Friday, 24 April 2015

LICE STORY

LICE



Lice are small bloodsucking insects that live on the skin of mammals and birds.
Three species of lice have adapted themselves to humans: the head louse (Pediculus
humanus capitis), the body louse (Pediculus humanus) and the crab or pubic louse
(Pthirus pubis) . All three species occur worldwide. Lice infestations can
cause severe irritation and itching. In addition the body louse can transmit typhus fever, relapsing fever and trench fever. Outbreaks of louse-borne typhus fever,
sometimes claiming thousands of lives, have occurred in colder areas where people
live in poor, crowded conditions, especially in some highland areas of Africa, Asia
and Latin America.

Biology




The three species live only on humans (not normally on animals) and feed on
human blood; the life cycle has three stages: egg, nymph and adult .
Development from egg to adult takes about two weeks. The white eggs (called
nits) are glued to a hair or, in the case of the body louse, to fine threads on clothes.
The nymphs are similar to the adults but much smaller. Fully grown lice are up to
4.5 mm long and feed by sucking blood. Feeding occurs several times a day. Lice
can only develop in a warm environment close to human skin, and die within a
few days if they lose contact with the human body. They are normally spread
by contact, e.g. in overcrowded sleeping quarters and other crowded living
conditions.
The three species of human lice are found on different parts of the body:
• the head louse occurs on the scalp and is most common in children on the
back of the head and behind the ears;
• the pubic louse or crab louse is mainly found on hair in the pubic region but
it may spread to other hairy areas of the body and, rarely, the head;
• the body louse occurs in clothing where it makes direct contact with the
body; it is similar to the head louse but slightly bigger.

Body lice
Body lice are most commonly found in clothing, especially where it is in direct
contact with the body, as in underwear, the crotch or fork of trousers, armpits,
waistline, collar and shoulders. They attach themselves to body hair only when
feeding. The eggs are attached to thin threads of clothing. Body lice are most
common in colder areas where people do not frequently wash or change clothes.
Body lice are spread by close contact between people. They are most commonly
found, therefore, on people living in overcrowded, unhygienic conditions,
as in poorly maintained jails, refugee camps and in trenches during war. They also
spread by direct contact between people in crowded transport vehicles and markets.
Body louse infestations may also be acquired through sharing bedding, towels
and clothing or by sitting on infested seats, chair covers or cushions. Body lice (Pediculus humanus corporis) are normally associated with crowded and unhygienic living
conditions but are also transmitted through any close contact with an affected person.
Body lice are similar to head lice but the region of occurrence is important in their
identification. They are found mainly in clothing, often in the seams, but also on the body surface,
especially the armpits and around the waist. In Australia, they are less common than headlice or
pubic lice.
Body lice are flat wingless insects with six legs ending in a claw. They may be greyish or brown in
colour and range in size from 2 – 5 mm. They feed on human blood and their bites can cause
irritation. Secondary infections can occur if louse faeces are introduced into the skin by the affected
person scratching.

Transmission
Body lice can be transmitted in clothing and bedding as well as by close physical contact.

Head lice
The head louse is the most common louse species in humans. It lives only in the
hair on the head and is most often found on children. The eggs (or nits) are firmly
glued to the base of hairs of the head, especially on the back of the head and behind
the ears. Because the hairs grow about a centimeter a month
it is possible to estimate the duration of an infestation by taking the distance
between the scalp and the furthest egg on a hair. Infested persons usually harbour
10–20 adult head lice. The females lay 6–8 eggs per day. Head lice are spread by
close contact between people, such as children at play or sleeping in the same bed.
Head lice are also spread by the use of other people’s combs that carry hairs with
eggs or lice attached. Headlice (Pediculus humanus capitis) are a social pest and are rarely a threat to health however their
presence can have social, economic, psychological and educational repercussions. Correct
information, treatment and monitoring should ensure they are controlled with minimum impact on
individuals and communities.

Transmission
Headlice are mainly transmitted by head-to-head contact with an infested person.
Children are more susceptible because they are more likely to have close contact with other children
and adults in homes, playgrounds, schools, kindergartens and childcare centres. Adults and older
children may become desensitized to headlice bites, thereby delaying treatment and becoming a
source of infestation to others.
Headlice will dehydrate quickly once removed from the head. In humid conditions they may survive
for more than 24 hours off the head, however they are unlikely to be able to reinfest another person. In
the early stages of dehydration, lice will continue to move or crawl but are unable to feed or lay eggs
(nits). For this reason, items such as brushes, headgear, bedclothes and towels are less likely to
transmit headlice than close contact although transmission may occur if these items are used
immediately following use by an infested person.


Crab or pubic lice
Crab lice, also called pubic lice, are greyish-white and crab-like in appearance.
They are most often found on hair in the pubic region, and eggs are laid at the base of the pubic hair. Heavy infestations may spread to other hairy areas of the body,
such as the chest, thighs, armpits, eyelashes, eyebrows and beard. Crab lice are
mainly spread through sexual or other close personal contact, and are most
common in young, sexually active adults. Pubic lice (Phthirus pubis) are not associated with the spread of disease but their bites can cause
irritation. Scratching of the irritation may lead to localized infection.
The pubic (crab) louse (refer to Figure 3) is a small 1-2 mm, light brown, round, flat, six-legged insect
that clings to the pubic hairs, sucks blood for nourishment, and fixes its eggs (nits) to the pubic hairs.
As its name suggests it looks very much like a tiny crab. The life cycle lasts about two to three weeks.
Small red sores and itching may occur as a reaction to the injection of saliva from the louse. They are
mainly found in the pubic hair but may also be found on other hairy parts of the body e.g. eyebrows or
armpits.
Transmission
Pubic lice are transmitted mainly by close body contact, including sexual activity and, occasionally,
by clothing, bedding or towels recently used by an infested person.


