transmit arboviruses responsible for encephalitis and heamorrhagic fevers. • D. variabilis is also responsible for spreading tularaemia, Mediterranean Spotted Fever and African Tick Typhus.
  • 95.
    95 Control • Improve sanitation •Cementing floors to eliminate cracks and crevices and facilitate cleanliness • Where floors are not cemented should be kept out of dust • The floors and walls up to a height of about half a meter should be spread or dusted with lindane
  • 96.
    96 • With dustfloor monthly application would be necessary • Other chlorinated hydrocabons, organophosphorus compounds, carbomates or pyrethroids may be used
  • 97.
    97 Mites • Class: Arachnida •Order: Acarina • Genus: Dematophagoides, Demodex, Sarcoptes • General Characteristics • Dematophagoides, is a common dust mite, inhabit beds, mattresses, carpets and house dust
  • 98.
    98 • They aremotile • They feed on residual organic debris 0.3 mm in length • They have four long legs, suckers and pincer chelicerae
  • 99.
    99 • Dermatophagoides areantigenic, even when dead (fecal pellets are also allergenic) • Associated with complex allergies & symptoms such as asthma, conjunctivitis and dermatitis. • A treatment involves removal of accumulated antigens from mattresses and pillows
  • 100.
    100 • Demodex havebeen implicated in dermatitis and should be considered in chronic, therapy-resistant cases of blepharitis (inflammation of eyelids) • The role of this mite in ocular disease is uncertain washing with soap and water is the most effective method of prevention.
  • 101.
    101 • The mite,Sarcoptes scabiei, lives on human skin causes scabies • It is small (larger female is 0.3- 0.4 mm), colorless and oval with 8 short legs
  • 102.
    102 • Symptoms ofSarcoptes infection arise after 4-6 weeks post invasion • Comprise a papular pruritic eruption at a site often unrelated to the site of infestation; symptoms of secondary infestations arise almost immediately
  • 103.
    103 • Persistent nodularscabies involve itchy erythematous or scabbed nodules • When the immune system is impaired, Norwegian (crusted) scabies may develop – This presents with erythema and hyperkeratosis but little itching
  • 104.
    104 Diagnosis • Discovery ofmites or eggs by epidermal shave biopsy or superficial scraping • Burrows are best seen on wrists and inter-digital spaces • They fluoresce under a Wood's lamp after application of liquid tetracycline and alcohol; alternatively ink may be used
  • 105.
    105 Treatment and control •Lindane lotion is the treatment of choice, permethrin is another alternative • Ivermectin has been recommended for Norwegian scabies • Malathion liquid can also be used, benzyl benzoate is also active
  • 106.
    106 • Malathion shouldbe avoided in infants • Lindane should be avoided in pregnancy, breast- feeding and in young children • Treatment is applied over the whole body except the head and neck and washed off after 24 hours
  • 107.
    107 • Normal launderingof bed linen and clothes is recommended • Household and sexual contacts should also be treated • Symptoms may continue after treatment because of persisting antigens, Calamine lotion may be used – other problems include re-infestation and secondary bacterial infection
  • 108.
    Myiasis • Infestation ofthe organs and tissues of humans or animals by fly larvae that for some period of time, feed upon the living or dead tissues or the ingested food of the host • It is the condition in which larvae of flies exist as parasites in bodies of vertebrates
  • 109.
    Myasis • Myasis iscaused when fly maggots (larvae of dipterans) invade living tissue or when they are harboured in the intestines or bladder • Clinically, maggots causing myasis attack three parts of the bogy: Cutaneous tissue, body cavities and gut lumen
  • 110.
    Myasis • Some sppof maggots cause subcutaneous myasis, invade sores &wounds (wound myasis), burrow under the skin (dermal myasis) • Body cavity myasis: Nasal myasis, ocular myasis ear myasis, myasis of the anus and vagina • Intestinal myasis-Eggs/larvae of many spp are deposited on food stuffs may survive the journey to intestinal tract. They may persist for months producing severe anxiety, and intestinal irritation
  • 111.
    Myasis • Accidental =Facultative Myiasis • Obligatory Myiasis
  • 112.
