Medical Entomology by William B Herms SC.D.
Medical Entomology by William B Herms SC.D.
Medical Entomology by William B Herms SC.D.
.~
.a 0
.
THE MACMILLAN COMPANY
NEW YORK. BOSTON. CHICAGO
DA1.l.AS • ATLANTA. SAN FRANCISCO
FOURTH EDITION
Based on the book known as
MEDICAL AND VETERINARY
ENTOMOLOGY
Copyright, 1943, by
WILLIAM B. HERMS
._.
THE ORIGINAL MANUSCRIPT for this book was prepared about forty
years ago, and the first edition, entitled Medical and Veterinary Ento-
mology, appeared in 1915. The book was most generously received from
the beginning and has been widely and increasingly used in each suc-
ceeding edition. Jt took considerable perseverance to complete another
revision for a fourth edition. With the encouragement of long-time users
of the work and the assistance of colleagues, graduate students, and
others this has now been accomplished.
The science of medical entomol~has been fully accepted as one
of the important fundamentals for ~plete knowledge and under-
standing of public health operations as well as for an understanding of
the health of domestic animals; it is essential to a complete understand-
ing of the epidemiology of disease. Medical entomology is now taught
in the entomological curricula of most colleges and universities, as well
as in curricula of public health, preventive medicine, and tropical medi-
cine.
The general plan of the book remains essentially unchanged; but ow-
ing to the rapid expansion of knowledge pertaining to arthropods as
vectors of infections of man and animals and because of changes in con-
trol technique due to the discovery of new insecticide, such as DDT, a
complete revision of nearly all chapters became necessary. Stress con-
tinues to be placed on biology (life history and ecology) as fundamen-
tal to rational control and as basic to sound epidemiological procedures.
While it is recognized that the advent of DDT did measurably change
arthropod-control concepts, the use of this and other new insecticides
precipitated new problems or new phases of old ones, particularly as
these newer insecticides affect the public .health either directly or in-
directly and to some degree also the "balance" in nature. Instead of
requiring less knowledge concerning the ecology of living things (so-
called "shot-gun" methods of application have too largely prevailed),
the wise and successful use of these insecticides requires much more
fundamental knowledge of the· ecology of the offending organisms as
well as of others living in the same niche. Hazards to the health of man
and his domestic animals must be well considered. Those in charge of
training military personnel for vector control operations ( to check
malaria, tsutsugamushi disease, etc.) under military conditions must
recognize, as do public health officials, that sole reliance on the tech-
vii
viii PREF ACE TO THE FOURTH EDITION
._.
made in footnote form, but where certain facts have long been accepted
as common knowledge, reference is ordinarily omitted.
Sources from which assistance has been drawn are too numerous to
enumerate adequately, but to all who have contributed toward the
preparation of this work I wish to express my sincere appreciation and
thanks, but most particularly to my advanced students in parasitology,
who have contributed much valuable data, and to my colleagues, Pro-
fessor C. W. Woodworth, Dr. Edwin C. Van Dyke, Dr. W. A. Sawyer,
and Dr. S. B. Freeborn, and to my wife, Lillie M. Herms, for generous
cooperation and kindly criticism.
Unless otherwise credited the illustrations are from photographs and
drawings made by the author and various assistants. Thanks are due
particularly to Dr. William Colby Rucker for the use of flea drawings,
to Professor Herbert Osborn for permission to reproduce certain draw-
ings of biting and sucking lice, to Dr. Bruce Mayne for photographs of
Tabanas striatus, and stomachs of infected Anopheles mosquitoes, to
Professor J. S. Hine for photographs of certain other tabanids, and to
Mr. W. C. Matthews, scientific illustrator, for valuable assistance in the
preparation of many of the figures.
W. B. H.
Berkeley, California
CONTENTS
._.
PREFACE to the fourth edition vii
Chapter I
INTRODUCTION 1
HISTORICAL
Chapter II
SCOPE AND METHOD 11
SCOPE; TRAINING; OBJECTIVES; METHOD; IMPORTANCE OF ECOLOGY;
CONTROL OF INSECT-BORNE DISEASES; VECTOR CONTROL; INSECTICIDAL
PRACTICES; VITAL L~ES DUE TO INSECTS; HOW MUCH TO SPEND ON
CONTROL
Chapter III
PARASITES AND PARASITISM 22
SYMBIOSIS AND PARASITISM; PARASITISM; CLASSES OF PARASITES;
EFFECTS OF PARASITISM; ORIGIN OF PARASITISM; SYSTEMATIC POSITION
OF ANIMAL PARASITES
Chapter IV
HOW ARTHROPODS CAUSE AND CARRY DISEASE 35
ARTHROPOD AND PATHOGEN; CHAIN OF INFECTION; PATHOLOGICAL CON-
DITIONS CAUSED BY ARTHROPODS; ENTOMOPHOBIA; ENVENOMIZATION;
DERMATOSIS; MYIASIS; ALLERGY CAUSED BY INSECTS; MECHANICAL
CARRIERS OF INFECTION; CYCLICO-PROPAGATIVE TRANSMISSION; CY-
CLICO-DEVELOPMENTAL TRANSMISSION; PROPAGATIVE TRANSMISSION;
FECAL CONTAMINATION; HEREDITARY TRANSMISSION; ARTHROPODS AS
INTERMEDIATE HOSTS OF HELMINTHS; RESERVOIR ANIMALS
Chapter V
STRUCTURE, DEVELOPMENT, AND CLASSIFICATION OF
INSECTS AND ARACHNIDS
THE INSECTA (HEXAPODA); EXTERNAL ANATOMY; WINGS; META-
MORPHOSIS; IMPORTANCE OF KNOWING INTERNAL ANATOMY; DIGES-
TIVE SYSTEM; INSECT LARVAE; THE ORDERS OF INSECTS; THE
ARACHNIDA; ARACHNID DEVELOPMENT; ARACHNID CLASSIFICATION.
KEY TO THE TERRESTRIAL ORDERS OF THE CLASS ARACHNIDA
xi
xii CONTENTS
Chapter VI
INSECT AND ARACHNID MOUTH PARTS 60
IMPORTANCE OF MOUTH PARTS; CLASSIFICATION OF MOUTH PARTS.
MORPHOLOGY OF MOUTH PARTS: ORTHOPTERON TYPE; THYSANOPTERON
TYPE; HEMIPTERON TYPE; ANOPLURON TYPE; DIPTERON TYPE;
SIPHONAPTERON TYPE; HYMENOPTERON TYPE; LEPIDOPTERON TYPE.
ORDERS OF INSECTS ARRANGED ACCORDING TO MOUTH PARTS. ARACHNID
MOUTH PARTS
Chapter VII
COCKROACHES AND BEETLES 78
COCKROACHES; FEEDING HABITS; LIFE HISTORY; COCKROACHES AS
VECTORS; COCKROACHES AS INTERMEDIATE HOSTS OF NEMATODE
PARASITES; COCKROACH CONTROL. BEETLES: THE ORDER COLEOPTERA;
CHARACTERISTICS; SCAVENGER BEETLES; BEETLES AS INTERMEDIATE
HOSTS OF HELMINTHS; CANTHARIASIS; VESICATING BEE~LES; ROSE
CHAFERS POISONOUS TO POULTRY; SUNDRY ANNOYING BEETLES; BEETLES
AS PARASITES. KEY TO FAMILIES OF COLEOPTERA
Chapter VIII
BUGS 94
ORDER HEMIPTERA. BEDBUGS; FAMILY CIMICIDAE; THE COMMON BED-
BUG; METHODS OF DISTRIBUTION; BEDBUG BITES; BEDBUG CONTROL.
KEY TO NORTH AMERICAN CIMICIDAE. THE CONENOSES: F AMIL Y REDU-
VIIDAE; LIFE HISTORY; THE ALIMENTARY CANAL OF Triatoma
protracta (UHL.); CONENOSE BITES; CHAGAS' DISEASE; TRANSMISSION
OF INFECTION; CONTROL. KEY TO SOME PREDACEOUS REDUVIIDAE
LIKELY TO BE OF MEDICAL IMPORTANCE. SOME OTHER BUGS. KEY TO
PRINCIPAL FAMILIES OF HEMIPTERA-HETEROPTERA OF NORTH AMERICA
WHICH CONTAIN PREDACEOUS SPECI,ES
Chapter IX
THE LICE 113
THE SUCKING LICE: GENERAL CHARACTERISTICS; CLASSIFICATION OF
ANOPLURA; THE LICE OF MAN AND OTHER PRIMATES. SUCKING LICE OF
MAN: THE HUMAN HEAD LOUSE; THE PUBIC LOUSE: THE BODY LOUSE;
DISSEMINATION OF BODY LICE: PEDICULOSIS: FAVUS AND IMPETIGO;
EPIDEMIC RELAPSING FEVER; TYPHUS FEVER; TRANSMISSION BY LICE;
MURINE TYPHUS FEVER; TRENCH FEVER; DELOUSING; LOUSICIDES. SUCK-
ING LICE OF MAMMALS: ANOPLURA AFFECTING DOMESTICATED
MAMMALS. THE BITING LICE: CLASSIFICATION; INJURY BY BITING LICE;
LIFE HISTORY; LICE INFESTING DOMESTIC FOWLS; CONTROL OF POULTRY
LICE; BITING LICE OF DOMESTICATED MAMMALS; CONTROL OF BITING
LICE ON MAMMALS; LICE AND TAENIASIS
Chapter X
GNATS (EXCLUSIVE OF MOSQUITOES) 143
ORDER DIPTERA; CLASSIFICATION OF THE DIPTERA; SOME FAMILIES OF
THE ORDER DIPTERA. FAMILY SIMULIDAE: CHARACTERISTICS; LIFE
CONTENTS xiii
Chapter XI
MOSQUITOES: CLASSIFICATION AND BIOLOGY 175
IMPORTANCE; MALE TERMINALIA; LIFE HISTORY; FLIGHT HABITS;
LONGEVITY; INTERNAL ANATOMY. TRIBE MEGARHININI: CHARACTERIS-
TICS. TRIBE CULICINI. TRIBE AEDINI. SALT-MARSH MOSQUITOES; FLOOD-
WATER Aedes; TREE-HOLE MOSQUITOES; BOREAL Aedes OR SNOW
MOSQUITOES; Aedes aegypti; OTHER GENERA. TRIBE ANOPHELINI:
CHARACTERISTICS; MATING AND OVIPOSITION; EGG CHARACTERS; BREED-
ING HABITS; BITING HABITS; SOME NORTH AMERICAN ANOPHELINES.
KEY TO CULICID TRIBES AND GENERA OF THE UNITED STATES
Chapter XII
MOSQUITOES AS VECTORS OF DISEASE 213
THE MALARIAS: HUMAN MALARIA; HISTORICAL; THE PLASMODIA; LIFE
CYCLE OF THE PLASMODIA; WHAT MAKES A MOSQUITO A GOOD NATURAL
VECTOR?; "ANOPHELISM WITHOUT MALARIA"; NUMBER OF PERSONS IN-
,FECTED BY ONE MOSQUITO; EFFECT OF TEMPERATURE ON PLASMODIA
IN THE MOSQUITO; HIBERNATING ANOPHELINES NOT CARRIERS; VECTORS
OF HUMAN MALARIA; MALARIA SURVEYS. ANIMAL MALARIAS: AVIAN
MALARIA; SIMIAN MALARIA; SAURIAN AND AMPHIBIAN MALARIA. YEL-
LOW FEVER: WALTER REED AND YELLOW FEVER; MECHANISM OF
TRANSMISSION; SUMMARY OF RECENT DISCOVERIES; JUNGLE YELLOW
FEVER. DENGUE FEVER: MOSQUITO TRANSMISSION. ARTHROPOD-BORNE
VIRUS ENCEPHALITIDES: EQUINE ENCEPHALOMYELITIS; JAPANESE "B"
VIRUS. FILARIASIS: MOSQUITO SPECIES INVOLVED; HEARTWORM OF DOGS;
OTHER FILARIAL WORMS. RABBIT MYXOMATOSIS. FOWLPOX
Chapter XIII
MOSQUITO ABATEMENT 256
HISTORICAL; ORGANIZATION FOR ABATEMENT WORK; PERSONNEL;
TRAINING OF PERSONNEL AND EDUCATION OF THE PUBLIC; MOSQUITO
SURVEYS; ESSENTIALS OF MOSQUITO ABATEMENT; WATER MANAGE-
MENT; IMPOUNDED WATER; CONTROLLED REFLOODING; FLUSHING;
SALINIFICATION; CREEKS AND SMALL STREAMS; DRAINAGE; DITCHING
WITH DYNAMITE; MAINTENANCE OF DITCHES; SALT-MARSH DRAINAGE;
FILLING AND PUMPING; MOSQUITO BREEDING IN RICE FIELDS; ANOPHE-
xiv CONTENTS
Chapter XIV
HORSEFLIES, DEER FLIES, AND SNIPE FLIES 297
HORSEFLIES: TABANIDAE; BREEDING HABITS AND LIFE HISTORY; BITES;
RELATION TO ANTHRAX; SURRA; TULAREMIA; LOIASIS; EL DEBAB; CON-
TROL; THE SPECIES OF TABANIDAE. KEY TO THE TABANID GENERA OF
NEARCTIC AMERICA. SNIPE FLIES
Chapter XV
HOUSEFLIES 316
ORDER DIPTERA, SUPERFAMILY MUSCOIDEA: HOUSE-INVADING FLIES;
FAMILY MUSCIDAE; THE TRUE HOUSEFLY; RANGE OF FLIGHT; LONGE-
VITY; OTHER HOUSE-INVADING FLIES; BLOWFLIES AND FLESH FLIES;
TUBERCULOSIS; EGGS OF PARASITIC WORMS; INTESTINAL PROTOZOA;
MURRINA; BOVINE MASTITIS; CUTANEOUS HABRONEMIASIS; FOWL
TAENIASIS. FLY CONTROL: RURAL; MANURE WASTAGE; MANURE DIS-
POSAL; COMPOSTING PITS; CLOSE PACKING; CHEMICAL TREATMENT OF
MANURE; DDT IN RURAL FLY CONTROL; COMMUNITY FLY CONTROL;
DDT-RESISTANT HOUSEFLIES; USE OF MANURE ON LAWNS; LAWN
CLIPPINGS; FLIES FROM SEPTIC TANKS; SEWAGE TREATMENT PLANTS;
PRIVIES; FLYTRAPS
Chapter XVI
BLOODSUCKING MUSCOID FLlES-Tsetse flies, Stomoxys flies,
Horn flies 352
TSETSE FLIES: GENUS Glossina; GENERAL CHARACTERISTICS; LIFE HIS-
TORY; TRYPANOSOMIASIS; Glossina SPECIES; TSETSE-FLY CONTROL.
STOMOXYS FLIES: GENERAL CHARACTERISTICS; HABITS; BREEDING HABITS
AND LIFE HISTORY; LONGEVITY; POLIOMYELITIS; CONTROL OF STABLE
FLIES. HORN FLY: CHARACTERISTICS; LIFE HISTORY; DAMAGE DONE;
CONTROL; OTHER SPECIES OF BLOODSUCKING MUSCOID FLIES
Chapter XVII
MYIASIS 372
ACCIDENTAL MYIASIS: IDENTIFICATION OF FLY MAGGOTS; INTESTINAL
MYIASIS; GASTRIC MYIASIS; URINARY MYIASIS; TRAUMATIC DERMAL
MYIASIS. SEMI-OBLIGATE MYIASIS. SUNDRY MAGGOT INFESTATIONS:
TUMBU FLY AND CONGO FLOOR MAGGOT; WOOL MAGGOTS; CONTROL OF
WOOL-MAGGOT FLIES; TOXIC EFFECT OF INGESTED FLY LARVAE; BLOOD-
SUCKING MAGGOTS OF BIRDS. OBLIGATE MYIASIS: OESTRID FLIES;
CONTENTS XV
Chapter XVIII
LOUSE FLIES 410
HIPPOBOSCIDAE: CHARACTERISTICS; THE SHEEP "TICK" OR KED; LIFE
HISTORY; DAMAGE DONE; CONTROL; LOUSE FLIES OF DEER. GENUS Hip-
pobosca. LOUSE FLIES OF BIRDS; BAT FLIES
Chapter XIX
FLEAS 416
ORDER SIPHONAPTERA: CHARACTERISTICS; DIGESTIVE TRACT; LIFE HIS-
TORY; LONGEVITY OF FLEAS; HOSTS AND OCCURRENCE OF SPECIES;
PLAGUE; THE DISEASE IN MAN; FLEAS AS VECTORS; ROLE OF FLEA IN
PLAGUE TRANSMISSION; PLAGUE IN FIELD RODENTS; WILD RODENT
FLEAS; INFECTED AND INFECTIVE FLEAS; MURINE (ENDEMIC) TYPHUS
FEVER. THE COMMONER SPECIES OF FLEAS. KEY TO THE FAMILIES OF
SIPHONAPTERA; FAMILY PULICIDAE; FAMILY DOLICHOPSYLLIDAE;
FAMILY HECTOPSYLLIDAE; FAMILY HYSTRICHOPSYLLIDAE; THE CHIGOE
FLEA; WESTERN HEN FLEA; FLEAS IN THE HOUSEHOLD; FLEAS AS IN-
TERMEDIATE HOSTS OF CESTODES; FLEA REPELLENTS; RODENT CON-
TROL; METHODS OF RAT CONTROL; FIELD RODENTS
Chapter XX
TICKS AND TICK-BORNE DISEASES 464
HIGH VECTOR POTENTIAL OF TICKS; MAN NOT A NATURAL HOST FOR
TICKS; HISTORICAL; CHARACTERISTICS; LIFE HISTORY; LONGEVITY;
CLASSIFICATION. THE FAMILY IXODIDAE (HARD-BODIED TICKS): GENUS
Ixodes;GENUS Dermacentor; KEY TO ADULTS OF GENUS Dermacentor;
GENUS Haemaphysalis; GENUS Rhipicentor; GENUS Rhipicephalus;
GENUS Margaropus; GENUS Hyalomma; GENUS Amblyomma; GENUS
Boophilus; THE TEXAS CATTLE FEVER TICK; LIFE HISTORY. DISEASES
CARRIED BY IXODINE TICKS: TEXAS CATTLE FEVER; ROCKY MOUNTAIN
SPOTTED FEVER; TICK TRANSMISSION OF SPOTTED FEVER; INFECTION
IN NATURE; MECHANISM OF INFECTION; CONTROL AND PREVENTION;
COLORADO TICK FEVER; TICK TRANSMISSION OF TULAREMIA; TICK
PARALYSIS; BULLIS FEVER; Q FEVER; LYMPHOCYTIC CHORIOMENINGITIS;
EAST COAST FEVER; EQUINE PIROPLASMOSIS; CANINE BABESIOSIS
(PIROPLASMOSIS); HEARTWATER; BOVINE ANAPLASMOSIS. COMBATING
TICKS: TICKS ON LIVE STOCK; TO FREE DOGS OF TICKS; CONTROL OF
TICKS ON VEGETATION. FAMILY ARGASIDAE (SOFT-BODIED TICKS):
GENUS Ornithodoros; TICK-BORNE RELAPSING FEVER-IN THE UNITED
STATES; SPIROCHETES OF ENDEMIC RELAPSING FEVER; ERADICATION
OF INFECTION FROM SUMMER CABINS; GENUS Otobius; THE SPINOSE
EAR TICK; GENUS Argas; Argas persicus (OKEN); OTHER SPECIES OF
Argas; GENUS Antricola
xvi CONTENTS
Chapter XXI
MITES 525
CHARACTERISTICS. MANGE OR ITCH MITES: CHARACTERISTICS; SAR-
COPTIC MITES; HUMAN SCABIES; SWINE MANGE; EQUINE MANGE; TREAT-
MENT FOR EQUINE MANGE; BOVINE MANGE; CANINE MANGE; NOTOED-
RIC MANGE; OTHER MANGE MITES; SCALY LEG MITE ON POULTRY;
DEPLUMING MITE. FOOT AND TAIL MANGE: CHORIOPTIC AND SYM-
BIOTIC SCABIES. SCAB MITES; CHARACTERISTICS; OVINE SCABIES;
PSORPOTIC MANGE OF HORSES; BOVINE SCABIES. AURICULAR MITES.
FOLLICLE MITES-FOLLICULAR MANGE. MACRONYSSIDAE; TROPICAL RAT
MITES; TROPICAL FOWL MITE; NORTHERN FOWL MITE. THE FAMILY
Dermanyssidae. CHIGGER MITES: CHIGGER DERMATITIS. LOUSE-LIKE
MITES. FLOUR AND MEAL MITES, GROCER'S ITCH. RED SPIDERS. QUILL
MITES. AIR-SAC MITES. TONGUE WORMS; PENTASTOMIASIS
Chapter XXII
VENOMOUS AND URTICARIAL ARTHROPODS 563
INSECT VENOMS; HOW THE VENOM IS INTRODUCED; STINGING INSECTS;
MORPHOLOGY OF BEE STING; OPERATION OF THE STING; REACTION TO
BEE STINGS; TREATMENT FOR BEE STING; YELLOW JACKETS OR
HORNETS; MUD DAUBERS; ANTS; MUTILLID WASPS. BITING INSECTS:
CONENOSES OR KISSING BUGS; BITING WATER BUGS; BLOODSUCKING
PHYTOPHAGOUS BUGS; THRIPS BITING MAN; BLISTER BEETLES. SPIDERS:
TARANTULAS; DANGEROUS SPIDERS; THE BLACK WIDOW SPIDER; ARACH-
NIDISM-SPIDER BITE; NATURE OF VENOM; TREATMENT; CONTROL.
SCORPIONS; SCORPION STING. WHIP SCORPIONS. SUN SPIDERS. VENOMOUS
TICKS. CENTIPEDES AND MILLIPEDES
INDEX 611
MEDICAL ENTOMOLOGY
CHAPTER I
._.
INTRODUCTION
Although popular beliefs in many parts of the world had for some
time connected mosquitoes with various tropical fevers, no well-formu-
lated ideas were advanced until 1848, when Josiah Nott 6 of New Orleans
published his belief that mosquitoes gave rise to both malaria and yellow
~ Superior figures in the text refer to Bibliography at the end of each chapter.
1
2 MEDICAL ENTOMOLOGY
(Zululand) and established the fact that the infection is conveyed from
animal to animal through the agency of Glossina morsitans Westwood.
In 1897 Ronald Ross"7 announced that he had found the zygotes of
the malaria parasite in two "dapple-wingled mosquitoes" (anophelines)
which had been bred from the larva and fed on a patient whose blood
contained crescents. In the discovery that mosquitoes carry malaria there
are linked the names of Ross; Manson;"8 MacCallum;"9 Bastianelli, Big-
nami, and Grassi;20 Koch;21 and Sambon and Low,22 the last two having
( 1900) demonstrated beyond a doubt the fact of transmission.
One of the world's outstanding achievements in the field of experi-
mental medicine is that of the United States Army Yellow Fever Com-
mission, consisting of Reed,23 Carrol, Lazear, and Agramonte, which in
1900 on the island of Cuba proved conclusively that yellow fever is car-
ried by a mosquito, Aedes aegypti (Linn.) [then known as Culex fasci-
atus Fabr. and later as Stegomyia fasciata (Fabr.)]. Carlos Finlay,24 a
Cuban physician, had as early as 1880 propounded the theory and con-
ducted experiments in an attempt to prove it; hence he, too, amply
deserves recognition and great praise.
These two discoveries concerning malaria and yellow fever gave great
impetus to the subject of mosquito control, although L. O. Howard had
already demonstrated the value of kerosene in his experiments in the
Catskill Mountains in 1892. Howard's pioneer book entitled Mosquitoes:
How They Live; How They Carry Disease; How They Are Classified;
How They May Be Destroyed, appeared in 1901.
During almost a third of a century following these fundamental dis-
coveries little advance was made in knowledge concerning the transmis-
sion of malaria and yellow fever, and the complete solution of the prob-
lem of control of both diseases seemed to be within reach-that is, simply
mosquito control. However, in 1937 malaria was again referred to as a
mysterious disease by Hackett 25 in his treatise Malaria in Europe vis.:
" . . . under close examination malaria became only more intricate and
impenetrable, more protean in its character, more diverse in its local
manifestations." The expression "anophelism without malaria" came into
use, and malariologists became more interested, as Hackett points out, in
the anophelines which did not transmit malaria than in those that did.
The discovery by Falleronj26 in 1926 that Anopheles maculipennis
Meigen, an important vector of malaria, was in reality separable into
races on differences in the' egg pattern, led Hackett, Martini, and Missi-
roli 27 (1932) to the discovery that the races of this species differ markedly
in their vector relationship to malaria, thus opening new avenues of re-
search. Now what appeared to be a clear-cut situation in 1898 became
once more a malaria "puzzle."
Furthermore, the apparently well-solved problem of yellow fever
4 MEDICAL ENTOMOLOGY
control through the control of Aedes aegypti (Linn.) was again com-
pletely thrown open for further investigation by the discovery of Stokes,
Bauer, and Hudson 28 in 1927 that experimental animals (monkeys) can
be infected with yellow fever. Now, because of the availability of experi-
mental animals, more than a dozen species of mosquito instead of just
one species are known to have the ability to transmit the infection from
monkey to monkey by the bite.
In 1932 there was first observed in the Valle de Chanaan, Espirito
Santo, Brazil, a type of yellow fever designated as jungle yellow fever
( Soper, 1936) ,29 differing from the known type, transmitted usually by
Aedes aegypti (Linn.), only in that it occurs under conditions suggesting
that infection takes place away from urban habitations, that man may not
be an essential factor in the continuity of infection, indeed "man may be
but an accident in the course of an epizootic in the lower animals, 'or it
may even be due to the persistence of the virus in invertebrate vectors
for long periods of time."
In 1898 Simond 30 succeeded in transmitting plague from a sick rat to
a healthy rat through the agen'cy of infected fleas. This discovery was at
first discredited, but the experiments were successfully repeated by
Verjbitskpl in 1903 and Liston 32 in 1904,
The designation sylva tic (selva tic) plague has come into use par-
ticularly since 1928 (Ricardo Jorge 33 ) to specify plague of wild rodents
in which fleas play an important role as invertebrate reservoirs as well
as vectors.
At this juncture of our historical review of the subject it is appro-
priate to call attention to the first comprehensive treatise dealing with
arthropods as carriers of disease, namely the work of the late Professor
George H. F. Nutta1l 34 entitled, On the Role of Insects, Arachnids and
Myriapods as Carriers in the Spread of Bacterial and Parasitic Diseases
of Man and Animals. A Critical and Historical Study. Every student of
medical entomology should be familiar with this publication. The follow-
ing quotation from that work is significant:
Whilst hygienists have given much attention to the study of pathogenic
organisms in air, water, soil and food, their behavior under different chemical
and physical conditions, as also to the possibility of their direct or indirect
transmission from diseased to healthy individuals; relatively little attention
has been paid to one of the means by which infectious diseases are spread, to
the role played especially by insects, which may serve either as carriers or
intermediary hosts of disease-agents. The most thorough work in this direc-
tion has been done by parasitologists. Very few of the works on hygiene even
mention the role of insects as carriers of infection, and those that do, gener-
ally speak vaguely on the subject.
Nuttall deserves to be called the father of medical entomology.
INTRODUCTION 5
In 1901 Forde 35 observed certain parasites in the blood of persons
suffering from Gambian sleeping sickness, which Dutton 36 ,37 recognized
as trypanosomes and named Trypanosoma gambiense; and in 1903 Bruce
and Nabarro 38 showed that Glossina palpalis (Robineau-Desvoidy) was
the carrier, thus adding another tsetse-fly disease to the list. Stephens and
Fantham39 in 1910 described Trypanosoma rhodesiense as the causal
organism of Rhodesian sleeping sickness, and Kinghorn and Yorke 40 in
1912 proved Glossina morsitans Westwood to be the responsible vector.
Graham,41 while working in Syria in 1902, found that dengue, or
breakbone fever, a Widely distributed disease particularly of warm
climates, though frequently occurring elsewhere, is mosquito-borne. He,
and later Ashburn and Craig,<2 reported that possibly several species of
mosquitoes, notably Aedes aegypti (Linn.), are able to transmit the
infection. A closely related disease is pappataci fever, also known as
"three-day fever" and "sand fly fever," transmitted by Phlebotomus
papatasii Scopoli, as proved by Doerr, Franz, and Taussig43 in 1909.
In 1903 Marchoux and Salimbeni44 proved that fowl spirochetosis
caused by Spirochaeta gallinarum Blanchard is tick-borne and that Argas
persicus (Oken), the common fowl tick, is a vector. Another tick-borne
disease came to light when Dutton and Todd 45 and Ross and Milne 46
in 1904 discovered that African relapsing fever is carried by the tick
Ornithodoros moubata (Murray), the causal organism being Borrelia
(= Spirochaeta) recurrentis Lebert = (Spirochaeta duttoni N ovy and
Knapp). Furthermore, in 1906 Ricketts,<7 working in Montana (U.S.A.),
proved conclusively that ailOther tick, which he believed to be Derma-
center occidentalis Neum., but now known to be Dermacentor andersoni
Stiles [Dermacentor venustus (Banks)], is the principal vector of Rocky
Mountain spotted fever. Wolbach' s (1919) named the causal organism
Dermacentroxenus rickettsi.
Although lice have for centuries been associated with filth and disease,
apparently little thought was given these insects as possible carriers of
infection, even though Melnikoff49 had shown in 1869 that the biting
dog louse, Trichodectes canis DeGeer, was an intermediate host of the
double-pored dog tapeworm, Dipylidium caninum (Linn.), which also
occasionally occurs in humans. Aubert50 (1879), according to Nuttall,
considered that pediculi were spreaders of impetigo, and the cause of
prurigo, pityriasis, etc. Also, in experiments conducted by Dewevre 51 in
1892, lice were shown to carry the specific microorganisms mechanically
on their front legs, and infection was thus accidentally transmitted to
healthy persons. Furthermore, Fliigge 52 in 1891 and Tictin 53 in 1897
both supposed that disease might be carried by vermin and conducted
experiments with bedbugs. In 1907 Mackie 54 working in India found that
relapsing fever was transmitted by the body louse, Pediculus humanus
6 MEDICAL ENTOMOLOGY
Linn., in whose body the causal organism, Borrelia (= Spirochaeta)
recurrentis Lebert (S. carteri Manson), multiplies.
Nicolle, Comte, and Conseil,55 working in Tunis in 1909, and Ricketts
and Wilder 56 working independently in Mexico in 1910, proved experi-
mentally that the body louse (Pediculus humanus Linn.) is a carrier of
typhus fever, the causal organism of which, Rickettsia prowazeki, was
described and named by Da Rocha-Lima 51 in 1916.
Members of the insect family Reduviidae (conenose bugs or kissing
bugs) have been long known for their fierce bites and bloodthirstiness,
but it was apparently not until 1909 that insects of this group were ex-
perimentally proved to be disease carriers. In that year Chagas,58 who
had already described the causal organism [Schizotrypanum (= Try-
panosoma) cruzi,] of Chagas' disease, also known as "Brazilian trypano-
somiasis," demonstrated that this disease is carried by the conenose bug
Mestor megistus (Burm.) [Triatoma megista (Burm.) = Panstrongylus
megistus (Burm.)]. In 1933 Kofoid and Donat59 showed that the try-
panosome of the conenose bug Triatoma protracta (Uhler) in California
is identical with that found in Mestor megistus (Burm.).
Flies of the family Tabanidae (horseflies, gadflies, earflies, deer flies,
etc.) were looked upon with suspiCion as early as 1776, but apparently
no satisfactory evidence against them was forthcoming until 1913, when
Mitzmain60 (Mayne), working in the Philippine Islands, demonstrated
transmission of surra of the carabao by Tabanus striatus Fabr., which he
regarded as the principal carrier. Strong evidence against tabanid flies
of the genus Chrysops as intermediary hosts of Loa (= Filaria) loa
(Cobbold) was advanced by Leiper,61 also in 1913.
Bloodsucking gnats belonging to the dipteron family Simuliidae are a
terrible scourge to both man and beast in many parts of the world and
have long been under suspicion as vectors of disease. In 1926 Blacklock62
reported Simulium damnosum Theob. as the vector of the filarial worm
Onchocerca volvulus (Leuckart), the causal agent of onchocercosis. In
1934 O'Roke 63 reported Simulium venustum Say to be the vector of a
disease of ducks caused by Leucocytozoon anatis Wickware.
Tularemia, also known as Pahvant Valley plague (Utah, U.S.A.) or
deer fly fever, was shown by Francis and Mayne 64 in 1921 to be carried
from rodent to rodent by the tabanid fly Chrysops discalis Williston, and
presumably from rodent to man in the same manner. The causal organism
of this disease, Pasteurella (= Bacterium) tularensis, was described in
1911 by McCoy and Chapin as the cause of a plague-like disease of
California ground squirrels. Though transmitted in nature by the deer
fly and several other species of arthropods, particularly the tick Derma-
centor andersoni Stiles, which is involved hereditarily, the infection is
most commonly contracted by handling infected rabbits.
INTRODUCTION 7
In 1933 Kelser 65 announced that he had succeeded in transmitting the
virus of equine encephalomyelitis from inoculated guinea pigs to a horse
by the bite of the mosquito Aedes aegypti (Linn.).
The discovery of the insecticidal value of the compound dichloro-
diphenyl-trichloroethane (DDT) represents the beginning of. a new era.
in the prevention of insect-borne diseases as pertains to both plants and
animals, particularly of such a devastating disease of man as malaria.
This compound was first synthesized by Othmar Zeidler 66 in 1874 at
Strasbourg, Germany. Zeidler apparently was ignorant of its insecticidal
properties. It was not until about 1939 that Paul Miiller, (Lauger et al. 67 )
then a member of the scientific staff of Geigy Company in Basle, Switzer-
land, discovered its remarkable insecticidal value. For this discovery
Miiller was awarded the Nobel Prize in Medicine for 1948.
Both historically and for future investigation the relation which the
protozoon subfamily Herpetomoninae of Castellani and Chalmers bears
to insects and their relation to animal and plant diseases, is one of interest
to parasitologists. Numerous insects are kn~n to harbor Leptomonas
(inclusive of Herpetomonas), Crithidia, Leishmania, and other genera,
SO,me of doubtful classification, but the problem of segregating those
which are zol:i- and phytopathogenic from those which are merely en-
tomoparasitic in exceedingly difficult and fraught with snares and pitfalls.
Apparently the earliest discovery in this connection concerning plants
was made by Lafont 68 in 1910 when he demonstrated that Leptomonas
davidi Lafont, the cause of "flagellosis" in three species of Euphorbiaceae,
required as its intermediary host the bug, Nysius euphorbiae Horvath.
BIBLIOGRAPHY
1. Mercurialis (Hieronymus), 1577 (?). De pestes in universum, praeser-
tim vero de Veneta et Patavina. Item de morbis cutaneis, et omnibus humani
corporis excrementis. (Not available to the author.)
2. de Souza, Gabriel Soares, 1587. Tratado descriptivo do Brazil em
1587, obra de Gabriel de Souza. Rio de Janeiro: Typographia universal de
Laemmert, 120 pp. (Cited by Fran<;a, C., in Tr. Roy. Soc. Trop. Med. & Hyg.,
15:58-60.)
3. Bancroft, Edward, 1769. An Essay on the Natural History of Guiana
in So. America. London: T. Becker and P. A. De Houdt, 402 pp.
4. Castellani, Aldo, 1907. "Experimental investigation on Framboesia
tropica (Yaws)," J. Hyg., 7:558-59.
5. Veeder, M. A., 1898. "Files as spreaders of sickness in camps," Med.
Rec., 54:429-30.
6. Nott, Josiah C., 1848. "On the origin of yellow fever," New Orleans
M. & S. J., 4:563-601.
7. Beauperthuy, L. D., 1854. "Transmission of yellow fever and other
diseases by mosquito," Gazeta aficial de Cumana, Ano. 4, no. 57, May 23.
(Cited by Howard, Dyer, and Knab.)
8 MEDICAL ENTOMOLOGY
8. Leeuwenhoek, Anton van, 1695. Arcana naturae detecta ope micro-
scopiorum. Kronevelt: Delphis Batavorum, 568 pp. (Cited by Howard, Dyer,
and Knab.) See also The Select Works of Antony van Leeuwenhoek, translated
by Samuel Hoole, London, 1798.
9. Pasteur et Joubert, 1877. "Chimie Physiologique: Etude sur la maladie
charbonneuse," Compt. rend. Acad. d. sc., 84:900-906.
10. Howard, L. 0., 1921. "Sketch History of Medical Entomology," in
A Half Century of Public Health, M. P. Ravenel. New York: Amer. Pub.
Health Assn., pp. 412-38.
11. Raimbert, A., 1869. "Recherches experimentales sur Ie transmission du
charbon par les mouches," Compt. rend. Acad. d. sc., 69:805-12. (Cited by
Nuttall.)
12. Montfils, A. J., 1776. "D'une maladie fn3quente connue en Bourgogne
sous Ie nom de Puce maligne," J. de med., 45:500. (Cited by Nuttall.)
13. Manson, Patrick, 1878. "On the development of Filaria senguinus
hominis, and on the mosquito considered as a nurse," J. Linn. Soc., Zool.,
London, 14:304-11.
14. Laveran, A., 1880. "Note sur un nouveau parasite trouve dans de sang de
plusieurs malades atteints de'1ievre palustre," Bull. Acad. de med., Paris, 9:1235.
15. Smith, Theobald, and Kilbourne, F. L., 1893. Investigations into the
Nature, Causation, and Prevention of Texas or Southern Cattle Fever. Wash-
ington, D. C.: U. S. Dept. Agric. in Bur. Animal Indust. Bull., no. 1. 301 pp.
16. Bruce, David, 1895. Tsetse-Fly Disease or Nagana in Zululand:
Preliminary report. Durban: Bennett and Davis. (Cited by Nuttall.)
17. Ross, R, 1897. "On some peculiar pigmented cells found in two
mosquitoes fed on malarial blood," Brit. M.]., 2:1786-88.
18. Manson, P., 1898. "Surgeon-Major Ronald Rose: Recent investigations
on mosquito-malaria theory," Brit. M.]., 1:1575-77.
19. MacCallum, W. C., 1898. "On the haematozoan infections of birds,"
J. Exper. Med., 3:117-36.
20. Bastianelli, G.; Bignami, A. E.; Grassi, B.; 1898. "Coltivazione delle
semilune malariche dell' uomo nell' Anopheles claviger Fabr: Note pre-
liminare." Atti della Reale Accad. del Lincei, Nov. 28, p. 313. (Cited by Nuttall.)
21. Koch, R, 1899. "Ueber die Entwicklung der Malariaparasiten," Ztschr.
f. Hyg. u. Infektionskr., 32:1-24.
22. Sambon, L. W., and Low, G., 1900. "The malaria experiments in the
Campagna," Brit. M. J., 2:1679-82.
23. Reed, Walter, 1900. "The etiology of yellow fever," Philadelphia Med.
J., 6:790-96.
24. Finlay, Carlos J., 1881 et seq. Traba;os selectos. Havana: Republica de
Cuba, Secretaria de Sanidad y Beneficencia, 1912. xxxiv + 657 pp.
25. Hackett, L. W., 1937. Malaria in Europe: An ecological study. Oxford
University Press, London: Humphrey Milford. xvi + 336 pp.