Public health importance
Only the body louse is a vector of human diseases. It transmits typhus fever,
relapsing fever and trench fever.
Nuisance
Lice feed several times a day and heavy infestations can cause intense irritation and
severe itching. Toxic reactions to the saliva injected into the skin may lead to
weariness and a general feeling of illness.
Louse-borne typhus fever
This disease is caused by a microorganism, Rickettsia prowazekii, and is an acute,
highly infectious disease with headache, chills, fever and general pains as symptoms.
It may be fatal in 10–40% of untreated cases.
The disease has occurred on all continents except Australia. It is prevalent in
cool areas where heavy clothing is worn and where the vector is most common. In
the past the disease was most common during war and famine. Today, foci of
transmission are found in mountainous regions of South America, in Central and
East Africa and in the Himalayas.
Transmission
Body lice take the disease organisms up with the blood of an infected person
and then expel it with their faeces. Since louse faeces dry to form a fine black
powder they are easily blown about. The powder can infect small wounds, such as
those caused by scratching, or the mucous membranes of the nose and mouth.
Because the disease organism can remain alive for at least two months in dried
louse faeces, it is dangerous to handle the clothing or bedding of patients with
typhus.
Treatment
Effective treatment is possible with tetracycline, doxycycline or chloramphenicol.
Prevention and control
A vaccine has been prepared but is not yet commercially available. Infection can
be prevented by controlling the body lice. Epidemic outbreaks are controlled by
the application of a residual insecticide to the clothing of all persons in affected
areas.
Louse-borne relapsing fever
This disease is caused by a microorganism, Borrelia recurrentis. Infected people
suffer periods of fever lasting 2–9 days which alternate with periods of 2–4 days
without fever. Usually, about 2–10% of untreated persons die but the mortality
rate may be as high as 50% during epidemics. The disease occurs in limited areas
of Africa, Asia and South America.
Transmission
Louse-borne relapsing fever occurs under similar conditions to those of typhus
fever and the two diseases may appear together. Humans become infected by
crushing infected body lice between the fingernails or the teeth. The disease
organisms are thus released and can enter the body through abrasions, wounds or
the mucous membranes of the mouth.
Treatment
Treatment is possible with tetracycline.
Prevention and control
Prevention and control are as described for typhus fever; no vaccine is available.
Trench fever
This bacterial disease, caused by Rochalimaea quintana, involves intermittent fever,
aches and pains all over the body, and many relapses. Infection rarely results in
death.
The disease can probably be found wherever the human body louse exists.
Cases have been detected in Bolivia, Burundi, Ethiopia, Mexico, Poland, the
former USSR and North Africa. Epidemics occurred during the First and Second
World Wars among troops and prisoners living in crowded and dirty conditions,
hence the name “trench fever”.
Transmission
Transmission occurs through contact with infected louse faeces, as for typhus
fever.
Treatment
Tetracycline, chloramphenicol and doxycycline are probably effective but, as the
disease is rather mild, they have not been adequately tested.
Prevention and control
Prevention and control are as for typhus fever; no vaccine is available.

Control measures
The control methods used depend on the importance of the health problem.
Individual or group treatment may be carried out where lice are merely a nuisance.
Large-scale campaigns are recommended for the control of epidemic outbreaks of
disease.
Head lice
Hygienic measures
Regular washing with soap and warm water and regular combing may reduce the
numbers of nymphs and adults. However, washing will not remove the eggs, which
are firmly attached to the hair. A special louse comb with very closely set fine teeth
is effective in removing both adults and eggs . Shaving the head is
effective and this measure is sometimes adopted with young boys; however, it is
often objected to and should not be insisted on.
Insecticides
Insecticide applications to the hair give the most effective control . They
can be in the form of shampoos, lotions, emulsions or powders .
Some pyrethroids are the most recommended products, since
they do not cause the burning sensation of the scalp or other side-effects sometimes
associated with other insecticides, such as lindane . Powder or dust
formulations are usually less effective and less acceptable for use than lotions or
emulsions. A soap formulation containing 1% permethrin can be applied as a
shampoo .
How to make insecticidal dusts, shampoos and lotions
An insecticidal dust can be made by adding insecticide powder (wettable powder)
to talcum powder to obtain the recommended dosage of active ingredient (in
grams). An insecticidal shampoo is made similarly by adding insecticide powder or
emulsifiable concentrate to hair shampoo with a neutral pH. An insecticidal lotion
is made by mixing an emulsifiable concentrate with water or alcohol.

Crab or pubic lice
Shaving the infested pubic hairs from the body has been replaced by the application
of insecticidal formulations, as described for head louse control. In heavy

infestations all hairy areas of the body below the neck should be treated.



FLEASSS YUI

INTRODUCTION





Fleas are small, wingless bloodsucking insects (order Siphonaptera) with a characteristic
jumping movement. They feed mainly on mammals but also on birds. Of
the 3000 species only a dozen commonly attack humans. The most important
species are the rat flea, the human flea and the cat flea. Their bites can
cause irritation, serious discomfort and loss of blood. The rat flea is important as
a vector of bubonic plague and flea-borne typhus. Cat fleas incidentally transmit
tapeworms. The sand flea or jigger burrows into the skin of humans and may cause
infections. Fleas that bite people occur in most parts of the world.

LIFE CYCLE



The life cycle of fleas has four stages: egg, larva, pupa and adult . Adult
fleas are 1–4mm long and have a flat narrow body. They are wingless with well
developed legs adapted for jumping. They vary in colour from light to dark brown.
The larvae are 4–10mm long and white; they have no legs but are very mobile.
The cocoon (pupal stage) is well camouflaged because it is sticky and soon
becomes covered with dust, sand and other fine particles.
Both female and male fleas take blood-meals. Fleas breed close to the resting
and sleeping places of the host, in dust, dirt, rubbish, cracks in floors or walls,
carpets, animal burrows and birds’ nests. High humidity is required for development.
The larvae feed on organic matter such as the faeces of the host, small dead insects and undigested blood expelled by adult fleas. At the end of the larval period
the larva spins a loose whitish cocoon within which it develops into a pupa.
The adult fleas are fully developed within 1–2 weeks but only emerge from the
cocoons after receiving a stimulus, such as the vibrations caused by movement of
the host. In vacant houses they may survive in the cocoons for up to a year. People
moving into a vacant house can cause many fleas to emerge simultaneously from
the cocoons and attack people or animals in large numbers. Under optimal
conditions the development from egg to adult takes 2–3 weeks.

BEHAVIOR
Fleas avoid light and are mostly found among the hairs (Fig. 4.8) or feathers
of animals or in beds and in people’s clothing. If possible, a flea will feed several
times during the day or night. Heavy infestations with fleas are recognized by marks on clothing and bedding of undigested blood ejected by the fleas. Most flea
species feed on one or two host species, but in the absence of their normal host
they feed on humans or other animals. Adult fleas can survive several months
without food. Fleas move around by jumping; some species can jump as high as
30cm.

