clove and Insect-Bites-and-Stings

After centuries of epidemics and more than a hundred years since the identification of the causative bacterium, very little is known about the plague dynamics in animal reservoirs, vectors and the changing vulnerabilities for humans. The recent plague epidemic in Madagascar in 2017 highlights these gaps existing within the knowledge of the disease dynamics, the factors influencing it, the performance of diagnostic tests and the best recommended treatment. As the eradication of plague will not be possible due to the widespread existence of the bacterium in wildlife, a One Health approach, drawing on animal, human and environmental health disciplines is needed to better control this poverty-related disease. This article focused on the various aspects of the disease for which more tools and better understanding are required to better control the disease in endemic countries.

Topics: Africa; Animals; Anti-Bacterial Agents; Asia; Bacterial Vaccines; Disease Outbreaks; Disease Reservoirs; Humans; Insect Bites and Stings; Insect Vectors; Madagascar; Molecular Diagnostic Techniques; North America; Plague; Poverty; Rodentia; Siphonaptera; Social Determinants of Health; Yersinia pestis

Culicoides pachymerus is a major pest species for the inhabitants of the western Boyacá province of Colombia.. The effect of a repellent lotion based on p-menthane-3,8-diol (16%) and lemongrass oil (2%) was evaluated against the bites of C. pachymerus.. The repellent lotion was compared simultaneously with a control (no treatment) by human landing catches of C. pachymerus on the forearms of paired volunteers situated near human dwellings. Protection percentage and protection time for 3 to 6 h after repellent application was calculated. The test was repeated ten times.. Only two females of C. pachymerus were collected on arms with the repellent treatment. In contrast, the mean biting rate in the untreated control was 47.7 midges/person/10 min. Mean protection percentage of the repellent was 100% up to 4 h and 99.5% up to 5 h. Protection time was 332.2 and 338.2 min in the two replicates where bites of C. pachymerus were confirmed. In the remaining eight replicates protection time exceeded the test duration.. The repellent showed high efficacy against C. pachymerus, up to 5 h post-application.

Topics: Administration, Cutaneous; Animals; Ceratopogonidae; Colombia; Cyclohexane Monoterpenes; Cymbopogon; Feeding Behavior; Female; Humans; Insect Bites and Stings; Insect Repellents; Menthol; Myrtaceae; Plant Extracts; Plant Leaves; Skin Cream; Time Factors

Human herpesvirus-8 non-sexual transmission occurs primarily from mother-to-child. The viral load in saliva is higher than in other human fluids. Moreover, there is evidence that bloodsucking arthropod bites induce an inflammatory/immune response that facilitates viral replication. We aim to explore possible risk factors in mother-to-child HHV-8 transmission associated with traditional methods which involve the use of saliva to relieve the irritation and skin reaction caused by arthropod bites. We administered questionnaires to 2244 children from several African countries and Italy. Descriptive statistics and logistic regression were used in the analysis of the answers to evaluate the relationships between the use of traditional methods and other risk factors. The use of traditional methods is high in Cameroon (63.0%) and Uganda (39.9%), intermediate in Senegal (26.7%) and Italy (21.7%), low in Madagascar (6.7%). Statistical analyses show significant direct relationships between the use of traditional methods, skin reactions to the bite and their duration in Cameroon, Uganda and Senegal. The use of saliva and herbs applied by the mothers on the child's skin, is a common habit in Africa. If this practice plays a role in the HHV-8 transmission, then, it could provide the basis for interventions capable of reducing the health impact of the infection in children in tropical areas.

Topics: Adult; Africa, Western; Animals; Child; Child, Preschool; Comorbidity; Female; Herpesviridae Infections; Herpesvirus 8, Human; Humans; Infant; Insect Bites and Stings; Italy; Madagascar; Male; Medicine, African Traditional; Mothers; Phytotherapy; Risk Factors; Saliva; Seroepidemiologic Studies; Surveys and Questionnaires; Virus Replication

The anopheline vectors and malaria transmission were investigated in the Middle West of Madagascar, in the village of Ambohimena (at the altitude of 940 meters) during two years (August 1996 to July 1998). This village is located outside the vector control area, where yearly DDT house spraying campaigns have been conducted between 1993 and 1998. Collection of mosquitoes was mainly based on all night man billing collections (650 man-nights), pyrethrum spray catches (224 bedrooms) and direct collections in outdoor resting places (140 toilets, 61 pigsties, 33 holes, 19 sheds, 79 sisal hedges, 70 cart shelters). Blood fed anophelines allowed analysis of the origin of blood with an ELISA method. Presence of circum-sporozoite protein was assessed with another ELISA method. The total number of collected anophelines was 14,280. Two malaria vectors were identified: Anopheles funestus Giles, 1900 and An. arabiensis Patton, 1902. An. funestus was the most abundant mosquito, especially during the hot rainy season. Two peaks of abundance were observed (in December and April). Endophagic rate (for mosquitoes aggressive for man) of 35.3%, an endophilic rate (for resting mosquitoes) of 78.0% and an anthropophilic rate (for indoor resting mosquitoes) of 64.0% were calculated. The average parity rate was relatively low (61.2%). The Plasmodium falciparum immunological sporozoite rate was 0.20%. An. funestus presented a higher vectorial capacity during the first round of rice cultivation (January) than during the second round (April-May). An. arabiensis was mostly abundant in December and January at the beginning of the rainy season. This species was exophagic (endophagic rate = 27.5%) and zoophilic (anthropophilic rate = 7.8%). The sporozoitic index was determined as zero (number of examined mosquitoes = 871). In this village, An. arabiensis presented only marginal importance for malaria transmission. Malaria transmission occurred from December to April. Annual entomological inoculation rate, only due to An. funestus, was 8.96 during the first year, and 3.17 during the second year. In this area where transmission is moderately stable, we suggest an extension of vector imagocidal control activities up to the western fringes of the Highlands.