26. Falleroni, D., 1926. "Fauna anofelica italiana e suo habitat' (paludi,
risaie, canali). Metodi di lotta contro la malaria," Riv. di Malariol., 5:553-93.
27. Hackett, L. W.; Martini, E.; and Missiroli, A.; 1932. "The races of
A. maculipennis," Am. ]. Hyg., 16:137-62.
INTRODUCTION 9
28. Stokes, Adrian; Bauer, J. H.; and Hudson, N. Paul; 1928. "The trans-
mission of yellow fever to Macacus rhesus: Preliminary note," /.A.M.A., 90:
253-54.
29. Soper, Fred L., 1936. "Jungle yellow fever: A new epidemiological
entity in South America," Rev. de hyg. e saude pub., 10:107-44.
30. Simond, P. L., 1898. "La propagation de la peste," Ann. Inst. Pasteur,
12:625.
31. Verjbitski, D. T., 1908. "The part played by insects in the epidemiol-
ogy of plague," J. Hyg., 8:162-208.
32. Liston, W. G., 1905. "Plague rats and fleas," J. Bombay Nat. Hist.
Soc., 16:253-73.
33. Jorge, Ricardo, 1928. Les faunes regionales des rongeurs et des puces
dans leurs rapports avec la peste. Paris: Masson et Cie. 306 pp.
34. Nuttall, G. H. F., 1899. "On the role of insects, arachnids, and myria-
pods as carriers in the spread of bacterial and parasitic disease of man and ani-
mals. A critical and historical study." Johns Hopkins Hospital Reports, 8:1-154.
35. Forde, R. M., 1902. "Some clinical notes on a European patient in
whose blood a Typanosoma was observed," J. Trop. Med., 5:261.
36. Dutton, J. E., 1902. "Trypanosoma in man," Brit. M. ]., 1:42.
37. ---, 1902. "Note on a Trypanosoma occurring in the blood of man,"
Brit. M. J., 2:881-884.
38. Bruce, D., and Nabarro, D., 1903. Progress Report on Sleeping Sick-
ness in Uganda. "Rept. Sleeping Sickness Comm., Roy. Soc. London," no. 1.
39. Stephens, J. W. W., and Fantham, H. B., 1910. "On the peculiar
morphology of a trypanosome from a case of sleeping sickness and the possi-
bility of its being a new species (T. rhodesiense)," Proc. Roy. Soc. London,
ser. B, 83:28-33.
40. Kinghorn, A., and Yorke, W., 1912. "On the transmission of human
trypanosomes by Glossina morsitans Westw., and on the occurrence of human
trypanosomes in game," Ann. Trop. Med., 6:1-23.
41. Graham, H., 1902. "Dengue: A study of its mode of propagation and
pathology," Med. Rec., 61:204-7.
42. Ashburn, P. M., and Craig, C. F., 1907. "Experimental investigations
regarding the etiology of dengue fever," J. Infect. Dis., 4:440-75.
43. Doerr, R.; Franz, K.; and Taussig, S.; 1909. Das Pappatacifieber.
Leipzig u. Wien.: Franz Deutiche. 166 pp.
44. Marchoux, E., and Salimbeni, A., 1903. "La spirillose des poules,"
Ann. Inst. Pasteur, 17:569-80.
45. Dutton, J. E., and Todd, J. L., 1905. The Nature of Human Tick
Fever in the Eastern Part of the Congo Free State, with Notes on the Distribu-
tion and Bionomics of the Tick. Liverpool School Trop. Med. in Memoir no.
17. 18 pp.
46. Ross, P. H., and Milne, A. D., 1904. "Tick fever," Brit. M. ]., 2:1453-
54.
47. Ricketts, H. T., 1906. "The transmission of Rocky Mountain spotted
fever by the bite of the wood tick (Dermacentor occidentalis)," J.A.M.A.,
57:358.
10 MEDICAL ENTOMOLOGY
48. Wolbach, S. B., 1919. "Studies on Rocky Mountain spotted fever."
J. Med. Research, 41:1-193.
49. Melnikoff, H., 1869. "Ueber die Jugendzustiinde der Taenia cucme-
rina," Arch. f. Naturgesch., 25:62-69.
50. Aubert, 1879. "Les pous et les ecoles: Un point d'hygi(me scolaire,"
Reviewed in Ann. de Dermat. et Syph., 1880, 2 ser., 1:292-93.
51. Dewevre, 1892. "Note sur Ie role des pediculi dans la propagation de
l'impetigo," Compt. rend. Soc. de biol., 4:232-34.
52. Fltigge, C., 1891. Grundriss der Hygiene. Leipsig: veit & Co. x +
560 pp. (Cited by Nuttall.)
53. Tictin, J., 1897. "Zur Lehre vom Rtickfalltyphus," Centralbl. f. Bakt.,
1 Abt., 21:179-86.
54. Mackie, F. P., 1907. "The part played by Pediculus corporis in the
transmission of relapsing fever," Brit. M. /., 2:1706-9.
55. Nicolle, Charles; Comte, C.; et Conseil, E.; 1909. "Transmission ex-
perimentals du typhus exanthimatique par Ie pou du corps," Compt. rend.
Acad. d. sc., 149:486-89.
56. Ricketts, H. T., and Wilder, R. M., 1910. "The transmission of the
typhus fever of Mexico (tarbardilIo) by means of the louse (Pediculus vesti-
menU)," I.AM.A, 54:1304-7.
57. Da Rocha-Lima, H., 1916. "Untersuchungen tiber Fleckfieber," Miin-
chen. Med. Wchnschr., 63:1381-84.
58. Chagas, C., 1909. "Ueber eine neue Trypanosomiasis des Menschen,"
Mem. lnst. Oswaldo Cruz, 1:159-218.
59. Kofoid, Charles A., and Donat, F., 1933. "Experimenntal infection
with Tryanosoma cruzi from intestine of conenose bug Triatoma protracta,"
Proc. Soc. Exper. Biol. & Med., 30:489-91.
60. Mitzmain, M. B., 1913. "The mechanical transmission of surra by
Tabanus striatus Fabr," Philippine J. Sc., 8 (ser. B) :223-29.
61. Leiper, Robert R., 1913. "Metamorphosis of Filaria loa," Lancet, 1:5l.
62. Blacklock, D. B., 1926. "Development of Onchocerca volvulus in
Simulium dammosum," Ann. Trop. Med., 20:1-48 and 203-18.
63. O'Roke, Earl C., 1934. A Malaria-like Disease of Ducks Caused by
Leucocytozoon anatis Wickware. Ann Arbor: University of Michigan Press.
64. Francis, Edward, and Mayne, Bruce, 1921. "Experimental transmis-
sion of tularaemia by flies of the species Chrysops discalis," U. S. Public
Health Service, Pub. Health Rep., 36:1738-46.
65. KeIser, R. A., 1933. "Mosquitoes as vectors of the virus of equine en-
cephalomyelitis," I. Am. Vet. M. A, 82, n.s. 35:767-7l.
66. Zeidler, Othmar, 1874. "Verbindungen von Chloral mit Bram und
Chlorbenzol," Ber. d. Deutsch. Chem. Gesellsch., 7:1180.
67. Uiuger, P.; Martin, H.; and Muller, P.; 1944. "Dber Konstitution und
toxische Wirkung von nattirlichen und neuen synthetischen insektentotenden
Stoffen," Helvet. chimica acta, 27:892-928.
68. Lafont, A., 1910. "Sur la presence d'un Leptomonas parasite de la
classe des Flagelles dans Ie latex de trois Euphorbiacees," Ann. lnst. Pasteur
24:205-9.
CHAPTER II
The epidemic of malaria with its high mortality which has recently been
raging in Ceylon, India, is a striking example of the effect that climatic con-
ditions and environment may exert upon a disease. This epidemic has occurred
in what has been hitherto regarded as the most healthy and prosperous por-
tion of the island, the southwestern part, in which there has usually been
a high annual rainfall and where there has been evidence that the percent-
age of the population infected with malarial parasites has been but small,
and hence the population relatively non-immune to the disease. This year
the prevailing rains which are brought so regularly by the southwest monsoon
failed to supply the usual amount of water, resulting in a prolonged drought.
Then came a few heavy rains and drought again. Thus conditions arose greatly
favoring the breeding of the mosquito. Anopheles culicifacies, which trans-
mits the disease in this region, as many shallow pools were formed along the
river beds and streams. Through these innumerable temporary breeding places,
more perfect conditions for the production of mosquitoes could probably
not have been devised. The outbreak of malaria was followed by failure of
the crops, also due particularly to the lack of rain. Thus the people became
further impoverished and the general state of their health reduced, and with-
in five months there were 113,811 deaths, of which 66,704 were estimated to
be due to malaria.
The complexity of ecological factors as pertains to medical ento-
mology is well shown in malaria, in which three animal species are in-
16 MEDICAL ENTOMOLOGY
volved, namely, man the victim, the vector mosquito, and the causal
plasmodium-each species having characteristic ecological requirements.
The complexity becomes even greater when a reservoir animal enters
the epidemiological picture, as in endemic (tick-borne) relapsing fever
in California. In the cycle of this disease man is again involved, then
there is a tick vector, a spirochete as the pathogen, and a fourth species,
a chipmunk, as a reservoir. Meyer I8 has clearly portrayed the complexity
of an ecological approach to the study of plague in his De Lamar lecture,
entitled "The Ecology of Plague."
The student of medical entomology will do well to sturdy Uvarov'sl9
Insects and Climate, Martini's20 Wege der Seuchen, and Buxton's21
"The Effect of Climatic Conditions upon Populations of Insects." The
latter author (p. 326) remarks, " . . . the geographical spread of human
diseases and the seasonal occurrence of certain epidemics appear to be
directly due to alteration in the numbers of insects which are the essen-
tial vectors of these diseases. Our ultimate objective is to know the num-
bers of particular sorts of insects which are capable of infecting us with
the organisms which they carry."
Control of insect-borne diseases. The control of insect-borne diseases
involves not only the control of the responsible insect vectors, often very
difficult or even at times impossible, but depends also upon the control
of the fomites from which the arthropod receives its infection.
In the simplest form of insect transmission, i.e., by mechanical con-
tamination of food and drink, the source of infection may be found in
human excreta or other dangerous animal wastes, in which case the
possibility of spread by insects may be largely overcome by correcting
the defect in sanitation. Properly constructed fly-tight privies and septic
tanks would largely prevent the spread of typhoid fever and related filth
diseases by flies in rural areas. Rodent control is intended to destroy the
natural reservoirs of plague, as the flea is usually only an agent of trans-
mission. The control of plague through flea control alone does not satisfy
all requirements.
The handling of persons with infectious diseases is a matter of great
importance, as for example the screening of yellow fever patients against
the mosquito vector during the critical infectious stage of the disease.
Furthermore the proper screening of malaria patients against mosquitoes
is a factor in malaria control. Searching out and adequately treating.
carriers, while beset with many difficulties, should not be overlooked in
a program for control of insect-borne disease. There are situations where
vector control is not economically possible; for example, there are highly
malarial areas where mosquito control cannot be economically practiced,
yet certain agricultural procedures or construction work must go on. In
such cases suppressive (prophylactic) treatment is indicated.
SCOPE AND METHOD 17
In the face of universal rapid transportation by airplane and other
means, including automobile, and in the light of wartime experience,
health authorities of states and nations should be thoroughly familiar
with the vector potentialities of arthropods within their respective geo-
graphical boundaries (Herms, 1947).22 Vigilance at the point of depar-
ture and proper quarantine measures at the destination should be main-
tained to avoid the spread of arthropod-borne diseases. 23
Vector control. In the control of disease-transmitting arthropods the
most vulnerable point in the life history is usually sought and the most
effective control means are then employed. This involves an intimate
knowledge of biology. The more familiar one is with the life history,
habits, and ecology of the vector, the better equipped one will be to
cope with the problems of control.
Control measures may be only of a temporary nature for purposes of
immediate relief and hence must be repeated; or they may be intended
to have permanent effect. Temporary control measures involve holding
a nuisance in check for a short time, a few hours or a few days, and
require constant repetition: for example, the use of aerosols to kill adult
mosquitoes and flies, the use of mosquito repellents, or even the applica-
tion of oil to mosquito-breeding pools. Permanent control, on the other
hand, involves correction of breeding places by mechanical or other
means in order to prevent vector breeding: for example, draining or fill-
ing unnecessary ponds and pools of standing water in which mosquitoes
may breed; the correction of irrigation defects, particularly errors in
drainage; the disposal of manures and organic wastes in such a manner
as to prevent breeding of houseflies, e.g., close packing or immediate
spreading of manure. Permanent control measures are usually more eco-
nomical in the long run.
Species sanitation implies that control measures aimed at disease
vectors must fit the particular offending species. The importance of this
procedure is particularly applicable in vector-control operations where
closely related species or subspecies occur in the same general area but
only one is of public health importance. By concentrating appropriate
efforts on the proven vector species or subspecies, for example, in malaria
control operations in the presence of two or more anopheline species,
good results may be economically obtained.
Naturalistic control implies a planned change in the natural habitat
of an offending species, such as a disease vector, so as to make it im-
possible for the species to continue breeding in effective numbers. For
example, Anopheles albimanus Wied., a potent vector of malaria in the
Caribbean area, breeds abundantly in certain coastal lagoons having a
salinity between 15 and 25 per cent. By simply connecting these lagoons
with the sea so as to facilitate tidal action and thus increase the salinity
20 MEDICAL ENTOMOLOGY
. _-
PARASITES AND PARASITISM
3 4 5
FIG. 3. Example of parasitic flatworms (Phylum Platyhelminthes, Class
Trematoda). A liver fluke of sheep (Fasciola hepatica). X 1.
FIG. 4. Example of segmented cylindrical worms (Phylum Annelida, Class
Chaetopoda) . Earthworm (Lumbricus sp., X .5) nonparasitic, but may serve
as an intermediary host for certain poultry tapeworms.
FIG. 5. Example of segmented cylindrical worms (Phylum Annelida, Class
Hirudinea). Leech (Hirudo medicinalis). X .5.
30
PARASITES AND PARASITISM 31
saginata Goeze, the beef tapeworm of man; Dipylidium caninum
(Linn. ), a common tapeworm of the dog (Fig. 2).
2. Trematoda: alimentary canal branched; mouth in a sucker;
e.g., Fasciola hepatica Linn., the liver fluke of sheep (Fig. 3).
d. Annelida: bilaterally symmetrical, segmented or annulated worms.
1. Chaetopoda: locomoter chaetae; segmentation extending to in-
ternal organs; e.g., Lumbricus terrestris Linn., a common earth-
worm (nonparasitic) (Fig. 4).
2. Hirudinea: flattened; sucker at each end of body; arrangement
of internal organs does not correspond to external segmenta-
tion; e.g., Hirudo medicinalis Linn.,. the medicinal leech (Fig.
5 ).
e. Arthropoda: segmented body with paired jOinted appendages;
chitinous exoskeleton; bilaterally symmetrical; heart dorsal; ventral nerve
cord.
1. Crustacea: head and thorax often united to form a cephalo-
thorax; numerous paired, biramous appendages; two pairs of
antennae; respiration usually branchial; habitat usually aquatic;
e.g., shrimp, crayfish, and the sow bug (the latter terrestrial).
These examples are nonparasitic (Fig. 6).
2. Onychophora (Protracheata): vermiform and externally unseg-
mented; numerous paired, imperfectly segmented legs; one pair
of antennae; tracheal respiration; habitat terrestrial; e.g.,
Peripatus (nonparasitic) (Fig. 7).
3. Chilopoda: body flattened dorsoventrally; one pair of jointed
legs on each segment except first two and last one; one pair of
antennae; eyes simple; genital pore posteriorly located as in
insects; habitat terrestrial; e.g., centipedes (nonparasitic) (Fig.
8a).
4. Diplopoda: cylindrical in form; two pairs of jointed legs on
each segment except first two and last one; simple eyes; one
pair of antennae; genital pore anteriorly located; habitat terres-
trial; e.g., millipedes (nonparasitic) (Fig. 8b).
5. Symphyla: very small; body flattened dorsoventrally; one pair
of jointed legs per segment and not more than 12 pairs in all;
spinnerets present at posterior end; eyeless; one pair of anten-
nae; genital pore anterior; e.g., garden centipedes (non-
parasitic) .
6. Pauropoda: minute; body flattened; nine, seldom ten, pairs of
jointed legs; antennae branched; eyes generally absent; e.g.,
pauropods (nonparasitic). •
7. Insecta or Hexapoda: body divided into three pairs (head,
thorax, and abdomen); three pairs of walking appendages on
32 MEDICAL ENTOMOLOGY
7 8
FIG. 7. Example of Phylum Arthropoda, Class Onychopora. Peripatus.
x.5. (After Folsom.)
FIG. 8. Examples of the Phylum Arthropoda: (left) Class Chilopoda, a
centipede, X .5; (right) Class Diplopoda, a millipede, X .7.
PAHASITES AND PAHASlTISM 33
hexapod); wingless; no antennae; eyes simple, when present;
e.g., Latrodectus mactans (Fabr.), a poisonous spider; Hadrurus
hirsutus (Wood), scorpion; Boophilus annulatus (Say) , the
9 10
BIBLIOGRAPHY
1. Nuttall, George H. F., 1923. Symbiosis in Animals and Plants . Section
1. Physiology. Liverpool: British Association. 18 pp.
2. Wheeler, W. M., 1926. Ants: Their Structure, Development and Be-
havior. New York : Columbia Univ. Press. xxv + 663 pp.
3. Stunkard, Horace W., 1929. "Parasitism as a biological phenomenon,"
Scient. Monthly, 28 :349-62.
4. Swellengrebel, N. R., 1940. "The efficient parasite," Science, 92:465-
69.
5. Root, Francis M., 1924. "Parasitism among the insects," Scient .
Monthly, 9:479-95.
6. Kellin, D ., and Nuttall, G. R. F., 1919. "Hermaphroditism and other
abnormalities in Pediculus humanus," Parasitology, 11 :279-328 (7 plates) .
7. Nuttall, G. H. F., 1919. "The systematic position, synonymy, and
iconography of Pediculus humanus and Phthirus pubis," Parasitology, 11 :329-
46.
8. Herms, W. B., 1925. "Entomological observations on Fanning and
Washington Islands, together with general biological notes," Pan-Pacific
Entomologist, 2:49-54.
9. Nuttall, G. H. F., 1919. "The biology of Pediculus humanus,"
Parasitology, 11:201-20 (1 plate).
34 MEDICAL ENTOMOLOGY
10. Duke, H. L., 1923. "Further inquiries into the zoological status of
the polymorphic mammalian trypanosomes of Africa," Parasitology, 15:358-95.
11. Smith, Theobald, 1934. Parasitism and Disease. Princeton Univ. Press.
xiii + 196 pp.
12. Galli-Valerio, B., 1920. "Le cycle evolutif probable de' I'Herpeto-
monas pyrrhocoris, Zotta & Galli-Valerio," Schweiz. med. Wchnschr., 1:401-
2. (Cited in Rev. Applied Entomol. Med. & Vet., 1922, 10 (ser. B, part 1) :8.
CHAPTER IV
.- .
HOW ARTHROPODS CAUSE AND
CARRY DISEASE
Arthropod and pathogen. When one considers the fact that man and
his domesticated animals are daily closely associated with scores of
species of insects'" and their kin, the wonder is that there are not more
arthropodan infestations and insect-borne diseases. Many of the one-
time free-living arthropods have in time become parasitic; some now
burrow into the skin, as do certain mites (ac'ariasis); others have invaded
the alimentary tract, as do larvae of botflies (myiasis); still others have
become bloodsuckers, as are bedbugs, sucking lice, horseflies, mosqui-
toes, etc. Bloodsuckers, by virtue of their bloodsucking habit, may readily
become vectors of pathogenic blood-inhabiting microorganisms. It has
been well said that no bloodsucking arthropod can be trusted; eventually
many more species will prove to be vectors of disease.
The medical entomologist must acquaint himself with the detailed
biology of the disease-producing microorganisms as well as with that of
the vectors. In order to know where and how the arthropod acquires
the pathogenic agent and how it, the vector, becomes infectious, the be-
havior of such organisms must be studied; their habitat in the body of
the diseased host or reservoir must be known; the gateways of escape
must be ascertained; their longevity and virulence when removed from
- the host as well as many other pertinent factors must be determined.
After having acquired the pathogenic organism, its course within the
body of the arthropod must be studied in order to know how escape is
effected and how it reaches the body of the next host. A knowledge of
the feeding habits and mouth parts of arthropods is essential. (See
mechanism of infection, p. 36.)
Bubonic plague, for example, is a bacillary disease caused by Pas-
teurella pestis, of which the rat, among other animals, is an important
host. Man readily succumbs to the infection. While the pathogenic or-
ganisms may pass from host to host in several ways, it has been found
"Z. P. Metcalf estimates the number of species of insects alone, described for
the whole world between 1758 (Linnaeus) and 1940, at 1,500,000. (Entomological
News, 1940, 51:219-22.)
35
36 MEDICAL ENTOMOLOGY
that rat fleas are the most important vectors. The bacilli are found in
great abundance in the buboes which are situated largely in the axillary
and inguinal regions of the infected rat, and it has been observed that
these regions are favored by fleas, which, because of their bloodsucking
habits, imbibe the highly infectious fluids. If the rat dies of the plague,
the fleas leave the body and seek another host; this interval in the change
of hosts raises the question of environmental resistance and longevity of
the bacilli. Do all species of rat fleas lend themselves equally well as
hosts? Can the bacilli resist the digestive fluids of the flea, and if so,
how long do they remain infective in the body of the flea? In the mean-
time what course do these organisms take within the body of the insect,
and how do they make their escape? How does the flea find another host,
and what animals will it attack? How long can the flea live without food?
How are the plague bacilli introduced into the body of the next victim?
Will the flea remain infective throughout the rest of its normal life ? What
is the length of life of a flea, and does this vary with the species?
Malaria of man, another example, is caused by certain species of
plasmodia which live under far more restricted conditions than do the
plague bacilli. In the human being these invade the red corpuscles part
of the time and so far as is known do not live in the blood of other warm~
blooded animals. They require certain mosquitoes belonging to the genus
Anopheles as definitive hosts. Although many other bloodsucking in-
sects imbibe parasitized blood, these do not offer the necessary environ-
ment within the alimentary canal for the completion of the life cycle of
the parasite.
Chain of infection. For each arthropod-borne disease there is a chain
of events which leads to the successful transfer of an infection by an
arthropod vector from one animal to another. This chain consists of
several links, each more or less vulnerable and hence subject to rupture,
which could prevent successful transfer of the infection. The first link in
this chain is the developmental cycle of the pathogen within the body
of an appropriate host. This link may be broken by medicinal treatment,
as in malaria. The second link in the infection chain involves the vector,
its access to infection, its feeding habits, its manner of ingesting food, the
structure of its mouth parts, etc.; the third link represents the progress of
development of the pathogen (also more or less complicated) within
the body, stomach, or other organs of the vector; the fourth link repre-
sents the manner in which the now infectious microorganism leaves the
body of the now infectious vector and thereupon enters the body of the
next susceptible animal, thus resulting in infection-specifically it is the
mechanism of infection, e.g., (1) simple contamination by means of
germ-laden houseflies or cockroaches coming in contact with food, milk,
etc.; (2) simple mechanical inoculation of anthrax bacilli by m"'eans of
ARTHROPODS AND DI~EASE 37
contaminated horsefly mouth parts, or inoc\ilation of sexually mature
malaria plasmodia by an Anopheles mosq\iito; (3) regurgitation of
plague bacilli upon the skin by fleas while btting after a proventricular
blockage; (4) fecal contamination where trypa_nosomes of Chagas' disease
are deposited on the skin when the conenos e bug bites; (5) skin con-
tamination with crushed tissues of infectioul) arthropods, e.g., crushed
infected ticks may result in spotted fever inf~ction.
The terminal link in the infection chain i~ the successful completion
of a cycle similar to that of the first link but tn. the body of another host
animal after the intervention of an arthropo<l vector. Other links in the
chain of infection as well as other variations in the mechanism of infec-
tion will occur to the student as he progresses in the field of medical
entomology.
Pathological conditions caused by arthrollods. The ways in which
arthropods relate to the public health and t4e health and well-being of
animals are almost as numerous as the species of responsible arthropods
('iRnnsmves; Eat-'lf :>pcR-'lt%; lruwevm- :>'limikt- rtf I('S next of KriI, lIas certain
characteristics which affect the host differently.. It is nevertheless possible
to classify the relationships of arthropods to health, putting them into
two divisions, each of which is subject to fUHher segregation. The two
major relationships may be designated as. (,,\) pathological conditions
caused directly by arthropods, and (B) artlu'opods as vectors of patho-
genic organisms. The first. major division (A) includes such categories
as (1) entomophobia, (2) accidental injury tG sense organs. (3) enveno-
mization, (4) dermatosis, (5) myiasis, (6) allergy. The second major
division (B) may be subdivided into (1) a<xidental carriers, and (2)
obligatory vectors involving some degree of development (cyclical or
propagative) within the arthropod.
As our subject develops in the remaining chapters of this book, the
student will classify the way or ways in whi(~h the particular groups of
arthropods fit into the scheme presented in tltis chapter.
Entomophobia. Insects and spiders, even though they may be wholly
innocuous, frequently cause man acute annoYance and worry which may
eventually lead to a nervous disorder with s~nsory hallucinations. 1 This
class of mental disturbances may perhaps de~erve a specific deSignation
such as entomophobia.
The author has observed two or three cas,es of this nature each year
for many years. The cases are usually referreq to him by physiCians, pri-
marily because the patient is assumed to h qve confidence in one who
has knowledge of the control of tormenting ~nsects. The patient usually
imagines that insects of very minute size persist in threatening him and
biting him, usually at particular sites of the l,ody, and that they achieve
this contact in the most cunning ways in spite of every precaution.
S8 MEDICAL EN1'OMOLOGY
Accidental injury to sense organs. Various species of insects, like other
minute objects, may accidentally enter the eye; this is most likely to be
true of small flying insects. Some of these, notably several species of
rove beetles, Staphylinidae, cause extreme pain because of an irritating
secretion. Many species of insects discharge odoriferous fluid or vapor,
and in some instances the fluid is sO forcibly ejected that it may be
thrown some distance from the insect. Stewart (1937) 2 records the case
of a phasmid walking stick, Anisomorpha buprestoides (Stoll), squirting
fluid a distance of two feet and striking a person in the eye. "The pain
in the left eye was immediately excruciating; being reported to be as
severe as if it had been caused by molten lead. Quick, thorough drench-
ing with cool water allayed the burning agony to a dull, aching pain.
The pain eased considerably within the course of a few hours. Upon
awaking the next morning the entire cornea was almost a brilliant scarlet
in color and the eye was so sensitive to light and pressure for the next
forty-eight hours that the patient was incapacitated for work. Vision was
impaired for about five days. The corIlea gradually cleared of congestion
and vision improved so that at the end of this time the eye was perfectly
normal again. No subsequent ill effects were experienced." Stewart re-
marks that, "In Texas there is a rather common belief that devil's horses
will spit in human eyes."
Injury to the human eye is often caused by the spiny larva of the
sheep botfly or head maggot fly, Oestrus avis Linn. This fly deposits liv-
ing young in the nostrils of sheep, and persons working in the field with
sheep are occasionally "struck" in the eye by the fly and one or more
larvae may be deposited. This indicates that the fly may "strike" sheep
Similarly at times.
Insects commonly enter the ears of sleeping persons and may cause
much pain before they are removed. Thus in the author's experience a
carpet beetle larva (Dermestes sp.) was taken from the ear of an elderly
man, and a hyaline grass bug, Corizus hyalinus (Fabr.), family Coreidae,
from the ear of a child, having caused much pain in each case. The
spinose ear tick, Otobius megnini (Dtlges) also invades the ears of man
and many animals.
Envenomization. Venoms of insects cause reactions which are remark-
ably characteristics. The effects may be classified under the following
headings: (1) hemolytic, (2) hemorrhagic, (3) neurotoxic, (4) vesi-
cating. The venoms are introduced in the following ways: (1) by the
bite, as of conenose bugs and black widow spiders; (2) by the sting, as
of bees, wasps, scorpions; (3) by urticating hairs, as with the brown-
tail moth; and (4) by contact, as with vesicating fluids from blister
beetles. (See Chapter XXII. )
Dermatosis. Various skin irritations are caused by arthropods, either
ARTHROPODS AND DISEASE 39
arthropods and helminths are no doubt mainly the following: (1) the
arthropods are an exceedingly large group of animals; (2) they constitute
an important food supply for fish, amphibians, birds, and some mam-
mals; (3) herbivorous animals are sure to ingest arthropods which are
habitually present on plants; (4) many species of insects feed on and
breed in manures, and are thus exposed to infection from eggs and
larvae of worms parasitic in hosts responsible for the manure; (5) many
arthropods are transient or permanent ectoparasites feeding on blood in
which there may be parasitic worms.
Monoxenous worms such as Ascaris and Enterobius during the course
of their life histories transfer from one host animal to a similar host
animal without the intervention of an intermediate host. "The heterox-
enous worms have life histories in which in most cases the worms pass
from mature stages in one host animal to larval stages in a host animal
of a different sort, the intermediate host, and then return to a host animal
of the first sort or a more or less closely related species and develop in
this animal to maturity. In some instances two intermediate hosts are
utilized in sequence for larval stages." (Hall, loco cit. )
As already pointed out, knowledge concerning arthropods serving as
intermediate hosts for the Cestoda (tapeworms) is quite fragmentary.
Among the better-known instances are the double-pored dog tapeworm,
Dipylidium caninum (Linn.), which requires either the biting dog louse,
Trichodectes canis DeGeer, or a flea, Ctenocephalides canis (Curtis), as
intermediate host. Choanotaenia infundibulum (Bloch), a fowl tapeworm,
utilizes the housefly, Musca domestica Linn. (See appropriate chapters.)
Stunkard7 has shown that Moniezia expansa (Rudolphi), an important
tapeworm of sheep and other herbivores, uses a species of oribatid mite,
Galumna sp., as intermediate host. Eggs of the tapeworm were fed to
these mites and in time the onchospheres were recovered in large num-
bers from the body cavity of the mites. More recently Stunkard8 (1944)
reported a similar developmental pattern in oribatid mites for anoplocep-
haline cestodes of rabbits and for the monkey-human species.
Numerous trematodes (flukes) of fish, amphibians, reptiles, and
other insectivorous animals use arthropods as intermediate hosts. Since
many of the vertebrate hosts are aquatic or semiaquatic, so most of the
arthropods are also aquatic, such as dragonflies (Odonata), caseworms
(Trichoptera ), mayflies (Ephemerida ), and stoneflies (Plecoptera ).
Among these flukes are the poultry fluke, Prosthogonimus pellucidus
(v. Linstow), particularly of ducks, which use the larvae of the dragon-
fly, Libellula quadrimaculata Linn., as intermediate host. The important
lung fluke of man, Paragonimus westermani (Kerbert), requires as its
second intermediate host (the first is a melaniid snail) a crustacean,
Astacus spp., crayfish.
ARTHROPODS AND DISEASE 43
Among the Nematoda (threadworms) are numerous species that
use arthropods as intermediate hosts; These include the Gongylonema
worms (Spiruridae), such as G. pulchrum Molin, which causes an infec-
tion of humans (also of the pig, sheep, ox, etc.) known as gongylone-
miasis. These worms occur as larvae in such insects as cockroaches
(Blattidae), meal worms (Tenebrionidae), and a few other forms. The
mature worms, extremely slender (0.5 mm diameter), reach a length of
145 mm in the female. In the vertebrate hosts the worms are found in
burrows of the mucosa and submucosa of the mouth, tongue, and esopha-
gus. The eggs are evacuated with the fecal material of the host and do
not develop until ingested by an insect. The eggs hatch in the digestive
tract of the insect and soon penetrate the intestinal wall, coming to rest
as encapsulated larvae in the body cavity. There they remain until the
insect is ingested intact or in fragments by an appropriate vertebrate
host. In this host the .larvae are freed and migrate along the digestive
tract to the oral cavity, where they mature. Sambon 9 ,lo based his deduc-
tions concerning cancer on a study of Gongylonema worms. (See Chapter
VII.)
Other nematodes which require arthropods as intermediate hosts are
certain species belonging to the family Filariidae, such as Wuchereria
bancrofti and Onchocerca volvulus, the former requiring mosquitoes and
the latter black gnats (see later chapters).
The thornheaded worms (Acanthocephala) use beetles (Scara-
baeidae) mainly as intermediate hosts, e.g., the thornheaded worm of
swine, Macracanthorhynchus hirudinaceus (Pallas).
The famous guinea worm of the Nile Valley and equatorial Africa,
Dracunculus medinensis (Linn.), a worm which as an adult female
may measure from 70 to 120 cm in length, requires Crustacea belonging
to the genus Cyclops as intermediate hosts.
Reservoir animals. Reservoir animals play an important role in the
natural distribution of insect-borne diseases. Since true reservoir animals
suffer little or no ill effect from certain microorganisms pathogenic to
man their presence may go unnoticed, as is the case with rabbit reservoirs
of Rocky Mountain spotted fever; however, rat epizootics are commonly
the forerunners of human plague epidemics. The human being may him-
self be a reservoir of certain insect-borne infections, even plague. Since
there are numerous vertebrates which serve as disease reservoirs, it be-
hooves the medical entomologist to acquaint himself thoroughly with
the broad field of vertebrate zoology, particularly the ecological aspects,
and with the parasitic ectozoa of wild mammals. Greater attention must
be given to the problems of forest sanitation in recreation areas.
There are at least seventy species of mammals which may serve as
possible reservoirs of plague, according to StallybrassY The rickettsial
44 MEDICAL ENTOMOLOGY
nIBLIOGRAPHY
1. Smith, Roger C., 1934. "Hallucinations of insect infestation causing
annoyance to man," Bull. Brooklyn Entomolog. Soc., 29:208-12.
2. Stewart, Morris A., 1937. "Phasmid injury to the human eye," Ganad.
Entomolgist, 69:84-86.
3. Figley, K. D., 1929. "Asthma due to the may-fly," Am. f. M. Se., 178:
338-45.
4. Huff, Clay G., 1931. "A proposed classification of disease transmission
by arthopods," Science, 74:456-57.
5. Hinman, E. Harold, 1933. "Hereditary transmission of infections
through arthropods," Am. f. Trop. Med., 13:415-23.
6. Hall, M. C., 1929. Arthropods As Intermediate Hosts of Helminths,
"Smithsonian Misc. Collect., vol. 81, no. 15, Washington D. c.: Smithsonian
Inst. (Publ. no. 3024).77 pp.
7. Stunkard, H. W., 1937. "The life cycle of Moniezia expansa," Science,
86: 312.
8. ---, 1944. "How do tapeworms of herbivorous animals complete
their life cycles?" Tr. New York Aead. Se., ser. 2, 6:108-21.
9. Sambon, L. W., 1925. "Researches on the epidemiology of cancer
made in Iceland and Italy, July-Oct., 1924." J. Trop. Med. 28:39-71.
ARTHROPODS AND DISEASE 45
10. ---, 1926. "O,vations and researches on the epidemiology of
cancer made in Holland and Italy, May-Sept., 1925," J. Trap. Med., 29:233-
81.
11. Stallybrass, C. 0., 1931. The Principles of Epidemiology and the Proc-
esS of Infection. London: C. Routledge & Son. 696 pp. (1 plate, I chart).
12. Hudson, E. H., 1944. "The role of the reservoir host in tropical dis-
ease," Am. J. Trap. Med., 24:125-30.
13. Maldonado, A., 1931. "Role probable de quelques plantes caracter-
istique de la region verruqueuse sur l'etiologie de la verruga du Perou," Bull.
Soc. path. exot., 24:27-28.
CHAPTER V
~
w "-
E
X
<l:
0::
o
I
I-
o
<l:
w
I
47
48 MEDICAL ENTOMOLOGY
usually referred to as the Pterygota, and may be either Exopterygota
(wings developing externally), e.g., cockroaches; or Endopterygota
(wings developing internally), e.g., beetles (see under orders). There
are typically two pairs of wings present, situated on the mesothorax and
metathorax, though in many parasitic insects, such as the bedbugs, lice,
fleas, certain louse flies, etc., the wings are absent. The wingless insects
just mentioned should, of course, not be included with the Apterygota,
a term designating a group of primitively wingless (apterous) forms.
The above-mentioned parasitic, wingless insects belong to several dif-
ferent orders, as will be seen later.
In form the wing presents a more or less triangular appearance. The
three sides are called margins: the costal margin is cephalic or anterior,
the anal margin is posterior or caudad, and the outer margin (apical) is
between these. The three angles connecting the margins are humeral (at
the base), apical (apex of wing) and anal (between the apical and anal
margins). Generally the fore and hind wings differ considerably in size;
the fore wing in some groups, such as the mayflies, many butterflies and
moths, and the bees and wasps, is larger than the hind wing; while in the
grasshoppers, cockroaches, beetles, etc., the fore wing is narrow and
serves largely as a cover (tegmina) to the hind wing, which folds fan-like.
In the dragonflies, termites, and ant lions, the fore and hind wings are
nearly equal. In the flies, the hind pair of wings is replaced by club-
shaped organs known as halteres, leaving consequently only one pair of
wings, hence the name Diptera (two-winged). In the calypterate Diptera
(muscoid flies) there are present large lobes (squamae, also called
"alulae") at the junction of the wings and the thorax.
There are some differences in the structure of the wings within the
order, though for each order a certain general pattern prevails; e.g., the
Neuroptera have thin membranous wings, often quite filmy; however,
the wings of Diptera and many Hemiptera have the same texture through-
out but possess fewer and differently arranged veins. The Diptera can, of
course, be readily distinguished, as stated above, by the presence of but
a single pair of wings. The winged Hemiptera-Heteroptera have the
front wings thickened at the base, while the apical portion is membranous;
The winged Homoptera have two pairs of wings of even texture.
The venation of the insect wing is an important element in classi-
fication, on account of the great variety of arrangement and the reliability
of this character for the identification of the family and genus. The veins
are hollow, rib-like structures which give strength to the wing. The
areas of membrane between the veins are called cells; they are said to
be open if the membranous area extends to the wing margin. By a care-
ful study of the evidence, a fundamental type of wing venation has been
constructed by Comstock and Needham and revised by Tillyard. The
INSECT AND ARACHNID STRUCTURE 49
accompanying figure (Fig. 12A) illustrating this type will be useful in
determining the identity of the principal veins. Fig. 12B illustrates Till-
yard's revision of the R-C-N (Redtenbacher, Comstock, and Needham)
system of nomenclature, which is used in this book.
Metamorphosis. In order to achieve the size and development of the
parent, the young insect undergoes greater or less change in size, form,
and structure. This series of changes is termed metamorphosis. The least
FIG. 12. (A) diagram of wing venation after the R-C-N nomenclature
(Tillyard revision) with associated sclerites. A, anal veins = V, vllnnal veins
except the first; Ax, axillary sclerites (1, 2, 3, 4); AxC, axillary cord; C, costa;
=
Cu, cubitus; h, humeral cross-vein hm; HP, humeral plate; i-m, inter-medial
cross-vein; ir, interradial cross-vein (often spoken of as a spur on the third
vein); ], jugal veins; it, jugal fold; M, media; mt, medial form; m, m', median
plates; m-m, median cross-vein = im, intermedial cross-vein; m-cu, medio-
subital cross-vein; Feu, postcubitus (first anal); R, radius; r, radial cross-vein;
rt, radial fork; rf', 1st radial fork; r-m, radio-medial cross-vein; Rs, radial sector;
S, sectorial cross-vein; Sc, subcosta; tg, rudiment of tegula; V, vannal veins;
vf, vannal fold.