    Myasis • A numberof families of flies e.g. Calliphoridae, Sarcophagidae and Oestridae are composed of flies that are have either facultative or obligate parasitic larval forms • Family: Calliphoridae • Non- metallic flies e.g. Cordylobia anthropophaga(Tumbu fly), Auchmeromya senegalensis (Congo floor maggot) • Metallic flies screw worms e.g. Cochliomya hominivorax(New World), Chrysomia spp (Old World) • Blow flies e.g. Lucilia spp (green bottles), Calliphora spp
  • 113.
    Myasis Family Sarcophagidae(Flesh flies) Thetwo genera Sarcophaga and Wohlfahrtia are of medical importance Family Oestridae Subfamilies: Oestrinae, Gasterophilinae, Hypodermatinae and Cuterebrinae. Oestrinae, Gasterophilinae, Hypodermatinae are obligatory parasites of domestic animals Cuterebrinae has six genera that cause myasis in rodents, monkeys and livestock -Dermatobia hominis causes obligatory myasis in people and animals living in central and south America
  • 114.
    Facultative Myiasis • Cutaneousmyiasis - usually around wounds • Larvae normally found in meat or carrion occasionally adapt to a parasitic existence • Usually do not invade healthy tissues • Typically blow flies: species of Calliphora (bluebottles), Lucilia (greenbottles), Phormia, Sarcophaga and Wohlfahrtia (flesh flies), Cochliomyia macellaria (secondary screw-worm), and others
  • 115.
    Forensic Entomology, 2001.Byrd and Castner, Eds.
  • 116.
    Forensic Entomology, 2001.Byrd and Castner, Eds.
  • 117.
    Forensic Entomology, 2001.Byrd and Castner, Eds.
  • 118.
    Facultative Myiasis • EntericMyiasis - accidental ingestion • 50 species reported - most Muscidae and Sarcophagidae • Passive transport of larvae - no development in host digestive tract • Severity depends on fly species, number, location • Genera commonly involved: Musca, Fannia, Muscina
  • 120.
    Facultative Myiasis • Rectal/UrogenitalMyiasis – access to intestine via anus; larvae feed on excrement • Immature stages may be completed in rectum or terminal part of intestine • Can occur in humans under unsanitary conditions • Primary genera - Fannia, Musca, Sarcophaga
  • 122.
  • 123.
    Obligatory Myiasis • Calliphorids(non-metallic):  Cordylobia anthropophaga - tumbu or mango fly (Africa); larvae attach and burrow into skin leaving spiracles exposed - boil-like swelling [cover with paraffin or oil to extract]  Auchmeromyia senegalensis - Congo floor-maggot (Africa); adult looks like tumbu fly, but larvae do not remain attached; feed nightly from people sleeping on the floor
  • 124.
    Obligatory Myiasis • Calliphorids(metallic):  Cochliomyia hominivorax - New World screw-worm; eradicated from US and Mexico, but outbreaks possible  Chrysomya bezziana - Old World screw-worm • Sarcophagids (flesh flies):  Wohlfahrtia magnifica - ear, eye, nose • Oestrids (bot flies):  Gasterophilus, Hypoderma, Oestrus, Cuterebra sp., and Dermatobia hominis (human bot fly)
  • 127.
  • 128.
    Control of MyiasisSpecies • Control or eradication of the fly population - through environmental sanitation or chemical control • Avoidance of infestation (mechanical control) - do not sleep outdoors or on the ground during fly activity, dress or cover wounds to avoid fly strikes, use screening • Treatment of infestation (remove larvae - antibiotic follow-up)

Editor's Notes

  • #5 (DF, Malaria, Zika, Chikungunya).
  • #13 Water and food supply
  • #15 Why will using larval count not be a good indication of productivity? Larval stage is too long.
  • #25 Culex
  • #26 Anopheles and Culex
  • #28 Aedes – DF, Chik V, Yellow Fever, Zika : Anopheles – Malaria : Culex – Lymphatic filariasis and West Nile disease
  • #30 What are some types of diseases transmitted by mosquitoes? Endemic - (a disease or condition) regularly found among particular people or in a certain area
  • #34 Jaundice - is the yellowing of the skin, mucous membranes and the white of eyes (elevated levels of bilirubin)
  • #37 Arbovirus -any of a group of viruses which are transmitted by mosquitoes, ticks, or other arthropods. They include the virus of yellow fever