NUISANCE
Humans are most commonly bitten by the cat flea, Ctenocephalides felis and, less
commonly, the dog flea, C. canis. The so-called human flea (Pulex irritans) is, in
spite of its name, less important. Fleas jump up from the ground and most
frequently attack people on the ankles and legs, the easiest parts to reach, although
sleeping people can be attacked anywhere on the body. Flea bites cause irritation
and sometimes extreme discomfort. Heavy infestations may cause allergic reactions
and dermatitis.
Individual self-protection
An effective repellent, such as deet, applied to skin and clothing, prevents fleas
from attacking. A disadvantage is that repellents applied to the skin last only a
few hours (see Chapter 1). Longer-lasting protection is obtained by dusting
clothing with insecticide powder (see p. 262) or by using insecticide-impregnated
clothing.
Simple hygienic measures
Fleas and their eggs, larvae and cocoons can be effectively removed by keeping
houses well swept and floors washed. Removal with a vacuum cleaner is also
effective. When people enter an infested house that has been vacant for some time,
large numbers of newly emerged fleas may attack. The treatment of floors with
detergents, insecticides or a solution of naphthalene in benzene is recommended;
care should be taken to avoid inhaling benzene fumes.
Application of insecticides
Heavy infestations can be controlled by spraying or dusting insecticides into cracks
and crevices, corners of rooms and areas where fleas and their larvae are likely to
occur. Insecticides can also be applied to clothing and the fur of animals. Fumigant
canisters that produce aerosols of quick-acting insecticides (e.g. the pyrethroids,
propoxur and bendiocarb) kill fleas directly and are convenient to use . However, the insecticidal effect is brief and reinfestations
may appear quickly.
Cat and dog fleas
Fleas can be detected in the hair around the neck or on the belly of cats and dogs.
Treatment involves applying insecticidal dusts, sprays, dips or shampoos to the
fur. Dusts are safer to use than sprays because the insecticides are less likely to be
absorbed through the skin in the dry form. Dusts also produce less odour and do
not affect the skin as much as sprays. Carbaryl and malathion should not be used
on kittens and puppies under four weeks of age. Pets can be provided with plastic
flea collars impregnated with an insecticide. Flea collars are effective for 3–5
months, whereas other treatments give only short-term control.
Recently, lufenuron tablets have been used to control fleas in cats and dogs.
The tablets are administered once monthly at a dose of 30mg per kg of body
weight to cats and 10 mg per kg of body weight to dogs and are safe for use in
pregnant and nursing animals. Lufenuron is taken up by the female flea during
feeding and acts by inhibiting egg development .
Dusts must be rubbed thoroughly into the hair and can be applied by means of
a shaker . They must not be allowed to get into the eyes, nostrils and
mouths of animals. Heavy applications should not be made to the abdomen as the
material will be licked off. Application should begin above the eyes and all the
areas backward to the tail and haunches should be covered, ensuring thorough
treatment around the ears and underneath the forelegs. A small animal can be treated with one tablespoonful of dust, while 30 g may be required for a large dog.
Sprays must wet the hair completely and can be applied with a hand-compression
sprayer. It is also possible to spray with an insecticide aerosol from a pressurized
spray can.
Re-treatment may be necessary if reinfestation occurs. Important sources of
reinfestation are the places where animals or humans sleep or spend much time,
such as beds, bedding and kennels. Where possible, animal bedding should be
burned or laundered in hot soapy water. A vacuum cleaner may be used to remove
accumulations of dust that contain flea larvae and pupae, and infested premises
can then be treated with a residual insecticide. Treatment with insecticidal powders
or solutions is possible . Because flea cocoons are much less susceptible
to insecticides than the larvae and adults, treatments should be repeated every two
weeks over a period of six weeks to ensure that all emerging fleas are killed .
Human flea
This flea species does not usually remain on the person after feeding and by day it
rests in cracks, crevices, carpets and bedding. Regular cleaning of houses, and of
bedrooms in particular, should prevent large infestations.
More effective control is achieved by dusting or spraying insecticides on to
mattresses and cracks and crevices in floors and beds. Bedding left untreated
should be washed and cleaned during insecticide application. Fleas in many parts
of the world have developed resistance to DDT, lindane and dieldrin (13–15).
Suitable insecticides for spraying or dusting are indicated.


Disease transmission
Flea bites cause irritation and inflammation of the skin, usually on the lower legs and feet in humans.
Humans and animals often become sensitive to the bites. Diseases such as Murine typhus which is
mainly associated with rats and mice, can occasionally be transmitted to humans, although such
transmission in Australia is uncommon. Fleas can also carry tapeworms that affect dogs, cats and
rodents. Humans, particularly young children, can become infected with tapeworms by swallowing
fleas whilst playing with pets. The fur around the neck or belly of the dog or cat should be checked
regularly for fleas.
Prevention
Regular vacuuming of floors and any areas where animals rest will help to prevent infestation. Animal
bedding should be laundered in hot water, ironed or treated with appropriate insecticides. Checking
and treating animals for fleas and keeping them out of the house will also reduce the risk.
Control measures
If pets or other animals are infested with fleas, they should be treated with a suitable veterinary
insecticidal preparation. Their bedding and the rest of the premises must be treated at the same time to
completely eliminate fleas and so avoid animals being reinfested. Animals with fleas should also be
treated for tapeworm.
Animal bedding and other areas where they rest should be treated with insecticide to destroy adult
fleas and eliminate eggs and larvae. Where possible, low toxic pesticides such as pyrethroids should
be used in conjunction with an insect growth regulator such as methoprene, which prevents eggs
developing into reproductive adults.
Flea cocoons are not easy to kill with insecticide so treatment should be repeated every 2 weeks for 6
months to kill adult fleas as they leave their cocoons. Cleanliness is important for prevention and
control. Floors should be washed and floor coverings thoroughly vacuumed with insecticide powder
added to the dust bag of the vacuum cleaner and the contents emptied into a plastic bag, sealed and
placed in a garbage container. An effective alternative is to place the dust bag in the freezer for 24
hours prior to disposal.
Floors and floor coverings in infested areas should be treated with a residual insecticide and this
should only be cleaned off after the period recommended by the insecticide manufacturer. Attention
to sub-floor and outdoor areas is frequently required. It is advisable to wet outdoor areas with a hose
before applying insecticide. for examples of suitable insecticide preparations for
flea control. For persistent or extensive infestations it is advisable to consult a pest control operator.