(B) wing of Tabanus labeled (in parenthesis) according to terminology of
the Dipterists. Veins: C (costal); Sc (auxilIary); R, (1st longitudinal); R.+,
(2nd longitudinal); R" R5 (3rd longitudinal); M" M, (4th longitudinal); Ms,
M.Cu (5th longitudinal); A (6th longitudinal). Cells: C (costal); Se (sub-
costal); R, (marginal); R3 (1st submarginal); R, (2nd submarginal); R5 (1st
posterior); M, (2nd posterior); 2ci M, (3rd posterior); M3 (4th posterior); M,
(5th posterior); 1st M, (discal cell); R (1st basal); 2dM (2nd basal); eu,
(anal cell); A, (axillary).
\\
L'
c'
\\
"u"
"
"
'\
to the adult, but looks more like a segmented worm. However, the in-
ternal anatomy and certain other features are distinctly insectan. The
fact that the young are mandibulate and the adults haustellate in Diptera
and Lepidoptera offers much interesting ground for ecological discussion.
In order to attain the winged condition of the adult, the wingless, worm-
A B c
14. Illustrating simple metamorphosis. (A) young wingless grass-
FIG.
hopper; (B) grasshopper showing wing pads after the first molt; (C) adult of
the same. (Redrawn after Packard.)
like form must undergo many profound changes., and a new stage is
interjected, the pupa, or resting stage, in which this transformation is
accomplished. The newly hatched young insect emerging from the egg
is called the larva, hence the following stageg: (1) egg, (2) larva, (3)
pupa, and (4) imago. This type is termed complex or complete meta-
INSECT AND ARACHNID STRUCTURE 51
morphosis, and the orders comprising these are known as the Holo-
metabola.
Importance of knowing internal anatomy. It is important that the
student familiarize himself with the internal anatomy of insects,! giving
special attention to the digestive system and its accessory structures, such
as the salivary glands. Two cases will illustrate reasons for this:
1. The simplest condition in which the internal organs of insects are
involved in disease transmission is in the case of the common housefly,
in which pathogenic organisms may be sucked up with infectious dejecta
from those ill with cholera or typhoid fever and passed out with the
feces of the fly, which may be deposited on human food , either in their
original virulent condition or more or less attenuated. Regurgitation on
the part of the insect may be equally effective.
I
FIC. 15. Illustrating complex metamorphosis in the life cycle of the common
housefly: egg, larva, pupa, adult .
Labm.
52
INSECT AND ARACHNID STRUCTURE 53
caeca, generally few in number, which give rise to certain digestive
fluids. At both ends of the stomach are located valves which control the
flow of the food. There is much variation in the length and the degree
of convolution of the hind intestine, but usually the three regions men-
tioned, namely, ileum, colon, and rectum, can be located. Emptying into
the ileum are the excretory or Malpighian tubules, varying in number
and length in the several groups of insects. •
The salivary system consists of a pair of salivary glands which may
be lobed; they are situated within the head, often extending into the
thorax. Usually each gland empties into a salivary duct, the two ducts
. discharging into a common duct which opens into the mouth at the base
of the labium. In many species of insects there is present a pair of sali-
vary reservoirs; these may be located near the opening of the common
duct and then present a compound condition, or may be situated on
either side of the esophagus at the end of a long slender duct.
Insect larvae. When insect larvae, parasitic or accidental, are en-
countered in the body of man or beast, confusion may arise because of
the worm-like appearance of the invaders, which may be incorrectly
classified as worms, for example, muscoid fly larvae. These larvae are
short and plump, and have 11 or 12 well-marked segments. Microscopic
examination of fragments will reveal tracheal tubules" which are not
present in worms. The student of medical entomology must be thoroughly
familiar with the immature stages of arthropods.
Although the larvae of insects belonging to the Order Diptera (flies
and mosquitoes) are characteristically legless and usually have an un-
chitinized, eyeless head, the variations within the order are considerable.
Maggots of muscoid flies, for example, are smooth, with the body taper-
ing to the inconspicuous head, which bears hook-like mouth parts; while
the larvae (wrigglers) of mosquitoes have a chitinous, freely moving,
conspicuous head with faceted eyes, and both the head and body bear
many hairs, spines, and bristles. The larvae of fleas (Order Siphonaptera)
are also legless; the chitinous head is well developed; and each of the
thoracic and abdominal segments is well armed with a band of bristles.
The larvae of beetles (Order Coleoptera), commonly called grubs, have
three pairs of legs on the thorax only; the head is well developed; the
body may be hairy, spiny, or naked. The larvae of moths and butterflies
(Order Lepidoptera) have three pairs of thoracic legs and two to five
abdominal prolegs; the head is prominent, and the mouth parts are
usually well developed and mandibulate; they are commonly called
caterpillars and are hairy, spiny, or naked. The larvae of ants, bees, and
wasps (Order Hymenoptera) are usually called grubs; they are usual1~7
without legs (apodous); the head is more or less well developed; t':e
body is usually fairly smooth and .gourd-shaped.
54 MEDICAL ENTOMOLOGY
The Arachnida. The class Arachnida includes the ticks, mites, spiders,
scorpions, and related forms. Am9ng the species of arachnids are some
of the most important parasites and vectors of diseases of man and beast,
such as the ticks which carry spotted fever and relapsing fever of man,
FIG. 18. Showing intemal anatomy of a spider. A, anus; B.L ., book lung;
Chc., chelicera; D.M., dorsal muscle; D.M.G., diverticula of mid-gut; E., eye;
I-I., heart; M.G., mid-gut; lH.T ., Malpighian tubule; P., pericardium; Pd.,
pedipalp; Sp., spinneret; S.St., sucking stomach. (Redrawn and adapted after
various authors.)
except that there is usually but one pair of spiracles. In spiders the
respiratory organ is a combination of lung books and tracheae. There is
frequently a strong sexual dimorphism in the arachnids; the males are
. commonly smaller than the females . (See later chapters dealing with
ticks, mites, and spiders.)
In general the arachnids are predatory and perhaps most of them
are nocturnal, although there are some species of spiders and scorpions
which are largely diurnal.
Arachnid development. Arachnida deposit eggs in all the orders
58 MEDICAL ENTOMOLOGY
except the scorpions and some mites (Pediculoides), which are vivipa-
rous. Eggs are usually numerous, particularly in the ticks, which may
deposit as many as 18,000 per female. The newly hatched individuals
have the general form of the adults, although the number of legs may
vary, e.g., newly hatched ticks and mites usually have three pairs of legs.
Metamorphosis is simple, as in cockroaches and grasshoppers. Molting
takes place as in insects, the various stages being termed instars as in
the Insecta. The longevity of many arachnids is remarkable: ticks have
been known to live for as many as six to seven years, and some species
are able to endure starvation for several years.
Internal anatomy. The digestive tract of arachnids (Fig. 18) is charac-
terized by various types of diverticulae and branched tubules. The
diverticulae, which diverge from the tract between the sucking organ
of the pharynx and the mesenteron, range, according to Savory' from
two short simple sacs directed forward in the cephalothorax to a condi-
tion of five pairs, four of which extend laterally, reaching the bases of
the legs, and enter the coxae for a short distance; also there is a very
complex type which branch and divide and become very large. Leading
from the mesenteron is a complex system of branched tubules which
occupy most of the abdomen and function partly as a digestive gland
and partly as a reservoir. The Arachnida are thus enabled to store large
quantities of food and to undergo long periods of fasting, an adaptation
which particularly favors the parasitic forms.
The excretory organs of the arachnids are Malpighian tubules, which
empty into the gut, and coxal glands which empty excretory products
into tubules and discharge to the exterior from openings which vary in
relations to the coxae with the several orders.
Arachnid classification. o Excluding the marine arachnid order Xipho-
sura, king-crabs or horseshoe crabs, the following orders, all terrestrial,
may be considered in a classification for the purposes of this work,
namely, (1) Scorpionida, scorpions; (2) Araneida (Araneae), spiders;
(3) Pedipalpida, whip scorpions; (4) Pseudoscorpionida (Chelonethida),
false scorpions; (5) Solpugida (Solifugae), sun spiders or wind scorpions;
(6) Phalangida (Opiliones), harvestmep pr harvest spiders; (7) Acarina
(Acari), mites and ticks.
Among the more important gross characters used to separate the
terrestrial arachnids into orders are the following: segmentation of the
body; presence or absence of pedicle; presence or absence of telson;
chelicerae, large or small; pedipalpi, chelate or unchelate; location and
form of spiracles. '.
BIBLIOGRAPHY
1. Snodgrass, R. E., 1935. Principles of Insect Morphology. New York:
McGraw-Hill Book Co., Inc. 667 pp.
2. Essig, E. 0., 1942. College Entomology. New York: The Macmillan
Co., vii + 900 pp. (308 figs) .
3. Snodgrass, R. E., 1946. The Skeletal Anatomy of Fleas. "Smithsonian
Misc. Collect.," vol. 104, no. 18, Washington, D. C.: Smithsonian Inst. (Publ.
no. 3815). 89 pp. + 21 plates.
4. Savory, Theodore H., 1935. The Arachnida. London: Edward Arnold
& Co. 218 pp.
HEAD
LABRUM
MANDIBLE MANDIBLE
. ~
/ CARDO 'm"":"
,
" h
'.
HYPOPHARYNX
'I
MAXILLA MAXILLA
lABIUM '
63
64 MEDICAL ENTOMOLOGY
carda (basal) and stipes (the second), while the distal lobes are (1)
the maxillary palpus (a jointed structure), (2) the galea (median and
fleshy), (3) the lacinia (inner and toothed), capa ble of aiding in com-
minuting food .
Underneath the maxillae and forming the floor of the mouth lies the
lower lip or labium, a double structure frequently called the second
maxilla. On the same plan as the maxillae, the labium consists of a basal
sclerite, the submentum, followed by the mentum, upon which rest the
labial palpi (a pair of outer, jointed structures to the right and left),
and the ligula (a pair of strap-like plates which together correspond to
the upper lip.) The labium is also subject to much modification in insects.
The fleshy organ still remaining in the mouth cavity after the parts
just described have been removed is the tongue or hypopharynx, an organ
of taste, comparable in a measure to the tongue of higher animals.
H /y
+----ANTENNA
COMPOUND EYE
The mandibles are most useful landmarks, since they are almost
universally present in insects, though in various degrees of development,
from the strong mandibles of certain beetles (Lucanidae) to the vestigial
structures of fleas (Siphonaptera). In the Hymenoptera, even though the
order is haustellate, the mandibles are nevertheless present and important
structures, serving, however, in the honeybee as wax implements and
organs of defense, and in ants as organs of portage and combat. In
Hemiptera and many Diptera the mandibles are converted into piercing
organs while the maxillae are also greatly changed in form.
Thysanopteron type. This type (Fig. 20) is interesting phylogeneti-
cally as a connecting link between the biting-chewing and piercing-
sucking mouth parts. It is in the very minute thrips, order Thysanoptera,
that we find this transitional type of mouth parts, biting in general struc-
ture but sucking in function. According to various authors the right man-
dible is reduced, and by others it is said to be entirely wanting, making
the head and mouth parts asvmmetrical; the left mandibl e, maxillae, and
INSECT AND AHACllNlD MOUTH PA ins 65
hypopharynx are elongate, suggesting the stylet of the piercing type,
and adapted to move in and out through a circular opening at the apex
HEMIPTEHA
MOUTH PARTS
MANDIBLE
RIGHT MANDIBLE.._--------~
RIGHT MAXILLA
FOOD CHANNEL-~-~
,,
\
DUCT- - I
LEFT MAXILLA ,,I
LEn MANDIBLE
I
I
I
I
,I
I
I
I
iS1YLE1S MAXILLA
I
: LABIUM
I
LEFT
3 4 5 -- 6 - -
FIG. 21. Hemipteron type of mouth parts. (Adapted after various authors.)
of the head. No food channel is formed , but the sap from plants is lap-
ped up as it exudes from the abraded surface.
Hemipteron type. A very djfferent sort of organ from those above
desclibed is found in the order Hemiptera (Fig. 21). Here the cylindri-
66 MEDICAL ENTOMOLOGY
PRESTOMAL
TEETH __
------
ROSTRUM
ROSTRUM
SAC TUBE--
PHARYNX//
FIG . 22. Head and mouth parts of a sucking louse. Anopluron type of mouth
parts. (Redrawn and adapted after various authors.)
barbs, and a pair of maxillae, all four are stylet-like and efficient piercing
organs, the maxillae operating as a unit and the mandibles functioning
separately. The maxillae are closely apposed, forming the food and
INSECT AND AHACHNlD MOUTH PAHTS 69
are narrower and provided ,with conspicuous palpi. The hypopharynx
and labrwn-epipharynx are both lancet-like, In the male these pierci ng
parts are very weakly developed.
HEAD
SIDE VIEW LABIUM REMOVED
ANTENNA COMPOUND EYE
MAXILLARY PALP
MAXILLARY PAL?
MANDIBLE
HYPOPHARYNX LABRUM-EPIPHARYNX
SAliVARY
SAL IVARY PUMP PUMP
PALPUS
FIG. 24. Head and mouth parts of a horsefly. (In part redrawn after
Snodgrass. )
(c) Third subtype, the stable fly. This subtype (Fig. 25) is repre-
sented by a group of flies in which the mouth parts are distinctly
specialized for piercing, and show, together with the next subtype, to
70 MEDICAL ENTOMOLOGY
what extent these structures may become modified within the same
family of insects.
The proboscis at rest is carried at the position of a bayonet at charge,
and is therefore provided with a prominent muscular elbow or knee.
This conspicuous organ (the proboscis) is the labium terminating in the
labella, which are provided with a complex series of rasping denticles.
Within the folds of the labium and easily removable through the upper
groove lie two stylets: the labrum, the uppermost and heavier, and the
hypopharynx, a lower and weaker one, the two forming a sucking tube
SIDE VIEW FRONT VIEW
HEAD
__ - COMPOUND EYE- __
ANTENNA
MAXILLARY
LABRUM-EPIPHARYNX
FOOD CHANNEL
DUCT
~ ____ PROBOSCIS
~'-'
FE EDING POSIT ION
OOR~toi'l~TRAl ~tR~~ HYP. LAB.EP.
FIG. 25. Head and mouth parts of the stablefly. (Redrawn and adapted after
various authors.)
supported within the folds of the labium. The maxillary palpi are located
at the proximal end of the proboscis.
(d) Fourth subtype, the housefly. Here (Fig. 26) the prominent
fleshy proboscis consists mainly of the labium, which terminates in a pair
of corrugated rasping organs, the labella, and is attached in elbow-like
form to the elongated head. The entire structure is highly muscular and
INSECT AND ARACHNID MOUTH PARTS 71
may be either protruded in feeding or partially withdravffi while at rest.
Lying on top of the grooved labium is the inconspicuous spade-like
SIDE VIEW FRONT VIEW
INTERBIFID
SPACES~~~~(i=-~
MEMBRANOUS
LINING
SALIVARY SUPERFICIAL SLIT
DUCT LEADING INTO
PSEUDOTRACHEAf-~~-~
CH ITINOUS RINGS
OF PSEUDOTRACHEA
LABELLA EPIDERMIS
FIG . 26. Head and mouth parts of the common housefly. Lower right-hand
figure shows detailed cross section of a pseudotrachea in the labella. (Redrawn
and adapted after various authors.)
labrum, which forms, with the hypopharynx, a sucking tube, supported
by the labium, which latter also encloses the salivary canal. By an ex-
amination of the labrum it will be seen that this forms a sort of convex
72 MEDICAL ENTOMOLOGY
CONCEALED
ANTE A
EPIPHARYNX
TRACHEA~
P.
EPIPHARYNX
1D.
00
'00,'
•
7
MAXILLARY
LACINIA
SALIVARY
GROOVE
FOOD CHANNEL
MAX IL L A R y r
PALP
~ MAX ILLARY
LOBE I
LABIAL MAXILLARY
MAXILLARY PALP PALP
CROSS SECTION I_ACINIA
EPIPHARYNX
FIG . 27. Head and mouth parts of a flea. See text for explanation of parts.
(Redrawn and adapted after vadous authors .)
(e) Fifth subtype, the louse fly. The It:mse flies, members of the
family Hippobos!Idae, have mouth parts closely related to those of the
third subtype, the stable fly; the characteristic tubular or cylindrical
hallstellum is adapted for penetration into the skin of the host. The
INSECT AND ARACHNID MOUTH PARTS 73
labrum- epipharynx is stylet-shaped; its proximal portion is strongly
chitinized and rigid, whereas the distal end is membranous and very
flexible. " The hypopharynx in the two common species, Pseudolynchia
canariensis (Macq.) = [Lynchia mama (Bigot)] and Melophagus
FIG. 28. Head and mouth parts of the honeybee (Apis mellifica). Both
types of mouth parts well developed, but the mandibles are used chiefly for
portage and modeling. (Hymenopteron type.) (A) front view of the head
showing (1) antennae, (2) compound eyes, (3) simple eye, (4) labrum,
(5) mandibles, (6) maxillae (galea), (7) labium (palpi only), (8) labium
(glossa), (9) bouton, (10) maxillary palpus. (B) mouth parts removed to
show (5) mandibles, (6) maxillae (lacinia), (7) labium (palpi only), (8)
labium (glossa), (9) bouton, (10) maxillary palpus, (11) prementum, (12)
mentum, (13) cardo, (14) stipes.
able and are useful wax implements. In ' ants the mandibles are highly
efficient organs of portage and weapon~ of defense. The maxillae form
the lateral conspicuous wings of the suctorial parts; the lacinia and galea
are fused, and the maxillary palpi are minute. The labium is represented
by the long structures to the right and left of the middle tube, which
is probably the hypopharynx. The hypopharynx terminates in the spoon-
like labellum or bouton which completes the lapping character of the
subtype.
Lepidopteron type. This type, represented by the commoner butter-
flies and moths, is typically a coiled, sucking tube capable of great
elongation. Taking the cabbage butterfly, Pieris rapae (Linn.), as an
example (Fig. 29) the labrum is seen to be greatly reduced, and the
mandibles are absent. (These may be weakly present in the lower
INSECT AND ARACHNID MGpTH PARTS 75
Lepidoptera.) The maxillae are apparently represented only by the
galeae, which by close approximation of their inner groovoo surfaces
form the long, coiled proboscis. The double structure of the proboscis
can be easily demonstrated by manipulation. The labium is represented
by the labial palpi.
DORSAL VIEW
CHELICERAL
SHEATH ~----~~-r'-~
SEGMENTS
OF THE
PEDIPALP
BASIS CAPITULI
HYPOSTOME
BAS IS CAPITULI
" .. / ."..../
FIG. 30. Tick, capitulum; showing mouth parts of a tick (Arachnida, Acarina).
diet requires an ingestion pump, and with all arachnids a highly
developed sucking apparatus constitutes the essential part of the feeding
mechanism. The chelicerae (a pair) are the first postoral appendages of
INSECT AND AHACHNlD MOUTH PAHTS 77
the arachnid (see Chapter XX), and while functioning more or less as
"jaws" they are not homologous with the mandibles of insects; they are
used for grasping, holding, tearing, crushing, or piercing. The leg-like
pedipalps are the second postoral appendages of the Arachnida and are
the homologues of the mandibles of mandibulate arthropods (Snod-
grass). These organs are modified in various ways, functioning as organs
of prehension, protection, and, in male spiders, as sperm-carrying organs.
In the scorpions the pedipalps are chelate and serve for catching, hold-
ing, and crushing the prey.
According to Snodgrass (loc. cit.) the only features of the acarine
(ticks and mites) mouth parts that cannot be homologized with struc-
tures generally present in other Arachnida are the variously developed
appendicular lobes or processes often associated with the distal part of
the hypostome (Fig. 30). Also among the trombidiform mites the
chelicerae become progressively adapted for piercing by a transforma-
tion of the moveable digits into hooks or stylets.
BIBLIOGRAPHY
I. Snodgrass, H. E., 1944. The Feeding' Apparatus of Biting and Sucking
Insects Affecting Man and Animals. "Smithsonian Misc. Collect.," vol. 104,
no. 7, (Publ. no. 3773). Washington, D. C.: Smithsonian lnst. 1I3 pp.
2. Jobling, B., 1926. "A comparative study of the structure of the head
and mouth parts in the Hippoboscidae (Diptera Pupipara) ," Parasitology,
18:319-49. .
3. Snodgrass, H. E., 1948. The Feeding Organs of Arachnida, Including
Mites and Ticks. "Smithsonian Misc. Collect.," vol. 1l0, no. 10. Washington,
D. C.: Smithsonian lnst. (Publ. no. 3944).93 pp. (29 figs).
CHAPTER VII
._.
A. COCKROACHES
Order BlaUaria
Cockroaches of today are direct descendants of the huge ancient
cockroaches (Paleoblatta), some reaching about six inches in length,
which together with enoromous dragonHies (Protodonata) "had con-
quered the world"l some 250,000,000 years ago. Though much smaller
in size but still cosmopolitan, modern cockroaches have cbanged but
little in general structure. They are usually Hattened dorsoventrally with
smooth (sometimes pilose) tough integument, varying in color from
chestnut-brown to black in the more pestiferous house-invading species,
but commonly green, or orange and other colors, in tropical species. The
head is decidedly Hexed backward and downward when at rest. The
prominent antennae are filiform and many segmented. There are two
pairs of wings in most species; in some species the wings are vestigial, in
others the wings are well developed in the males and short in the females,
e.g., Blatta orientalis Linn. The outer pair of narrow wings (tegmina) is
thick and leathery, while the inner pair is membranous and folds fan-
like. While most cockroaches possess the power of Hight, they are typi-
cally runners (cursorial) and can move swiftly by means of their long
well-developed legs. They are highly gregarious and primarily nocturnal.
but most cockroaches may be seen occasionally singly during the day.
Metamorphosis is simple.
Feeding habits. The mouth parts of cockroaches are of the genera1ized
biting-chewing type (Orthopteron). They feed on a great variety of
foods (omnivorous), with preference for starchy and sugary materials.
They will sip milk, nibble at cheese, pastry, meats, grain products, sugar,
sweet chocolate-in fact, practically no edible material available for
human consumption is exempt from attack by these vile insects which
just as freely feed on book bindings, the sized inner lining of shoes, dead
insects, their own cast-off skins and dead and crippled kin, fresh and
dried blood, excrement, and sputum. They feed principally at night,
hence we live in ignorance as to their disgusting and dangerous feeding
habits.
78
COCKROACHES AND BEETLES 79
Furthermore, roaches habitually disgorge portions of their partly
digested food at intervals and drop their feces wherever they go. They
also discharge a nauseous secretion from both the mouth and from glands
opening on the body, imparting a persistent and typical "cockroach" odor
to food and dishes with which they come in contact.
Species of sanitary importance. There are about 2,250 species of cock-
roaches belonging to some 250 genera heretofore placed in the Family
Blattidae of the Order Orthoptera, now generally put into the Order
Blattaria. Cockroaches occur throughout the world but are chiefly
tropical. World-wide distribution of certain species has been effected by
maritime trading; holds of vessels, the galleys, and crew's sleeping quar-
\I
ters are often overrun with cockroaches. Among the better known species
in~ading the household, restaurants, hotel kitchens, etc., particularly in
neotropical regions, are described below:
Blatella germanica (Linn.) , known 2.S the German cockroach, water
bug, or croton bug, belongs to the Family Phyllodromiidae. It is the best
known and probably the most widely distributed species. It is a small
species, native to Europe, measuring from 14 to 16 mm in length, and is
pale yellowish-brown in color with two dark brown longitudinal stripes
on the pronotum. Both sexes are fully winged. The female carries the egg
capsule partly protruding from the tip of the abdomen (Fig. 31) until
hatching time.
Blatta orientalis (Linn.), known as the Oriental cockroach and also
as the "black beetle," is very much darker than the German roach. It is
dark brown to black in color, whence its common name "black beetle"
80 MEDICAL ENTOMOLOGY
(Fig. 32). It is about 25 mm in length; the wings of the female are rudi-
mentary, and those of the male do not quite reach the tip of the abdo-
men. Enormous colonies of the Oriental cockroach are often found in
damp basements where food is available. This species belongs to tllP
Family Blattidae.
Periplaneta americana (Linll.), commonly called the American cock-
roach (Fig. 33), is a very large (30-40 mm in length) chestnut-brown
species, native to "'lexica and Central America, but now widely distrib-
uted over the earth. Both sexes have long wings, which are frequently
llsed in flying short distances. This species also belongs to the Familv
Blattidae.
~ D
FIG. 32. The Oriental roaGh (female), Blatta orientalis. X 1.3.
FIG. 33. The American cockroach, Periplaneta americana. X 1.3.
BIBLIOGRAPHY
1. Cockerell, T. D. A., 1927. "The carboniferous insects of Maryland,"
Ann. & Magazine of Nat. History, 19:385.
2. Shiraki, Tokuichi, 1931. "Orthoptera of the Japanese Empire. Part
II Blattidae, Insects Matsumurana," Taihoku Imperial Univ. Entomolog. Lab.
Contrib. no. 29, 5 (Part 4):171-209.
3. Gould, George E., and Deay, H. 0., 1940. "The biology of six species
of cockroaches which inhabit buildings." Lafayette: Purdue Univ., in Agric.
Exper. Sta., Bull. no. 451, 31 pp.
4. Rau, P., 1924. "Biology of the roach," Tr. Acad. Sc. St. Louis, 25:57-
79.
5. Seamans, Lois, and Woodruff, Laurence C., 1939. "Some factors in-
fluencing the number of molts of the German roach," J. Kansas Entomolog.
Soc., 12:73-76.
6. Herms, W. B., and Nelson, Y., 1913. "The croton bug (Ectobia
germanica) as a factor in bacterial dissemination," Am. ]. Pub. Health, 3:929-
34.
7. Esten, W. N., and Mason, C. J., 1908. "Sources of bacteria in milk,"
Storrs Agric. Exper. Sta., Bull. no. 51, pp. 94-98.
8. Longfellow, R. C., 1913. The common house roach as a carrier of
disease. Am. ]. Pub. Health, 3:58-61.
9. Barber, M. A., 1914. "Cockroaches and ants as carriers of the vibrios
of Asiatic cholera," Philippine]. Sc., sec. B, 9:1-4.
10. Galeb, Osman, 1878. "Observations et experiences sur les migrations
du Filaria rytipleurites, parasite des blattes et des rats," Compt. rend. Acad.
d. sc., 87:75-77.
11. Ransom, B. H., and Hall, M. C., 1915. "The life history of Gongylon-
ema scutatum," J. Parasitol., 2:80-86.
12. Fibiger, Johannes, 1913. "Ueber eine durch Nematoden (Spiroptera
sp. n.) hervorgerufene papillomatOse und carcinomatOse Geschwulstbildung
im magen der Ratte," Berl. klin. Wchnschr., 50:289-98.
13. Chitwood, B. G., 1932. "A synposis of the nematodes parasitic in in-
sects of the family Blattidae," Ztschr. fpkarasitenkunde, 5:14-50.
COCKROACHES AND BEETLES 93
14. Reid, W. M.; Ackert, J. E.; and Case, A. A; 1938. "Studies on the
life history and biology of the fowl tapeworm, Raillietina cesticillus (Molin) ,"
Tr. Am. Micr. Soc., 57:65-76.
15. Lamson, G. H., Jr., 1922. "The rose chafer as a cause of death of
chickens." Storrs Agric. Exper. Sta. Bull. no. llO, pp. 117-34.
16. Herms, Williaril B., 1926. "Diocalandra taitensis (Guerin) and other
coconut pests of Fanning and Washington Islands," Philippine J. Sc., 30:243-
71.
17. Ferris, G. F., 1918. "An apparently new species of Leptinillus," Ganad.
Entomologist, 50:125-:28.
. _.
CHAPTER VIII
THE BUGS
B. THE CONENOSES
Family Reduviidae
Family Reduviidae. The Reduviidae are typical examples of the heter-
opterous Hemiptera. They are commonly known as conenoses, kissing
bugs, and assassin bugs. There are over 2,500 species divided among 15
subfamilies, of which the Harpactocorinae is the largest, containing
more than a third of all the species, and next in size is the subfamily
Reduviinae. A very large percentage of the reduviids are predaceous and
feed on insects, many of which are harmful; hence the family is in the
main beneficial. A number of the species when handled carelessly defend
themselves by biting, and a very few have developed a definite habit
of sucking blood. The subfamily Triatominae comprises those members
of the family which feed exclusively on blood of vertebrates. This sub-
family is predominantly American.
. In addition to the characteristic wings already described, the head
of these insects is more or less elongated or cone-shaped, giving rise to
THE BUGS 101
the name conenose; the head has remarkably free movement; the eyes
are conspicuous; the ocelli, if present: are located behind the compound
eyes; the sturdy, three-jOinted proboscis can be thrust forward, but in
repose lies beneath the head; the piercing stylets can be extended far
beyond the tip of the proboscis; the long, slender, four- or five-segmented
antennae are situated in front of the eyes or on the border of the head;
the prothorax is strongly developed; most of the species are able to fly
well.
Life history. The rather large, usually smooth, more or less barrel-
shaped eggs of reduviids (often with stellate or fringed caps) are gen-
erally deposited in situations where the adults occur, i.e., the ground-
inhabiting forms deposit their eggs on the ground; arboreal forms lay
their eggs on leaves and stems; and house-inhabiting forms in dusty
The finger became reddened and felt hot to the touch. In the course of
a few days, growths resembling papillomas developed at the sites of the punc-
tures, the largest of these projecting as a small hornlike structure. Both of
these growths persisted for months, the largest slowly disappearing between
six and nine months after the infliction of the bite. The injured finger remained
warmer than the other fingers during this period, and, according to the
patient's statement, still feels warmer than the other fingers, a year later. The
development of pronounced cutaneous growths after a bite appears indicative
of the action of some toxin as a stimulant irritant.
A B
FIG. 40. Members of the family Reduviidae. (A) Triatoma protracta, (8)
Rasahus thoracicus.
Next day the injured part shows a local cellulitis with a dark central spot;
around this spot there frequently appears a bulbous vesicle about the size
of a ten-cent piece and filled with a dark grumous fluid; a smaller ulcer forms
underneath the vesicle, the necrotic area being generally limited to the central
part, while the surrounding tissues are more or less swollen and somewhat
painful. In a few days with rest and proper care the swelling subsides, and
in a week all traces of the cellulitis are, usually gone. In some of the cases
no vesicle forms at the point of injury, the formation probably depending-on
the constitutional vitality of the individual or the amount of poison introduced.
A B c D
14. Usinger, Robert L., 1944. The Triatominae of North and Central
America and the West Indies and Their Public Health Significance. Washing-
ton. D. C.: Govt. Print. Office, in Public Health Bull., no. 288. iv + 83 pp.
15. Elson, J. A., 1933. A Morphological and Histological Study of the
Mechanism of Suction, Salivary Apparatus and Alimentary Canal of Hemiptera,
with Special Reference to Triatoma protracta (Uhler). Doctorate thesis, Univ.
Calif.
16. Howard, L. 0., 1899. The Insects to Which the Name "Kissing Bugs"
Became Applied During the Summer of 1899. Washington, D. C.: Dept.
Agric., in Div. Entomol. Bull., no. 22.
17. Hall, Maurice C., 1924. "Lesions due to the bite of the wheel-bug,
Arilus cristatus (Hemiptera; Reduviidae)," Arch. Int. Med., 33:513-15.
18. Wood, Sherwin W., 1942. "Reactions of man to the feeding of
reduviid bugs," J. Parasitol., 28:43-49.
19. Brumpt, E., 1914. "Le xenodiagnostic application au diagnostic de
quelques infectious parasitaires et en particulier a la Trypanosome de Chagas,"
Rull. Soc. path. exot., 7:706-10.
20. Romafia, C., 1947. "Miocarditis croruca equizo trepanosica," An. d.
Inst. med. regional, Univ. Nacional de Tucuman, Argentina, 2:1-39.
21. Brumpt, E., 1912. "La Trypanosoma cruzi evolue chez Conorhinus
megistus, Cimex lectularius, Cimex boueti et Ornithodoros moubata, cycle
evolutiv de ce parasite," Bull. Soc. path. exot., 5:360.
22. Rozeboom, L. E., 1936. "Triatoma dimidiata Latr., found naturally
infected with Trypanosoma cruzi Chagas in Panama," Am. J. Trop. Med.,
16:481-84.
23. Wood, S. F., 1942. "Observations on vectors of Chagas' disease in the
United States. I. California," Bull. Calif. Acad. Sc., 41 (pt. 2) :61-69.
24. Kofoid, Charles A., and Donat, Fae, 1933. "South American trypanoso-
miasis of the human type-occurrence in mammals in the United States,"
Calif. &. West. Med., 38:245-49.
25. Wood, Fae Donat, 1934. "Natural and experimental infection of
Triatoma protracta (Uhler) and mammals in California with American
human trypanosomiasis," Am. ]. Trop. Med., 14:497-517.
26. Wood, S. E., 1943. "Observations on vectors of Chagas' disease in the
United States. II. Arizona," Am. J. Trop. Med., 23:315-20.
27. Packchanian, A., 1943. "Infectivity of the Texas strain of Trypanosoma
cruzi to man," Am. J. Trop. Med., 23:309-14.
28. Morishita, Kaoru, 1935. "An experimental study on the life history
and biology of Trypanosoma conorhini (Donovan), occurring in the alimentary
tract of Triatoma rubrofasciata (de Geer) in Formosa," Japanese ]. Zool.,
G:459-546.
29. Wheeler, Charles M., 1938. "Experimental infection of Ornithodoros
turicata (Duges) with a Brazilian strain of Trypanosoma cruzi Chagas," Proc.
Soc. Exper. Bioi. & Med., 38:191-93.
30. Romafia, C., and Abalos, J. W., 1948. "Accion del "Gammexane"
sobre los Triatomideos. "Control" domiciliario," An. d. Inst. med. regional,
Universidad NacionaI de Tucuman, Argentina, 2:95-106. .
CHAPTER IX
._.
THE LICE
The human head louse, Pediculus humanus capitis DeGeer (Fig. 42),
is gray in color, but is said to vary according to the color of the hair and
color of the host' (Murray 3). The male averages 2 mm in length and
the female 3 mm. This species occurs on the head, about the ears and
occiput, but from reliable observations made by a number of observers it
may in heavy infestations establish itself on other hairy parts of the body.
In severe infestations the hair may become literally matted with eggs
.. For extensive list of references (961) see "Bibliography on Lice and Man,
with particular reference to wartime conditions," by Mary E. Grinnell and Ina
L. Hawes, U. S. Dept. Agric. Washington, D. C. Bibliographical Bull. no. 1, July,
1943.
THE LICE 115
(nits), parasites, and exudate from the pustules which originate from the
louse bite. The term plica palonica is applied (Stiles) to the fetid mass .
forming a sort of carapace (trichoma), in which fungus may develop ,
and beneath which myriads of lice may be found .
. The number of eggs deposited by the female ranges from 50 to 150.
These are glued to the hair and hatch in from 5 to 10 days, an average
of 7 days. Development is very rapid (incomplete metamorphosis with
three molts), three weeks usually covering the entire cycle from egg to
egg. Lice are easily disseminated by physical contact and otherwise,
hence slight infestations may occur under the best of sanitary conditions,
particularly among school children. However, the continued presence
of lice on head or body is inexcusable since eradication is simple (see
r, A B
lousicides, p. 124) . The mere use of soap and water in washing the head
and hair is ineffective in destroying lice present in the hair.
The pubic louse, Phthirus pubis (Linn.) (= Phthirus inguina lis Redi),
also called crab louse (Fig. 43), is easily recognized by its crab-like ap-
pearance. It measures from 1.5 to 2 mm in length, is nearly as broad as
long, and is grayish white in color. It infests the pubic regions particu-
larly but also the armpits and more rarely other parts of the body, such
as the mustache, beard, eyelashes, and eyebrows. The writer has seen
soldiers infested with this species of louse from the ankles to the eye-
brows. These lice ,are remarkably stationary in their habits, often re-
maining attached for days at one point with mouth parts inserted into
the skin. The pruritus caused by the bites of these parasites is very in-
tense, and a discoloration of the skin usually results if infestation con-
tinues over a longer period of time. The term phthiriasis may be em-
llG MEDICAL ENTO~IOLOGY
Florence"7 hog lice feed readily on man but will not feed on guinea pigs.
The same author summarizes, as follows, the life history of these lice at
35° C, when they were kept continuously next to the body in vials: in-
cubation period of eggs (Fig. 46), 18 to 15 days, first molt after five to
six days, second molt after four days, third and last molt after four to
five days, sexual maturity after three days, a total of 29 to 88 days from
egg to egg.
Cattle lice belonging to the Anoplura number five species, namely,
(1) Linognathus vituli (Linn.), commonly known as the long-nosed ox
louse or "blue louse," measuring about 2 mm in length and distinguished
45 46
FIG. 45. Hog louse, Haematopinus suis. X 7.
FIG. 46. Nits (eggs) of the hog louse attached to the hair of the host. One
of the eggs has hatched. X 10.
from the next species by its long nose and slender body; cosmopolitan in
distribution; (2) Haematopinus ellrysterntlS (Nitzsch) , the cosmopolitan
short-nosed ox louse, somewhat larger (8.5 to 4.75 mm in length) than the
former and much broader in proportion; (8) Haematopinus tuberculatus
(Burm.), the buffalo. louse, infests cattle in parts of Australia; common
on cattle and carabao in India; absent in North America; measures
from 8.5 to 5.5 mm; resembles H. eurysternus closely but differs in that
the number of setae at the margin of the abdominal segme'nts caudad of
the paratergal plates is usually eight or more (may be five or six); (4)
Haematopinus quadripertusus Fahr., the tail louse; (5) Solenopotes
capillatus Enderl . has been redescribed by Bishopp28 and shown to have
a wide distribution in the United States as well as in many other parts
of the world. It is known as the little blue cattle louse. It measures from
1.2 to 1.5 mm in lE'ngth and in general appE'arance resembles the short-
nosed ox louse.
All species exce pt the tail louse show a tenden(;y to attach on the
head, neck, and shoulders of the host, where the eggs are glued to hairs.
In heavy infestations manv parts of the animal are infested . The eggs
THE LICE 129
of the short-nosed ox louse are usually whitish in color, while those of the
long-nosed louse are dark blue, and those of tIle Solenopotes pale yel-
lowish. The incubation period averages about 12 days with a range of
from 8 to 15 days. The life cycle from egg to egg requires from 20 to 30
days. There are three molts at about four-day intervals. Lamson 29 reports
that the short-nosed ox louse lays from 35 to 50 eggs over a period of
from 10 to 15 days. Anyone concerned particularly with cattle lice will
certainly consult Bulletin 832, Cornell University Agricultural Experiment
Station (Matthysse O ).
Horses, mules, and asses are frequently infested with one species of
sucking louse, Haematopinus asmt (Linn.) = [H. macrocephalus
(Burm. )], which measures from 2.5 to 3.5 mm in length. It resembles
the hog louse except that the head is relatively longer and more robust.