Topics: Animals; Anopheles; Ecosystem; Humans; Insect Bites and Stings; Insect Vectors; Madagascar; Malaria; Oryza; Seasons

To evaluate the determining factors of the malaria transmission in the northwest region of Madagascar, transversal studies were carried out through one year, from March 1997 to April 1998, in two villages located near Mandritsara, at less than 300 meters above sea level. The rice-growing region forms an intermediate zone between the central highlands with epidemic and instable malaria and the coastal zone with endemic and stable malaria. Mosquitoes were collected when landing on humans during the night and by pyrethrum spray catches as regards endophilic mosquitoes. Three vectors were identified: Anopheles arabiensis, An. gambiae and An. funestus. An. arabiensis and An. gambiae were exophagic and zoophilic. An. funestus was endo-exophagic and anthropophilic but this species shows also a zoophilic trophic deviation. In both villages, An. funestus is the main vector of human malaria. Malaria transmission was estimated to be around 50 and 70 infective bites/person/year in each village.

Topics: Altitude; Animals; Anopheles; Ecosystem; Ethology; Humans; Insect Bites and Stings; Insect Vectors; Madagascar; Malaria; Oryza

In Madagascar we used odour-baited entry traps (OBETs) for host choice tests of wild female anopheline mosquitoes (Diptera: Culicidae) at representative localities on the East and West sides of the island (villages Fenoarivo and Tsararano, respectively) and at the southern margin of the central plateau (Zazafotsy village, 800 m altitude). No insecticide house-spraying operations have been undertaken at these villages. Odours from a man and a calf of similar mass, concealed in different tents, were drawn by fans into separate OBETs set side by side. Traps were alternated to compensate for position effects, and different pairs of individual baits were employed for successive replicates. Totals of 266 An. funestus Giles sensu stricto and 362 An. gambiae Giles sensu lato were collected in 48 trap nights during March-June 1999. For each mosquito species the 'index of anthropophily' was defined as the proportion of females caught in the human-baited trap. For An. funestus this index was found to be consistently greater than 0.5 (value for random choice between traps/hosts), indicating that this species 'preferred' human to calf odour (index=0.83). Conversely, the index of anthropophily for An. gambiae s.l. indicated they 'chose' calf in preference to human odour (index=0.26). No significant differences of relative preference for calf or man were detected between villages; geographical variance accounted for <8% of the total experimental variance. Molecular identifications of 181 specimens of the An. gambiae complex (approximately 50% of the samples) revealed only An. arabiensis Patton at Tsararano and Zazafotsy, but >97% An. gambiae Giles sensu stricto at Fenoarivo, in accordance with prior knowledge of the differential distributions of these sibling species on the island. Predominant zoophily (i.e. intrinsic 'preference' for cattle odours) by both An. arabiensis and An. gambiae s.s. in Madagascar contrasts with their greater anthropophily in continental Africa.

Topics: Animals; Anopheles; Cattle; Feeding Behavior; Female; Humans; Insect Bites and Stings; Madagascar; Odorants; Polymerase Chain Reaction

Anopheles funestus and Anopheles gambiae s.l. have been considered until now the major vectors of malaria everywhere in Madagascar. Anopheles mascarensis, a mosquito native to Madagascar, has been identified in Sainte-Marie island as a secondary vector only. In 1997, an entomological study was carried out to identify the malaria vectors in the area of Fort-Dauphin, South-East of Madagascar. Every month, mosquitoes were collected from landing catches on human volunteers (from 7:00 am to 5:00 pm inside dwellings and from 7:00 am to 0:00 pm outside) and from knockdown spray-collections indoors. An mascarensis was the most abundant mosquito, the average number of An. mascarensis bites per man/night was 7.6. The sporozoite index was 0.89%. Despite the presence of An. funestus and An. gambiae s.l., An. mascarensis was found to be responsible for 2/3 of the infectious bites (25 infectious bites per man/year). An. mascarensis is widely distributed ih Madagascar but only specimens from the east coast have been found to carry sporozoites of human malaria. Further arguments are thus advanced for the hypothesis according to which a sibling species of An. mascarensis is present in Madagascar.

Topics: Animals; Anopheles; Humans; Insect Bites and Stings; Insect Vectors; Madagascar; Malaria; Population Density; Seasons

A 17-mo longitudinal malaria survey (November 1988-March 1990) was carried out on Sainte Marie Island, an area on the east coast of Madagascar which is frequently visited by tourists. During 706 man-nights of capture, 46,401 mosquitoes belonging to 32 species were caught. Sporozoite rates were determined by ELISA and incriminated Anopheles gambiae Giles s.s., An. funestus Giles, and An. mascarensis De Meillon as vectors of malaria. An. gambiae, the main vector, was highly anthropophilic but largely exophilic. Transmission by this species occurred mainly from November to April; the overall circumsporozoite antigen positivity rate was 1.7%, with a maximum of 3.2% in March-April. The nightly peak of transmission occurred between midnight and 0400 hours. The annual inoculation rate was calculated to be 100 infective bites per human, of which 92 were of Plasmodium falciparum. An. funestus played a minor role in transmission. An. mascarensis, an anopheline endemic to Madagascar, was incriminated for the first time, as a malaria vector. The sporozoite rate in this species varied from 0.4 to 0.9% as shown by both ELISA and salivary gland dissections. Parasite indices in humans up to 20 yr of age fluctuated during the year from 64 to 80%. Bed nets are recommended for malaria protection for the local population and tourists.

Topics: Animals; Anopheles; Female; Humans; Insect Bites and Stings; Insect Vectors; Madagascar; Malaria; Plasmodium