Housekeeping and control measures - fleas
 Remove all bedding and seal in a water soluble bag.
 Send to laundry facility:-
• Place into a water soluble bag and secure
• Place into a laundry bag and secure
• Label "Infected clothes" and ward name
• Send to laundry facility
 For clothing, see Laundering and safe handling of linen and clothing.
 There is not specific treatment for the patient other than bathing and clean clothes.
 Contact Hotel Services on 01642 516851 to arrange for a Pest Control contractor to advise or carry out an eradication programme if environmental contamination is suspected.
 Vacuum floors, carpets, upholstery etc and treat with a residual insecticide if necessary.
 The Pest Control Contractor will arrange to treat inaccessible areas, i.e. ducting, under fixtures etc with residual insecticide if necessary.
 Members of the family or close contacts of the home environment should seek advice from their General Practitioner




Wednesday, 15 April 2015

MOSQUITO ZZZTTZZTT

INTRODUCTION



Mosquitoes are a family of small, midge-like flies: the Culicidae. Although a few species are harmless or even useful to humanity, the females of most species are ectoparasites whose tube-like mouthparts (called a proboscis) pierce the hosts' skin to suck the blood. The word "mosquito" (formed by mosca and diminutive ito) is from the Spanish or Portuguese for "little fly". Thousands of species feed on the blood of various kinds of hosts, mainly vertebrates, including mammals, birds, reptiles, amphibians, and even some kinds of fish. Some mosquitoes also attack invertebrates, mainly arthropods. Though the loss of blood is seldom of any importance to the victim, the saliva of the mosquito often causes an irritating rash that is a serious nuisance. Much more serious though, are the roles of many species of mosquitoes as vectors of diseases. In passing from host to host, some transmit extremely harmful infections such as malaria, yellow fever, west nile virus and filariasis.

LIFE CYCLE



Like all flies, mosquitoes go through four stages in their lifecycles: egg, larva, pupa, and adult or imago. In most species, adult females lay their eggs in stagnant water; some lay eggs near the water's edge; others attach their eggs to aquatic plants. Each species selects the situation of the water into which it lays its eggs and does so according to its own ecological adaptations. Some are generalists and are not very fussy. Some breed in lakes, some in temporary puddles. Some breed in marshes, some in salt-marshes. Among those that breed in salt water, some are equally at home in fresh and salt water up to about one-third the concentration of seawater, whereas others must acclimatize themselves to the salinity.[11] Such differences are important because certain ecological preferences keep mosquitoes away from most humans, whereas other preferences bring them right into houses at night.

Some species of mosquitoes prefer to breed in phytotelmata (natural reservoirs on plants), such as rainwater accumulated in holes in tree trunks, or in the leaf-axils of bromeliads. Some specialize in the liquid in pitchers of particular species of pitcher plants, their larvae feeding on decaying insects that had drowned there or on the associated bacteria; the genus Wyeomyia provides such examples — the harmless Wyeomyia smithii breeds only in the pitchers of Sarracenia purpurea.

However, some of the species of mosquitoes that are adapted to breeding in phytotelmata are dangerous disease vectors. In nature, they might occupy anything from a hollow tree trunk to a cupped leaf. Such species typically take readily to breeding in artificial water containers, such as the odd plastic bucket, flowerpot "saucer", or discarded bottle or tire. Such casual puddles are important breeding places for some of the most serious disease vectors, such as species of Aedes that transmit dengue and yellow fever. Some with such breeding habits are disproportionately important vectors because they are well-placed to pick up pathogens from humans and pass them on. In contrast, no matter how voracious, mosquitoes that breed and feed mainly in remote wetlands and salt marshes may well remain uninfected, and if they do happen to become infected with a relevant pathogen, might seldom encounter humans to infect, in turn.

The first three stages—egg, larva, and pupa—are largely aquatic. These stages typically last five to 14 days, depending on the species and the ambient temperature, but there are important exceptions. Mosquitoes living in regions where some seasons are freezing or waterless spend part of the year in diapause; they delay their development, typically for months, and carry on with life only when there is enough water or warmth for their needs. For instance, Wyeomyia larvae typically get frozen into solid lumps of ice during winter and only complete their development in spring. The eggs of some species of Aedes remain unharmed in diapause if they dry out, and hatch later when they are covered by water.

Eggs hatch to become larvae, which grow until they are able to change into pupae. The adult mosquito emerges from the mature pupa as it floats at the water surface. Bloodsucking mosquitoes, depending on species, gender, and weather conditions, have potential adult lifespans ranging from as short as a week to as long as several months.

Some species can overwinter as adults in diapause.


Eggs and oviposition
Mosquito habits of oviposition, the ways in which they lay their eggs, vary considerably between species, and the morphologies of the eggs vary accordingly. The simplest procedure is that followed by many species of Anopheles; like many other gracile species of aquatic insects, females just fly over the water, bobbing up and down to the water surface and dropping eggs more or less singly. The bobbing behavior occurs among some other aquatic insects as well, for example mayflies and dragonflies; it is sometimes called "dapping". The eggs of Anopheles species are roughly cigar-shaped and have floats down their sides. Females of many common species can lay 100–200 eggs during the course of the adult phase of their lifecycles. Even with high egg and intergenerational mortality, over a period of several weeks, a single successful breeding pair can create a population of thousands.


An egg raft of a Culex species, partly broken, showing individual egg shapes
Some other species, for example members of the genus Mansonia, lay their eggs in arrays, attached usually to the under-surfaces of waterlily pads. Their close relatives, the genus Coquillettidia, lay their eggs similarly, but not attached to plants. Instead, the eggs form layers called "rafts" that float on the water. This is a common mode of oviposition, and most species of Culex are known for the habit, which also occurs in some other genera, such as Culiseta and Uranotaenia. Anopheles eggs may on occasion cluster together on the water, too, but the clusters do not generally look much like compactly glued rafts of eggs.

In species that lay their eggs in rafts, rafts do not form adventitiously; the female Culex settles carefully on still water with her hind legs crossed, and as she lays the eggs one by one, she twitches to arrange them into a head-down array that sticks together to form the raft.