The lice usually congregate at the base of the mane and forelock and the
root of the tail. Hall Oi (loc. cit.) reports that 22 out of 38 horses examined
were infested with this species. The same author reports the incubation
period for the egg to range from 10 to 19 days (eggs kept in Petri dishes
at from 21 0 to 31 0 C). It is quite probable that this species requires
about the same time as the hog louse for the completion of its life cycle,
i.e., from 29 to 33 days from egg to egg.
Sheep in some parts of the United States are affected by the so-called
foot louse, Linognathus pedalis (Osborn). The author has observed this
species on sheep from California and Nevada, ~nd Osborn has reported
it from Iowa. It occurs on the legs, espeCially jn the region of the dew
claws, but in heavy infestations it may actually invade the wool above
the knee. Deaths have been reported as due to this louse. The species
measures about 2 mm in length; and as it is the only sucking louse likely
to attack sheep in the manner described above, its identity can be easily
established. Goats often suffer heavy infestations of Linognathus stenopsis
(Burm.).
Sucking lice on dogs and rabbits. Dogs are commonly heavily infested
with Linognathus piliferus (Burm.), and rabbits harbor H aemodipsus
ventricosus (Denny).
Control of sucking lice of mammals. Poorly fed animals, crowded pens,
aJld dark, insanitary quarters are factors in the multiplication of lice, but
the parasites may gain a foothold in spite of plenty of food, clean quar-
ters, and adequate space; hence the stock farmer living in climates per-
mitting this should not neglect to install a good dipping vat as a part
of his equipment. Although lice will not breed away from their host,
they may drop off with hair and may remain aHve for probably not over
five days; and the same animals after dipping or other animals of the
same species, introduced into quarters before the dropped lice have died,
may become reinfested. Furthermore, the great majority of the ordinary
130 MEDICAL ENTOMOLOGY
dips do not destroy the eggs present at the time of treatment; hence a
second dipping is usually necessary after the young lice have hatched.
This second dipping should be properly timed and in most cases should
be done 16 to 18 days after the first. Dipping procedures are described
by Babcock and Laake,32 who recommended for cattle-louse control two
dippings in a sulfur-rotenone dip, containing one pound of cube (5 per
cent rotenone) and 10 pounds of wettable sulfur in 100 gallons of water.
Application of dusts containing 10 per cent derris or cube (0.5 per cent
or more of actual rotenone) is highly recommended by Matthysse (loc.
cit.) for the control of all species of cattle lice. Experiments with DDT
indicate that it is not as effective as rotenone; however, a 0.3 per cent
DDT emulsion dip has been reported effective with one treatment (Fur-
man).
Furman 33 (1947) reports complete eradication of Haematopinus
eurysternus and Linognathus vituli with a single dip in a 0.3 per cent
suspension of benzene hexachloride (approximately equivalent to 0.036
per cent gamma isomer). This material, which is now being used widely,
should not be applied to lactating dairy animals. Furman and Hoskins 34
( 1948) have shown that benzene hexachloride appears in the milk for
several days following application. It is also known that this material may
occur in the body fat of treated animals as long as 30 days after treat-
ment where a concentration approximately double that used for louse
control.
chief factor in determining the length of the life cycle as well as the
survival of the young.
The life cycle of Bovicola bovis (Linn. ), the red louse of cattle (family
Trichodectidae) is described by Matthysse (loc. cit.) as follows: at
95° F and 75 per cent humidity, the egg stage averages 5 to 9 days, first
ins tar 6 to 10 days, second instar 4 to 10 days, third instar 4 to 9 days,
preoviposition period 3 to 4 days, cycle egg to egg 22 to 42 days; maxi-
mum adult longevity was 42 days. The egg-to-egg cycle under normal
conditions would probably average 29 to 30 days .
Lice infesting domestic fowls. More than forty species of lice are
said to occur on domestic fowls of which seven species are commonly
found on chickens. Losses due to poultry lice are most evident among
the young birds, but heavy infestations on older fowls result in loss of
48 49 50
FIG. 48. The common shaft louse of poultry, Menopon gallinae.
FIG. 49. The large hen louse, Goniodes gigas. X 10.
FIG. 50. A turkey louse, Goniodes stylifel'. X 14.
dark brown at the sides, the brown occupying hard-like portions at the
side of each segment"; and the extremely large and common Ornithobius
bucephalus Pia get (4 mm long). The latter is conspicuous because of its
size; the body is white and quite transparent.
Pigeons are often abundantly infested with Columbicola columbae
(Linn.) (= Lipeurus baculus Nitzsch), a very slender species measuring
about 2 mm in length; Goniodes damicornis Nitzsch, a broad brownish
species about 2 mm long; and Goniocotes bidentatus Scopoli, about 1 mm
in length, whitish in color wIth a head rounded in front. Guinea fowls
are said to harbor Goniodes numidia nus Denny, Lipeurus numidae
box wallows, conveniently placed, broad and deep enough so that there
will be room for several birds at a time, should be partly filled wih;' fin e
road dust or ashes with the addition of a quantity of tobacco dust in the
proportion of about six parts of the form er to one of the latter. It is quite
desirable to add a few handfuls of sulphur. The finer the dust the better,
since it is believed by some that the dust particles enter and clog up the
breathing pores of the lice. However, it is more probable that the agita-
tion caused by the birds wallowing in the dust dislodges many of the
lice and they are thus lost in the shuffle.
Powdered derris root applied as a dust, or as a dip, one-fourth ounce
to a gallon of water, is said to be effective. This method is described by
Wells, Bishopp, and Laake.39
The application of 40 per cent nicotine (Black Leaf 40) to the roosts
in a thin layer with a brush or swab before the birds go to roost gives ex-
cellent results. The treatmen t should be repeated at an interval of 10 days
52 53 54
FIG. 52. The biting ox louse, Bovicola hovis. X 26.
FIG. 53. Biting louse of the Angora goat, Trichodectes hennsi. X 22.
FIG. 54. The biting dog louse, Trichodectes canis. X 35.
to kill the lice which have hatched from eggs on the birds. It is recom-
mended that the application be made when the weather is calm. Appar-
ently this treatment acts as a fumigant. Telford' o (1945) tested the
effects of 37 louse powders on several species of chicken lice and found
that practically complete control was given by DDT, 0.5 to 4.0 per cent;
derris (with 5 per cent rotenone) 10 per cent; sodium fluoride, 33 per
cent, cryolite, 30 per cent, and micronized wettable sulfur.
Biting lice of domesticated mammals. The biting lice of domesticated
mammals are for the most part rather easily identified by their presence
on a given host, as commonly not more than one species of Mallophaga
TIlE LICE 137
is found on each species of mammalian host. Cattle are often heavily
infested on the withers, root of tail, neck, and shoulders with Bovicola
bovis (Linn.) (= Trichodectes scalaris N itzsch ) (Fig. 52), a little red
louse about 1 Y2 nun in length, definitely marked with transverse bars
(ladder-like) on the abdominal segments. The biting lice are most
numerous on the animals during dry, cold weather when the hair is long.
Although they do not irritate the cattle as much as suckling lice do, the
following noteworthy observation is made by Imes: 41
FIG . 55. A biting louse of deer, Trichodectes tibialis. (Left) male, (right)
female. X 31.
BIBLIOGRAPHY
1. Ferris, G. F., 1919-35. Contributions toward a Monograph of the
Sucking Lice, parts 1-8. Univ. ser. "Leland Stanford Junior Univ. PubI.," no.
41. and Univ. ser. "Stanford Univ. Publ. BioI. Sc.," vol. 2. nos. 2-8.
2. Ferris, G. F., 1934. "A summary of the sucking lice (Anoplura) ,"
Entomological News, 45:70-74, and 85-88.
3. Murray, Andrew, 1860. "On the pediculi infesting the different races
of mall," Tr. Roy. Soc. Edinburgh, 22:567. (Cited by Osborn.)
4. Nuttall, G. H. F., 1918. "The biology of Phthirus pubis," Parasitology,
10:383-405.
5. ---, 1917. "The biology of Pediculus humanus," Parasitology, 10:80-
185.
6. Buxton, P. A., 1939. The Louse. London: Edward Arnold & Co. viii
+ 164 pp.
7. Leeson, H. S., 1941. "The effect of temperature upon the hatching
of the eggs of Pediculus humanus corporis DeGeer," Parasitology, 33:243.
8. Pierce, W. Dwight, 1918. The Life History of the Human Louse.
Washington, D. C.: U. S. Dept. Agric., Bur. Entomol., in Proceedings of the
Class Formed to Study the Entomology of Disease, Hygiene, and Sanitation.
(Mimeograph copy received from author.)
9. Peacock, A. D., 1916. "Structure of the mouth parts and mechanism
of feeding in Pediculus humanus," Parasitology, 11:98-117 (1 plate).
10. Moore, W., 1918. "An interesting reaction to louse bites," 1.A.M.A.,
71:1481-82.
11. Mackie, F. P., 1907. "The part played by Pediculus corporis in the
transmission ?f relapsing fever," Brit. M. /., 2: 1706-09.
THE LICE 141
12. Nicolle, C. N.; Blaizot, L.; and Conseil, E.; 1913. "Etiologie de la
Fievre nkurrente. Son mode de transmission par les poux," Ann. Inst.
Pasteur, 27:204-25.
13. Chung, Huei-Lan, and Feng, Lan-Chou, 1936. "Studies on the de-
velopment of Spirochaeta recurrentis in body louse," Chinese M./., 50:1181-
84.
14. Ricketts, H. T., and Wilder, R. M., 1910. "Further investigations re-
garding the etiology of tabardillo, Mexican typhus fever," /.A.M.A., 55:309-11.
15. Nicolle, Charles; Comte, C.; et Conseil, E.; 1909. "Transmission ex-
perimentale du typhus exanthematique par Ie pou du corps," Compt. rend.
Acad. d. sc., 149:486-89.
16. Ricketts, H. T., and Wilder, R. M., 1910. "The transmission of the
typhus fever of Mexico (tabardillo) by means of the louse (Pediculus vesti-
menti)," J,A.M.A., 54:1304-7.
17. Goldberger, J., and Anderson, J. F., 1912. "The transmission of typhus
fever, with special reference to transmission by the head louse (Pediculus
capitis)," U. S. Public Health Service, Pub. Health Rep., 27:297-307.
18. Nuttall, G. H. F., 1917. "Lice and disease," Parasitology, 10:43-79.
19. Da Rocha-Lima, H., 1916. "Untersuchungen tiber Fleckfieber," Mun-
chen. med. Wchnschr., 63:1381-83.
20. Toepfer, H., 1916. "Zur Ursache and Uebertragung des Wolhynischn
Fiebers," Munchen. med. Wchnschr., 63:1495-96.
21. Foster, M. H., 1918. "Preliminary report on carbon tetrachloride vapor
as a delousing agent," U. S. Public Health Service, Pub. Health Rep., 33:1823-
27.
22. Moore, W., and Hirschfelder, A. D., 1919. An Investigation of the
Louse Problem. Minneapolis: Univ. Minnesota Press, in Research Publ., vol.
8. 86 pp.
23. Moore, William, 1918. "The effect of laundering upon lice (Pediculus
corporis) and their eggs," J. Parasitol., 5:61-68.
24. Bushland, R. C., 1948. "Insecticides for the control of lice attacking
man and animals." Proc. 4th Internat. Congo Trop Med. & Malaria, Abstracts.
Washington, D. C.
25. Wheeler, Charles M., 1946. "Control of typhus in Italy 1943-1944
by use of DDT," Am.].Pub.Health, 36:119-29.
26. Busvine, J. R., and Buxton, P. A., 1942. "A new method of con-
trolling the head louse," Brit.M.]., 1:464-66.
27. Florence, Laura, 1921. The Hog Louse, Haematopinus mis Linne: Its
biology, anatomy, and histology. Ithaca: Cornell Univ. in Agric. Exper. Sta.
Memoir, No. 51, pp. 641-743.
28. Bishopp, F. C., 1921. "Solenopotes capillatus, a sucking louse of cattle
not heretofore known in the United States," f. Agric. Research, 21: 797-
80l.
29. Lamson, G. H., Jr., 1918., 1918. "Cattle lice and their control," Storrs
Agric. Exp. Sta., Bull., No. 97, pp. 397-414.
30. Matthysse, John G., 1946. Cattle Lice, Their Biology and Control.
Ithaca: Cornell Univ., in Agric. Exper. Sta. Bull., no. 832, 67 pp.
142 MEDICAL ENTOMOLOGY
31. Hall, M. C., 1917. "Notes in regard to horse lice, Trichodectes and
Haematopinus," J. Am. Vet. M. A., 51, n. s. 4:494-504.
32. Babcock, O. G., and Laake, E. W., 1942 The Control of Cattle Lice.
Washington, D. C.: Dept. Agric., in Bur. Entomol. & Plant Quar. Circular,
E 447: 1-2 revised (Mimeograph ser.)
33. Furman, Deane P., 1947. "Benzene hexachloride to control cattle
lice," J. Econ. Entomol., 40:672-75.
34. ---, and Hoskins, W. M., 1948. "Benzene hexachloride in cream from
cows' milk," ]. Econ. Entomal., 41:106.
35. Harrison, Launcelot, 1916. "The genera and species of Mallophaga,"
Parasitology, 9:1-156.
36. Martin, Margaret, 1934. "Life history and habits of the pigeon louse,
Columbicola columbae (Linn.) ," Canad. Entomologist, 66:6-16.
37. Bishopp, F. C., and Wood, H. P., 1917. Mites and Lice of Poultry.
Washington, D. C.: Dept. of Agric., in Farmers' Bull., no. 801, 27 pp.
38. Ancona H. L., 1935. "Contribucion al conocimiento de los piojos de
los animales de Mexico, III Goniocates hologaster Nitzsch," An.Inst.Biol.,
Mexico, 6:119-28.
39. Wells, R. W.: Bishopp, F. C., and Laake, E. W.; 1922. "Derris as a
promising insecticide," f. Econ. Entomol. 15:90-5.
40. Telford, Horace S., 1945. "New insecticide for chicken lice control,"
f.Econ. Entomol., 38:573-76.
41. Imes, Marion, 1925. Cattle Lice and How to Eradicate Them. Wash-
ington, D. C.: Dept. Agric., in Farmers' Bull., no. 909. 24 pp. (Revised).
42. Kellogg, V. L., and Ferris, G. F., 1915. The Anoplura and Mallophaga
of North America. Univ. ser. "Leland Stanford Junior Univ. Publ." 74 pp.
+ 8 plates.
43. Osborn, Herbert, 1896. Insects Affecting Domestic Animals. Washing-
ton, D. C.: Dept. Agric., in Div. Entomo!. Bull., no. 5 (n. s.) 302 pp.
44. Paine, J. H., 1912. "The Mallophagan genus Heterodoxus Le Souef
and Bullen," Entomological News, 23:359-62.
CHAPTER X
._.
1HEOBII.LO\1I. ANOPHELES
SIMULIUM MUSCA
STOMOXYS GLOSSINA
FIG. 56. Wings of Diptera. For explanation of venation, see Figure 12.
FAMILY SIMULIIDAE
(Buffalo Gnats-Black Flies)
Characteristics. The family Simuliidae, consisting of over 600
species:,5 includes insects commonly known as buffalo gnats, black flies,
and turkey gnats. They are small (1 to 5 mm long) bloodsucking flies,
with mouth parts blade-like and piercing in the female but more or less
rudimentary in the male. They are stout bodied and usually almost black
in color. The thorax presents a strong development of the scutum and
reduction of prescutum resulting in a prominent hump Fig. 57). The
antennae are ten- to eleven-jointed; the eyes of the female are distinctly
separated (in the male they are usually close together and prominent,
o Includes the Scatophagidae (Cordyluridae), Anthomyidae, and those Muscidae
(of the Williston Manual) lacking hypopleural bristles. (Curran.)
148 MEDICAL ENTOMOLOGY
i.e., holoptic); ocelli absent; palpi four-jointed; wings broad and irides-
cent, with distinct alulae, the venation is characterized by a strong
development of the costal veins (Fig. 56). Buffalo gnats often occur in
enormous swarms during late spring and early summer in hilly sections
where swiftly flowing streams provide well-aerated water for larval
development. They are particularly abundant in the north temperate
and subarctic zones.
Although running water, such as that of shallow mountain creeks is
favored as a breeding place, the gnats may also breed in roadside
ditches of more slowly moving water. The gnats may be found in abun-
dance a mile or two from water, probably in search of food.
Life history. Eggs to the number of 350 to 450 per female are de-
posited in masses at the water surface of aquatic plants, logs, and water-
splashed rocks. Comstock says he has often watched the gnats hovering
over the brink of a fall where there was a thin sheet of swiftly flowing
water, and has seen them dart into the water, and out again. At such
times he has always found the surface of the rock more or less thickly
coated with eggs, and has no doubt that an egg is fastened to the rock
each time a fly darts into the water. The shiny eggs are at first creamy
white, changing to almost black.
The time required for hatching is from 5 to 30 days, depending on
temperature and motion of water. In running water at a temperature
of 20° to 22° C the incubation period is four to five days.6 The newly
emerged larva attaches itself by means of a caudal sucker to any sub-
merged object, such as a stone or log, and is kept from being washed
away by a silken thread. Movement from place to place is achieved by
shifting anchorage. In some favorable location, such as the rimes on the
downstream side of an old log partially damming a little stream, there
may be thousands of these tiny black spindle-shaped larvae ..The larvae
as well as the pupae are provided with gill filaments and usually remain
submerged or partly so. The larval period of some species is said to
require but three to five weeks. The food of the larvae consists of small
crustacea, protozoa, and algae. The larval period for Simulium ornatum
Meigen is given by SmarF as 7 to 10 weeks when temperatures in the
stream ranged between go to 15.5° C. At the end of the larval period
the organism spins a rough reddish-brown basket-like cocoon in which
pupation takes place. These cocoons are firmly attached to shallowly
covered objects such as rocks.
The pupal period is quite short in some species, requiring not over
five or six days; while in other species it lasts three to four weeks. Tem-
perature influences this stage, Le., cooler weather retards the emergence
of adults. Smart gives the pupal period for S. ornatum Meig. as 3.75
days at a constant temperature of 21 0 C. In some species there is con-
GNATS 149
tinual breeding from early spring to late autumn with overlapping gen-
erations; in others there is evidently one sudden brood coming fairly
early in the spring with stragglers following. They overwinter in either
the larval or egg stage. The life history, egg to adult, ranges from 60 days
to 15 weeks and over, depending on species and climatic conditions.
Larvae. The light brown to black larvae are cylindrical, twelve-seg-
mented, slightly thinner in the mid-region, and when 'fully grown are
from 10 to 15 mm in length (Fig. 58A). The posterior end of the body
is provided with a toothed disk-like sucker, composed of two modified
parapodia. The anterior proleg is also modified into a prehensile toothed
disk. By means of these organs the larvae move from place to place with
a looping motion. They attach themselves to rocks or other supports in
the water by means of the posterior sucker, the hooks of which they
insert into the network of silken threads produced by secretions from
the salivary glands with which they they covered the substratum. The
larvae may hang from threads produced in similar fashion or travel along
their length.
Although the larvae are provided with a well-developed tracheal
system, and nine pairs of spiracles may be observed, these are not open,
and respiration is carried on by means of gills, recognized as branched
retractile structures located dorsally on the last abdominal segment. The
fan-shaped filamentous structures located on the head are for the pur-
pose of creating a current, by means of which food is drawn into the
mouth.
Pupae. When the larvae are ready to pupate, each spins a crude
pock ~t-like cocoon open at the upper end. The pupae are provided with
150 MEDICAL ENTOMOLOGY
respiratory filaments attached anteriorly to the dorsal portion of the
thorax. The filaments are often quite numerous and because of their
constancy in number in a given species may be of diagnostic value (Fig.
58B).
Classification. The family Simuliidae is divided into four genera
according to Dyar and Shannon,s viz.:-the three genera with the radius
setose on its entire length: (1) Parasimulium, with the radius joining the
costa at the middle of the costal vein, the radial sector forked, antennae
ten-jointed; (2) Prosimulium, with the radius joining the costal vein far
beyond its middle, the radial sector with a long fork, the second hind
tarsus without dorsal incision, the front usually broad; (3) Eusimulium,
with the radius also joining the costal vein far beyond its middle, but
with the radial sector simple, the hind basitarsus produced or not pro-
duced apically, tbe second hind tarsus with or without dorsal incision
and less than twice the width of the basitarus, and the front narrowed;
( 4) Simulium, the radius bare between the stem vein and the base of the
radial sector, the radial sector simple, the hind basitarsus produced
apically, the second hind tarsus with dorsal incision and less than twice
the width of the basitarsus. Smart (1945, loc. cit.) recognizes six genera,
viz., Parasimulium, Prosimulium, Cnephia, Austrosimulium, Gigantodax,
and Simulium.
Common species. Only one species is given under the genus Para-
simulium by Dyar and Shannon, namely P. furcatum Malloch from Hum-
boldt County, California. Prosimulium fulvum Coq. is a widely distrib-
uted species in the mountainous regions of the west and along the
Pacific coast from Alaska to California; P. hirtipes (Fries) is said to be
confined to the region east of the Mississippi and north of the Carolinas.
It rarely attacks man, according to Dyar and Shannon, though it is
known on occasion to bite rather severely; it is not considered an im-
portant pest of livestock.
Eusimulium pecuarum (Riley) [= Cnephia pecuarum (Riley) ac-
cording to Smart] is known as the southern buffalo gnat and is a great
scourge of livestock as well as of man in the Mississippi Valley. During
the height of the gnat season in the early spring, work on plantations is
often greatly handicapped because of the annoyance to work animals.
E. minus D. and S. [= Cnephia minus (D. and S.)] is a widely distrib-
uted western and Pacific coast species with the type locality indicated
as Yosemite. It resembles the buffalo gnat but is smaller and darker.
Simulium pictipes Hagen occurs in the eastern United States. It is
said to be an inoffensive species. Simulium vittata Zetterstedt is wide-
spread throughout North America and is a common species in Europe.
It attacks man and livestock freely. Simulium occidentale Townsend and
Simulium meridionale Riley, known as "turkey gnats," are also common
GNATS 151
and widespread species in North America but particularly in the south-
ern states, where the gnats appear in late spring following the buffalo
gnat. They attack poultry, biting the combs and wattles, and are said
to cause symptoms similar to "cholera," hence the name "cholera gnat."
Simulium venustum Say is the black fly. It is one of the most annoying
and widespread species. It torments fishermen and campers in New
England and Canada. The gnats occur in the greatest numbers during
June and July.
The bite. There is perhaps no other insect of equal size that can in-
flict so painful a bite as can the buffalo gnat. It is a day biter and is
rarely found indoors. The mouth parts are of the dipteron type (similar
to those of the horsefly), consisting of six blade-like lancets.
Human beings as well as domesticated animals are viciously attacked.
The eyes, ears, nostrils, wrists, and all exposed parts of the body of man
are subject to attack. The extreme pain, intense itching, and the result-
ant local swelling, and occasional severe complications, indicate the
presence of an active venom. Losses due to the bite of this fly are con-
siderable and are estimated variously by stockmen. Myriads of these
gnats appear after the spring floods of the Mississippi River and its tribu-
taries. Horses, mules, and cattle are often killed in a few hours by the
venomous bites and loss of blood. This sudden appearance of the gnats
is explained by the large accumulation of eggs that have been washed
into the area during floods. These eggs do not hatch until the next flood
causes movement of the water, for it is in flowing and well-aerated water
that the larvae hatch and develop rapidly.
Simulium columbaschensis Fabr. is the famous Columbacz gnat of
middle and southern Europe. Patton and Evans 9 (p. 193), citing Ciurea
and Dinulescu, report that in 1923 two immense swarms of this fly
invaded southwest Roumania in May, June, and July, causing the death
of 16,474 domestic animals, including cattle, horses, pigs, sheep, and
goats. Large numbers of deer, foxes, and hares, as well as other wild
animals, were killed at the same time, according to these authors.
Relation to disease. Owing to the vicious intermittent bloodsucking
habits of the buffalo gnats, it has long been suspected that they might
playa role in the transmission of disease.
With the startling report of Dr. Louis W. Sambon'o in 1910 ascrib-
ing the transmission of pellagra to a buffalo gnat, the study of the
Simuliidae gained new impetus. The gnats, however, have no relation to
_ this disease. Goldbergerl l states (1914) that pellagra is neither infectious
nor contagious, that it is essentially of dietary origin, and that the disease
does not develop in those who consume a mixed, well-balanced, and
varied diet. The most important disease transmitted by Simuliid flies is
onchocerciasis (onchocercosis), a disease of natives of certain parts of
152 MEDICAL ENTOMOLOGY
FAMILY PSYCHODIDAE
(Moth Flies-Phlebotomus Flies)
Family Psychodidae. The family consists of several hundred species
and includes the tiny gnats known as owl midges, moth flies, and
Phlebotomus flies (sand flies). The ovate, usually pOinted wings and the
body are densely covered with hairs, whence the name moth flies. In the
Psychoda flies the wings when at rest lie roof-like over the abdomen. Be-
cause of the faint transverse venation the wings appear to have only
longitudinal veins. The antennae are usually fairly long and from twelve-
to sixteen-segmented.
The family may be divided into two subfamilies, (1) Psychodinae,
known as moth flies or owl midges, which are not bloodsuckers and
whose wings are held roof-like over the body; and (2) Phlebotominae,
the sand flies, of which the females are bloodsuckers; they are never
aquatic.
Psychoda Hies. Several species of Psychoda are commonly found in
great numbers about sewage disposal plants, cesspools, and washbasins
in bathrooms where the larvae may develop in sink drains in spite of hot
water and soap. A common Pacific coast species is Psychoda paCifica
Kincaid, brown in color, measuring from 2 to 2.3 mm in length, and
moth-like. Although the flies of this genus are not bloodsuckers, they
may breed in such numbers in the filter beds of sewage disposal plants,
as the author has personally observed, as to constitute a real annoyance
to neighboring households. The corresponding eastern species, Psychoda
alternata Say is known as the "sprinkling sewage filter fly." These gnats
may become annoying in the house, where they originate in the surface
GNATS 155
of the gelatinous material in sink and bathroom drain traps. Their life
cycle is quite short, ranging from 8 to 24 days depending on temperature,
the average is about two weeks (see Mallis and Pence 24 ).
The adult gnats may be controlled by spraying their resting places
with a 5 per cent DDT emulsion or suspension at the rate of 1 qt to
250 sq ft of area. Caution must be exercised in the use of DDT emulsions
for the control of the larvae because of damage of filter growth by the
solvent. Simpson25 states that suspensions with a wetting agent eliminates
adverse effects. He recommends addition of a quantity of DDT at one
time equal to 1 p.p.m., based on daily flow, and retarding filter operation
Y2 to 1 hour for contact time and repeating the operation every two
weeks.
Phlebotomus ( = Flebotomus) flies. The genus Phlebotomus ( =
Flebotomus) of the family Psychodidae comprises many species of small-
sized hairy gnats or midges measuring from 1.5 to about 4 mm in length.
They are commonly known as sand flies. They differ from the Psychoda
flies, their nearest relatives, in that the wings are held upward and out-
ward so that the costal margins form angles of about 60 degrees with
each other and with the body. The second longitudinal vein branches
at a considerable distance from the base of the wing. The females alone
have piercing mouth parts and are bloodsuckers; some species are said
to feed on cold-blooded animals such as lizards and snakes;2G,27 others
feed on field mice; no doubt most of them feed on a variety of warm-
blooded animals including man. The males suck moisture from any
available source and are even said to suck up sweat from humans. These
gnats are active only at night when there is little or no wind, seeking
protection by day in shelters both out of doors in crevices, caves, and
among vegetation, and within buildings where they hide in dark corners.
Their noiseless flight, which is commonly described as weak, is usually
in short so-called "hops" when they are disturbed; however, in longer
flights their progress is slow and steady and can be followed with the
eye. Townsend 28 points out that "deep canyons, free from wind and dimly
lighted, are especially adapted to them."
Life history of sand flies. Hertig,27 who has had wide experience with
Phlebotomus flies, points out that "the breeding-places of sand flies are
notoriously hard to find and have been demonstrated in the case of only
a ' few species. They are typically under stones, in masonry cracks, in
stables, poultry houses, etc., in situations combining darkness, humidity,
and a supply of organic matter which serves as food for the larvae. In
no case is the breeding-place aquatic." To situations mentioned above
may be added hollow trees and animal burrows. The eggs are deposited
in small batches. The incubation period is said to be from 9 to 12 days
(Whittingham and Rook).26 The minute whitish larvae have long anal
156 MEDICAL ENTO!VIOLOCY
spines; the mouth parts are strongly mandibulate; they feed on organic
debris, excrement of lizards, etc.; larval stage with four instars requires
from four to six weeks; the pupa, which is naked, requires about 10 days
for development. The females usually lay eggs in five to seven days
after a blood meal. The egg-to-egg cycle requires from 7 to 10 weeks;
however, Hertig (loc. cit.) points out that where there are cold winters
Phlebotomus Hies are subject to a diapause in the fourth larval instar
which may last from several weeks to nearly a year. This. Hertig states,
was not the case in Peruvian sand flies (Fig. 59).
",\ '
3
FIG. 59. Life cycle of Phlebotomus verrllCarUIn. (1) eggs, (2) larva, (3) pupa
(P. noguchii), (4) adult female, (5) adult male. (Adapted after Hertig.)
Carrion's disease (bartonellosis) is known also under the names of its
two chief clinical forms, namely Oroya fever, a severe anemia, and
usually fatal, and verruga peruana, benign, and recognized by a charac-
teristic cutaneous nodular eruption. "The disease is endemic in a narrow
strip along the Pacific slope and in certain other parts of the Peruvian
Andes between latitudes 6 and 13 degrees south and at altitudes usually
between 800 and 3,000 meters ," affecting parts of Peru, Colombia
(Patiiio-Camarg0 29 ), Bolivia, Chile, and Ecuador. The etiological agent
is Bartonella bacilliformis Noguchi, a minute rod-like or coccoid organism,
"which occurs in or on the red cells and intracellularly in a number of
organs, notably in the endothelial cells of lymph glands."
The transmission of verruga was attributed to Phlebotomus Hies by
Townsend 3o ,31 in 1913. He described the vector as Phlebotomus verru-
r
GNATS 157
carum and attributed a human infection to this species. The author was
one of those who examined a British sailor presumably successfully in- .
fected experimentally (see Hertig, loco cit., p. 155). Although there was
some evidence of old cutaneous lesions no definite diagnosis of verruga
was made. Although the "Verruga Expedition Report"32 does not con-
sider Townsend's evidence as conclusive, the latter again presented his
arguments in favor of the Phlebotomus fly theory 33 (1915). Based on
careful field studies in the "verruga zone" Noguchi and Shannon, et. al.,34
substantially confirmed Townsend's contention that Phlebotomus verru-
carum is a vector of verruga and added another species Phlebotomus
noguchii Shannon as a probable vector. Hertig (loc. cit.) indicates some
of the taxonomic difficulties encountered in these investigations and cities
the experimental work of Battistini 1927-1931, whose publications were
not available to the author, in which positive transmission to a monkey
(positive in 18 days) was made through the agency (by bites) of wild
sand flies of a mixed lot of P. verruca rum and P. noguchii. In 1939 Hertig
in a personal communication to the author stated that he had discovered
a clue to the mechanism of infection in that the verruga organism was
recovered in pure culture from the extreme tip of the proboscis, the
piercing stylets themselves being thoroughly infected. In the commu-
nication, Hertig stated that this infection was apparently not acquired
from a blood meal. Transmission of verruga to monkeys under these cir-
cumstances was reported. The source of the proboscis infections is un-
known; however, the fact that the proboscides of male sand flies, which
are not bloodsuckers, are also thus infected, points to liquid sources other
than the usual blood meal of the females.
Sand fIy fever, also known as pappataci fever, three-day fever, Medi-
terranean dengue, or summer influenza, is a seasonal (hot, dry periods)
febrile virus disease of short duration occurring in the Phlebotomus in-
fested regions of the Mediterranean, South China, parts of India, Ceylon,
and parts of South America. It is a nonfatal infection. Commonly a large
percentage of a ship's company on shore leave, even for one night only
during the proper season, may be stricken with sand fly fever within two
or three days after leaving port. The incubation period in the insect is
from 7 to 10 days. There is some evidence that the infection may be
transmitted transovarianly, hence the insect may be itself a reservoir of
the infection. Phlebotomus papatasii Scopoli in the Mediterranean region
becomes infective six to eight days after an infecting blood meal; the
virus is present in man's blood for 24 hours prior to onset and for the
first 24 hours of the disease, hence the infective period for the sand fly
is limited to this length of time. After a person has been bitten by an
infected fly the incubation period is usually from three to six days; thus
in the Canal Zone the disease is known as Panama six-day fever; in the
J
158 / MEDICAL ENTOMOLOGY
Dutch East Indies it is known as van der Scheer five-day fever, and in
some parts of India as seven-day fever. Phlebotomus minutus Rond. P.
perniciosus Newst., P. papatasii Scopoli, and no doubt other species are
vectors of the virus.
Leishmaniasis is caused by various species of parasitic protozoa be-
longing to the genus Leishmania, round or oval intracellular bodies,
which develop flagellate herpetomonad stages in the gut of insects.
Leishmania infections are variously known. Kala-azar, dumdum fever,
or tropical splenomegaly is a visceral leishmaniasis, traceable to Leish-
mania donovani (Laveran et Mesnil) which localizes in the reticulo-
endothelial cells. It is a widespread disease, occurring in all countries on
the shores of the Mediterranean, south Russia, India, China, Manchuria,
northern (Mediterranean) and equatorial Africa, eastern Brazil and
other parts of South America. There is progressive enlargement of the
spleen and later of the liver. As the disease progresses the skin becomes
grayish in color whence the name "black disease." It is regarded as fre-
quently fatal, death resulting within a few weeks in acute infections
and in from two to three years in chronic cases. A case of exogenous
origin at the Marine Hospital, Baltimore, Md., is reported by Lewis
and Spicknall. 35 Various species of bloodsucking arthropods have been
suspected as being vectors. The low susceptibility of laboratory animals
made progress difficult, but with the discovery that hamsters were highly
susceptible to the infection rapid progress was made. Patton and
Hindle 36 (1927), as well as Young and Hertig 37 and Napier, Knowles,
and Smith before them (1925), observed that the Leishmania. bodies
underwent development in the intestinal track of Phlebotomus flies after
being ingested. Flagellation is said to take place in the mid-intestine.
The cycle in the gnat is completed in from four to five days. Evidence
of infection by the insect is very meager, though Shortt and Smith,
et al. 38 (1931), report successful transmission by the bite of Phlebotomus
argentipes Annandale and Brunetti, believed to be the Indian vector.
Other species, notably Phlebotomus chinensis Patton and Hindle in
China, and P. sergenti Parrot in northern Africa, are believed to be
vectors.
Transmission by the bite of the fly is doubted by Southwell and
Kirshner.39 These investigators point out that the bite of the sand fly
causes an irritation and the person bitten scratches the bite, thus crush-
ing and killing the infected insect. The leptomonads, the infective forms,
do not invade the mouth parts in either P. argentipes A. and B., or P.
chinensis P. and H. Thus infection by the bite is believed to be unlikely,
though infection as the result of crushing infected flies on the skin ap-
pears to be possible. Recently Gupta,40 1948, reporting on researches in
India states that sand flies kept alive on raisins after an infective meal,
GNATS 159
showed the phenomenon of "blocking," and kala-azar could be trans-
mitted almost invariably to hamsters and human volunteers by the "bite"
of the blocked sand fly.
Oriental sore. Oriental sore, also known as Bagdad or Delhi boil, is
a cutaneous leishmaniasis caused by Leishmania tropica (Wright); it has
a wide distribution in Mediterranean areas, Palestine, Arabia, Asia Minor,
Iraq, India, French Congo, and other parts of the world. It is not neces-
sarily coextensive with kala-azar. In oriental sore the leishmanias inhabit
the skin and do not invade the viscera. In a series of papers by Adler
and Theodor,41 evidence is advanced to incriminate Phlebotomus
papatasii Scopoli. These workers found a cyclical development of the
Leishmania in the fly requiring from 8 to 21 days~ Infection of a human
was accomplished by rubbing the infected mid-gut of the insect into the
scarified skin, and flies were reinfected successfully from the sore thus
produced. Infection by the bite did not occur. Adler 42 (1948) reports
that transmission by the bite of P. papatasii has been achieved. He re-
ports that P. sergenti Parrott is the most effective vector: The infection
is apparently perpetuated by sand flies inhabiting the burrows of various
species of gerbils, and this explains outbreaks among groups of human
beings passing through uninhabited regions.
American mucocutaneous leishmaniasis ( naso-oral), also known as
espundia or uta, is widely distributed in South and Central America.
The causal agent is Leishmania brasiliensis Vianna. The horrible disfigur-
ing effects of this infection are shown by Goldman,'3 who points out that
it is the mucosal involvement which is so characteristic of American
cutaneous leishmaniasis. Once the infection gets into the mucocutaneous
junction, it destroys all types of tissues including cartilage and bone.
Goldman states that "prevention of cutaneous leishmaniasis in the
endemic areas appears to be a well nigh hopeless affair. It is likely the
incidence could be reduced considerably by definite knowledge of vec·
tors, animal reservoir, and transmission. If the foreigner in the endemic
area wishes some simple practical advice, the use of modern repellents,
insecticides, adequate fine-mesh screening, and the other measures for
the maintenance of careful hygiene of the skin in the tropics, and early
attention to indolent lesions on exposed parts of the body may be sug-
gested." Various species of Phlebotomus flies are looked upon with sus-
picion based on experimental evidence, among these are P. intermedius
Lutz and Neiva, P. pessoai Coutinho, and P. longipalpus Lutz and Neiva.
Species of Phlebotomus. According to Addis" (1945) there are six
species of sand flies in the United States, none which have received
much attention; namely (1) Phlebotomus vexatar Coq. and (2) P. limai
Fonseca, both widely distributed in the southern states; (3) P. diabolicus
Hall from Texas, reported to feed on humans and experimentally on
160 MEDICAL ENTOMOLOGY
Syrian hamsters; (4) P. texanus Dampf, also from Texas; (5) P. stewarti
Mangabeira and Galindo, from California, collected in wild rodent bur-
rows in arid fields; (6) P. anthophorus Addis, another Texas species, but
found also in Mexico. Addis reports that this species feeds only in the
morning, has never been observed after sundown, has a definite pref-
erence for rabbit blood, but will feed on hamsters in the laboratory; it
is apparently not annoying to man.
Investigators concerned with the numerous species of South Ameri-
can Phlebotomus Hies will need to consult the many excellent contribu-
tions of Mangabeira, particularly his 1942 contribution,'5 which c6ntains
a valuable bibliography.
Phlebotomus control. Marett46 suggests, as means of controlling Phle-
botomus, the facing of rock walls, removal of heaps of stones, blocking
of holes affording shelter for the gnats, encouragement of gardening
(cultivation of ground), -planting of embankments with native aromatic
plants, etc. As sand Hies are highly susceptible to pyrethrum sprays,
painting screens lightly each evening with a mixture of one part pyre-
thrum extract concentrate (20 to 1) and 20 parts of light lubricating oil
has been recommended. Because of the minute size of these gnats ordi-
nary mesh screens do not exclude them; therefore, a 0.0334-inch mesh is
recommended. Repellents such as "612" and dimethylphthalate applied
to skin and clothing give quite a bit of protection. Hertig47 states that
the habits and life history of sand Hies render them peculiarly vulnerable
to DDT. They make short Hights with relatively long pauses on entering
or leaving any shelter, breeding place, or structure-a procedure repeated
nearly every night of their adult life. Any surface capable of retaining
residual DDT, and on which sand Hies must alight, may become a lethal
barrier. House spraying gives virtually complete protection indoors.
Hertig states that, in Peru, house spraying, combined with treatment of
outdoor shelters such as stone walls, reduced the local sand Hy population
to negligible numbers, an effect which persisted up to a year and a half.
The short Hight range limits infiltration, and the long life cycle delays
recovery of a depleted sand Hy population.
FAMILY CERATOPOGONIDAE
(Biting Midges-Punkies)
the 20 or more genera comprising the family, three will serve the purpose
of this section, namely Culicoides (Fig. 60), Ceratopogon, and Lepto-
conops, commonly known as "punkies," "no-see-ums," "sand Hies," or
"Glack gnats." The wings, which are narrow, with few veins and no scales,
may be clear or hairy and are folded Hat over the abdomen when at rest;
alulae slender. The larvae are aquatic or semiaquatic, and are found in
fresh, brackish, or salt water; they may live in moist earth or in tree holes.
A key to the North American Culicoides numbering thirty species is given
by Root and Hoffman. 4 8
C1.Ilicoides canithorax Hoffm., C. melleus Coq., and C. dovei Hall
constitute a serious economic problem in the summer resort areas of the
Atlantic coast, particularly about fresh-water inlets and tide-water pools
where these midges are most numerous. Dove, Hall, and Hu1l 49 report
that the larvae are found in decaying humus of the densely shaded
areas at the edges of the grass marshes of the upper Atlantic coast. The
period required for development appears to last from 6 to 12 months
according to these authors. The larvae and pupae of Culicoides gut-
tipennis Coq. have been taken from tree holes of the live oak in Missis-
sippi (Hinman). 50 Culicoides diabolicus Hoffman is a fiercely biting
species in Mexico.
Ceratopogon stellifer Coq. is reported to be a severe biter in Arizona
and New Mexico. Leptoconops torrens Townsend and Holocopops
kertesZ'i Kieff. constitue a serious pest in California. The former is known
as the "valley black gnat" and the latter as the "Bodega black gnat."
Both species bite ViCiously, feeding on man, domestic animals, and birds.
The bite usually produces a transient swelling, which may become
vesicular, rupture, and produce a open lesion which may exude moisture
for weeks. Itching resulting from the bite is intense. The following ac-
162 MEDICAL ENTOMOLOGY
count of the two species is from a recent publication (1948) by Smith
and Lowe. 51 The valley black gnat passes the larval stage in clay or clay-
adobe soils situated along the western side of the Sacramento Valley and
in isolated deposits in the San Joaquin Valley. The Bodega black gnat
passes the larval stage in damp sand with some organic matter, at or
just above high-tide level in the mouths of fresh water streams which
enter Bodega and Tomales bays (California). A study of the morphology
of the larvae showed that the "Leptoconops group" is widely divergent
from typical ceratopogonids and warrants the acceptance of the sub-
family name Leptoconopinae (Enderlein 1936).
Adults of the Bodega black gnat occur from mid-April until early
October, in a continuous flow from the soil. Females may feed as many
as four times. Males form large swarms, dancing in the lee of windbreaks.
Eggs are laid on the surface of damp sand where the salt concentration
is about 640 p.p.m. The larval stage lasts for 8 to 10 months. Pupation
occurs in the sand; pupae wriggle to the surface and stand vertically be-
fore the adult emerges. The pupal period is 8 days. Adult females cap-
tured in the field lived a maximum of 11 days, with blood meals. Males
do not feed; they lived a maximum of 4 days after capture in the field.
Adults of the valley black gnat occur for 4 to 6 weeks, beginning
usually in the middle of May. Females feed only once; males do not feed.
Unfed gnats lived only 6 hours in captivity; with a blood meal, females
lived a maximum of 5 days. The larvae occur in clay-adobe soils at a
depth of 15 to 30 inches. Egress and entrance is dependent upon the
drying and cracking of the soil. The larval period is at least two years
in length. Larvae spend the summers in immobile estivation. If the soil
does not crack on schedule, the mature larvae enter a diapause. Some
evidence is given to indicate that larvae may diapuase for at least three
years. Larvae are found in summer in soil with a moisture content of 17
to 20 per cent, a salt concentration of 400 p.p.m., a pH of 9.6, and a
temperature of 65° to 68° F. Methods of identifying breeding grounds
consist of trapping adults as they emerge from the soil, and washing
larvae from the soil.
Culicoides austeni Carter, Ingram, and Macfie has been reported by
Sharp 52 as an intermediate host of Acanthocheilonema perstans (Manson)
[Dipetalonema perstans ( Manson) ]. The embryos of this worm are
found in the peripheral circulation both by day and by night. Sharp has
observed that diurnal periodicity is the more common. In the vast ma-
jority of cases it is said to be nonpathogenic. It is primarily equatorial and
African in distribution, though it occurs also in British Guiana and in
New Guinea. Sharp has shown that the microfilariae undergo meta-
morphosis in the body of Culicoides austeni Carter, Ingram, and Macfle,
GNATS 163
increasing to three times their original length before they appear in the
proboscis of the insect. The cycle in the By requires seven to nine days.
Sharp states that it is probable that Culicoides grahami Austen will also
prove to be a natural carrier. Buckley 53 found that Culicoides furens
Poey transmits the filarial worm, Mansonella ozzardi (Manson), in the
Antilles, and Dampf5' points out that this species of gnat is widely dis-
tributed along the coast of the Gulf of Mexico and the Caribbean Sea.
Control. Because of the variety of breeding places involved, it be-
comes necessary first of all to determine these for the species giving
trouble. Some species breed in salt marshes, in which case dikes, tide
gates and other salt-marsh control devices may be employed. Other
species breed in mud and plant debris along the margins of fresh-water
streams or ponds, and for the control of these removal of vegetation and
they have a closed (apneustic) respiratory system, hence need not come
to the surface for air as do mosquito larvae. Most species are bottom
feeders and scavengers in habit. While occurring most abundantly in
shallow shore water with vegetation such as reeds and tule, they have
been taken at great depths from the bottom of lakes; some species breed
in swiftly floWing water.
Burrill 55 in a very interesting paper on the swarming of midges states
that under the conditions observed they swarm an hour or two in the
early morning sunlight, then mostly stop flying and rest on such objects
as grass, the underside of tree leaves, tree trunks, and porch screens.
They may fly throughout a cloud~' day. He also observed a late summer
GNATS 165
FAMILY CHLOROPIDAE
(Hippelates Flies-Eye Gnats)
Hippelates Hies. These flies are members of the family Chloropidae
(Oscinidae), commonly known as frit flies. Unlike the gnats discussed
above in this chapter, all Nematocera, the Chloropidae have short aristate
antennae. The members of the genus Hippelates are as a rule very small
flies (1.5 to 2.5 mm in length); they are frequently called "eye gnats"
or "eye flies" because they have a liking for lachrymal secretions, also
sebaceous secretions, pus, and blood. They may be distinguished by the
presence of a distinct curved, shining black apical or subapical spur on
the hind tibiae. They are extraordinarily persistent and if brushed away
will quickly return to continue engorging themselves. They are nonbiting;
however, the labellum is provided with spines which apparently act as
cutting instruments capable of producing minute multiple incisions, likely
to assist pathogenic organisms carried by the insects in gaining a foot-
hold (Graham-Smith61 ). The flies are easily mistaken for the pomace
fly, Drosophila. The larvae of most of the Chloropidae live in grass and
other plants (stem maggots); however, those of the genus Hippelates
develop in a wide variety of material such as decaying vegetable and
animal matter.
GNATS 167
Relation to conjUl").ctivitis. Siphunculina funicola de Meyere is known
as the "eye-fly" of India, Ceylon, and Java and is believed to be responsi-
ble for the spreading of conjunctivitis in these countries. Roy 192862 gives
a chart which shows that the seasonal prevalence of this fly in Assam
coincides closely with epidemic conjunctivitis.
Hippelates flies h:.tve long been looked upon with suspicion in certain
parts 01 the southern \)nlteu 'i)t'ates 'as posslb\e "\leeton di 'a IOTm oI con-
junctivitis commonly known as "sore eye," "pinkeye," etc. At a meeting
of the Entomological Society of Washington, held October 11, 1894,
E. A. Schwarz63 presented notes on Hippelates pusio Loew in the south-
ern states. Be stated that it was particularly abundant in Florida and
annoying to man and animals, and that it is attracted to eyes and to the
natural openings of the body as well as to infected wounds. In an article
in Insect Life (1895), Schwarz 64 throws much suspicion on Hippelates
flies as vectors of "sore eye."
For a number of years, at least since 1912, there have been numerous
cases of catarrhal conjunctivitis apparently of the follicular type in the
Coachella Valley of California where a veritable pest of Hippelates Hies
flourishes in season. Nowhere else in California are there such enormous
numbers of these flies and nowhere else in the state do as many cases of
so-called pinkeye exist. Several papers dealing with this subject were
published following investigations in the Coachella Valley.65-67
At the time of the Coachella investigations the flies were identified
as Hippelates flavipes Loew. In a letter dated May 19, 1927, J. M. Aldrich
writes, "The species which you sent from Coachella Valley, California, is
pusio Loew. It is the same species which was identified as flavipes Loew
by Malloch, Proc. U.S.N.M., 46, 1913, p. 245. His variety pusio on page
246 is a different form. The true flavipes of Loew, is the one described by
Malloch on page 243, as nitidifrons new species, as I have ascertained by
examining the types in the Museum of Comparative Zoology at Cam-
bridge, Mass. The earlier literature is somewhat uncertain since the
time of the original description, but probably your species is the same
one that has been referred to as flavipes when mentioning its annoying
habits." In the same letter Aldrich also writes, "In the Proceedings of the
California Academy of Sciences, Vol. 4, 619, Townsend described Oscinis
collusor from Lower California which he said was reported to cause
irritation of eyes of travelers and the 'mal de ojo' of natives. I examined
his types in the Academy shortly before their destruction by fire in the
spring of 1906 and found that they belonged to the genus Hippelates,
and it is quite prob[1ble that the species is pusio." The writer has traced
the Coachella Valley species through to the Mexican border at Mexicali.
The literature dealing with the Oscinidae as vectors of conjunctivitis
168 MEDICAL ENTOMOLOGY
has been reviewed with great care by Graham-Smith. 68 This review indi-
cates a paucity of experimental evidence but a large amount of cir-
cumstantial evidence involving flies as spreaders of conjunctivitis in
Egypt, the West Indies, India, Ceylon, Java, and the United States.
Relation to yaws. As pointed out in the first chapter, flies have' for
many years been suspected as vectors of yaws (framboesia tropica),
and some experimental evidence has been advanced from time to time;
however, the evidence collected by Kumm 69 (1935) in Jamaica with
Hippelates pallipes Loew is most convincing. Kumm, as well as others,
has shown that it is relatively easy to demonstrate motile Treponema
,Pertenue Castellani in the "vomit drops" of eye gnats after they have
fed on infectious lesions of yaws. He found, however, that the spirochetes
were presumably digested in the mid-gut and hind-gut of the gnats very
soon after they were ingested, none being seen after an interval of two
days. There was no evidence of cyclical development.
The gnats receive the infection most readily by feeding on available
primary lesions which exude fresh infected serum with large numbers of
spirochetes. Inoculation is effected mechanically, i.e., the unchanged
spirochetes are deposited in "vomit drops"7o when infected gnats feed
on exuding serum from wounds, excoriated areas, or susceptible surfaces.
The manner in which the gnats receive the infection and their general
feeding habits are well described by Kumm, Turner, and Peat.'!
Bovine mastitis. Sanders 72 reports investigations at the Florida Agri-
cultural Experiment Station which incriminate Hippelates flies (species
not given) as well as the housefly, Musca domestica, as vectors of bovine
mastitis. Hippelates flies were seen to hover around the natural openings
of calves, yearlings, pregnant heifers, and lactating cows. They fed on
lachrymal fluid, fatty body secretions, milk droplets accidentally spilled,
and on secretion at the tip of the teats of animals in herds where mastitis
has prevailed. Exposure tests were made with flies feeding alternately
on infected material and the teat orifice; also the teat orifice was exposed
to flies taken directly from premises where mastitis prevailed. "Mastitis
developed in each of the experimental animals by the exposure technique
employed."
Life history of Hippelates pusio Loew. This species has a wide dis-
tribution in the southern United States where the winters are mild. The
adult flies are present throughout the year in the Coachella Valley (Cali-
fornia) and are particularly annoying during two periods, i.e., March,
April, May, and August, September, October. During June, July, and
early August the gnats are not abundant on account of extreme heat,
when the daily temperatures range well above 100 0 F. During the peak
months the adults are noticeable early in the morning and late in the
~fternoon and then in deep shade, such as densely planted shrubbery, in
GNATS 169
date gardens, and in the shade of the house. The fluted, distinctly curved
eggs are about .5 111m in length (Fig. 64). They are deposited on decay-
ing organic matter of wide range. The incubation period is about three
days. The larvae feed on a great variety of decaying organic matter in-
cluding excrement, provided the material is rather loose and well aerated.
According to Burgess (verbal communication) the larvae will not de-
velop naturally in closely compacted soil or putrid material, neither will
they breed naturally in excrement unless it is mixed with loose earth.
The larval stage under optimum conditions requires about 11 days. The
larvae may remain in this stage during the winter. Pupation takes place
close to the surface of the material in which the larvae develop. The
pupal stage requires about six days, giving a total of about 21 days from
egg to adult fly. Except for overwintering adults, the first flies emerge
from the pupae of the overwintering larvae during late February and
early March, when the first great wave of the insects appears, as noted
above. Experiments performed by Hall' '' show that the larval stage
averaged about 1l.4 days on human excrement, 8.7 days on dog manure,
and about 17 days on decaying oranges. Burgess 7 .' points out that the
majority of Hippelates gnats are bred in soil that is (1) light and friable
(well drained), (2) freshly plowed (i.e., plowed not over three weeks
before), and (3) contains abundant humus or vegetable matter (cover
crops, manure).
Classification. The Hippelates flies possess a stout and distinct tibial
spur, which, with the following characte~s , will assist in the identification
of this genus: cepha liC bristles short, weak, and not conspicuolls; ace liars
170 MEDICAL ENTOMOLOGY
BIBLIOGRAPHY
MOSQUITOES
FIG. 65. Morphological details and life histories of three genera of mos-
quitoes: Culex , Anopheles, and Aedes. Explanation of abbreviations: An. Pi.,
anal plate; An. pron. , anterior pronotal setae; Anl. Sdl., anal saddle (dorsal
plate); Ant., antenna; A.T., antennal tuft ; Cmb . sc., comb scale; D. Br., dor-
sal brush; D.H.H. , dorsal head hairs; Hal ., haltere; Hr. tft., siphon hair tuft;
I .C .H ., inner clypeal hair; L.A.T., lateral abdominal tuft; Mesemp ., mesepi-
meral setae; !lIn., mesonotum (tergum,) ; O.C.H., outer clypeal hair; Pal. Hrs .,
palmate or float hairs (tuft); Pec. Sc. , pecten scale; Pn., postnotum; Po. pron.,
posterior proTlotal setae', Pl'ea ., prealer &etae ; Proe-ps ., proepisternal setae;
P. Spr., postspiracular se tae; Resp . Trump. , respiratory tmmpet; Scl. , scutel-
lum; Sp. , spiracle ; St . pl. , sternopleural setae; V. Br., ventral brush. (Adapted
after various authors.)
177
178 MEDICAL ENTOMOLOGY
LT9
FIG . 66. Male termillalia of (A) Aedes squamiger, (8) Anopheles gam-
biae, (C) Anopheles freeborni, (D) Aedes aegypti, and (E) Culex quinque-
fasciatus. AL, apical lobe; ALC, apical lobe of cIaspette; Ap. D, appendage
of dististyle; Bs, basistyle; BL, basal lobe; BLC, basal lobe of claspette; BP,
basal plate; CL, claspette; CA, c1aspette appendage; Ds, dististyle; La, lacuna;
LT9 (=P-IXT), lobe of 9th tergite (=process of 9th tergite); P, para-
mere; Ph, phallosome; Ppt, paraproct; Pr, proctiger; SBL, spine of basal lobe;
VPP, ventral arm of paraproct, IXT = 9th tergite. (8 to E above after Ross
and Roberts.)
from 12 to 24 homs; this portion of the abdomen remains upside down
for the rest of the mosquito's life. The terminalia may be prepared for
microscopic study by first clipping off the tip of the male abdomen with
MOSQUITOES 179
fine scissors and then dropping it into 70 per cent alcohol for a few
moments, after which it is transferred to 20 per cent KOH for twenty
minutes, thence to a glass slide where the excess KOH is removed by
blotting the edge of the liquid; next a drop of glacial acetic acid is put
on the specimen, removing the excess by blotting; finally a drop of
chloral gum is placed on it and it is then covered with a cover-slip. After
drying, the specimen is ready to be sealed. Microscopic identification is
made by comparison with drawings of the terminalia of various species
in such publications as the Mosquito Atlas by Ross and Roberts. 5 A
description of the technique for dissecting male terminalia of mosquitoes
is given by Komp. 6
Life history of mosquitoes. All mosquitoes pass through the several
stages of a complex metamorphosis-egg, larva, pupa, and adult (Fig. 65).
Descriptions of the developmental stages of mosquitoes were published
as early as 1665 by Robert Hooke (Russell et al., lac. cit.). The larvae
are commonly known as wrigglers, and the pupae as tumblers. Water in
which to pass the larval and pupal stages is essential. Mosquitoes of
some species may deposit their eggs on moist earth or on the dry edges
of water-holding tree holes, and the larvae of some species may exist for
several hours under relatively dry conditions. Howard 7 states that "in no
case, however, were we able to revive larvae in mud from which water
had been drawn off for more than 48 hours, and after 24 hours only a
small proportion of the larvae revived." Eggs, on the contrary, in some
species may survive long periods of desiccation, notably those of the
yellow fever mosquito, which will hatch after being dry for a period of
six months. According to Dyar,S the eggs of Psorophora, with their spinose
protecting coat, are able to withstand desiccation on the dry ground for
months or years, hatching with the advent of water. Similarly the eggs
of various salt-marsh Aedes species may survive desiccation for several
years.
Mosquito eggs are deposited either singly or in rafts (Fig. 65) on
the surface of quiet pools of water and by some species along the mar-
gins, and even in fairly dry situations where pools may be formed later
by rains or tidal action. The incubation period varies greatly with the
species and temperature, from 16 to 24 hours in many of the Culicini;
in the case of the snow mosquitoes, boreal Aedini, eggs laid during the
summer and autumn remain buried under the snow through the winter
and hatch with the melting snow in spring; thus one brood is produced
annually.
The larvae of the various many-brooded species, most commonly
observed in rain barrels, watering troughs, and similar situations, hang
suspended diagonally from the surface by means of a prominent breath-
ing siphon with head downward as in the Culicini. Aedes larvae behave
180 MEDICAL ENTOMOLOGY
similarly. The larvae of the tribe Anophelini lie horizontally just beneath
the surface of the water, suspended particularly by means of palmate
hairs (Fig. 65). The mandibulate larvae of practically all species secure
their food by browsing on microorganisms, both plants and animals. It is
not difficult to observe the feeding habits of the larvae as they squirm
about while breathing at the surface or wriggle down to the bottom or
along tfte sides niDbling food. Anopneline larvae are adapted for feeding
at the surface, as is indicated by the palmate hairs by means of which
they maintain a horizontal position and by their ability to rotate the head
through 180 0 while feeding against the surface film, which is laden with
bacteria and other microorganisms (Christophers and Puri). 9 The larvae
grow rapidly durin.g the warm summer, molting four times, the last molt
resulting in the pupa. An average of seven days is required for the larval
stage in several of our commoner Culicini under optimum conditions.
The larval stage of the Anophelini requires a somewhat longer time.
With the fourth molt the pupa or "tumbler" appears. In this non-
feeding stage ther~ is a pair of breathing "trumpets" situated dorsally on
the cephalothorax. The pupa is remarkably active and sensitive to dis-
turbances of the water, letting go suddenly and darting with a tumbling
motion to deeper \Vater and after a few moments rising with little motion
to the surface, where the breathing trumpets break the surface film and
contact with the air is re-established. The pupal stage is quite short,
usually from two to three days.
In a series of ~xperiments to determine the effect of various quanti-
ties of a given larval food on the development of a common species of
fresh-water mosqUito in California, namely Culiseta incidens (Thorn.),
the largest percentage of emergence was obtained when 2.5 grams ot
yeast were supplied per liter of distilled water. The egg rafts were first
placed in the water, each raft in a separate container, hatching in about
2Yz days. The ne\Vly hatched larvae were thoroughly mixed and trans,
ferred in lots of 100 to battery jars containing one liter of water with a.
measured quantity of Fleischmann's yeast; pH readings were taken.
before and after the yeast was added, and in all cases the pH reading~
were 6.6; daily pH readings were taken thereafter until all the mosquitoe~
had emerged, the pH remaining the same until pupation; the averag~
minimum room temperature was 19.20 C and the maximum 24.4 0 C. By
far the largest percentage of adults, 88 per cent, was produced in the jaJ:
with 2.5 grams of yeast, with a sex ratio of 5.1 males to 4.9 females. Th~
first molt took pla~e on the fourth day, the second molt on the sixth day,
the third on the ninth day, and the fourth on the twelfth day, when th~
first pupa appear~d; the first adult mosquito, a male, emerged on th~
eighteenth day, giving a total of about 21 days for the complete lif(:l
history, including the incubation period of the eggs. The complete record
MOSQUITOES 181
10
of the experiment is published elsewhere. When the tempe'rature was
maintained at 24° ± 1°C the life history was shortened to 12Y:z days-
egg stage 24 hours, larval stage 10 days, and pupal stage 36 hours.
Food habits of adult mosquitoes. The mouth parts of male mosquitoes
are not suited to piercing; hence males are not bloodsuckers. Their
nourishment is normally derived from nectar and plant juices and other
liquids. With the exception of a few species, such as the plant-feeding
Megarhinini and the Harpagomyia, which feed on regurgitated stomach
contents offered by ants (Cremastogaster) , all female mosquitoes are
able to pierce the skin of many kinds of animals and feed on blood. No
doubt vast numbers never have the opportunity to feed on blood. The
great majority of species are zoophilous, i.e., feed in nature on animals
other than man; some feed only on the blood of reptiles and amphibians,
e.g., Culex apicalis Adams. Species which feed on man by preference
are said to be anthropophilous. The feeding habits of mosquitoes may be
determined by applying the precipitin test to wild-caught engorged
females.
Flight habits of mosquitoes. Although most of the domestic species
remain fairly close to their point of origin, i.e., within a distance of a few
city blocks or half a mile, there are many species, particularly among
the Aedini, which may travel many miles. In searching for breeding
places of the common Culicini under urban conditions the point of origin
will usually be found not far from the points of complaint.
Salt-marsh mosquitoes are often a source of great annoyance far from
their breeding places, and a knowledge of their migratory habits is im-
portant in mosq uito control. Aedes sollicitans (Walker), an important
salt-marsh species of the Atlantic seaboard, is known to migrate at least
40 miles. The migrations of Aedes squamiger (Coquillett) have been
traced on the Pacific coast for a distance of 50 to 75 milesY Males are
seldom found far from their point of origin, although the males of Man-
sonia perturbans (Walker) are said to accompany the migrating females.
The flight range of Aedes vexans (Meig.) and A. aldrichi D. & K.
has been studied by Stage, Gjullin, and Yates 12 by using a stain, 1.5 per
cent aqueous solution of methylene blue or eosine, applied with a hand
compressed-air sprayer to newly emerged adult mosquitoes resting on
vegetation near their breeding places. Mosquitoes were collected in this
area at regular intervals until no more could be found. The collected
specimens were killed and each tested with one or two drops of solvent
made of 3 parts glycerin, 3 parts 95 per cent alcohol, and 1 part chloro-
form. The following results are recorded: (1) Both species and both
sexes were dispersed in all directions, with and against general wind
currents, for a distance of about two miles. (2) Males moved away from
the breeding areas more slowly than females. (3) Females of both species
182 MEDICAL ENTOMOLOGY
traveled one-half mile across part of the Columbia River (Oregon)
within 24 hours after being stained. (4) One Aedes vexans (Meig.)
female was recovered 46 days after being stained, three miles distant
and across the Columbia River. (5) One Aedes sp. male was taken at
a point 5 miles distant 24 days after being stained. This was the greatest
distance for any positive flight record obtained. (6) The pests were
abundant to a distance of 15 miles from the breeding grounds and then
diminished rapidly until at about 30 miles only one female was taken
during a 10-minute search.
In conducting control operations for many years involving Anopheles
quadrimaculatus Say it has been assumed that the usual maximum flight
of this species is about one mile, and this procedure is in the main
sound; however, Eyles, Sabrosky, and Russell 13 recaptured marked in-
dividuals 2.0 to 2.7 miles from the point of release and a single in-
dividual at 3.63 miles. It is pointed out, however, that there was no
domestic blood supply sources between the flooded swamp and the
stations of recapture. The flight range of Anopheles freeborni Aitken
during dispersal and hibernation flight is, of course, much greater, being
as much as 25 miles.
Using the fluorescent dye, Rhodamine B, to mark the mosquitoes,
Reeves 14 and associates released over 20,000 Culex tarsalis Coq.; the
maximum range of recovery was 2.5 miles for females and 1.1 miles for
males. The majority of recoveries were made within one mile. On the
basis of these studies it is recommended that control measures for Culex
tarsalis be carried out in a zone not less than one and one-half miles be-
yond the human or animal hosts to be protected.
Longevity of mosquitoes. Male mosquitoes usually remain alive fm
but six or seven days, although Anopheles pseudopunctipennis francis-
canus Theob. males have been kept alive in our laboratories for over a
month, and Mayne15 was able to keep an A. punctipennis Say male alive
for 89 days and a female of the same species for 231 days; females with
ample food may live for four or five months, particularly under hibernat-
ing conditions. During their period of greatest activity it is likely that
the average lifetime of the females is not far from 30 days.
The staining experiment by Stage, et. al. (loc. cit.), produced im-
portant data relative to longevity. Thus six Aedes aldrichi D. & K. females
were taken 52 days after staining, one female of the same species 85 days
after staining, one Aedes vexans (Meig.) female after 55 days; also,
under especially favorable conditions, one 94-day-old A. aldrichi D. & K.
male was taken, and females of both Aedes aldrichi D. & K. and A.
vexans (Meig.) were collected from 104 to 113 days after staining. The
latter species is said to have the greater maximum longevity by approxi-
mately 15 to 20 days.
MOSQUITOES 183
Freeborn has found that increased humidity has a protective in-
16
600
110 500
400
o-cNumbers of adults (X'esent 300
<>-oNoonday temperature ( ~.F) 200
....-<>Atmorneter read1n25(WB,incc) 100 !!
.... Relative humidity 75 ~
'0
50 5
.8
z
25
20
equine and St. Louis encephalitis. It is a fairly large and robust species;
generally dark brown to black in color; the black abdomen has broad,
segmental, basal bands of yellowish-white scales; each segment of the
ventor with V-shaped marking of black scales, the apex of the V ante-
riorly; femora are black with a dotted white line along both sides, knees
white; tibiae black, also with white line, bases and apices white; tarsi
black; hind tarsi with apical and basal white bands on all segments, last
tarsal segment white; proboscis black, with a sharply outlined white
ring just before the middle. It breeds in all sorts of ground pools, road-
side ditches, pools in and around corrals, artificial containers, etc.
Culiseta incidens (Thomson), like other members of this genus, par-
takes of characters which would place it in either of the tribes Culicini
or Aedini, but for practical purposes, based largely on breeding habits,
the members of this genus are placed in the tribe Culicini. In this genus,
(Culiseta) , which includes seven North American species, the post-
spiracular bristles (Fig. 65) are absent and in the females of at least
MOSQUITOES 187
Pacific coast species the anterior and posterior cross-veins tend to lie in
one line, except in C. morsitans Theo., in which they are well separated,
i.e., by more than half their length. In Culiseta incidens (Thorn.), a
western species (west of the Rocky Mountains), the wings are spotted.
It breeds throughout the year, where temperature permits, in all sorts
of permanent pools and is a common domestic species. It lends itself
particularly well to laboratory experimentation. The life history of this
species is described earlier in this chapter.
Culiseta inornata (Williston) is found throughout the United States
and southern Canada. Its wings are broad and clear, the cross-veins are
scaled, and the very short black palpi have white scales at the tip. It
breeds throughout the year under favorable temperature conditions
wherever pools are present in wooded areas. .
TRIBE AEDINI
FIG. 69. Typical breeding place for snow mosquitoes on floor of Yosemite
Valley. (Photograph by H. F. Gray.)
northern ranges much to the dismay of the huntsman and alpine traveler.
These mosquitoes have been collected in many localities in the Sierra
Nevada by the writer. The following quotations are taken from an inter-
esting account of the mosquitoes by Dyar. 23
board of the United States and westerly from Florida into southern
California, thence northerly to near SacramentO.
TRIBE ANOPHELINI
Characteristics. The following characters are generally employed to
characterize the tribe Anophelini: palpi of both sexes are usually about
ANTENNA
EYE---f---"j..
\""'... .
THORAX-i
i
SCUTE LLUM --t-:-;&.;;~~"':
POST, :, '."""1!1iJmn""",,""';;;;_ 11I'\'1" '"'
SCUTELLUM
HALTER
ABDOMENl
.- ____ I,
ANOPHELES MACULIPENNIS
MEIGEN
~
FIG. 72. Anopheles freeborni in the act of sucking blood from the author's halld.
over 300 species and subspecies, (Russell et al., 1943, loc. cit) , of which
about 90 occur in the Americas, 14 in North America.
The common species rest with the proboscis, head, and abdomen
nearly in a straight line and when resting have the appearance of a splin-
ter lifted at an angle from a given surface (Fig. 72). In exceptional
cases, as in Anopheles culicifacies Giles of India, the resting position is
Culex-like. Hoffman 29 states that A. grabhamii Theobald rests with its
body almost at a right angle to the vertical surface. A. hyrcanus sinensis
Wied. takes a similar position . The hum of anophelines is distinctly Iow-
pitched and almost inaudible unless they are close to the ear or in a
bottle. Most of our common anophelines are not strong fliers and usually
take to cover even in a moderate breeze. In California, Anopheles free-
bomi Aitken previously recorded here as Anoplleles maculipennis Meigen ,
MOSQUITOES 197
engages in an annual dispersal Hight of overwintering females about
mid-February, during which time the mosquitoes may invade much ter-
ritory, traveling more than 25 miles. During this Hight the first eggs are
deposited. In the main this Hight favors the spread of the species. While
on the Hight the mosquitoes bite by day even in broad sunlight. Free-
borni also engages in a prehibernation Hight during late October and
November. The males having died soon after mating, the overwintering
forms are females only.
Although some individuals of a few species may overwinter in the
larval stage buried in mud and debris at the bottom of certain pools,
the usual method of overwintering is in the adult (females only) stage.
Mating and oviposition. Fertilization of the females takes place almost
immediately upon emergence. The males emerge first and may be seen
dancing over or near the breeding places in small swarms apparently
awaiting the appearance of the females; when these dart into the danc-
ing swarm mating occurs. This type of mating requiring wide spaces is
known as eurygamous, while those forms such as Anopheles sacharovi
Favr. (= elutus Edwards) which mate in confinement in a small space
are known as stenogamous. Overwintering females are fertilized by the
last brood of males during the autumn, and the eggs are deposited soon
after the spring dispersal Hight. In certain localities at least, there is a
period when the species exists only in the larval stage, all the adults
having died after egg deposition. There is probably only a single laying
at this time.
Under laboratory conditions the great majority of eggs are deposited
between sunset and eleven o'clock in the evening (vicinity of Chico,
California, May to August), although our records show layings later at
night and a few during late afternoons of highly overcast humid days.
The average number of eggs deposited by Anopheles freeborni Aitken is
slightly in excess of 200, with 385 as the maximum for one laying. 30 The
same average and somewhat smaller total number for one laying was
observed for Anopheles punctipennis (Say), a maximum of 321, with an
average of 203.31 During 1937 the largest number in one batch for this
species was 352, observed by Aitken. One A. punctipennis (Say) female
deposited 500 eggs in our laboratory in four layings from Mar. 2 to 22,
1938. For Anopheles pseudopunctipennis franciscanus McCracken, for-
merly recorded in California as Anopheles pseudopunctipennis Theobold,
a maximum of 283 was observed, with an average of 151. At least three
batches of eggs may be laid during the lifetime of a female. It is of in-
terest to note that in one of our observations a female A. freeborni de-
posited 174 eggs in 19 minutes, an egg every six to seven seconds with
intervening periods of rest. During the entire operation the female rest-
ing on the surface of the water remained motionless except for the monot-
198 MEDICAL ENTOMOLOGY
onous jerking of the abdomen when the egg was released. The eggs fell
in a heap beneath the insect, pearly white in color, toppling over and
forming geometrical patterns and becomin~ deep brownish black in
about 45 minutes.
Egg characters. The characters of anopheline eggs used in classifica-
tion are: presence or absence of floats, position and length of the float,
presence or absence of frill, and pattern. (Fig. 73) Christophers and
Barraud 32 classify anopheline eggs as of four types:
1. Eggs probably of primitive type with full ..float surrounding egg,
2. Eggs with terminal frill (pseudopunctipem1is franciscanus of Herms and
Freeborn) ,
3. Whale-back eggs with floats separated frorrl dorsal surface,
4. Various types of boat-like eggs with floats touching margin of dorsal
surface. '
The egg of the Californian A. freeborni Aitken (Fig. 72) is fusiform,
sllgntly rounaea at eacn ena ana tapeimg 'to 'tIn:: exteIn "&.rcl't UIft '6
slightly broader than the other (Herms and ,Frost). 31 The upper surface
is flattened with a slight longitudinal concavity, while the lower surface
is broadly convex, the convexity becoming more pronounced at the broad
end of the egg. The upper surface is granular, bordered by a laterally
striated frill 161l in width, except at the flO;,1-ts, while the lower surface
shows, under proper light, a silvery reticuilltion. Medianly placed are
two roughly oval lateral floats, each divided in a majority of cases into
12 scalloped compartments. The larger part of the area covered by these
floats is on the lateral faces of the egg, but tVey project dorsally over the
margins, which are described as "gunwales" rather aptly by one author
who likens the egg to a boat. The eggs rallge in length from 5961l to
656p.. The floats vary in length from 122p. to 2;:;.4p..
Falleroni, Martini, Hackett, and Missiroli (see Hackett33 and Hackett
and Lewis34) have shown that Anopheles m{lculipennis Meigen actually
comprises seven races in Europe, which call be distinguished only by
egg patterns, namely var. melanoon Hackett, var. messeae Falleroni, var.
typicus Meigen, var. atroparvus van Thiel, vaf· labranchiae Falleroni, and
var. subalpinus Hackett and Lewis; another, var. elutus (= A. sacharovi
Favr.) has solid leaden-colored eggs (Fig. 7:»·
The eggs of A. punctipennis (Say) resemble those of the Californian
A. freeborni Aitken with these exceptions: ill the punctipennis form the
"frill" extends along the margins of the egg without interruption at the
site of the floats which are located on the upper portion of the ventral
surface, and extending farther along the sides of the egg are a greater
number of compartments, ranging from 16 to 22, which do not converge
in fan-wise fashion as in freeborni.
Anopheles punctipennis (Say)
199
200 MEDICAL ENTOMOLOGY
the surface of the water with the floats extended in nearly every instance
(Fig. 73). The floats average from 45 to 47 in number, and from 15p. to
25J.L in width, being wider along the sides of the egg and narrowed at
the ends. The length of the eggs over all ranged from 510J.L to 544J.L.
Breeding habits. The breeding habits of anophelines differ consider-
ably for even very closely related species, e.g., the American Anopheles
freeborni Aitken and A. quadrimaculatus Say, both four-spotted anophe-
lines separable with accuracy as adults only on differences in male ter-
minalia, have widely different breeding requirements, the former, at
least in California, breeding largely in open sunlit shallow seepage
water (Figs. 74 and 75) and the latter in impounded water with floating
debris and aquatic vegetation. The European races of A. maculipennis
202 MEDICAL ENTOMOLOGY
-.,
I I
FIG.76. Showing life history of a
mosquito, Anoph eles maclIlipellllis.
A B c
FIG. 77. Californian Anopheles: (A) A. freeborni, (B) A. punctipennis, and
(C) A. pseudopunctipennis franciscanus.
A. freeborni Aitken like A. quadrimaculatus Say readily invades houses
and is consequently of greater importance as a malaria vector, while
A. punctipennis (Say) is chiefly an outdoor biter, porch biter, etc., and
consequently probably of less importance as a vector. During the entire
period of two months the well-screened cottage which was occupied by
our party was not invaded a single time by A. punctipennis (Say),
while A. freeborni Aitken was a common visitor. Anopheles pseudo-
punctipennis franciscanus McC. is considered to be a field mosquito in
California and is apparently of no consequence as a vector. Methods used
to study the feeding habits of mosquitoes are well described by Reeves
and Hammon.' 5 In this study they used the precipitin test in which
mosquital blood smears were tested with the antisera of domestic rabbits
against the sera of the horse, cow, sheep, dog, man, and chicken. In
Mexico, Central America, and southerly, Anopheles pseudopunctipennis
pseudopunctipennis Theo. invades human habitations and is an impor-
tant malaria vector.
Some North American anophelines. Anopheles freeborni Aitken (Fig.
77A), Anopheles occidentalis (Dyar and Knab), and Anopheles aztecus
MOSQUITOES 207
Hoffman constitute for the present American maculipennis group ac-
cording to Aitken. 46 Freeborni is referred to as the brown, unicolorous
form of the irrigated western regions, west of the Rocky Mountains,
extending northerly into British Columbia and southerly into parts of
Arizona and New Mexico, the western tip of Texas, and Baja California
(Mexico). Occidentalis is referred to as the "silver" or "bronze-tipped"
melanic form of the cool western seacoasts, into Alaska, and across the
continent through southern Canada and the northern areas of the United
States to Connecticut; Vargas contends that the above-indicated easterly
range of occidentalis is taken over by earli. Aztecus is the large, long-
winged, linear scaled species of the Mexican plateau, at elevations of
5,000 to 7,000 feet and over.
Anopheles quadrimaculatus Say is the common malaria vector of the
eastern United States, extending from southern New Hampshire and
southern Ontario westerly to Minnesota and south to Vera Cruz, Mexico.
It is particularly abundant in the southeastern United States. The wing
scales are all dark, some forming four blackish spots; palpi and hind
tarsi are black; femora have small white spots at tip, "knee spots."
Anopheles punctipennis (Say) (Fig 77B) is said to be the most
widespread anopheline in North America, ranging from southern Can-
ada to the Mexican plateau. The wings have black and yellow scales,
the latter forming two spots on the costal margin, one of which is long
and situated beyond the middle, the second smaller and near the apex,
giving a mottled appearance to the wings. The proboscis is black, and
the palpi are unbanded. The general appearance of the body is dark
brown. This species breeds in clear, cool, shaded pools. The females
seldom enter dwellings but invade unscreened porches and bite in the
open.