Aedes females generally drop their eggs singly, much as Anopheles do, but not as a rule into water. Instead, they lay their eggs on damp mud or other surfaces near the water's edge. Such an oviposition site commonly is the wall of a cavity such as a hollow stump or a container such as a bucket or a discarded vehicle tire. The eggs generally do not hatch until they are flooded, and they may have to withstand considerable desiccation before that happens. They are not resistant to desiccation straight after oviposition, but must develop to a suitable degree first. Once they have achieved that, however, they can enter diapause for several months if they dry out. Clutches of eggs of the majority of mosquito species hatch as soon as possible, and all the eggs in the clutch hatch at much the same time. In contrast, a batch of Aedes eggs in diapause tends to hatch irregularly over an extended period of time. This makes it much more difficult to control such species than those mosquitoes whose larvae can be killed all together as they hatch. Some Anopheles species do also behave in such a manner, though not to the same degree of sophistication.


Larva

Mosquito larvae and pupa resting at water surface
The mosquito larva has a well-developed head with mouth brushes used for feeding, a large thorax with no legs, and a segmented abdomen.


Anopheles larva from southern Germany, about 8 mm long
Larvae breathe through spiracles located on their eighth abdominal segments, or through a siphon, so must come to the surface frequently. The larvae spend most of their time feeding on algae, bacteria, and other microbes in the surface microlayer.


Aedes aegypti larva
They dive below the surface only when disturbed. Larvae swim either through propulsion with their mouth brushes, or by jerky movements of their entire bodies, giving them the common name of "wigglers" or "wrigglers".

Larvae develop through four stages, or instars, after which they metamorphose into pupae. At the end of each instar, the larvae molt, shedding their skins to allow for further growth.

Pupa

Culex larva and pupa
As seen in its lateral aspect, the mosquito pupa is comma-shaped. The head and thorax are merged into a cephalothorax, with the abdomen curving around underneath. The pupa can swim actively by flipping its abdomen, and it is commonly called a "tumbler" because of its swimming action. As with the larva, the pupa of most species must come to the surface frequently to breathe, which they do through a pair of respiratory trumpets on their cephalothoraces. However, pupae do not feed during this stage; typically they pass their time hanging from the surface of the water by their respiratory trumpets. If alarmed, say by a passing shadow, they nimbly swim downwards by flipping their abdomens in much the same way as the larvae do. If undisturbed, they soon float up again.


Culex larvae plus one pupa
After a few days or longer, depending on the temperature and other circumstances, the pupa rises to the water surface, the dorsal surface of its cephalothorax splits, and the adult mosquito emerges. The pupa is less active than the larva because it does not feed, whereas the larva feeds constantly.

Adult
The period of development from egg to adult varies among species and is strongly influenced by ambient temperature. Some species of mosquitoes can develop from egg to adult in as few as five days, but a more typical period of development in tropical conditions would be some 40 days or more for most species. The variation of the body size in adult mosquitoes depends on the density of the larval population and food supply within the breeding water.


Anatomy of an adult mosquito
Adult mosquitoes usually mate within a few days after emerging from the pupal stage. In most species, the males form large swarms, usually around dusk, and the females fly into the swarms to mate.

Males typically live for about 5–7 days, feeding on nectar and other sources of sugar. After obtaining a full blood meal, the female will rest for a few days while the blood is digested and eggs are developed. This process depends on the temperature, but usually takes two to three days in tropical conditions. Once the eggs are fully developed, the female lays them and resumes host-seeking.

The cycle repeats itself until the female dies. While females can live longer than a month in captivity, most do not live longer than one to two weeks in nature. Their lifespans depend on temperature, humidity, and their ability to successfully obtain a blood meal while avoiding host defenses and predators.

The length of the adult varies, but is rarely greater than 16 mm (0.6 in),[17] and it weighs up to 2.5 milligrams (0.04 grains). All mosquitoes have slender bodies with three segments: a head, a thorax and an abdomen.

The head is specialized for receiving sensory information and for feeding. It has eyes and a pair of long, many-segmented antennae. The antennae are important for detecting host odors, as well as odors of breeding sites where females lay eggs. In all mosquito species, the antennae of the males in comparison to the females are noticeably bushier and contain auditory receptors to detect the characteristic whine of the females.


Adult yellow fever mosquito Aedes aegypti, typical of subfamily Culicinae. Note bushy antennae and longer palps of male on left vs. females at right.
The compound eyes are distinctly separated from one another. Their larvae only possess a pit-eye ocellus. The compound eyes of adults develop in a separate region of the head. New ommatidia are added in semicircular rows at the rear of the eye. During the first phase of growth, this leads to individual ommatidia being square, but later in development they become hexagonal. The hexagonal pattern will only become visible when the carapace of the stage with square eyes is molted.

The head also has an elongated, forward-projecting, "stinger-like" proboscis used for feeding, and two sensory palps. The maxillary palps of the males are longer than their proboscises, whereas the females’ maxillary palps are much shorter. In typical bloodsucking species, the female has an elongated proboscis.

The thorax is specialized for locomotion. Three pairs of legs and a pair of wings are attached to the thorax. The insect wing is an outgrowth of the exoskeleton. The Anopheles mosquito can fly for up to four hours continuously at 1 to 2 km/h (0.6–1 mph), traveling up to 12 km (7.5 mi) in a night. Males beat their wings between 450 and 600 times per second.

The abdomen is specialized for food digestion and egg development; the abdomen of a mosquito can hold three times its own weight in blood. This segment expands considerably when a female takes a blood meal. The blood is digested over time, serving as a source of protein for the production of eggs, which gradually fill the abdomen.

FEEDING BY ADULTS

A mosquito has a variety of ways of finding their prey, including chemical, visual, and heat sensors. Typically, both male and female mosquitoes feed on nectar and plant juices, but in many species the mouthparts of the females are adapted for piercing the skin of animal hosts and sucking their blood as ectoparasites. In many species, the female needs to obtain nutrients from a blood meal before she can produce eggs, whereas in many other species, she can produce more eggs after a blood meal. The feeding preferences of mosquitoes include those with type O blood, heavy breathers, those with a lot of skin bacteria, people with a lot of body heat, and the pregnant. Both plant materials and blood are useful sources of energy in the form of sugars, and blood also supplies more concentrated nutrients, such as lipids, but the most important function of blood meals is to obtain proteins as materials for egg production.