Anopheles pseudopunctipennis Theobald is a widespread plainS and
highland species, extending from Argentina along the Andean region of
South America, through Central America, Mexico, and the south central
United States. It resembles A. punctipennis (Say) somewhat, but is
easily separated by the white banding of the palpi. The tip of each
palpus is white. It breeds primarily in sunlit pools along the courses of
receding streams, the larvae being exceedingly abundant in the mats
of green algae.
Anopheles pseudopunctipennis franciscanus McCracken (Fig. 77C),
together with the var. boydi Vargas, is very abundant in many parts of
California where it was previously recorded as Anopheles pseudopuncti-
pennis Theobald; it also occurs in Nevada, Utah, Arizona, New Mexico,
western Texas, and Baja California. Its breeding habits resemble those
of pseudopunctipennis. It differs from the latter in that the tips of the
palpi are black. It rarely enters human habitations.
208 MEDICAL ENTOI-.I0LOGY
BIBLIOGRAPHY
1. Edwards, F. W., 1932. Diptera, Family Culicidae. Brussels: Genera
Tnsectorum de P. Wytsman, 194me Fascicule. 256 pp. + 5 plates.
2. Matheson, Robert, 1944. Handbook of the MosqUitoes of North
America. 2nd. ed. Ithaca: Comstock Publ. Co., Inc. viii + 814 pp.
3. Russell, Paul F.; Rozeboom, Lloyd E.; and Stone, Alan; 1943. Keys
210 MEDICAL ENTOMOLOGY
to the Anopheline Mosquitoes of the World, with Notes on Their Identifica-
tion, Distribution, Biology, and Relation to Malaria. Philadelphia: Am.
Entomolog. Soc. 152 pp.
4. Freeborn, S. B., 1924. "The terminal abdominal structures of male
mosquitoes," Am. /. Hyg., 4:188-212.
5. Ross, Edward S., and Roberts, H. Radclyffe, 1943. Mosquito Atlas:
Part 1. The nearctic Anopheles, important malaria vectors of the Americas,
and Aedes aegypti, Culex quinquefasciatus. iv + 44 pp. Part 11. Eighteen old
world anophelines important to malaria. iv + 44 pp. Philadelphia: Am.
Entomolog. Soc.
6. Komp, W. H. W., 1942. "A technique for staining, dissecting, and
mounting the male terminalia of mosquitoes," U. S. Public Health Service,
Pub. Health Rep., 57:1327-33.
7. Howard, L. 0., 1900. Notes on the Mosquitoes of the United States.
Washington, D. C.: Dept. Agric., in Div. Entomol. Bull., no. 25, p. 16.
8. Dyar, H. G., 1928. The Mosquitoes of the Americas. Carnegie Inst.
Washington, Pub!. no 387. 616 pp.
9. Christophers, S. R., and Puri, 1. M., 1929. "Why do Anopheles larvae
feed at the surface, and how?" Tr. Far East. Assoc. Trnp. Med., Seventh Con-
gress held in India, 2:736-38.
10. Frost, Florence M.; Herms, W. B.; and Hoskins, W. M.; 1936. "The
nutritional requirements of the larva of the mosquito, Theobaldia incidens
(Thorn)," J. Exper. Zool., 73:461-79.
11. Gray, H. F., 1936. "Control of pest mosquitoes for comfort," Civil
Engineering, 6:685-88.
12. Stage, H. H.: Gjullin, C. M.; and Yates, W. W.; 1937. "Flight range
and longevity of floodwater mosquitoes in the lower Columbia River Valley,"
J. Econ. Entomol., 30:940-45.
13. Eyles, Don E.; Sabrosky, Curtis W.; and Russell, John C.; 1945. "Long-
range dispersal of Anopheles qUfldrimaculatus," U. S. Public Service, Pub.
Health Rep. 60:1265-73.
14. Reeves, W. C., 1948. "A final summary of flight range studies on
Culex tarsalis and notes on wild bird malaria in Kern County." Proc. and
Papers of 16th Ann Conf. Calif. Mosq. Control Assn. (Berkeley), pp. 58-59.
15. Mayne, B., 1922. "How long does a mosquito retain malaria parasites?"
U. S. Public Health Service, Pub. Health Rep. 37:1060-63.
16. Freeborn, S. B., 1932. "The seasonal life history of Anopheles maculi-
pennis with reference to humidity requirements and hibernation.''' Am. J. Hyg.
16:215-23.
17. Nuttall, C. H. F., and Shipley A. E., 1903. "Studies in relation
to malaria: Structure and biology of anophelines," ]. Hyg., 3:166-215.
18. Williams, F. X., 1931. The insects and other invertebrates of Hawaiian
sugar cane fields. Exper. Sta. Hawaiian Sugar Planters' Assn. 400 pp. (p. 279).
19. Woke, P. A., 1937. "Comparative effects of the blood of man and
of canary on egg-production of Culex pipiens Linn," J. Parasitol., 23:311-13.
20. Smith, John B., 1902. The salt marsh mosquito, Culex sollicitans Wlk.
New Jersey Agric. Exper. Sta., Special Bulletin T.
MOSQUITOES 211
21. Freeborn, Stanley B., 1926. The mosquitdes of California. Univ. Calif.,
"Technical Bulletins." Entomology, 3:333-60.
22. Feng, Lan-Chou, 1938. "The tree hole species of mosquitoes of
Peiping, China," Chinese M. J., supp. 2, pp. 503-~5.
23. Dyar, Harrison G., 1916. "New Aedes from the mountains of Cali·
fornia," Insec. Inscit. Mens., 4:80-90.
24. Jachowski, Leo A., Jr., and Schultz, Carlos, 1948. Notes on the biology
and control of mosquitoes at Umiat, Alaska. NaV • Med. Research Inst., Nav.
Med. Center, Bethesda, Md., Project NM 005-01 7 , Rep. no. 1. 17 pp.
25. ---, and Schultz, Carlos, 1948. "Note~ on the biology and control
of mosquitoes at Umiat, Alaska," Mosq. News, 8:1 55- 65 .
26. Jenkins, Dale W., 1948. "Ecological observations on the mosquitoes of
central Alaska," Mosq. News 8:140-47.
27. Hindle, Edward, 1914. Flies in Relation tP Disease: Blood-sucking flies.
London: Cambridge Univ. Press. xv. + 398 pp.
28. Woke, P. A., 1937. "Cold-blooded vertebrates as hosts for Aedes
aegypti Linn.," ]. Parasitol., 23:310-11.
29. Hoffman, W. A., 1926. "Resting positioil or Haitian Anopbe1es,~ Am.
J. Trop. Med., 6:371-79.
30. Herms, W. B., and Freeborn, S. B., 1920. "Egg-laying habits of
California anophelines," J. Parasitol., 7:69-79.
31. Herms, W. B., and Frost, Florence M., 1932. "A comparative study
of the eggs of Californian anophelines," J. Parasitol., 18:240-44 (3 plates).
32. Christophers, S. R., and Barraud, P. J., 1931. "The eggs of Indian
Anopheles, with description of the hitherto underscribed eggs of a number
of species," Records Malaria Survey India, 2:161-92 (5 plates).
33. Hackett, L. W., 1934. "The present status of our knowledge of the
subspecies of Anopheles maculipennis," Tr. Roy. Soc. Trop. Med. & Hyg.,
28:109-28.
34. Hackett, L. W., and Lewis, D. G., 1935. "A new variety of A. maculi-
pennis in Southern Europe," Riv. di Malariol., 14:S77-83.
35. Rozeboom, L. E., 1937. "The egg of Anopheles pseudopunctipennis in
Panama," J. Parasitol., 23:538-39.
36. Williams, L. L., Jr., 1937. "Mosquitoes and malaria," ]. Econ. Entomol.,
30:20-26. #
37. Russell, P. F., 1932. "The control of ,Anopheles minimus mosquito
larvae in the Philippines by stranding and flushing," Philippine ]. Sc.
47: 439-45.
38. Buxton, P. A., 1924. "Applied entomology of Palestine, being a report
to the Palestine Government," Bull. Entomolog· Research, 14:289-340 (;)
plates). .
39. Herms, W. B., 1929. "Anopheline mosquito investigations in Cali-
fornia," Fourth Internat. Congress of Entomology, Ithaca, August, 1928,
2:708-21.
40. Rozeboom, L. E., 1936. "The life cycle of laboratory-bred Anopheles
alhimanus Wiedemann," Ann. Entomolog. Soc. Amer., 29:480-89.
41. Boyd, Mark F., 1929. "Studies on the bionomics of North American
2]2 1'.!EDTCAL ENTOMOLOGY
anophelines. I. The number of annual broods of A. quadrimaculatus," Am. ].
Hyg., 7:264-75.
42. Greenwald, Margaret; Cochran, J. H.; and Scharff, Donald K.; 1948.
"Large scale rearing of Anopheles quadrimaculatus Say at Orlando, Florida,"
Mosq. News, 8:50-56.
43. Carter, H. R.; Le Prince, J. A. A., and Griffitts, T. H. D.; 1916. Im-
pounded water. Washington, D. C.: Govt. Print. Office, in Pub. Health Bull.,
no. 79. 34 pp.
44. Mitzmain, M. B., 1917. "Anopheline mosquitoes, their distribution
and infection under field conditions," U. S. Public Health Service, Pub. Health
Rep. 32:536-40.
45. Reeves, W. C., and Hammon, W. McD., 1943. "Feeding habits of the
proven and possible mosquito vectors of western equine and St. Louis
encephalitis in the Yakima Valley, Washington," Am. ]. Trap. Med., 24:131-34.
46. Aitken, Thomas H. G., 1945. "Studies on the anopheline complex of
Western America," Univ. Calif., Publ. in Entomol. 7:273-364.
CHAPTER XII
._.
A. THE MALARIAS
Human Malaria. Malaria is a widely distributed disease, prevalent
to a greater or less degree on every continent and on many islands of
the seas. It is considered to be the most important disease of man.
Whether or not malaria existed in North America prior to the discovery
of the continent has not been definitely established; however, this disease
was evidently recognized as a factor in colonization on the Massachusetts
coast and the Georgia-Carolina coast as early as the middle of the 17th
century.l In the United States, where malaria is on a rapid decline, there
were an estimated 900,000 cases as late as 1935; approximately 3,900
deaths were reported for 1934 in 13 southern states. 2 The number of
deaths in 1944 due to malaria was reported to have been 584, of which
540 occurred in the 14 southern states. 3
The presence of endemic malaria is dependent upon a complex of
environmental factors favorable to the development of large numbers
of vector (anthropophilous) mosquitoes, as well as to the Plasmodia
causing the disease. Temperature, particularly as it affects the develop-
ment of the plasmodium in the mosquito, and temperature combined
with humidity as it affects the life of the vector, are critical factors; a
mean summer isotherm of 15° to 16° C in general limits its geographical
distribution fairly well. The distribution of malaria is dependent upon
the availability of water for mosquito breeding, not necessarily heavy
rainfall; naturally arid regions may be seriously affected because of im-
perfections in irrigation if this is practiced. Although lowlands are more
likely to be affected, this does not hold as a general rule, because if one
or more important factors are lacking in a lowland region the area is
nonmalarious. The disease may occur at high elevations (9,000 feet in
Quito) under favorable circumstances. The writer found endemic malaria
in California at an elevation of about 5,500 feet; it is present in Mexico
at an elevation of near 7,500 feet.
Few diseases have so large a list of synonyms; among these are ague,
chills and fever, jungle fever, paludism, marsh fever, remittent fever,
intermittent fever, Wechselfieber, Kaltesfieber, etc. The symptoms are
213
2]2 MEDICA[. ENTOMOLOGY
._.
A. THE MALARIAS
Human Malaria. Malaria is a widely distributed disease, prevalent
to a greater or less degree on every continent and on many islands of
the seas. It is considered to be the most important disease of man.
Whether or not malaria existed in North America prior to the discovery
of the continent has not been definitely established; however, this disease
was evidently recognized as a factor in colonization on the Massachusetts
coast and the Georgia-Carolina coast as early as the middle of the 17th
century.1 In the United States, where malaria is on a rapid decline, there
were an estimated 900,000 cases as late as 1935; approximately 3,900
deaths were reported for 1934 in 13 southern states. 2 The number of
deaths in 1944 due to malaria was reported to have been 584, of which
540 occurred in the 14 southern states. 3
The presence of endemic malaria is dependent upon a complex of
environmental factors favorable to the development of large numbers
of vector (anthropophilous) mosquitoes, as well as to the Plasmodia
causing the disease. Temperature, particularly as it affects the develop-
ment of the plasmodium in the mosquito, and temperature combined
with humidity as it affects the life of the vector, are critical factors; a
mean summer isotherm of 15° to 16° C in general limits its geographical
distribution fairly well. The distribution of malaria is dependent upon
the availability of water for mosquito breeding, not necessarily heavy
rainfall; naturally arid regions may be seriously affected because of im-
perfections in irrigation if this is practiced. Although lowlands are more
likely to be affected, this does not hold as a general rule, because if one
or more important factors are lacking in a lowland region the area is
nonmalarious. The disease may occur at high elevations (9,000 feet in
Quito) under favorable circumstances. The writer found endemic malaria
in California at an elevation of about 5,500 feet; it is present in Mexico
at an elevation of near 7,500 feet.
Few diseases have so large a list of synonyms; among these are ague,
chills and fever, jungle fever, paludism, marsh fever, remittent fever,
intermittent fever, Wechselfieber, Kaltesfieber, etc. The symptoms are
213
214 MEDICAL ENTOMOLOGY
commonly characterized by more or less regularly occurring febrile
paroxysms. In most cases there are three fairly well-defined stages, viz.:
the cold stage (the chill) in which the skin becomes pale and has the
appearance of "gooseflesh," the patient's teeth may chatter, and he may
shiver more or less violently; the next stage is the hot stage, or fever, the
temperature rising during the chill, the skin is hot and flushed; the third
stage is marked by the appearance of a general perspiration, the fever
falls, and the temperature approaches normal. The entire paroxysm may
last but a few hours. In many cases the stages are not well marked,
neither do the paroxysms recur at the same intervals. The intervals
depend largely on the type of infection. When the paroxysm occurs at
intervals of 24 hours, as is often true in the early stages of infection or
in multiple infections, it is quotidian; when the interval is 48 hours or
every third day it is tertian; and when the interval is 72 hours or every
fourth day, it is quartan.
The disease is caused by an infection with one or more of several
species of blood-inhabiting protozoa (Class Sporozoa) belonging to the
genus Plasmodium. Under the clincal term "malaria," there are really
combined four or more diseases, which, while caused by closely related
parasites and haVing a common means of transmission, nevertheless
possess individual characteristics, namely: vivax malaria, tertian; falci-
parum malaria, estivoautumnal; quartan malaria, quartan fever; ovale
malaria, ovale tertian.
The plasmodial parasites attack the red blood corpuscles, destroying
them while undergoing asexual reproduction; this asexual reproduction
or sporulation occurs at more or less regular intervals, i.e., 48 or 72
hours, depending upon the species of Plasmodium. The infection, ac-
cording to Reed,4 results in (1) changes in organs, such as enlargement
of the spleen and liver, and heart involvements; in fatal cases of sub-
tertian malaria capillaries in the brain and pia are found congested or
blocked by schizonts and sporulating forms of plasmodia, with pun~i
form hemorrhages in the white matter of the cerebral cortex; (2) leuco-
penia with increase of mononuclears and varying degrees of anemia as
the result of direct destruction of red cells by plasmodia and indirect de-
generation of others; (3) malarial pigment (melanin) in macrophages
in the splenic sinuses is characteristic, as are also the heavy pigment
deposits in the cells in the splenic vein and liver; it is the same pigment
as that produced in the red cells by the plasmodia and released with
the rupture of infected red cells; (4) changes in physiology such as
periodic febrile paroxysms; these are quite regular in benign tertian
malaria, but because of irregular maturing of plasmodia the periodicity
of the paroxysms is often concealed in falciparum (subtertian) malaria;
focal symptomatology due to localization in subtertian [Plasmodium
fa1ciparum (Welch)] arising from the "sticky tendency" of parasitized
MOSQUITOES AS VECTORS OF DISEASE 215
red cells which causes agglutination and blockage; (5) malaria cachexia,
a chronic condition following repeated malarial attacks. Persons con-
cerned technically with malaria should consult Russell, West, and Man-
well's Practical Malariology" and Symposium on Human Malaria."1I>
Historical. Although the name "malaria" was not employed until the
middle of the eighteenth century, the disease was known for many
centuries, Hippocrates having divided periodic fevers into quotidian
( daily), tertian (every third day) and quartan (every fourth day). The
fable of Hercules and the Hydra is believed to refer to malaria. In 1753
Torti named the disease "malaria," believing it to be air-borne and
emanating from the bad air (mal aria) rising from swamps and marshes.
Credit for the discovery of the causal agent (1880) belongs to C. L. A.
Laveran, a French army surgeon who was then stationed in Algeria.
Although the mosquito transmission theory is said to have been held for
many years by Italian and Tyrolese peasants and the natives of what
was formerly German East Africa, the first well-formulated mosquito-
malaria theory was advanced by Dr. A. F. A. King in 1883. 7 In 1885 and
1886 GolgiB discovered that the course of the fevers corresponded to the
development of the parasites in the blood corpuscles and particularly to
their periodic sporulation. He demonstrated this for both the quartan and
terian parasites.
Manson expressed a strong belief in the malaria-mosquito theory as
early as 1884, and it was his sustained guidance and encouragement that
carried Ronald Ross9 on to those brilliant discoveries in India in 1897-
1898 that definitely incriminated mosquitoes as vectors of malaria, and
twice won for him the Nobel prize. Although Ross made important dis-
coveries in the field of human malaria and its anopheline vector, his
chief discovery was the complete life cycle of the causal organism of
bird malaria in a culicine mosquito; he established the bird-to-mosquito-
to-bird cycle.
Credit is due MacCallum 10 for his discovery in 1897 that the flagel-
lated bodies which Ross had found in the intestines of mosquitoes were
actually male parasites and that these fertilize the female cells, thus
giving the clue to the nature of the pigmented cells in the stomach wall
of the mosquitoes. MacCallum actually observed the process of fertiliza-
tion in blood taken from a patient suffering from aestivo-autumnal ma-
laria. After describing the process of flagellation in the bird infection
and entrance of the "flagellum" into the granular round form, MacCallum
remarks (loc. cit.): "Have we not here, without much doubt, a sexual
process in the organisms the result of which is the motile vermiculus.
. . . We can thus consider the two forms of adult organism found in
the fresh blood as male and female, the granular form containing more
II> Also see Boyd, Mark F., 1950. Malariology. Philadelphia: W. B. Saunders Co.
examined the blood of a woman suffering from an infection with the aestivo-
autumnal type of organism, in which a great number of crescents were to be
seen. These in a freshly made slide of blood, with very few exceptions, re-
tained their crescentic shape for only a few minutes. They soon drew them-
selves up, thus straightened out the curve of the crescent while shortening
themselves into the well-known ovoid form. After the lapse of 10 to 12 minutes
most of them were quite round and extra-corpuscular, the "bib" lying beside
them as a delicate circle or "shadow" of the red corpuscle.
After 20 to 25 minutes certain ones of these spherical forms became
flagellated; others, and especially those in which the pigment formed a definite
ring and was not diffused throughout the organism, remained quiet and did
not become flagellated. In a field where an example of each form could be
watched, the flagella broke from the flagellated form and struggled among
the corpuscles, finally approaching the quiet spherical form; one of them
entered, agitating the pigment greatly, sometimes spinning the ring around.
The rest were refused admission, but swarmed about, beating their heads
against the wall of the organism. This occurred after 35 to 45 minutes.
After the entrance of the flagellum the organism again became quiet and
rather swollen, but although in the two instances in which this process was
traced, the fertilized form was watched for a long time, no form analogous to
the "verrniculus" was seen.
following this brief period there is a period af seven or more days (de-
pending apparently on the species of Plasmodium) when subinoculations
will not result in infection.
__-------------------IOdoys ond over------~ _________________
_ - - - - - - 48 hours---------------~-------..-
(trophozoite) Amoeboid stag~
Signet ri~g .stage at parasite
'.oJllhtn corpus'e1e /
0
V._)
(f1:::..,
~
PorOSlI. enlers / LIFE CYCLE '\
humon red
blood corpuscle
(2or3moyenter
0 (Asexual) Mature parasite
0EJIn corpuscle
I
l
some corpuscle) \ IN HUMAN BLOOD Developing gametocyte
,/ ~ found in human
I Merozoites enter new corpuscle s ) I """ spleen and bone
Q) and repeat cycle 6\\ morrow
..)~ Fully developed merozolles break ~
~~~~~o~tl~~~n'er r 0 G (!) e I?J out of old corpuscle
(somesell.uol,
some a se wol)
I ~ (:) ElG~
G~~~~\ _
fEJ. .
...-
~(merocyte.orSC~IZ0nt)
\s;;?Y Parasite beginS
, e (!:l i9J to divid e v
'\ ' Pa r asite co ntin ues dlvid il'\g
\., - . ' ( sporulating) ..-~'
~ ~ o~Gometocyte
'y
.-
Female Anopheles biting human, cI (crescent)
t , , " "inJU'lIiJt.r"p~C:;flOr.1'..<;.jtp5" "fr.J)m " itc:; _ ~ PCffC'511V.i1i,Ji,Jumcn
~ salii vary glands into human
I
" "'-~ blood stream
d /'
./ " /
" blood into st<?moch
f
0 mosqui 0
t
Sporoloites migra te
d2 \
Salivary
glands
forward to
salivary glands
of female mosquito I I
I Development
of gametocytes ~
1
LIFE CYCLE
0 1 in stomach cavity E
(5e,uol)
l
IN 0 1
\
MOSQUITO
Fertilizati:> .
Stomach of Anopheline
mosquito
- - - - - - 5 days or more---------------------__________________
FIG. 78. The life cycle of the malarial parasite, Plasmodium falciparum, in
man and the anopheles mosquito. (For exoerthrycytic cycles, see text.)
222
MOSQUITOES AS VECTORS OJ;' DISEASE 223
gamete (microgamete) corresponding in function to the spermatozoon
of higher animals. The female gametocyte, now known as the mac1'O-
gamete, having been taken into the stomach of the mosquito with the
microgametocytes in the act of sucking bloo<1, also undergoes certain
changes (maturation), becoming rounded or oval in form with the
chromatin mass centrally located. In this C()ndition and still in the
stomach of the mosquito, the microgamete COnjugates with the macro-
gamete, producing the zygote, which soon becomes motile and is then
known as the ookinete or vermiculus, in which stage the epithelium
of the stomach is penetrated and a position is shortly taken up just be-
neath the peritoneal membrane. Based on his studies of the plasmodia
of birds HufP:; points out that this penetration of the stomach wall
Animal Malarias
Avian malaria. Blood protozoa were nrst reported from birds in 1885
by Danilewsky from the Russian Ukraine. Herman 42 lists 178 species
and subspecies of North American birds in whose blood protozoon
parasites have been found; 63 of these protozoon infections are listed as
plasmodial. The species of avian plasmodia, of which there are many, can
be divided roughly into two groups based on whether they produce an
elongate or a round type of gametocyte. Among those belonging to the
elongate type is Plasmodium elongatum Huff, and among those belonging
to the round type are the following well-known species, Plasmodium
gallinaceum Brumpt, P. cathemerium Hartman, and P. relictum
(Grassi et Feletti). So far as is known avian plasmodia are transmitted
232 MEDICAL ENTOMOLOGY
in nature by culicine mosquitoes, among them Culex pipiens Linn., C.
quinquefasciatus Say, and C. tarsalis Coq. (Reeves, loco cit. p. 182).
Numerous species of mosquitoes are susceptible to infection in the
laboratory, including Anopheles quadrimaculatus Say. For laboratory
purposes Aedes aegypti is an excellent vector of Plasmodium gallinaceum
Brumpt, as is Aedes atropalpus (Coq.) recently (1946) reported by
Trembly.
Other malaria-like infections of birds are caused by Haemoproteus,
e.g., Haemoproteus columbae Celli and San Felice of pigeons and doves,
transmitted by a louse fly, Pseudolynchia canariensis (Macq.); also quail
malaria caused by Haemoproteus lophortyx O'Roke carried by Lynchia
hirusta Ferris, the louse fly of quail. (See Chapter XVIII.) A malaria-
like disease of ducks is caused by Leucocytozoon anatis Wickware and
is carried by a simuliid fly, Simulium venustum Say. (See p. 153.)
Simian malaria. Among the several species of the genus Plasmodium
peculiar to monkeys are P. knowlesi Sinton and Mulligan, P. cynomolgi
Mayer, P. kochi (Laveran), P. inui Halberstadler and Prowazek, and
P. brasilianum Gonder and Berenberg-Gossler. These plasmodia differ
but slightly from the human species, and when P. knowlesi is introduced
(as for paresis treatment) into the blood of man, a clinical vivax malaria
response obtains (Milan and Kusch 43 ). Anopheles quadrimaculatus Say
is reported to be highly susceptible to P. cynomolgi (Coggeshall, 1941).
Clark and Dunn,44 in Panama, were able to infect certain species of
Panamanian anophelines with this parasite.
Saurian and amphibian malaria. Plasmodia have long been known in
lizards of the family Iguannidae; among these are Plasmodium agamae
Wenyon, P. diploglossi Aragao and Neiva, P. giganteum Theiler., and P.
floridense Thompson and Huff. Bullfrogs and toads have recently been
shown to have plasmodial infections, viz.: P. catesbianca Fantham,
Porter, and Richardson in the former and P. bufonis F., P., and R. in
the latter.
Bats, squirrels, buffalo, antelopes, and many other animals are hosts
for plasmodial infections. There are practically unlimited opportunities
in this field of research.
B. YELLOW FEVER
Yellow fever derives its name from the jaundiced color of the skin,
mucouS membranes, and sclera, which usually develops about the third
or fourth day of the illness. The onset is very sudden. It begins with a
severe headache, backache, and fever, with frequent vomiting. The
vomit becomes very dark after two or three days because it contains
blood, whence the name "black vomit." In fatal cases death usually
]\10SQUlTOES AS VECTOnS OF DISEASE 233
occurs between the fifth and eighth day of the illness; if the patient
survives until the seventh day his chances for recovery are generally
said to be good. One attack confers lifelong immunity. The death rate
may reach as high as 50 per cent.
Carter 45 (1931, page 146) considers the epidemic in Yucatan,
Mexico, in 1648 as the first certainly recognizable (from its description)
epidemic of yellow fever. He also gives (page 190) 1649 as the date
for the earliest introduction of yellow fever into Havana, and on page
192 he refers to its disappearance from Cuba after 1655 and its rein-
troduction from Vera Cruz in 1761. From that date until 1901 it was
endemic in Havana with devastating results. The last major American
urban epidemic took place in Rio de Janeiro in 1928 and 1929 with 435
recorded deaths. For nearly three centuries yellow fever took an huge
annual toll of life. Outbreaks have occurred as far north as Quebec,
Canada, and as far south as Tocopilla, Chile. New York City had
epidemics of yellow fever many times, as did Philadelphia.
Walter Reed and yellow fever. Although Dr. Carlos Finlay (loc. cit.
p. 3) of Havana had quite early (1881) advanced a mosquito-transmis-
sion theory, and had carried on what we now know to have been in-
criminating experiments with nonimmunes, his theory was discredited
until renewed interest was given it by the work of the United States
Army Yellow Fever Commission headed by Major Walter Reed in 1900.
Reed'6 and his colleagues made a preliminary report in which they
state: "Since we here, for the first time, record a case in which a typical
attack of yellow fever has followed the bite of an infected mosquito,
within the usual period of incubation of the disease, and in which other
sources of infection can be excluded, we feel confident that the publica-
tion of these observations must excite renewed interest in the mosquito
theory of the propagation of yellow fever, as first proposed by Finlay."
The United States Senate Document No. 822 (Jan. 27, 1911) is con-
cerned with yellow fever and contains a compilation of various publica-
tions by the Commission as well as others. In this document, McCaw
gives the following account of the work of the Commission:
C. DENGUE FEVER
E. FILARIASIS
C. FOWL-POX
Fowl-pox, an important virus disease of poultry, while spread in
various ways, such as contact between diseased and healthy birds, may
also be spread, according to Brody,24 by Aedes stimulans (Walker) by
intermittent feeding, harboring the virus in or on its body for at least
two days following an infective meal, and by Aedes degypti (Linn.),
which can definitely transmit the virus more than once during its life.
The latter species is able to transmit the disease within one hour after
an infective meal and continues to be infective for at least about 40 days.
BIBLIOGRAPHY
1. Boyd, Mark F., 1941, "An historical sketch of the prevalence of malaria
in North America," Am, ], Trap. Med., 21:223-44.
2. Meleney, H. E., 1937. "The problem of malaria mortality in the United
States," Am. J. Trap. Med., 17:15-24.
3. Faust, Ernest C.; Hess, Archie D.; and Young, Martin D.; 1945.
"Malaria mortality and morbidity in the United States for the year 1944." ],
Nat. Malaria Soc., 5:103-12.
MOSQUITOES AS VECTORS OF DISEASE 251
4. Reed, A. C., 1937. "Ultimate prognosis of hookworm disease, malaria,
and amebiasis," Proc. 27th Annual Meeting Medical Section of American Life
Convention, pp. 176-206.
5. Russell, P. F.; West, L. S.; and Manwell, R. D.; 1946. Practical
Malariology. Philadelphia: W. B. Saunders Co. 684 pp.
6. Symposium on Human Malaria, 1941. Washington, D. C.: Am. Assn.
Advancement Sc., Publ. no 15.
7. King, A. F. A., 1883. "Insects and disease, mosquitoes and malaria,"
Pop. Sc. Monthly, 23:644-58.
8. Golgi, G, 1886. "Sulla infezione malarica." Arch. per Ie Sc. Med.,
10:110.
9. Ross, R., 1897. "Observations on a condition necessary to the trans-
formation of the malaria crescent," Brit. M. J. 1:251; also, "On some peculiar
pigmented cells found in two mosquitoes fed on malarial blood, ibid., 2:1786-
88.
10. MacCallum, W. C., 1898. "On the haematozoan infections of birds,"
]. Exper. Med., 3:117-36.
11. Grassi, B.; Bignami, A.; and Bastianelli, G.; 1899. "CicIo evolutivo
delle semilune nell' Anopheles claviger ed altri studi sulla malaria dall' ottobre
1898 al maggio 1899." Atti d. Soc. per studi d. malaria, 1:14-27. (Cited by
Ross 1910.)
12. Manson, Sir Patrick, 1909. Tropical Diseases. London: Cassel and
Company, xx + 876 pp.
13. Bass, C. C., and Johns. F. M., 1912. "The cultivation of malarial
plasmodia in vitro," J. Exper. Med., 16:567-79.
14. Wilcox, Aimee, 1942. Manual for the Microscopical Diagnosis of
Malaria in Man. Washington, D. C.: U. S. Public Health Service, in Nat. Inst.
Health Bull., no. 180. ix + 39 pp. (16 plates) .
15. Metcalf, R. L., 1944. "The detection of the plasmodia of human
malaria in blood films by fluorescence microscopy," J. Nat. Malaria Soc., 4:223-
29.
16. Ross, R, 1910. The Prevention of Malaria. New York: E. P. Dutton
& Co. xx + 669 pp.
17. Rodhain, J., 1948. "Susceptibility of the chimpanzee to P. malariae of
human origin," Am. J. Trap. Med., 28:629-31.
18. Golgi, C., 1889. "SuI ciclo evolutivo dei parassiti malarici nella febbre
terzana; diagnosi differenziale tra i parassiti endoglobulari malarici della,"
Arch. per Sc. Med., 13:173-96.
19. Mayne, Bruce, 1938. GraphiC Reproduction of the Life Cycle of the
Malaria Parasite in the Mosquito Host. Washington, D. C.: U. S. Public Health
Service, in Nat. Inst. Health Bull, no. 170. 11 pp. (26 plates).
20. Huff, Clay, G., 1947. "Life cycle of malaria parasites," Annual Review
Microbial., 1:43-60. ••
21. "Symposium on Exoerythrocytic Forms of Malaria Parasites, Parts I-
VI," J. Parasitol., 34:261-320.
22. Huff, Clay G., 1948. "Exoerythrocytic stages of malarial parasites,"
Am. J. Trap. Med., 28:527-31.
252 MEDICAL ENTOMOLOGY
23. ---, 1934. "Comparative studies on susceptible and insusceptible
Culex pipiens in relation to infections with Plasmodium cathemerium and P.
relictum," Am. J. Hyg., 19:123-47.
24. Hunter, George W., 3rd.; Weller, Thomas H.; and Jahnes, William
G. Jr.; 1946. "An outline for teaching mosquito stomach and salivary gland
dissection," Am. J. Trop. Med., 26:221-28.
25. Beyer, G. E.; Potheir, O. L.; Courtet, M.; and Lemann, J.; 1901-02.
"I. Bionomics-Experimental Investigation with Bacillus sanarelli and Ex-
perimental Investigation with Malaria," New Orleans M. & S. J., 54:419-80.
26. Thayer, W. S., 1900. "On recent advances in our knowledge concern-
ing the etiology of malarial fevers," Philadelphia. M. ]., 5:1046-48.
27. King, W. V., 1916. "Experiments on the development of malaria
parasites in three American species of Anopheles," J. Exper. Med., 33:703-16.
28. Darling, S. T., 1910. Studies in Relation to Malaria. Isthmian Canal
Commission Report. Washington, D. C.: Gov. Print. Office. 38 pp.
29. Moore, Joseph A.; Young, Martin D.; Hardman, Newton H.; and
Stubbs, Tradwick H.; 1945. "Studies on imported malarias: 2. Ability of
Cali..fm:u.i._a attQ?b..eli..u.e~ tQ h:au.~mi..t mala\:i..a~ Q( (Q\:eiJE,tt oruyn and other con-
siderations," J. Nat. Malaria Soc., 4:307-29.
30. Hindle, Edward, 1914. Flies in Relation to Disease-Bloodsucking flies.
London: Cambridge University Press. xv + 398 pp.
31. White, R. Senior, 1937. "The maxillary irtdex of the Indian anophe-
lines," Records of the Malaria Survey of India, 7:155-77. (Contains an ex-
cellent review of this subject with bibliography.)
32. Mitzmain, M. B., 1916. "An attempt to determine the number of per-
sons one mosquito can infect with malaria," U. S. Public Health Service,
Pub. Health Rep., 31 :2325-35.
33. King, W. V., 1917. "The effect of cold upon malaria parasites in the
mosquito host," J. Exper. Med., 25:495-98.
34. Knowles, R, and Basu, B. C., 1943. "Laboratory studies on the in-
fectivity of Anopheles stephensi," ]. Malaria Inst. India, 5:1-30.
35. Mitzmain, M. B., 1916. Is mosquito or man the winter carrier of
malaria organism? Washington, D. C.: Govt. Print. Office, in Pub. Health
Bull., no. 84. 32 pp.
36. Russell, Paul F.; Rozeboom, Lloyd E.; artd Stone, Alan; 1943. Keys
to the Anopheline Mosquitoes of the World with Notes on their Identification,
Distribution, Biology, and Relation to Malaria. Philadelphia: Amer. Entomolog.
Soc. 152 pp.
37. Herms, W. B., and Gray, H. F., 1944. Mosquito Control: Practical
methods for abatement of disease vectors. 2nd ed. New York: The Common-
wealth Fund. viii + 419 pp.
38. Soper, Fred L., and Wilson, D. Bruce, 1943. Anopheles gambiae in
Brazil 1930 to 1940. New York: The Rockefeller foundation, xviii + 262 pp.
39. Christophers, S. R; Sinton, J. A.; Covell, G.; 1936. How To Do a
Malaria Survey. 3rd ed. (revised by J. A. Sinton), in Health Bull. no. 14,
Malaria Bureau. no. 6. Malaria Survey of India, 206 pp.
40. Elmendorff, John E., Jr., 1941. "Malaria survey: Methods and pro-
MOSQUITOES AS VECTORS OF DISEASE 253
cedures," pp. 295-301 in Symposium on Human Malaria. Washington, D. C.:
Am. Assn. Advancement Sc., Pub!. no. 15.
41. Aitkin, Thomas H. G., 1948. "Recovery of anopheline eggs from
natural habitats. An aid to rapid survey work," Ann. Entomolog. Soc. Amer.,
41:327-29.
42. Herman, Carlton M., 1944. "The blood protozoa of North American
birds," Bird Banding (A Journal of Ornithological Investigations), 15:89-112.
43. Milam, D. F., and Kusch, Ernest, 1938. "Observations on Plasmodium
knowlesi malaria in general paresis," South. M.]., 31:947-49.
44. Clark, H. C., and Dunn, L. H., 1931. "Experimental efforts to trans-
fer monkey malaria to man," Am. I. Trop. Med., 11:1-10.
45. Carter, Henry Rose, 1931. Yellow Fever-An Epidemiological and
Historical Study of Its Place of Origin. Baltimore: Williams and Wilkins Co.
xii + 308 pp.
46. Reed, Walter; Carroll, James; Agramonte, A.; and Lazear, Jesse W.;
1900. "The etiology of yellow fever-a preliminary note," Proc. Twenty-eighth
Annual Meeting, Amer. Pub. Health Assn., Indianapolis, Oct. 22-26.
47. Herrick, G. W., 1939. "The last epidemic of yellow fever," Scient.
Monthly, 49:401-8.
48. Davis, Nelson C., 1932. "Effect of various temperatures in modifying
extrinsic incubation period of yellow fever virus in Aedes aegypti," Am. J.
Hyg., 16:163-176.
49. Soper, Fred L.; Wilson, D. Bruce; Lima, Servulo; Antunes, Waldemar
Sa; 1943. The Organization of Permanent Nation-wide Anti-Aedes aegypti
Measures in Brazil. New York: The Rockefeller Foundation. xiii + 137 pp.
50. The Rockefeller Foundation, A Review for 1986, by Raymond B.
Fosdick, President of the Foundation. 1937, pp. 13-17.
51. Soper, F. L.; Penna, H.; Cardosa, E.; Serafim, J., Jr.; Frobisher, M.,
Jr.; and Pinheiro, J.; 1933. "Yellow fever without Aedes aegypti: Study of a
rural epidemic in the Valle do Chanaan, Espirito Santo, Brazil, 1932," Am.
I. Hyg., 18:555-87.
52. Burke, A. W., 1937. "An epidemic of jungle yellow fever on the Plan-
alto of Matto Grosso, Brazil," Am. J. Trop. Med., 17:313-34.
53. Taylor, R. M., and Laemmert, H. W., et al., 1946. "An epidemiological
study of jungle yellow fever in an endemic area in Brazil," Am. J. Trop. Med.,
26 (Nov. Supp.): 1-69.
54. Shannon, R. C.; Whitman, L.; and Franca, M.; 1938. "Yellow fever
virus in jungle mosquitoes," Science, 88:110-11.
55. Taylor, R. M., and Theiler, Max, 1948. "The epidemiology of yellow
fever," Proc. 4th Internat. Congo Trop. Med. & Malaria, Washington, D. C.
(Abstracts. )
56. Bennett, Byron L.; Baker, Fred C.; Sellards, Andrew W.; 1938. "The
behavior of the virus of yellow fever in the mosquito, Aedes triseriatus," Sci-
ence, 88:410-11.