The strategy of only females risking their lives on blood sucking is not limited to mosquitoes; it also occurs in some other insect families, such as the Tabanidae. When a female reproduces without such parasitic meals, she is said to practice autogenous reproduction, as in Toxorhynchites; otherwise, the reproduction may be termed anautogenous, as occurs in mosquito species that serve as disease vectors, particularly Anopheles and some of the most important disease vectors in the genus Aedes. In contrast, some mosquitoes, for example, many Culex, are partially anautogenous; they do not need a blood meal for their first cycle of egg production, which they produce autogenously; however, subsequent clutches of eggs are produced anautogenously, at which point their disease vectoring activity becomes operative.


Here an Anopheles stephensi female is gorged with blood and beginning to pass unwanted liquid fractions of the blood to make room in her gut for more of the solid nutrients.
With regard to host location, female mosquitoes hunt their blood host by detecting organic substances such as carbon dioxide (CO2) and 1-octen-3-ol produced from the host, and through optical recognition. Mosquitoes prefer some people over others. The preferred victim's sweat simply smells better than others because of the proportions of the carbon dioxide, octenol and other compounds that make up body odor. The most powerful semiochemical that triggers the keen sense of smell of Culex quinquefasciatus is nonanal.Another compound identified in human blood that attracts mosquitoes is sulcatone or 6-methyl-5-hepten-2-one, especially for Aedes aegypti mosquitoes with the odor receptor gene Or4. A large part of the mosquito’s sense of smell, or olfactory system, is devoted to sniffing out blood sources. Of 72 types of odor receptors on its antennae, at least 27 are tuned to detect chemicals found in perspiration. In Aedes, the search for a host takes place in two phases. First, the mosquito exhibits a nonspecific searching behavior until the perception of host stimulants, then it follows a targeted approach.

Most mosquito species are crepuscular (dawn or dusk) feeders. During the heat of the day, most mosquitoes rest in a cool place and wait for the evenings, although they may still bite if disturbed.Some species, such as the Asian tiger mosquito, are known to fly and feed during daytime.[citation needed]

Prior to and during blood feeding, blood-sucking mosquitoes inject saliva into the bodies of their source(s) of blood. This saliva serves as an anticoagulant; without it one might expect the female mosquito's proboscis to become clogged with blood clots. The saliva also is the main route by which mosquito physiology offers passenger pathogens access to the hosts' interior. The salivary glands are a major target to most pathogens, whence they find their way into the host via the stream of saliva.

The bump left on the victim's skin after a mosquito bites is called a wheal, which is caused by histamines trying to fight off the protein left by the attacking insect.

Mosquitoes of the genus Toxorhynchites never drink blood. This genus includes the largest extant mosquitoes, the larvae of which prey on the larvae of other mosquitoes. These mosquito eaters have been used in the past as mosquito control agents, with varying success.


Many, if not all, blood-sucking species of mosquitoes are fairly selective feeders that specialise in particular host species, though they often relax their selectivity when they experience severe competition for food, defensive activity on the part of the hosts, or starvation. Some species feed selectively on monkeys, while others prefer particular kinds of birds, but they become less selective as conditions become more difficult. For example, Culiseta melanura sucks the blood of passerine birds for preference and such birds are typically the main reservoir of the Eastern equine encephalitis virus in North America. Early in the season while mosquito numbers are low, they concentrate on passerine hosts, but as mosquito numbers rise and the birds are forced to defend themselves more vigorously, the mosquitoes become less selective in attacking their avian hosts. Soon the mosquitoes begin attacking mammals more readily, thereby becoming the major vector of the virus, and causing epidemics of the disease, most conspicuously in humans and horses.

Even more dramatically, in most of its range in North America, the main vector for the Western equine encephalitis virus is Culex tarsalis, because it is known to feed variously on mammals, birds, reptiles, and amphibians. Even fish may be attacked by some mosquito species if they expose themselves above water level, as mudskippers do.

It has long been known that some species of blood-sucking flies, such as many of the Ceratopogonidae, will attack large, live insects and suck their haemolymph[38] and that others, such as the so-called "jackal flies" (Milichiidae), will attack the recently dead prey of say, crab spiders (Thomisidae),[39] but in the late 1960s it was reported that some species of anautogenous mosquitoes would feed on the haemolymph of caterpillars. Other observations include mosquitoes feeding on cicadas, and mantids. More recently it has been shown that malaria transmitting mosquitoes will actively seek out some species of caterpillars and feed on their haemolymph, and do so to their apparent physical detriment.

Mouthparts
Mosquito mouthparts are very specialized, particularly those of the females, which in most species are adapted to piercing skin and then sucking blood. Apart from bloodsucking, the females generally also drink assorted fluids rich in dissolved sugar, such as nectar and honeydew, to obtain the energy they need. For this, their blood-sucking mouthparts are perfectly adequate. In contrast, male mosquitoes are not bloodsuckers; they only drink sugary fluids. Accordingly, their mouthparts do not require the same degree of specialization as those of females.

Externally, the most obvious feeding structure of the mosquito is the proboscis. More specifically, the visible part of the proboscis is the labium, which forms the sheath enclosing the rest of the mouthparts. When the mosquito first lands on a potential host, her mouthparts will be enclosed entirely in this sheath, and she will touch the tip of the labium to the skin in various places. Sometimes, she will begin to bite almost straight away, while other times, she will prod around, apparently looking for a suitable place. Occasionally, she will wander for a considerable time, and eventually fly away without biting. Presumably, this probing is a search for a place with easily accessible blood vessels, but the exact mechanism is not known. It is known that there are two taste receptors at the tip of the labium which may well play a role.

The female mosquito does not insert her labium into the skin; it bends back into a bow when the mosquito begins to bite. The tip of the labium remains in contact with the skin of the victim, acting as a guide for the other mouthparts. In total, there are six mouthparts besides the labium: two mandibles, two maxillae, the hypopharynx, and the labrum.

The mandibles and the maxillae are used for piercing the skin. The mandibles are pointed, while the maxillae end in flat, toothed "blades". To force these into the skin, the mosquito moves its head backwards and forwards. On one movement, the maxillae are moved as far forward as possible. On the opposite movement, the mandibles are pushed deeper into the skin by levering against the maxillae. The maxillae do not slip back because the toothed blades grip the skin.

The hypopharynx and the labrum are both hollow. Saliva with anticoagulant is pumped down the hypopharynx to prevent clotting, and blood is drawn up the labrum.

To understand the mosquito mouthparts, it is helpful to draw a comparison with an insect that chews food, such as a dragonfly. A dragonfly has two mandibles, which are used for chewing, and two maxillae, which are used to hold the food in place as it is chewed. The labium forms the floor of the dragonfly's mouth, the labrum forms the top, while the hypopharynx is inside the mouth and is used in swallowing. Conceptually, then, the mosquito's proboscis is an adaptation of the mouthparts that occur in other insects. The labium still lies beneath the other mouthparts, but also enfolds them, and it has been extended into a proboscis. The maxillae still "grip" the "food" while the mandibles "bite" it. The top of the mouth, the labrum, has developed into a channeled blade the length of the proboscis, with a cross-section like an inverted "U". Finally, the hypopharynx has extended into a tube that can deliver saliva at the end of the proboscis. Its upper surface is somewhat flattened so, when pressed against it, the labrum forms a closed tube for conveying blood from the victim.

Saliva
For the mosquito to obtain a blood meal, it must circumvent the vertebrate's physiological responses. The mosquito, as with all blood-feeding arthropods, has mechanisms to effectively block the hemostasis system with their saliva, which contains a mixture of secreted proteins. Mosquito saliva negatively affects vascular constriction, blood clotting, platelet aggregation, angiogenesis and immunity, and creates inflammation.[48] Universally, hematophagous arthropod saliva contains at least one anticlotting, one antiplatelet, and one vasodilatory substance. Mosquito saliva also contains enzymes that aid in sugar feeding[49] and antimicrobial agents to control bacterial growth in the sugar meal. The composition of mosquito saliva is relatively simple, as it usually contains fewer than 20 dominant proteins. Despite the great strides in knowledge of these molecules and their role in bloodfeeding achieved recently, scientists still cannot ascribe functions to more than half of the molecules found in arthropod saliva. One promising application is the development of anticlotting drugs, such as clotting inhibitors and capillary dilators, that could be useful for cardiovascular disease.

It is now well recognized that feeding ticks, sandflies, and, more recently, mosquitoes, have an ability to modulate the immune response of the animals (hosts) on which they feed. The presence of this activity in vector saliva is a reflection of the inherent overlapping and interconnected nature of the host hemostatic and inflammatory/immunological responses and the intrinsic need to prevent these host defenses from disrupting successful feeding. The mechanism for mosquito saliva-induced alteration of the host immune response is unclear, but the data have become increasingly convincing that such an effect occurs. Early work described a factor in saliva that directly suppresses TNF-α release, but not antigen-induced histamine secretion, from activated mast cells.Experiments by Cross et al. (1994) demonstrated that the inclusion of Ae. aegypti mosquito saliva into naïve cultures led to a suppression of interleukin (IL)-2 and IFN-γ production, while the cytokines IL-4 and IL-5 are unaffected by mosquito saliva. Cellular proliferation in response to IL-2 is clearly reduced by prior treatment of cells with SGE. Correspondingly, activated splenocytes isolated from mice fed upon by either Ae. aegypti or Cx. pipiens mosquitoes produce markedly higher levels of IL-4 and IL-10 concurrent with suppressed IFN-γ production.[54] Unexpectedly, this shift in cytokine expression is observed in splenocytes up to 10 days after mosquito exposure, suggesting natural feeding of mosquitoes can have a profound, enduring, and systemic effect on the immune response.

T cell populations are decidedly susceptible to the suppressive effect of mosquito saliva, showing increased mortality and decreased division rates.Parallel work by Wasserman et al. (2004) demonstrated that T- and B-cell proliferation was inhibited in a dose dependent manner with concentrations as low as 1/7 of the saliva in a single mosquito. Depinay et al. (2005) observed a suppression of antibody-specific T cell responses mediated by mosquito saliva and dependent on mast cells and IL-10 expression.

A recent study suggests mosquito saliva can also decrease expression of interferon−α/β during early mosquito-borne virus infection. The contribution of type I interferons (IFN) in recovery from infection with viruses has been demonstrated in vivo by the therapeutic and prophylactic effects of administration of IFN-inducers or IFN, and recent research suggests mosquito saliva exacerbates West Nile virus infection, as well as other mosquito-transmitted viruses.

Egg development and blood digestion[edit]
Female mosquitoes use two very different food sources. They need sugar for energy, which is taken from sources such as nectar, and they need blood as a source of protein for egg development. Because biting is risky and hosts may be difficult to find, mosquitoes take as much blood as possible when they have the opportunity. This, however, creates another problem. Digesting that volume of blood takes a while, and the mosquito will require energy from sugar in the meantime.

To avoid this problem, mosquitoes have a digestive system which can store both food types, and give access to both as they are needed. When the mosquito drinks a sugar solution, it is directed to a crop. The crop can release sugar into the stomach as it is required. At the same time, the stomach never becomes full of sugar solution, which would prevent the mosquito taking a blood meal if it had the chance.

Blood is directed straight into the mosquito's stomach. In species that feed on mammalian or avian blood, hosts whose blood pressure is high, the mosquito feeds selectively from active blood vessels, where the pressure assists in filling the gut rapidly. If, instead of slapping a feeding mosquito, one stretches one's skin so that it grips the proboscis and the mosquito cannot withdraw it, the pressure will distend the gut until it breaks and the mosquito dies.[better source needed] In the unmolested mosquito, however, the mosquito will withdraw, and as the gut fills up, the stomach lining secretes a peritrophic membrane that surrounds the blood. This membrane keeps the blood separate from anything else in the stomach. However, like certain other insects that survive on dilute, purely liquid diets, notably many of the Hemiptera, many adult mosquitoes must excrete unwanted aqueous fractions even as they feed. (See the photograph of a feeding Anopheles stephensi: Note that the excreted droplet patently is not whole blood, being far more dilute). As long as they are not disturbed, this permits mosquitoes to continue feeding until they have accumulated a full meal of nutrient solids. As a result, a mosquito replete with blood can continue to absorb sugar, even as the blood meal is slowly digested over a period of several days. Once blood is in the stomach, the midgut of the female synthesizes proteolytic enzymes that hydrolyze the blood proteins into free amino acids. These are used as building blocks for the synthesis of egg yolk proteins.