57. Chandler, Asa C., and Rice, Lee, 1923. "Observations on the etiology
of dengue fever," Am. ]. Trop. Med., 3:233-62.
58. Ashburn, P. M., and Craig, C. F., 1907. "Experimental investigations
254 MEDICAL ENTOMOLOGY
regarding the etiology of dengue fever," Philippine]. Sc., B., 2:93-147 (27
charts and one map).
59. Simmons, J. S.; St. John, Joe H.; and Reynolds, F. H. K.; 1931. Ex-
perimental Studies of Dengue. Philippine Bur. Sc., Monograph no. 29. 489 pp.
(3 plates).
60. Graham, H., 1902. "The dengue: A study of its pathology and mode
of propagation," Med. Rec., 61:204-7.
61. Meyer, K. F.; Haring, C. M.; and Howitt, B.; 1931. "Newer knowledge
of the neurotropic virus infections of the horse," ]. Am. Vet. M. A, 79, n.s.
32:37&-89.
62. Herms, W. B.; Wheeler, C. M.; and Herms, H. P.; 1934. "Attempts
to transmit equine encephalomyelitis by means of bloodsucking insects, es-
pecially mosquitoes," ]. Econ. Entomol., 27:987-98.
63. KeIser, R. A., 1933. "Mosquitoes as vectors of the virus of equine
encephalomyelitis," ]. Am. Vet. M. A, 82, n.s. 35:767-71.
64. Madsen, D. E.; Knowlton, G. F.; and Rowe, J. A.; 1936. "Further
studies on transmission of equine encephalomyelitis by mosquitoes," ]. Am.
Vet. M. A, vol. 89, n.s. 42:187-96.
65. Merrill, M. H.; Lacaillade, C. Wm., Jr., and Ten Broeck, Carl; 1934.
"Mosquito transmission of equine encephalomyelitis," Science, 80:251-52.
66. Madsen, D. E., and Knowlton, G. F., 1935. "Mosquito transmission
of equine encephalomyelitis," ]. Am. Vet. M. A 86, n.s. 39:662-66.
67. Simmons, J. S.; Reynolds, F. H. K.; and Cornell, V. H., 1936. "Trans-
mission of the virus of equine encephalomyelitis through Aedes albopictus
Skuse," Am. J. Trap. Med., 16:289-302.
68. KeIser, R. A., 1937. "Transmission of the virus of equine enceph-
alomyelitis by Aedes taeniarhynchus," Science, 85:178.
69. Kitselman, C. H., and Grundmann, A. W., 1940. "Equine enceph-
alomyelitiS virus isolated from naturally infected Triatoma sanguisuga
LeConte." Kansas Agric. Exper. Tech. Bull., no. 50. pp. 1-15.
70. Syverton, J. T., and Berry, G. P., 1936. "Arthropod vector for equine
encephalomyelitis, western strain," Science, 84:186-87.
71. Tyzzer, E. E.; Sellards, A. W.; and Bennett, B. L.; 1938. "The occur-
rence in nature of 'equine encephalomyelitis' in the ring-necked pheasant,"
Science, 88:505-6.
72. Howitt, B., 1938. "Recovery of the virus of equine encephalomyelitis
from the brain of a child," Science, 88:455-56.
73. Hammon, W. McD.; Reeves, W. C.; Brookman, Bernard, and Izumi,
E. M., 1941. "Isolation of the viruses of Western equine and St. Louis en-
cephalitis from Culex tarsalis mosquitoes," Science, 94:328-30.
74. ---, and ---, 1942. "Culex tarsalis Coq., a proven vector of St.
Louis encephalitis," Proc. Soc. Exper. Biol. & Med., 51:142-43.
75. ---, 1948. "Advances in knowledge of the vectors and arthropod
reservoirs of certain of the encephalitides," Proc. and Papers of 16th Annual
Conference California Mosquito Control Assn., (Berkeley), pp. 4-6.
76. Smith, M. B.; Blattner, R. J.; and Heys, F. M.; 1944. "The isolation
of the St. Louis encephalitis virus from chicken mites (Dermanyssus gallinae)
in nature," Science, 100:362-63.
MOSQUITOES AS VECTORS OF DISEASE 255
77. Sulkin, S. Edward, 1945. "Recovery of equine encephalomyelitis virus
(western type) from chicken mites," Science, 101:381-83.
78. Reeves, W. C.; Hammon, W. McD.; Furman, D. P.; McClure, H. E.;
and Brookman, B.; 1947. Recovery of western equine encephalomyelitis virus
from wild bird mites (Liponyssus sylviarum) in Kern County, California," Sci-
ence, 105:411-12. .
79. Hammon, W. McD., 1948. "The arthropod-borne virus encephalitides,"
Am. J. Trop. Med., 28:515-25.
80. ---, 1945. "The encephalitides of virus origin, with special reference
to those of North America," Clinics, 4:485-503 (with 57 references) .
81. Hodes, Horace L.; Thomas, Lewis; and Peck, John L.; 1946. "Com-
plement-fixing and neutralizing antibodies against Japanese B virus in the
sera of Okinawan horses," Science, 103:357-59.
82. Mitamura, T.; Kitaoka, M.; Watanabe, S.; Hosoi, T.; Tenjiu, S.; Seki,
0.; Nagahata, K.; Jo, K.; and Shimizu, M.; 1939. "Weitere Untersuchungen
tiber die Uebertragung der japanischen epidemischen Enzephalitis durch
Mticken." Tr. Soc. Path. Japan, 29:92-105.
83. Francis, Edward, 1919. Filariasis in Southern United States. U. S.
Public Health Service, Hygienic Lab. Bull., no. 117. 34 pp., IX plates.
84. Tampi, M. K., 1931. "A study of filariasis in Porto Rico," Porto Rico
J. Pub. Health & Trop. Med., 6:435-41.
85. Hinman, E. Harold, 1936. "Attempted reversal of filarial periodicity
in Dirofilaria immitis," Proc. Soc. Exper. Biol. & Med., 33:524-27.
86. Brown, H. W., 1945. "Current problems in filariasis," Am. J. Pub.
Health, 35:607-13.
87. Hu, Stephen M. K., and Yen, Chia-Hsien, 1933. "Studies on the
susceptibility of Culex pipiens Linn. var pallens Coq. to experimental infec-
tion with Wuchereria bancrofti Cobbold in Shanghai area," Chinese M. J.,
47:1359-66.
88. Murray, William D., 1948. "Filariasis studies in American Samoa,"
Naval Med. Bull., 48:327-41.
89. Eyles, Don E., and Most, Harry, 1947. "Infectivity of Pacific Island
Wuchereria bancrofti to mosquitoes of the United States," Am. ]. Trop. Med.,
27:211-20.
90. Scott, O. K.; Richards, C. S.; and Seaman, E. A.; 1945. "Experimental
infection of Southern California mosquitoes with Wuchereria bancrofti," J.
Parasitol., 31 :195-97.
91. Shope, R. E., 1932. "A filterable virus causing a tumor-like condition
in rabbits and its relationship to Virus myxomatosum," J. Exper. Med., 56:803-
22.
92. Philip, Cornelius B., 1942. "Mechanical transmission of rabbit fibroma
(Shope) by certain haemophagous bugs," ]. Parasitol. 28:395-98.
93. Aragao, H. B., 1943. "0 virus do mixoma coelho do mato (Sylvilagus)
sua transmissao pe los Aedes scapularis e aegypti," Mem. Inst. Oswaldo Cruz,
38:93-99.
94. Brody, Arthur L., 1936. The Transmission of Fowl-Pox. Cornell Univ.
Agric. Exp. Sta. Memoir no. 195. 37 pp.
CHAPTER XIII
._.
MOSQUITO ABATEMENT
FIG. 82. Breaks in the irrigation ditch are responsible for considerable
inundation, producing favorable breeding places for mosquitoes. The rapidly
running water in the ditch is unfavorable for mosquitoes.
horses leave water-filled hoof prints, an ideal breeding situation for
Anopheles freeborni Aitken in the western United States. Because of the
breeding habits of this important western malaria-bearing mosquito,
poorly constructed and improperly operated or leaking irrigation ditches
commonly account for malaria in the neighborhood (Fig. 82).
Wilson ' 2 points out that "malarial effects are not attributable directly
to the results of irrigation where it is economically and properly prac-
ticed-where care is taken to irrigate only land which has an open soil
and such slopes and natural draiDage as to prevent waterlogging, no
unhealthy effects will result. . .. It is desirable, in order to mitigate the
possible evil effects of irrigation, to keep the canal as much as possible
MOSQUITO ABATEMENT 263
within soil so that its surface level may be low, and thus only raise the
sub-surface water plane to the least height practicable; that earth wanted
to complete embankments be never taken from excavations or borrow-
pits except where such localities admit readily of drainage."
It may be pointed out that there is a distinct difference between
agricultural drainage and mosquito abatement drainage as applied to
irrigation districts. Agricultural drainage is concerned merely with the
problem of lowering the ground water level to a point where crops can
be raised successfully. Frequently considerable quantities of mosquito-
breeding water remain, often in the drains themselves (Fig. 83). Such
FIG. 83. Drainage water resulting from faulty irrigation, a source of numerous
mosquitoes.
drainage consists usually of large deep main drains with comparatively
few laterals. Mosquito abatement drainage, on the other hand, is a matter
of more careful attention to detail, with great care to obtain uniform
grades and smooth bottoms for the drains, so as to avoid mosquito breed-
ing.
Impounded water. The storage of water in deep, clean, and steep-
walled reservoirs seldom presents a mosquito problem; neither does
storage of water in steep-sided reservoirs in rocky canyons. "The im-
poundage of flowing streams," Bishop, Hollis, et. al.,13 (1947) point
out, "profoundly alters the biology of the affected waters. One of the
changes may be a vast increase in the potential for anopheline mosquito
production unless appropriate control works and procedures are planned,
designed, and operated. The choice is, therefore, between the probability
of a disastrous 'man-made' increase in transmission of malaria or a suc-
cessful resolution of the continuing conflict between adverse biological
264 MEDICAL ENTOMOLOGY
pressures and control practices." The magnitude of operations by the
Tennessee Valley Authority begun in 1933, based on water management
( control), is indicated in the fact that these involved 10,000 miles of
reservoir shore line in a region of widely varying topography. The im-
pounding of a lake in a region of flat topography within the Tennnessee
Valley produces a wide variety of breeding places for Anopheles quadri-
maculatus Say. There is here provided a huge food supply of micro-
organisms in the flotage and optimum protection against enemy fish and
other aquatic predators. One of the important ways to control mosquito
breeding in this situation is water level management. The effect of water
level manipulations on anopheline larvae is both direct and indirect;
direct in that as a result of drawing the water out of the marginal vegeta-
tion the larvae are exposed to an open and clean water surface wherein
few can survive; and indirect in that the water is removed from the
marginal plants, drift, and flotage which provide food and protection for
the mosquito larvae. One of the important elements in water level man-
agement is periodic water level fluctuations. Complicated biological
study and engineering features beyond the scope of this book are in-
volved in accomplishing the desired results.
The author has seen mosquito breeding swamps in California made
over into small recreational lakes by some dredging and impoundment
of open water unsuitable for mosquitoes.
Controlled reflooding may be successfully employed in the control
of salt-marsh Aedes mosquitoes. The eggs of salt-marsh Aedes do not all
hatch on anyone hatching; some eggs do not hatch until there have been
a number of successive wettings. It is at least theoretically possible ulti-
mately to hatch out all mosquito eggs in a given reclaimed marsh by
purposefully flooding the marsh at the monthly high tide, holding the
water on the marsh for several days until a brood of larvae appears, and
then draining the marsh rapidly before the larvae develop into adult
mosquitoes. The marsh is then allowed to remain unwatered until a
subsequent monthly high tide when the flooding is repeated. As no
adults have been permitted to emerge, no new eggs are deposited, and
thus by successive wettings all eggs should be hatched eventually with-
out additions of new eggs. Thus actually thousands of acres of salt marsh
on Suisun Bay near San Francisco have been freed of Aedes dorsalis
(Meig. ), so that these marshes can now be flooded or dried out at the
will of the owner without hatching hordes of mosquitoes. From 7 to 10
successive floodings and drainings were necessary to accomplish this.
Flushing. Several species of Anopheles mosquitoes, particularly A.
minimus fiavirostris (Lud.), the principal malaria vector of the Philip-
pine Islands, breed in the running water of small upland streams, the
larvae being able to hold fast against the current by means of small
MOSQUITO ABATEMENT 26.5
hooks; other anophelines breed in stream-bed pools. Flushing devices,
either automatic or hand-operated, can be installed at intervals along
the breeding length of such streams so as to release suddenly a relatively
large quantity of water accumulated behind a dam. The mosquito larvae
are swept downstream forcibly and are destroyed by stranding and crush-
ing. (See Herms and Gray, lac. cit.)
Salinification. Anopheles albimanus Wied., the principal malaria
vector of the West Indies, breeds prolifically in certain brackish coastal
lagoons. Hurlbut14 showed that where the salinity remains between 15
and 25 per cent sea-water breeding is abundant, while collections made
concurrently where the salinity was 70 to 80 per cent were entirely nega-
tive. Breeding of this species can be eliminated by increasing the salinity
to about 75 per cent sea water by making adequate sea connection, thus
subjecting the marginal lagoons to tidal action.
Russell (lac. cit.) reports that Knipe and lIackett used tide gates in
reverse position .'It Dur.'lzzo, in .4Joonm, to trans;form a. bra.ckish swamp into
a sea-water lagoon to inhibit the breeding of Anopheles sacharovi Favr.
Creeks and small streams. Except for flood. water left behind during
overflow from floods, great rivers themselves rarely afford opportunity
for mosquito breeding. Flood water left behir{d when rivers recede may
become a prolific breeding place for certain ~pecies of mosquitoes such
as Aedes vexans (Meigen), and in some insta1lces in appropriate regions
a malaria hazard may be created in that a brEleding place for Anopheles
quadrimaculatus Say may result. In many parts of California, as creeks
and smaller streams recede during the rainlesfl summer, numerous sunny
pools are left behind which soon become green with algae (e.g., Spiro-
gyra) among which vast numbers of larvae of Anopheles pseudopunc-
tipennis franciscanus McCracken occur; also quiet deeper pools occur
along the banks shaded by wild grapes, willow, and other vegetation, in
which Anopheles punctipennis (Say) find suiblble breeding places. Pools
along the banks can frequently be drained off or can at least be thor-
oughly larvicided.
Small streams or creeks that border COITlmunities or flow through
the town frequently become clogged with rubhish and eventually become
prolific mosquito breeders, and situations frequently result which are
favorable for Anophelines. Communities ShOl11d not permit rubbish to
be thrown into stream beds. By neatly channelizing such stream beds
and planting the banks with shrubbery, an eyesore and mosquito hazard
may be rendered attractive and harmless.
Drainage. The removal or control of collettions of water which pro-
duce mosquitoes presents a distinct problem in nearly every case. The
type of drainage required in many instances will generally not require
technical engineering skill. There are, howeveJ:, drainage projects of con-
266 MEDICAL ENTOMOLOGY
areas in dense vegetation but not to the extent that cracking of the soil
occurs or a peat fire hazard is created. Drainage and burning must also
be done with due regard for wild life conservation.
Types of salt-marsh drainage. There are two principal methods of
marsh drainage, (1) open marsh drainage, and (2) reclamation. In open
FIG. 84. Salt-marsh drainage operations with drag line mounted on timber
mats to prevent sinking in mud. The bucket is about to cut into a breeding
pool which will be drained into ditch in foreground. (Photograph by H. F.
Gray.)
marsh drainage the marsh is opened up by ditches to the free ebb and
Row of tides so as to eliminate standing water suitable for mosquito
breeding. In the reclamation type the area to be drained is surrounded
on the low sides by a dyke which is pierced in one or more places by
outlet structures, tide gates, which permit water behind the dyke to
run out at low tides, but prevent the return flow at high tides. Suitable
MOSQUITO ABATEMENT 271
drainage ditches are dug to conduct water to the outlets (Fig. 84). The
reclaimed marsh may be used for agricultural or industrial purposes.
Filling and pumping. In almost all mosquito abatement work low wet
areas will be encountered which cannot be economically drained. AI-
FIG . 85. Upper figure shows a pond adjacent to a railroad and caused by
obstructing the natural draina-ge, a source of many mosquitoes every year.
Larviciding, while serving the purpose of mosquito control, requires repeated
expenditure of time, labor, and money. The lower figure shows the same spot
after it had been permanently corrected by the railroad company.
though some such places may be ponded and the water stocked with
top minnows, usually the most satisfactory method is filling (Fig. 85).
Most smaller holes, such as borrow pits, can be filled in by hand shovel-
272 MEDICAL ENTOMOLOGY
ing; larger holes may be filled by means of power scrapers. If sanitarily
handled, municipal garbage and refuse may be used in a "fill and
cover" method. Such fills are covered with earth so as to prevent fly
breeding and to some extent rat breeding.
Salt marshes may be filled by hydraulic dredges, which suck mud
and sand from the bottom of an adjacent bay and pump the mud and
water mixture through a pipe and discharge it on the marsh. Where
harbor or channel improvements are being made by hydraulic dredging,
very satisfactory arrangements may often be made to use the mud and
sand to fill a near-by mosquito-breeding marsh.
r::;:,"
FIG. 86. Rice field with roadside seepage ditch in which mosquitoes breed.
When the general land level is at or below the low-water level of
an adjacent river or bay, pumping has to be resorted to. Portable pump-
ing units are frequently of much value.
Mosquito breeding in rice fields. The control of mosquito breeding in.
rice fields is obviously a matter that must have the attention of those
concerned with rice culture (agronomists) as well as the mosquito con-
trol experts. Much of the breeding can be controlled by proper manage-
ment with respect to the habits of mosquitoes. Many species of mos-
quitoes are involved, some of which are malaria vectors. In the exten-
sive rice-growing areas of Arkansas, 98 to 99 per cent of the population
of noxious mosquitoes consist of four species, Psorophora confinnis
(L.-A. ) and P. discolor (Coq.) both flood-water breeders, constituting
83 to 94 per cent, and Culex erraticus D. and K. and Anopheles quad-
MOSQUITO ABATEMENT 273
rimaculatus Say, a malaria vector constituting the rest (Horsfa1l15 ). In
some newly developed areas the introduction of rice culture on a large
scale is characterized by hasty, haphazard rrlethods (quick returns at
minimum cost), with utter disregard of saund agronomic practice.
Poorly constructed irrigation systems and even poorer drainage methods
result in a veritable bog adjacent to rice fields (Fig. 86). Too often as
much as half of the mosquito production is Jue to poor practices and
could be largely controlled by improved methods of water management.
Growing rice in very porous soil requires much replenishment of water,
and the continous freshening by replenishment may in certain areas in-
vite abundant breeding of malaria vectors, e.g., Anopheles freeborni
(Aitken) in California. Where rice growing is an old established prac-
tice great care is normally exercised in the matter of water management,
particularly so in the vicinity of communities. People must learn to live
in such an environment, and it is folly to endllre mosquitoes which may
be produced by rice fields.
The use of larvicides in rice fields is fraught with danger in that the
rice plants may be damaged. Rao and Sweee 6 found that the use of a
one per cent dilution of Paris green in road dust and wood ash produced
no ill effects on the rice or in straw yield. There was no indication that
dusting should be stopped during the period in which the paddy was
in Hower.
Several authors have recommended intermittent irrigation, e.g., Hill
and Cambournac l1 in Portugal, and Russell, 1<nipe, and Rao 18 in South
India. The latter recommend a cycle of five wet days and two dry days,
particularly for the control of the vector, Anopheles culicifacies Giles.
In 1948 Cambournac and Fonseca,t9 reporting on anopheline and
malaria control in the rice-growing regions of Portugal, point out that
the control of anopheline larvae in rice fields by the use of DDT emul-
sions is both economical and practical. They recommend 5 liters of a
one per cent emulsion per hectare, i.e., about 5.28 quarts to about 2.5
acres, poured in the irrigation ditches and thus automatically dispersed
in the plots.
In California experimental work is in prOgress in the rice-growing
area of the Sutter-Yuba Mosquito Abatement District in which the rice
seed is treated with DDT (wettable powdeI' which clings to the seed
in the hopper) and is then seeded by airplane. In this same district
studies were made during September, 1947, tJsing DDT applied in air-
plane thermal exhaust aerosols for the control of Anopheles larvae. Ac-
cording to State Board of Health reports, better than 95 per cent mor-
tality of Anopheles freeborni was obtained with as little as one pint of
DDT solution per acre with :;l. dosage of 0.025 pounds of DDT per acre.
The cost of treating 18,000 acres of rice fields was 30 cents per acre;
274 MEDICAL ENTOMOLOGY
'this sum included cost of hiring the airplane pilot, ground crew wages,
DDT, and solvents.
Anopheline control in Bromeliads. Anopheles bellator Dyar and Knab
is regarded as the most important vector of malaria in Trinidad (West
Indies), where it breeds in the rain water collected among the leaves of
epiphytic Bromeliads, particularly the large so-called "tank plants,"
Gravisia aquilega and H ohenbergia stellata, and others. These plants
are found in great profusion on immortelle trees which are planted to
shade cacao; hence the problem of anopheline control is bound up with
the cacao industry. Manual removal of the bromeliads is costly and has
limited value. Gillette"° reports that the spray killing of bromeliads by
the mechanical application of copper sulfate is the method of choice.
He states that one application of 0.25 per cent to 0.5 per cent solution
may suffice for a 10-year period. The instance is cited of the treatment of
about 1,500 acres in a district of 30,000 population has resulted in a
spleen rate reduction from 28 per cent in 1945 to 5 per cent in 1947.
Sewer inlets and catch basins. In the newer types of street inlets little
opportunity is afforded for water to collect and remain standing for
mosquito breeding. Most of the old types of inlets and catch basins,
especially those connecting with a combined sewer (for domestic sewage
and storm water), are apt to produce mosquitoes, particularly Culex
pipiens Linn. Larviciding is most economically done by means of a
motorcycle sidecar (Fig. 87). One filling with 25 gallons of larvicide
with air pressure to 50 pounds per square inch, will suffice for a day's
work, i.e., from 200 to 300 catch basins.
Public utilities street vaults. In practically all urban areas the various
public utilities, such as telephone, power and light, gas, electric railway,
telegraph, and water, have numerous vaults in streets which are fre-
quently the source of a severe local infestation of Culex pipiens Linn.
during the breeding season. Heavy residual spraying with DDT will
give good control.
Cesspools, privies, liquid manure pits. Where pit privies are built in
wet areas, water collects and prolific mosquito breeding (Culex quin-
quefasciatus Say, Culex pipiens Linn., and C. tarsalis Coq.) may re-
sult. The use of DDT or cresylic acid larvicide is recommended. Where
liquid wastes are disposed of in leaching cesspools, mosquito production
may be very great if mosquitoes have access to them. Even small knot '
holes or v€mt pipes afford a ready means of entrance. If necessary re-
pairs are made so the egress is cut off, the larvicide need not be applied;
otherwise treatment at appropriate intervals of about 10 days must be
practiced.
Liquid manure pits in connection with greenhouses and plant nurs-
eries commonly produce prodigious numbers of Culex pipiens Linn.
MOSQUITO ABATEMENT 275
and Culex tarsalis Coq. Larvicides must be used which are not dangerous
to plants; DDT and several other newer insecticides may be employed.
Tree holes. In wooded areas and on estates tree-hole mosquitoes, such
as Aedes varipalpus (Coq. ), often cause great annoyance. Tree holes,
particularly in oaks, collect water in which mosquito larvae thrive.
FIG. 88. Tin cans, tubs, and barrels in which water may stand, furnishing
breeding places for mosquitoes.
--,
I
I
The authors concluded that concentrations of 4 per cent and 5 per cent
(160 to 200 mg per square foot) DDT appcar to be more economical
and more efficient than lesser concentrations.
Indoor residual spraying to destroy adult mosquitoes is accomplished
by treating all the wall surfaces and ceilings, undersurfaces of tables,
beds, etc. with a 5 per cent DDT-oil emulsion spray using either a hand
or air-pressure sprayer. The object is to deposit a residuum of about 200
mg of DDT per square foot. One thorough treatment may last in ex-
cess of three months. Rooms should be ventilated during spraying, and
DDT should not be allowed to fall on food , dishes, or cooking utens ils.
became available, that spraying by airplane came into wide use (Fig.
9S ).
Much of the airplane work done in mosquito abatement districts is
with military trainer biplanes which carry from 80 to 90 gallons of liquid
insecticide or 650 to 750 pounds of dust. The helicopter is growing in
favor because it can be used at any time of day, as it provides a down-
ward thrust to the insecticide; the wing type plane is used principally
in the early morning when the cooling air carries the insecticide down.
The dusting equipment consists of a hopper, a wind-driven agitator,
feed conh'ol gate, and venturi spreader. Spray equipment consists of a
The fish are then taken from the wells and placed in tins or pails and
delivered to the inspectors. Instructions have been given to each inspector that
every fresh-water container in his district is to be supplied with one fish, re-
gardless of the presence or absence of mosquito larvae in the container at that
time. The public is encouraged, personally, by notices in the newspaper, and
by the inspectors themselves, to exercise reasonable care in protecting the £sh.
The public ,of Guayaquil has responded in a whole-hearted manner to the
requests of the Yellow-Fever Service, and many families have in their posses-
sion at this time the identical fish which was given them to mosquito-proof
their water container nearly eighteen months ago.
More than 30,000 water receptacles have in this way been purged of
mosquito larvae in a relatively short time and at a minimum of expense. With
MOSQUITO ABATEMENT 293
the continued use of fish it is believed that the yellow-fever mosquito can be
reduced to such small numbers that, should a few cases of the disease be in-
troduced into the community, it would not spread.
Transportation of exotic mosquitoes by airplane. The accidental im-
portation of exotic mosquitoes may result in severe epidemics of disease
with heavy loss of life and may necessitate expensive campaigns to root
out the evil. Particularly noteworthy is the malaria epidemic in Brazil
following the introduction of Anopheles gambiae Giles from Africa,
referred to in an earlier chapter as described by Soper and Wilson (lac.
cit. p. 228). Such dangers, particularly importation of the vector of yellow
fever, have long been recognized as possible through air transportation.
Various amendments have been made to the "International Sanitary
Convention for Aerial Navigation of April 12, 1933," signed by the United
States in April, 1934, according to Miller, Burgess, and Carpenter47
( 1947). Article 54, (a 1944 amendment) reads, "In view of the special
risk of conveying insect vectors of malaria and other diseases by aircraft
on international flight, all such aircraft leaving affected areas will be
disinsected . . . further disinsectization of the aircraft on or before
arrival may be required if there is reason to suspect the importance of
insect vectors."
There are said to be about 35,000 airplanes entering the United States
annually from foreign ports, 80 per cent of which are from the West
Indies and Latin America. Scheduled flight times from all parts of the
world are short enough to enable stowaway mosquitoes to arrive alive
in the United States. Southern and California ports of entry, with more
favorable year-round climatic conditions, are regarded as offering the
most likely points of invasion. Although the enormous wartime move-
ment of aircraft (Herms, 48 1946) showed a tremendous potential of
insect transport particularly at Honolulu, strict quarantine regulations in-
cluding airplane disinsectization administered by the United States Navy
proved very effective. Freon-pyrethrum-DDT aerosol "bombs"-con-
tinue to be used for disinsectization purposes. Automatic centrally con-
trolled devices for releasing aerosols in aircraft are now being tested.
Recently Rosen, Reeves, and Aarons 49 reported the presence of Aedes
aegypti (Linn.) on Wake Island. Reeves (1949) at the 8th Pacific Science
Congress presented a paper on "Possible Recent Introductions of Mos-
quito Vectors of Human Disease in the Central Pacific."
BIBLIOGRAPHY
1. Howard, L. 0., 1892. "An experiment against mosquitoes," Insect
Life, 5:12-14.
2. Ross, Ronald, 1910. The Prevention of Malaria. New York: E. P.
Dutton and Co. xx + 669 pp. (24 plates) .
294 MEDICAL ENTOMOLOGY
._.
A. HORSEFLIES
Family Tabanidae
Tabanidae. To this large cosmopolitan family of the Order Diptera,
comprising about 2,500 species, belong the avidly bloodsucking Hies
commonly known as horseHies, gaclRies, breeze Hies, greenheads, deer
flies, or mango Hies. These Hies are usually quite large and heavy-bodied
(Fig. 94), measuring in length from 7 to 10 mm in the smaller species
Flc. 94. The black horsefly, Tabanus atratus. (Left) male, (right) female.
X 1..5. (Photograph by Hine.)
I
1
FIG .
\
96. Tabanus punctifer, Egg mass all willow leaf, larva , pupa, and adult
female fly.
the flies escape from the pupal skin through a T-shaped opening. In
contrast the adults of the Cyclorrhapha such as houseflies escape from
the pupal case through a round opening made by pushing off the anterior
end. In pushing off this end of the puparium the housefly and its allies
use a frontal bladder-like structure known as a ptilinum, absent in the
Orthorrhapha such as the Tabanidae.
Students concerned with the Tabanidae are referred to such mono-
graphic works as those of Osten Sacken,l Hine,2 Enderlein,3 Kr6ber,4
and Stone. s
Breeding habits and life history. The eggs, numbering up to nearly
a thousand, are deposited during the warmer months of the year in com-
pact layers on objects such as the leaves of willow and emergent aquatic
vegetation which grows from or overhangs swampy areas, ponds, etc.
300 MEDICAL ENTOMOLOGY
(Fig. 95). The incubation period is greatly influenced by weather con-
ditions, but during midsummer the usual range is from five to seven
days. On hatching the larvae fall to the surface of the water, upon mud
or moist earth, in clumps and quickly drop to the bottom or burrow
individually into the wet or damp earth, where they begin feeding at
once on organic matter. Many species are predators, sucking the juices
of insect larvae, crustacea, snails, earthworms, and other soft-bodied
animals; cannibalism has been observed in several species. The larvae
of Tabanidae are commonly encountered buried in the mud along the
~PV.
/./ ' TO( Un. Emp.
the males feeding on flower secretions and vegetable juices where one
may find them by sweeping with a net.
Much important information based on rearing experience with many
species may be obtained by consulting the various publications by
Schwardt, among them Horseflies in Arkansas.s In an earlier paper (Re-
search paper 219, Journal Series, University of Arkansas) Schwardt re-
ports life-history records based on 202 individuals of Tabanus lineola
Fabr., a common North American species of "greenhead," viz., average
incubation period 4 days, average larval period 48.8 days, average pupal
period 8.1 days, average preoviposition period 9 days, total develop-
mental period averaging 96.9 days.
In the Sierra Nevada and other mountain ranges horseflies breed in
great numbers at elevations of 8,000 to 9,000 feet in soggy ground caused
by springs, and water from melting snow in the summer. Deer and other
wild animals suffer much from the bites of these flies.
Bites. The horseflies have broad blade-like mouth parts (Fig. 24),
which inflict a deep, painful wound, causing a considerable flow of
302 MEDICAL ENTOMOLOGY
blood; and owing to their intermittent biting habits there is danger of
infection.
The male is very distinct from the female, b()ing smaller and having a
larger head and different color markings. Size: 11 to 15 millimeters. Wing
expanse: 25 to 28 millimeters. The distinctly clavate palpi are shorter than
310 MEDICAL ENTOMOLOGY
in the female, only two-thirds as long as the labium; they are dirty white
and fringed with moderately long black hairs. The abdominal color markings
take the form of a T of pale cadmium yellow in a field of burnt sienna,
bordered with pale clay yellow. The area of the large facets of the eye is
colored Roman sepia surrounded by an elliptical band of ultra ash gray. The
field of small facets has a mauve fringe bounding an area of iridescent mauve
and Prussian green.
Female: The front is narrow, converges slightly anteriorly; the color is
golden, marked with a black callosity of irregular form. Size: 15 to 17 milli-
meters. Wing expanse: 26.5 to 29 millimeters. The head is considerably
smaller than that of the male; eyes iridescent mauve and Prussian green.
The palpi are prominently conical, as long as, or slightly longer than, the
labium; the color is the same as in the male, mottled with short black hairs.
The abdomen is alternately striped with Cologne earth and pale clay yellow.
The median stripe is pale clay yellow. In both sexes the thorax is indistinctly
striped with pale clay yellow and pale brown, and the wings are transparent
except the costal and subcostal cells, which are pale brown.
Small, slender, greyish species; eye somewhat pilose; frons very broad and
basal callus transverse; first antennal segment one and one-half to three times
as long as wide and usually swollen; third with four divisions, the first divi-
sion with no distinct angle above; wing brown or gray, with hyaline macula-
tions . . . knob of haltere white or pale yellow.
(Stone)
HORSEFLIES, DEER FLIES, AND SNIPE FLIES 311
.. Philip" has omitted the genus Bequaertomyia from his recent catalog of Nearctic
Tabanidae, based on the elevation by Mackerras and Fuller (1942) of this primi-
tive group of flies to family rank (Pelecorhynchidae) in which Bequaertomyia
appears.
t That part of the frons below the level of the lower, inner angle of the eye and
above the antennae is termed the subcallus; the frons proper (just dorsad) usually
possesses two denuded calli, one at the lower margin, the basal callus, and the
median callus, usually narrow and frequently broadly jOined to the basal callus.
312 MEDICAL ENTOMOLOGY
10. Eye bare; subcallus very swollen and shiny; genae denuded; dorsal
angle of flagellum small and blunt; wing at least partially infus-
cated ...................................... (11)
Without above combination of characters; if the subcallus is en-
larged and denuded, the eye is densely pilose ( 12)
11. Scape of antenna swollen, at least below; apical half of vein R.
turned abruptly forward; wing, at least anteriorly, infuscated with
a cresent-shaped, hyaline apex; tibiae somewhat swollen ...
Bolbodimyia Bigot 1892
Scape of antenna not noticeably swollen; vein R. not turned abruptly
forward; apex of wing not hyaline; tibiae not swollen.
Whitneyomyia Bequaert 1933
12. (10) Flagellum of antenna with no dorsal angle; frons of female
very narrow, the median callus a very slender line; no ocellar tuber-
cle; wing with at least a subapical brown spot; eye bare
Diachlorus Osten Sacken 1876
Not with this combination of characters· (13)
13. Basal portion of antennal flagellum with a prominent, forward-
projecting tooth reaching nearly to base of annulate portion;
eye pilose Dicladocera Lutz 1909
Basal portion of antennal flagellum with o. without a prominent
dorsal angle, but if this is produced forward the eye is bare (14)
14. Basal callus in female lacking or very much reduced, separated
from eye by a considerable space; neither palpus black nor abdomen
with a narrow dorsal stripe (15)
Basal callus in female as wide, or nearly as wide, as frons, or, if
narrowed, still considerably wider than median callus; either palpus
black or abdomen with a narrow dorsal stripe (17)
15. Eye distinctly pilose; no distinct ocellar tubercle (eye of female usu-
ally with a single, diagonal, purple line which often shows even in
dried specimens). . Atylottls Osten Sacken 1876
Eye bare or very sparsely pilose; ocellar tubercle present or absent
(frons of female about five times as high as width at base) . (16)
16. Basal callus a swelling at base of a slender raised ridge; a distinct
ocellar tubercle present in female; abdomen brownish, with white
bands, the apex compressed Leflcotabanlls Lutz 1913
No basal or median calli or ocellar tubercle present; bright green or
yellow species, the abdomen not distinctly compressed apically
.. .Chlorotabanus Lutz 1909
17. (14) Annulate portion of antennal flagellum hairy; no ocellar tuber-
cle; second palpal segment short and stout, with erect hair; pro-
boscis short. .Anacimas Enderlein 1923
Not agreeing entirely with above, the hair of antennal flagellum
very inconspicuous if present (18)
18. Rather small, species with bare or sparsely pilose eye, scarcely
any angle, and no dorsal excision on flagellum of antenna, and fre-
quently· a stump vein from vein R. . ...... Stenotabanus Lutz 1913
HORSEFLIES, DEER FLIES, AND SNIPE FLIES 313
Eye bare or pilose, but if a stump vein from vein R. is present
either the dorsal angle of the antennal flagellum is distinct or the
eye is densely pilose, or both ................... .Tabanus Linne 1758
B. SNIPE FLIES
Family Rhagionidae (Leptidae)
Snipe flies belong to the dipterous family Rhagionidae formerly
known as Leptidae. The family comprises nonbloodsuckers as well as
bloodsucking species. Leonard 26 characterizes the family as follows:
Flies of moderate to large size usually more or less elongate and nearly
bare to moderately pilose, rarely rather densely hairy, never, however, with
distinct bristles. Males usually hoI optic; more rarely dichoptic. Empodium
pulvilliform, there being three pads of about equal size between the tarsal
claws. (Hilarimorpha has no visible empodia and no discal cell but is usu-
ally referred to this family.) Squamae small or vestigial. Antennae extremely
variable: (a) segments of flagellum distinct, sometimes as many as thirty
in number; (b) the segments not more than eight in number; more closely·
applied, without style or arista; (c) fewer in number with a differentiated
segmented style or arista, altogether not more than eight; (d) the third seg-
ment simple with or without a dorsal or terminal arista. Veins of the wings
distinct, not crowded anteriorly; third longitudinal cell furcate; basal cells
large; five posterior cells usually present.
One of the members of the family is the "worm lion," Vermileo; the
larvae excavate pits in sand as do "ant lions" (Myrmeleon). Among the
bloodsucking genera are Atherix, e.g., A. longipes Bell, a severe biter
in Mexico; and Symphoromyia.
The genus Symphoromyia 27 "includes leptid flies with five posterior
cells, the anal cell open; third antennal joint simple, rather deep vetti-
cally, attached above its middle, usually kidney-shaped (sometimes con-
cave in profile below the arista, then not quite kidney-shaped); arista
subapical; tibial spurs none in front, two in the middle, one behind, but
often quite weak in males." The females of several species are vicious
biters, behaving somewhat as do the tabanid flies belonging to the genus
Chrysops. They alight on the exposed parts of the body quite silently
and singly and inflict a sudden painful bite usually before their presence
is known. Among the severe biters are Symphoromyia atripes Bigot, a
western species measuring 5.3 to 8 mm in length, black, with reddish
legs; S. pachyceras Williston, particularly a Pacific coast species, measur-
ing 6 to 9 mm in length, wholly black except narrowly on the knees, the
inner proboscis, and stems of the halteres which are yellow; S. kincaidi
Aldrich, pile of the thorax and head black, of abdomen largely yellow,
314 MEDICAL ENTOMOLOGY
front and middle knees narrowly red, a Pacific coast species. S. hirta
Johns. is shown in Figure 100.
The mouth parts of Symphoromyia evidently vary considerably. The
biting forms have a prominent stout retractile labial sheath which closely
ensheaths the functional chitinized piercing structures.
HOUSEFLIES
I
FIG. 101. Developmental stages of the common housefly, Musca domestica:
egg, larva, pupa, and adult female.