In the mosquito Anopheles stephensi Liston, trypsin activity is restricted entirely to the posterior midgut lumen. No trypsin activity occurs before the blood meal, but activity increases continuously up to 30 hours after feeding, and subsequently returns to baseline levels by 60 hours. Aminopeptidase is active in the anterior and posterior midgut regions before and after feeding. In the whole midgut, activity rises from a baseline of approximately three enzyme units (EU) per midgut to a maximum of 12 EU at 30 hours after the blood meal, subsequently falling to baseline levels by 60 hours. A similar cycle of activity occurs in the posterior midgut and posterior midgut lumen, whereas aminopeptidase in the posterior midgut epithelium decreases in activity during digestion. Aminopeptidase in the anterior midgut is maintained at a constant, low level, showing no significant variation with time after feeding. Alpha-glucosidase is active in anterior and posterior midguts before and at all times after feeding. In whole midgut homogenates, alpha-glucosidase activity increases slowly up to 18 hours after the blood meal, then rises rapidly to a maximum at 30 hours after the blood meal, whereas the subsequent decline in activity is less predictable. All posterior midgut activity is restricted to the posterior midgut lumen. Depending on the time after feeding, greater than 25% of the total midgut activity of alpha-glucosidase is located in the anterior midgut. After blood meal ingestion, proteases are active only in the posterior midgut. Trypsin is the major primary hydrolytic protease and is secreted into the posterior midgut lumen without activation in the posterior midgut epithelium. Aminoptidase activity is also luminal in the posterior midgut, but cellular aminopeptidases are required for peptide processing in both anterior and posterior midguts. Alpha-glucosidase activity is elevated in the posterior midgut after feeding in response to the blood meal, whereas activity in the anterior midgut is consistent with a nectar-processing role for this midgut region.

Distribution

Female Ochlerotatus notoscriptus feeding on a human arm, Tasmania, Australia
In the sense of the entire family Culicidae, mosquitoes are cosmopolitan; in every land region except for Antarctica and a few islands, mainly in polar or subpolar climates, at least some species of mosquito will be present. Iceland is an unusual example of such an island, being essentially free of mosquitoes. In warm and humid tropical regions, various mosquito species are active for the entire year, but in temperate and cold regions they hibernate or enter diapause. Arctic or subarctic mosquitoes, like some other arctic midges in families such as Simuliidae and Ceratopogonidae may be active for only a few weeks annually as melt-water pools form on the permafrost. During that time, though, they emerge in huge numbers in some regions and may take up to 300 ml of blood per day from each animal in a caribou herd.

The absence of mosquitoes from Iceland and similar regions is probably because of quirks of their climate, which differs in some respects from mainland regions. At the start of the uninterrupted continental winter of Greenland and the northern regions of Eurasia and America, the pupa enters diapause under the ice that covers sufficiently deep water. The imago ecloses only after the ice breaks in late spring. In Iceland however, the weather is less predictable. In mid-winter it frequently warms up suddenly, causing the ice to break, but then to freeze again after a few days. By that time the mosquitoes will have emerged from their pupae, but the new freeze sets in before they can complete their life cycle. Any anautogenous adult mosquito would need a host to supply a blood meal before it could lay viable eggs; it would need time to mate, mature the eggs and oviposit in suitable wetlands. These requirements would not be realistic in Iceland and in fact the absence of mosquitoes from such subpolar islands is in line with the islands' low biodiversity; Iceland has fewer than 1500 described species of insects, many of them probably accidentally introduced by human agency. In Iceland most ectoparasitic insects live in sheltered conditions or actually on mammals; examples include lice, fleas and bedbugs, in whose living conditions freezing is no concern, and most of which were introduced inadvertently by humans.

Some other aquatic Diptera, such as Simuliidae, do survive in Iceland, but their habits and adaptations differ from those of mosquitoes; Simuliidae for example, though they, like mosquitoes, are bloodsuckers, generally inhabit stones under running water that does not readily freeze and which is totally unsuited to mosquitoes; mosquitoes are generally not adapted to running water.

Eggs of species of mosquitoes from the temperate zones are more tolerant of cold than the eggs of species indigenous to warmer regions. Many even tolerate subzero temperatures. In addition, adults of some species can survive the winter by taking shelter in suitable microhabitats such as buildings or hollow trees.

Main article: Mosquito-borne disease
Mosquitoes can act as vectors for many disease-causing viruses and parasites. Infected mosquitoes carry these organisms from person to person without exhibiting symptoms themselves. Mosquito-borne diseases include:

Viral diseases, such as yellow fever, dengue fever and chikungunya, transmitted mostly by Aedes aegypti. Dengue fever is the most common cause of fever in travelers returning from the Caribbean, Central America, South America, and South Central Asia. This disease is spread through the bites of infected mosquitoes and cannot be spread person to person. Severe dengue can be fatal, but with good treatment, less than 1% of patients die from dengue.
The parasitic diseases collectively called malaria, caused by various species of Plasmodium, carried by mosquitoes of the genus Anopheles
Lymphatic filariasis (the main cause of elephantiasis) which can be spread by a wide variety of mosquito species
West Nile virus is a concern in the United States, but there are no reliable statistics on worldwide cases.
Eastern equine encephalitis virus is a concern in the eastern United States.
Tularemia, a bacterial disease caused by Francisella tularensis, is variously transmitted, including by biting flies. Culex and Culiseta are vectors of tularemia, as well as arbovirus infections such as West Nile virus.
Potential transmission of HIV was originally a public health concern, but practical considerations and detailed studies of epidemiological patterns suggest that any transmission of the HIV virus by mosquitoes is at worst extremely unlikely.

Various species of mosquitoes are estimated to transmit various types of disease to more than 700 million people annually in Africa, South America, Central America, Mexico, Russia, and much of Asia, with millions of resultant deaths. At least two million people annually die of these diseases, and the morbidity rates are many times higher still.

Methods used to prevent the spread of disease, or to protect individuals in areas where disease is endemic, include:

Vector control aimed at mosquito control or eradication
Disease prevention, using prophylactic drugs and developing vaccines
Prevention of mosquito bites, with insecticides, nets, and repellents
Since most such diseases are carried by "elderly" female mosquitoes, some scientists have suggested focusing on these to avoid the evolution of resistance.