0' \l 10' <;>1[0' <;> 0' <;> 0' <;> 0' <;> 0' <;>
Housefly (Musca domestica) 71534 813 649 7742105 11232697
Muscina sp. 2 6 0 7 0 5 2 5 3 10 1 4 8 37
Blowfly (Calliphora sp.) 2 2 0 111 0 0 0 0 0 1 0 4 3
Lucilia sp. o 110 110 1 0 1 0 0 0 0 0 4
Other species 1 4 0 4 2 1 4 2 4 2[ 2 013 13
Totals 112
---1----'---'------'1------
166 4 9416 71115 85,11 222[ 9 11657 754
1
TABLE III
SHOWING NUMBER OF INDIVIDUALS COLLECTED IN A SCREENED DWELLING
JUNE 1, 1909, REPRESENTING THE ENTIRE FLY POPULATlON OF THE HOUSE
0' <;>
Housefly (Musca domcstica) 86 ll6
Muscina sp. 3 1
Homalomyia sp. 5 0
Calliphora sp. 1 2
Totals 95 ll9
The insects were kept at the temperature indicated from egg to emergence of
the imago. The average temperature is here given, the variation from the
average was probably not more than ± 1 Temperature of the air and not of
0.
---- f----
Egg stage 36 hrs. 40 hrs. 27 hrs. 30 hr,. 20 hrs. 30 hrs. 12 hrs. 20 hrs. 8 hrs. 12 hrs
Larval stage 11 ds. 26 ds. 10 ds. 14 ds. 8 ds. 10 ds. 7 ds. 8 ds. S ds. 6 ds.
Pupal stage 18 ds. 21 ds. 12 ds. 15 ds. 10 ds. 11 ds. 7 ds. 9 ds. 4 ds. 5 cis.
ds.I22~" ds. -
Total time required
from egg to imago 40 >~ d,. 48 % ds. 2H& ds. 30 % ds. 18% 14~~-ds.iI7%dS. 9~ ds. 11).~ ds.
The larval stage is the growing period of the fly, and the size of the
adult will depend entirely upon the growth that the larva attains. An
underfed larva will result in an undersized adult. The growing stage
requires from four to six days, after which the maggots usually crawl
away fro:rp. their breeding place, many of them burrowing into the loose
ground just beneath t~e manure pile, or under boards or stones, or into
HOUSEFLIES 321
dry manure collected under platforms and the like. One and three-
quarter pounds of dry manure, taken from beneath a platform, contained
2,561 pupae. The larvae spend three or four days in the prepupal or
migratory stage before actually pupating. In a given set of individuals
under similar conditions the various stages are remarkably similar in
duration: when one pupates, the rest will certainly follow in short order,
and when one emerges, the others quickly follow.
When the fly emerges from the pupa case the wings are folded in
tight pads, and change in size is due only to expansion and addition
in weight and not in growth. Stomach contents or development of eggs
in the female add to weight. This is why no young houseflies are seen,
FIG. 102. A typical rural fly-breeding place-the manure pile. The principal
menace is the fresh, warm manure added on top daily. The nearby vehicle is
a remnant of the "horse and buggy days." The manure pile is far from obsolete.
i.e., young in the sense of being small. Little flies are not "baby" flies;
they are either a different and smaller species or are undersized. One can
influence the size of the adult fly by underfeeding it in the larval stage
(see Herms, 5 1907).
With one adult fly depositing from 120 to 150 eggs per lot, with at
least six lots at intervals of from three to four days, Hodge 6 gives us the
following astounding statement: "A pair of flies beginning operations
in April may be progenitors, if all were to live, of 191,010,000,000,000,-
000,000 flies by August. Allowing on~-eighth of a cubic inch to a fly, this
number would cover the earth 47 feet deep."
Other breeding places. While horse manure is a favorite larval food
and is commonly regarded as the chief factor in the production of
322 MEDICAL ENTOMOLOGY
houseflies under most rural and village conditions, situations may arise
in which other materials are vastly more important, particularly in this
day of the automobile and tractor. Cow manure if well mixed with
bedding is frequently an important factor in the development of flies.
Flies will also breed freely in hog manure, but the swarms of flies about
the pig pens usually originate in the waste feed, slops, etc. Chicken
manure is the most important factor in the breeding of flies in poultry
districts, and the pest of blowflies in such areas is the result of dead
birds buried in shallow pits or simply disposed of by throwing them
into a gully or in a corner. The dead birds (large or small) should be
burned or buried with crude oil or plenty of lime, or sprayed with
creosote oil. Human excrement is a very dangerous substance, and if
exposed to flies in open privies becomes a very prolific breeding place,
which emphasizes the need of flyproof privies or the application of other
means to prevent flies from breeding.
Great swarms of flies are often found around feed troughs; the ani-
mals (hogs and cattle) may be literally covered with them. An examina-
tion of the waste feed behind or beneath the troughs or in and about
the mixing vats will almost invariably reveal numerous maggots. Storage
receptacles for slops sometimes present a wriggling mass of maggots.
The correction of such fly breeding manifestly depends upon greater
care in handling the mash, wet or dry. Spraying fences, walls, and floors
with DDT is also good practice.
It frequently happens that brewer's grain or spent hops, bran mash,
and ensilage are only partly consumed by the animals and the waste is
thrown out into the fields in heaps. Such heaps of waste are commonly
a source of enormous numbers of flies (nearly all Musca domestica)
about dairies where otherwise conditions may be very good and where
no apparent reason for the swarms of flies exists. Such wastes should be
scattered in a thin layer so as to hasten drying and thus prevent fly
breeding.
Garbage heaps, particularly when fermentation and decomposition
begin, are commonly sources of many flies of several kinds. Heaps of
decaying onions and other vegetables, fruits, etc., as well as decaying
straw and weeds, may become infested with maggots, often the larvae
of the biting stable flies (Stomoxys calcitrans). Every household in every
community should be provided with a garbage can equipped with a
tight-fitting lid. All liquid matter should be drained from the kitchen
refuse at the sink; only solids should be placed in the garbage can, and
these should first be wrapped amply in paper. Household gar-
bage should not be buried or allowed to accumulate in heaps in
back yard or alley (Fig. 103). Rats as well as flies thrive in such an
environment.
HOUSEFLIES 323
FIG . 103. A poor excuse for a fly-tight garbage can. Care of garbage should
be regulated by ordinance.
preventing ingress and egress for flies and eliminating breeding within
the tanks.
Range of flight. Ordinarily under city conditions it may be safely
said that where flies are abundant they have been bred in the immediate
vicinity. The housefly can, however, use its wings effectively and may
also be carried by the wind, though it usually seeks protection very
quickly when there is a strong breeze. Where houses are situated close
together flies have the opportunity to travel considerable distances by
easy flights and they are often carried on meat delivery wagons and on
animals.
In an illuminating experiment Copeman et al! have shown that
houseflies may invade a community at a distance of from 300 yards to
17,000 yards from their breeding place, such as a garbage dump.
In a city in Montana 387,877 marked flies were liberated from a
324 MEDICAL ENTOMOLOGY
release point, and a total of 1,056 of them were recaptured at 78 stations
situated between 50 and 3,500 yards from the point of release. 8
Longevity of flies. In order to determine the longevity of flies it is
necessary to keep the same individual under observation from the time
of emergence from the pupa to the time of death. The writer has done
this by keeping each pupa in a separate vial, noting the time of emer-
gence to the hour and spotting each fly lightly with Chinese white
dorsally on the thorax. The spots can be arranged singly and in com-
bination so that many different flies can be kept under observation at
the same time. After marking, flies were liberated in bobbinet-covered
cages (size of cages never more than 8 by 10 by 18 inches). Each cage
was provided with sugar water and a receptacle of horse manure. A
full set of experiments under sufficiently varying conditions indicate an
average life of close to 30 days, with a maximum life of something
over 60 days during the summer months. In hibernation flies may live
over winter, i.e., from October to April, in the eastern and central
United States. In California, flies emerge from their pupa cases through-
out the winter, and their life history is then considerably longer than
in summer.
Other house-invading flies. There are many species (more than 30)
belonging to the genus Musca, most of which have habits similar to
those of the cosmopolitan M. domestica, namely M. vicina Macq. the
common housefly of the Orient, also common in Hawaii; M. vetustissima
Walker, common in Australia; M. nebulo Wied., a tropical species; M.
sorbens Wied., reported to be abundant on the central and south Pacific
Islands.
Fannia ( H omalomyia ) canicularis (Linn.), known as the lesser
housefly, is frequently seen hovering in mid-air or flying hither and
thither in the middle of the room. Whereas the true housefly is en-
countered most abundantly in the kitchen or dining room, particularly
on food, the "little housefly" will be seen as frequently in one room as
another, and very seldom actually on the "spread" table. The writer
commonly observes a half dozen or more of these little flies dancing
weirdly in the center of the lecture room midway between the floor and
the ceiling. Various observers have estimated that this species consti-
tute from one to 25 per cent of the total population of flies in the average
house.
In size the species varies from 5 to 6 mm. Its color is grayish, re-
sembling that of the housefly very closely. Hewitt describes it as fol-
lows:
Head iridescent black, silvery white, especially around the eyes. The
antennae are blackish gray with non-setose arista. Palps black. The thorax
is blackish gray with three indistinct black longitudinal stripes; the scutellum
HOUSEFLIES 325
is gray and bears long setae; the sides of the thorax are lighter. . . . The
legs are black, and the middle femora bear comb-like setae below. The some-
what large squamae at the bases of the wings are white and the halteres are
yellow. . . . The head of the female is gray with a wide frons, black frontal
stripe and gray sides. The longitudinal stripes of the thorax are faint and the
abdomen, which is more pyriform than that of the male, has a slightly golden
attachment.
The upper surface of the dark greyish-olive middle region of the body
(thorax) is clothed with a thick coat of fine, silky, recumbent, yellowish or
golden-yellow hair, easily visible to the naked eye, and, though readily rubbed
off, still recognisable with the aid of a lens even in a much damaged specimen.
The iron grey upper surface of the posterior division of the body (abdomen) is
mottled with shimmering metallic patches of lighter grey. (In 1908) Dr. D.
Keilin, working in Paris, made the extraordinary discovery that the maggot of
the cluster-fly is an internal parasite of a small earthworm (Allolobophora
chlorotica, Sav.) [which like the fly itself, is exceedingly common and widely
distributed in Europe, North America, and elsewhere]. The popular name of
the insect (namely cluster fly) is due to the habit of this fly of clustering
together, sometimes in very large numbers like a swarm of bees, when hibernat-
ing in houses or other buildings.
Blowflies and flesh flies. The blowflies, comprising the bluebottles and
greenbottles, included in the family Calliphoridae 1o as well as the flesh
flies (family Sarcophagidae of most authors l l ), are placed in the family
Metopiidae by Curran who characterizes this family as follows:
The larvae of the blowflies and flesh flies usually feed on dead animals,
garbage, excrement, etc. They are principally scavenger in habit.
Calliphora. Among the several species of bluebottle flies (metallic
blue in color) two are quite common, namely, Calliphora vomitoria
(Linn.), having black genae with golden-red hairs, and C. vicina R. -D.
[ = C. erythrocephala ( Meig. ) ], with fulvous genae and black hairs
(Fig. 105). The eggs of these species hatch in from 6 to 48 hours; the
growing larvae feed on the flesh for from three to nine days, and after
328 ~IEDICAL ENTOMOLOGY
attaining full growth leave the food and bury themselves in loose earth
or debris. This period (prepupal period) lasts from two to seven days,
commonly four, after which pupation takes place. The pupal period
varies considerably according to temperature, lasting from 10 to 17 days,
commonly 11 clays. Thus the life history of the blowfly requires from 16
to 35 days, usually 22 days. The life of the adult is about 35 days on an
average.12
Phaenicia (= Lucilia) sericata (Meig. ) is of a yellow-green or
cupreous-green metallic color varying from metallic blue and green to
copper. It may occur indoors but is typically a scavenger. The palpi are
yellow. There are usually three (occasionally four) postacrostical bristles
present on each side. The second abdominal segment is devoid of mar-
ginal macrochaetae present in L. sylvarum Meig., which also has black
palpi. At a temperature of 80° ± 2° F, with beef lung or fish as food ,
the entire life history of Phaenicia sericata (Meig.) from the deposition
of the egg to emergence of the fly requires about 12 days: egg stage
(the egg hatching the same day if deposited during early morning)
about eight hours; larval stage (feeding period) about two and a half
days; prepupal stage (migrating larvae) about three days; pupal period
about six days. It is the most abundant species of the genus in North
America, particularly in northern United States and southern Canada
(Hall). P. sericata (Meig.) lends itself well to rearing in large numbers
for experimental purposes. Rearing procedures are described by Dor-
man, Hale, and HoskinsY
The size of the flies and the sex ratio" varies according to the amount
of food available during the larval or feeding stage. The sex ratio of 2.8
to 3.1 males to 6.9 to 7.2 females for flies resulting from larvae which fed
until they left the food voluntarily, Le., from 72 to 78 hours, is reversed
to 6.2 to 6.5 males to 3.5 to 3.8 females in flies in which the larvae were
permitted to feed only 30 to 36 hours, i.e., were underfed.
HOUSEFLIES 329
Lucilia illustris (Meig.) is a holaractic species, widely distributed
in North America; it is common in the midwestern portion of the
United States where it ordinarily deposits its eggs on carcasses of ani-
mals in competition with Phaenicia sericata (Meig.). It appears to be
an open woodland and meadow species. North American authors have
heretofore not fully recognized the fact that they were pretty surely
dealing with L. illustris and not with Lucilia caesar (Linn.) as they
often stated. The two species resemble each other very closely. Hall
(loc. cit.) states that Lucilia caesar (Linn.) does not occur in North
America. The thorax of L. illustris is metallic blue-green with bronze
and purple reflections; the legs are black; the normal number of lateral
bristles in Lucilia is three.
Phormia regina (Meig.), known as the black blowfly, is a Widely
distributed holaractic species; it is found throughout the United States
and as far south as Mexico City. It commonly deposits its eggs in the
wool of sheep. It is said to be a cold-weather blowfly, occurring most
abundantly during the early spring months and becomes less abundant
as hot weather approaches. The thorax is black with a metallic bluish-
green luster; there are darker black longitudinal stripes on the dorsum
extending somewhat beyond the suture; the legs are shining black; the
abdomen is olivaceous or bluish green to black, and ~hining; the length
of the fly is 6 to 11 mm.
Sarcophaga haemorrhoidalis (Fall.), one of the numerous species of
flesh flies, occurs throughout North America as well as Europe. It meas-
ures 10 to 14 mm in length; in color it is gray. The terminalia of the
female are red. It reminds one of an overgrown housefly, but it is lighter
gray, the eyes are brighter reddish brown in color, and it is larviparous.
The larvae have a wide range of feeding habits, being, however, prima-
rily scavengers. They feed on dead insects, carrion, mammalian excre-
ment, etc.
The larvae may be deposited on the hand of a person holding the
female fly. The life history in the presence of ample food and warm
temperature requires from 14 to 18 days. The growth of the larvae is
very rapid after extrusion when food such as carrion is available. The
larval stage may be completed in about three days, followed by the
prepupal or migratory stage lasting usually about three days. The pupal
stage requires from 8 to 10 days. Sarcophaga carnaria (Linn.), measur-
ing 10 to 16 mm in length, is another widely distributed and common
species of flesh fly.
Germ carriers. The common housefly, Musca domestica Linn., is by
accident of habit and structure an important and dangerous disease-
transmitting insect. In habit the housefly is revoltingly filthy, feeding in-
. discriminately on excrement, vomit, and sputum, and is, on the other
330 MEDICAL ENTOMOLOGY
insect; however, if there remains any doubt in the mind of the reader
as to its harmfulness, after pondering what follows, let him take the
time to make a few careful observations for himself.
In order to show that the housefly (Musca domestica Linn.) can
carry "germs" of a known kind, a simple test can be made with a cul-
ture of Staphylococcus aureus. After the fly is allowed to walk about in
the culture tube it is transferred to a sterile ~lgar plate upon which it is
permitted to walk for about three minutes. The plate is then incubated
for 24 hours. Figure 107 shows the trail of the fly in one of our tests;
every place that the foot touched is plainly marked by a vigorous bac-
terial growth.
Esten and Mason 15 in an article entitled "Sources of Bacteria in Milk"
state:
The numbers of bacteria on a single fly may range all the way from 550
to 6,600,000. Early in the fly season the numbers of bacteria on flies are com-
paratively very small, while later the numbers are comparatively very large.
The place where flies live also determines largely the number that they carry.
The average for 414 flies was about one and one-fourth million bacteria on
each. It hardly seems possible for so small a bit of life to carry so large a num-
ber of organisms. The objectionable class coliaerogenes type was two and one-
half times as abundant as the favorable acid type.
HOUSEFLIES 331
A significant study was made by Yao, Yuan, and Huie '6 in Peiping,
China. This was based on a total of 384,193 flies, of which 98.4 per cent
were Musca domestica Linn., 1.1 per cent Fannia canicularis (Linn.)
and F . scaIm'is (Fabr.), 0.31 per cent .Lucilia caesar (Linn.), 0.16 per
cent Calliphora vicina R. D. and C. vomitoria (Linn.), and 0.03 per cent
Sarcophaga carnaria (Linn.). They found an average of 3,683,000 bac-
teria per fly in the slum district, and an average of 1,941 ,000 for the
cleanest district. They found eight to ten times as many bacteria inside
the flies as on the outside.
Not only may bacilli stick to the legs and wings of these insects, but if
swallowed they may survive the passage of the alimentary tract. Typhoid
bacilli have been isolated from houseflies captured in houses in Chicago, in the
neighborhood of badly kept privy vaults used by typhoid patients, and it has
HOUSEFLIES 333
been shown experimentally that living bacilli may remain in or upon the body
of flies for as long as twenty-three days after infection.
Yao, Yuan, and Huie (loc. cit.) found Shigella (= Bacillus) dysen-
teriae (Shiga) in 15 of 50 batches of 100 flies tested. Alimentary tracts
of flies also revealed cysts of Endamoeba hist()lytica. The specific death
rate for gastrointestinal diseases roughly paralleled the number of flies
captured.
Faichnie21 (1929) in a study of the etiology of enteric fever came to
the conclusion that comparatively little typhoid is carried on the feet
of flies, but he found that both E. typhosa :'Ind Salmonella paratyphi
( Kayser) (B. paratyphosus A) multiplied in tbe intestines of flies fed on
infected excrement.
Cholera was among the first diseases in which the housefly was in-
criminated as a carrier. Tizzoni and Cattani in Bologna in 1886 isolated
cholera vibrios from flies caught in cholera wards. Simmonds in 1892
captured Shes in tne post-mortem morgue in Bamburg aml isoh'teo
cholera vibrios from these in large numbers. "Upon the surface of
vegetables and fruits kept in a cool moist place, experiments have shown
that the spirillum may retain its vitality for from four to seven days"
(Jordan).
In their study of the epidemiology of cholera, Gill and La}22 found
evidence to support the startling suggestion that possibly one phase of
the life cycle of the cholera vibrio may be passed in the body of the
housefly. The results of their work show that the vibrios disappeared
from the body of the fly after about 24 hours but reappeared on or about
the fifth day, at which time the fly was capable of infecting food by its
feces.
Yaws (Frambesia) is caused by Treponema pertenue Castellani. The
disease is widely distributed in the tropics. The spirochetes are found
in the superficial ulcers on the hands, face, feet, and other parts of the
body. The following statement by Nuttall and Jepson (1909, loco cit.)
presents evidence showing that Musca domestica Linn. is amply able to
transmit this infection:
Castellani (1907) tested the matter of the fly transmission of yaws by
experimental methods. He allowed M. domestica to feed (1) upon yaws mate-
rial (scraping from slightly ulcerated papules), and (2) upon semi-ulcerated
papules on the skin of these yaws patients. In both cases he was able to dis-
cover the Treponema (Spirochaeta) pertenuis in microscopic preparations made
from the flies' mouth parts and legs. Furthermore, he allowed M. domestica to
feed on· yaws material (1 and 2 as above) and afterwards transferred them
to scarified areas upon the eyebrows of monkeys. Of 15 monkeys thus ex-
perimented upon, three developed yaws papules itt the places which had been
contaminated by the flies.
334 MEDICAL ENTOMOLOGY
Ophthalmia. In commenting on ophthalmia as carried by flies,
Howard (1911, lac. cit.) has the following to say:
Dr. Lucien Howe of Buffalo informed the writer [Howard] that in his
opinion the ophthalmia of the Egyptians is also transferred by Hies and pre-
sumably by the housefly, and referred the writer [Howard] to a paper which
he read before the Seventh International Congress of Ophthalmology at Wies-
baden in 1888. He referred to the extraordinary prevalence of purulent oph-
thalmia among the natives up and down the river Nile and to the extraordinary
abundance of the flies in that country. He spoke of their remarkable indiffer-
ence to the visits of flies, not only children, but adults, allOWing flies to settle
in swarms about their eyes, sucking the secretions, and never making any
attempt to drive them away. Doctor Howe called attention to the fact that
the number of cases of the eye disease always increases when the flies are
present in the greatest numbers and the eye trouble is most prevalent in the
place where the flies are most numerous. In the desert, where Hies are absent,
eyes as a rule are unaffected. He made an examination of the Hies captured
upon diseased eyes and found on their feet bacteria which were similar to
those found in the conjunctival secretions. Flies captured in Egypt swarm-
ing about the eyes of'" ophthalmia patients and sent to Washington, D. C.,
were identified as Musca domestica.
FIG. 108. Segment of intestine (inside out) of fowl infested with numerous
tapeworms, Choanotaenia infundibulum.
FLY CONTROL
Fly control. Effective fly control is based on a knowledge of the habits
and life history of the particular offending species. First find the hreeding
places and then apply the appropriate remedy. The presence of flies
always denotes defective sanitation, particularly in the disposal of ma-
nures, garbage, sewage, slops, food wastes, ensilage, brewer's grain,
spent hops, wet mash, dead animals, etc. The prevention of fly breeding
requires good housekeeping practices in a broad sense.
Rural fly control. Since the principal rural breeding places of house-
flies are usually in and about barns and stables, particular attention must
be paid to these as well as to barnyards and corrals, with speCial reference
to the disposal of manures and the prevention of accumulations of
manure in the stable. Concrete floors permit proper cleaning of stalls.
In constructing a concrete floor, provision must be made for carrying
away the animals' urine and the water used in cleansing the floors and
HOUSEFLIES SS9
stalls; the stall Hoors should be given a one-inch drop from the manger
to the manure gutter, which latter should be "6 inches deep and 14
inches wide. In order to facilitate the drainage of the liquids a 3-inch
U-shaped channel is sometimes made in the bottom of the gutter next
to the manure alley, but this is not necessary where a slope is given the
gutter bottom. The gutter should be given a uniform fall of 3 inches to
100 feet, and the Hoor of the manure alley should have a slope towards
the gutter of 1 inch to 10 feet. A small watertight liquid manure cistern
may be provided outside the barn into which the gutter drains, but if a
manure shed is used, the cistern should be in the shed. The gutter should
be connected to the cistern by means of a drain pipe effectively trapped
like the soil pipe in a house and so arranged that the trap may be easily
cleaned."34
Concrete stall Hoors should be covered with wood to prevent animals
from coming in direct contact with the concrete. The super-Hoar should
be so made that it can be lifted while the concrete is being cleaned. If
the crevices of the wood Hoor are not also frequently cleaned, Hy larvae
will develop in these also.
Manure wastage. Piling manure in a barnyard results in a loss of
manurial value due to leaching and fermentation, estimated at from 25
to 50 per cent. The Cornell University Experiment Station has carried
on investigations which show the loss of valuable plant food when
manure is disposed of in the usual exposed manner for six months. When
the manure was tested, it was found that the horse manure had lost 57
per cent and the cow manure 49 per cent in gross weight, and the loss
in value based on plant food (nitrogen, phosphorus, and potassium)
amounted to 65 per cent for the horse manure and 23 per cent for the
cow manure. When manure wet with urine is thrown from the stable
on to the heap it contains about 75 per cent water which holds most of
the plant food. Exposed to leaching rains and weather the liquid sinks
into the ground beneath or Haws away. Thus not only does the barnyard
manure pile result in flies but also in a loss to the farmer.
Manure disposal. Wherever manure is piled up and accessible to flies,
these insects are afforded opportunity to breed. As stated before, it
requires only about four days for the larvae to reach full growth, after
which they begin to migrate into the drier portions of the heap and
crawl out into nearby debris, beneath platforms, etc. It is therefore
imperative, if fly breeding is to be prevented, that manure be properly
handled at once.
Under ordinary rural conditions it would seem possible to remove
the manure to the fields every two or three days. For this purpose a cart
may be backed up against the stable doorway, and the manure may be
thrown in, carted away to a field, and scattered. This saves much time in
340 MEDICAL ENTOMOLOGY
handling and is sound agricultural practice. Since moisture and warmth
are both necessary for the production of fly larvae, the scattered manure
cannot serve this purpose.
According to the Wisconsin Bulletin No. 221 "Manure is never so
valuable as when perfectly fresh, for it is impossible under the best sys-
tem of management to prevent all loss of its fertilizing ingredients. For
this reason, whenever possible, the manure should be hauled directly to
the field and spread. The system saves time and labor as it involves
handling but once. The manure will be leached by the rain and snow,
nevertheless the soluble portion will be carried into the soil, where it is
needed. When spread in a thin layer, it will not heat, so there will be no
loss from hot fermentation, and where manure simply dries out when
spread on the ground, there is no loss of valuable constituents."
A manure spreader is a valuable part of farm equipment. Farmers
and gardeners who wish to use "rotted" manure for fertilizing purposes
should compost it; few flies breed in "rotted" manure. Fresh manure may
also be placed in trenches and covered with lime and earth or it may be
stored in fly-tight composting pits.
Composting pits. Composting pits are frequently maintained on coun-
try estates and truck gardens where quantities of rotted manure are used
for fertilizing purposes. Such pits are usually made of concrete and
covered with wood, all carefully constructed to exclude flies and mos-
quitoes, which latter may breed in the liquids collected in the sump.
A properly constructed composting pit makes it possible to preserve the
urine, which is very valuable in addition to the more solid excreta.
A cross section of a composting pit is shown in Figure 109. In this
case a pump is indicated by means of which the urine and water are
pumped out of the sump and returned to the manure from time to time.
Water should be applied to the manure occasionally to prevent burning,
which may destroy much of the value of the fertilizer.
The size of the pit depends also on the number of horses stabled.
A pit such as is shown in the figure, with a length of 60 feet, ought to
store the manure from 10 horses for a period of six months.
Close packing. The following description of close packing is from
Austen (loe. cit.), who states that the essence of this method is the
utilization of the natural heat of fermenting manure for the destruction
of the eggs, maggots, and pupae (if present) of the housefly:
For close packing (a method introduced in 1915 by Lieut.-Colonel S. A.
Monckton Copeman) an area of hard, level ground, at least three or four
feet greater in extent each way than the ultimate size of the intended dump,
must be selected or prepared to receive the manure. On this, each day's
manure is utilised in forming or adding to a compact rectangular block, which
may be of any desired dimensions horizontally, but for convenience of treat-
HOUSEFLIES 341
ment should not exceed five feet in height. Each load of manure 011 being
added to the dump must be pressed down firmly with shovels, and if the
weather be dry should be sprinkled slightly with water; finally the sides,
which should be somewhat sloping, must be beaten and smoothed down with
the shovel. . . . It was found by Colonel Copeman that, four inches beneath
the surface of a heap of fresh stable manure treated in this way, the heat pro-
0
duced by fermentation may be as much as 169 F, though housefly maggots
0
are speedily killed at temperatures only slightly above 114.8 F. It should
'",
.'"
One ounce of borax to one cubic foot of manure will kill 90 per cent or
more of the larvae and inhibit the eggs from hatching, provided it is applied
in solution, and the larvae and eggs come in contact with it. It was figured out
that the average output from one horse is one and one-half cubic feet of
manure per day and that two and one-half gallons of water containing one and
one-half ounces of borax should penetrate all parts of this amount of manure.
In making treatments, it was noted that wet manure which had been soaked
by rains, or when located in low wet areas, was difficult to treat, for it was
next to impossible to make any additional water (by sprinkling) penetrate the
wet manure. When manure is in this condition, particularly in low wet areas,
and contains numerous larvae, it should be put on higher ground in order
that it may dry out somewhat; or a thick layer of gravel or cinders placed
under the manure in wet low areas will help considerably. Manure treated
with borax is detrimental to some plants when the manure is used as a fer-
tilizer, but, as far as known, it will not injure plants provided one does not
use over 15 tons of treated manure (not over one pound of borax for every
16 cubic feet) to the acre.
1. Clean up fly breeding places, such as manure piles, hay and straw
stack bottoms, weed piles, and other decaying plant and animal materials.
Scatter on the fields every 3 days for greatest fertilizer value.
HOUSEFLIES
2. Treat outdoor toilets and manure piles with borax (11 ounces ill 10
gallons of water on each day's accumulation for 10 animals). These places
may be sprayed every 7 days with a 2lh per cent DDT spray to accomplish
similar results.
3. Spray inside walls of an all farm out-buildings housing livestock or live-
stock products with 2lh per cent DDT (2 pounds 50 per cent DDT wettable
powder in 5 gallons of water). Apply at the rate of one gallon per 1,000
square feet of surface. Dairymen should check with local milk inspector be-
fore applying this formula in the milk house. Some inspectors require DDT
emulsion or oil spray in such places.
4. Spray cattle every two weeks or as often as necessary. Use one pound
of 50 per cent DDT wettable spray powder in ten gallons of water for early
sprays. Increase to two pounds of 50 per cent DDT wettable powder in five
gallons of water when flies are found on legs and bellies of cows. Use 1 to 2
quarts of spray per animal.
presentation (1948) points out that in the conduct of the most effective
and economical community fly-control programs both preventive and
insecticidal measures are essential. He states that too much emphasis
cannot be placed upon preventive measures. These are incorporated in
what are known as standard environmental sanitation practices. How-
ever, such practices must be specific and directed toward the abatement
of all fly-breeding situations in so far as possible. In agricultural com-
munities stables, corrals, and feed pens may be fly-breeding hot spots;
the outdoor toilet (privy) may be a contributing factor; garbage and
community garbage dumps may also contrib\lte flies; these situations are
all amenable to relatively simple sanitary and insecticidal procedures.
However, according to Rowe, some of the most vexing fly problems in a
community are created by the haphazard dllmpage or the careless dis-
posal of industrial end-products and wastes. Maior fl.y-breeding foci are
often created around stockyards, stock feeding pens in connection with
beet-sugar refineries, abattoirs, hide and tallow plants, canneries, food
and milk processing plants, et cetera. Vast numbers of flies-houseflies,
blowflies, pomace flies, etc.-may be produced in the accumulated wastes
and contaminated soil around the plants. Special study must be given to
each situation and a practical remedy should be employed that is adapt-
able to each; the program should aim at elimination of the problem
whenever possible rather than at insecticidal treatment. Fly problems
are man-made.
DDT has been the insecticide of choice for community Hy-control
programs in the United States, primarily because of its residual value in
the destruction of adult flies. The housefly lends itself particularly well
to the lethal effect of residual DDT in that it spends much of its life
resting or walking on surfaces which may be readily treated. The lethal
dose of DDT for an average size housefly is a tenth of a microgram,
according to Douglas.37
Three types of DDT sprays have been used, namely, emulsions, solu-
tions, and wettable powder suspensions, with little difference in effective-
ness. Because of the so-called "fire hazard" kerosene or other oil solutions
are seldom used. For all-around uses, inside and outside, the emulsion
type seems to be most suitable. The residuill efficiency of emulsions in
general is rather high as compared with solutions, and they leave little
objectionable residue. There should be a minimum residue of 200 milli-
grams per square foot. Douglas (loc. cit.) believes SOO milligrams is
better and in some situations even 400 to 500 milligrams is actually a
desirable residue. He states that a 200-milligram residue has an effective
residual life of 95 days, and 400 milligrams 110 days. One gallon of 5
per cent DDT spray to 1,000 square feet of surface gives the minimum
346 MEDICAL ENTOMOLOGY
of 200 milligrams of residue. Slick surfaces require an increase of the
spray to 7.5 per cent. Application should be with a hand-compression
sprayer or power sprayer giving a wetting spray in a uniform fan-
shaped pattern. The principal resting places of flies should be covered,
such as ceilings, around cracks and crevices, along edges of ceilings,
doorways, and furniture. Electric and switch cords should be painted or
sprayed. The United States Public Health Service warns: Keep food
and water containers covered after spraying the room. Flies fall into them
as DDT takes effect.
DDT-resistant houseflies. Evidence in support of observations made
in many parts of the country that houseflies may be developing resistance
to DDT has been accumulating steadily. Lindquist and Wilson 38 by
selective breeding produced a strain of houseflies that was more resistant
to DDT spray than were flies from their regular stock. About 10 per cent
of the Hies survived the initial "fine-mist spray" treatment, and these
were used as the parent stock in establishing a new "special" colony.
Each of 14 generations of flies was similarly exposed to treatment, and
the survivors were allowed to propagate. The average mortality as the
result of tests with the 14th generation was 69 per cent for the original
strain of flies and 34 per cent for the selected flies.
That this resistance of the flies is not due to a deterioration of DDT
under normal storage conditions has also been proved by tests. It is also
unlikely that flies have changed their habits of alighting on surfaces;
flies have been observed to alight on treated surfaces without toxic effect.
Several other factors may enter into the probable cause of increased
fly populations in spite of DDT treatments, e.g., apparent failures came
during extremely hot weather; DDT is said to be most effective in cool
weather. Also careless use of DDT or inadequate treatment may be a
factor. Certainly the wide use of DDT has resulted in a relaxation of
sanitary practices, thus causing increased populations of flies.
No doubt satisfactory fly control will be achieved in many areas
where proper DDT formulations are carefully applied and sanitation
practices are rigidly adhered to. Much experimental work is being done
with other insecticides, particularly now that fly control has been widely
demonstrated. Among the promising insecticides is benzene hexachloride
wettable powder, 12 per cent concentration at a dosage of 17 pounds
in 100 gallons of spray (Marsh and Metcalf).
Garbage cans. Where garbage cans are used, and certainly every
household should possess a garbage receptacle that is kept tightly closed
against flies, it is strongly urged that all liquids be drained from the
refuse before disposing of it and that the solids be wrapped in a news-
paper before placing in the can. Keep the can clean. In this way fly
breeding in garbage cans may be effectually prevented, and an act of
HOUSEFLIES 347
mercy is done the scavenger and other handlers of garbage. It is a good
practice to spray the outside of the garbage can and the rack on which
it stands every week or two with a 5 per cent DDT oil solution.
Use of manure on lawns. Veritable swarms of flies may suddenly make
their appearance on porches and windows and in the house after com-
paratively fresh manure has been spread on lawns as fertilizer. Such
manure is commonly infested with full-grown maggots or pupae which,
in a few days after the fertilizer has been applied, give rise to a pest of
flies. It is, no doubt, wise to use old composted manure for this purpose
or subject the manure to a thorough steaming or drenching with hot
water at 195 0 F (nearly boiling) before applying it to the lawn.
Two objections are commonly raised against the steaming or drench-
ing method of treatment: first, that the useful bacteria are destroyed,
i.e., the manure may be rendered sterile; and second, that all other de-
sirable constituents are leached out by the water. Not all of the useful
bacteria, by any means, are destroyed by the hot water, and those re-
maining quickly multiply and soon render the manure as good as ever
in this respect. In the second place, the leachings may be preserved quite
easily by placing the manure to be treated in a shallow, tight box similar
to those used by plasterers for mixing mortar, and adding a spigot in a
hole with plug from which the leachings can be drawn and used as
liquid manure.
This method is also useful to mushroom growers who must use rotted
manure in which certain species of fly larvae, mites, etc., may occur in
great numbers.
Railroad cars laden with manure are often sidetracked in or near
communities and are responsible for swarms of flies. The writer has on
several occasions recommended that the periphery of the entire carload
be subjected to a treatment of live steam from the locomotive. This has
been done with good results.
Lawn clippings. Grass clippings from lawns around public buildings
are often dumped in heaps on the premises. Hot weather soon produces
a vile-smelling, decomposing, warm mass of grass which is very attractive
to flies, and within a few days numerous maggots, particularly those of
the housefly, may be found infesting the mass. Thus, again, in spite of the
absence of manure and garbage there may be a veritable plague of flies.
The method of prevention is obvious: the clippings should be spread
out thinly in order to dry out, and they may then be burned or otherwise
disposed of.
Flies from septic tanks. Small invasions of flies may be traced to
nearby septic tanks covered with knotty or imperfect wood superstruc-
ture which permit ingress of flies. Flies may be seen coming and going
through these apertures, and examinat!on of the top sludge will reveal
348 MEDICAL ENTOMOLOGY
countless maggots and pupae on the surface. Closing the knot holes or
other apertures with tin or otherwise will soon end the trouble.
Sewage treatment plants. Flies of many species, notably the common
housefly and blowflies, may be attracted to sewage treatment plants be-
cause of odors; and occasionally under improper management countless
numbers of flies originate in sludge beds at the end of the treatment
process. There may also be much fly breeding in wet sludge when this
is applied to the soil as a fertilizer. The control of a breeding source of
this kind may be accomplished by deep plowing and, of course, dis-
continuance of the use of wet sludge as a fertilizer.
FIG. 110. A sanitary privy: front view to left, rear and side view to right.
(After Stiles and Lumsden.)
Sewage treatment plants of modern construction do not as a rule
breed flies. However, under all circumstances raw sewage must not be
accessible to flies because of possible transport of pathogenic organisms
of fecal origin. Sewage-works engineers suggest that fly breeding may be
effectively prevented by quick drying of sludge. Chemical treatment of
sludge is not generally favored, although spraying screenings with a
solution made of one and a half pounds of pure carbolic acid and 40
pounds of caustic soda in 60 gallons of water has been recommended to
stop fly breeding. The use of DDT as suggested in community fly control
is recommended.
Privies. In the absence of modern plumbing particular attention
should be paid to the location and construction of a box privy with
receptacle or dug pit. No doubt many gastrointestinal disorders are
traceable to insanitary privies. Two important precautions are involved:
HOUSEFLIES 349
first, selection of a location which will avert pollution of wells or other
water supply; and second, choice of a type of construction which will
prevent flies from gaining access to the excreta and will insure privacy.
A sanitary privy (Fig. no) must meet the following requirements,
according to Stiles and Lumsden: 39
(1) The excreta must not touch the ground; hence some kind of water-
tight receptacle (box, pail, tub, barrel, tank, or vault) for the excreta must
be used under the seat. (2) Domesticated animals must not have access to
the night soil; therefore the privy should have a trapdoor in the back to ex-
clude them. (3) Flies and other insects must not have access to the excreta;
therefore the entire privy must be made rigidly flyproof, or some substance
must be used in the receptacle to protect the contents from insects.
Where the excreta are deposited in a pit or cesspool great care must
be exercised in banking up around the outside of the building so as to
prevent flies from gaining access to the pit. Borax applied to the excreta
as suggested for manure is an added precaution to kill fly larvae. Paradi-
chlorobenzene and orthodichlorobenzene are similarly useful. Also the
liberal use of a 5 per cent DDT-oil emulsion spray is urged for applica-
tion to all parts of the privy, inside and out, particularly the inside walls
of the box seat. DDT does not kill the fly larvae.
If the privy is built on skids or can be otherwise easily moved, in
addition to the treatment mentioned above, the accumulated excreta
should be burned from time to time by adding straw and crude oil and
setting them aflame. If sufficient water is available, the country home
should be equipped to receive the sewage.
Fly traps. Fly traps, properly baited, are useful in making fly surveys
for fly density data; however, other more valuable techniques to measure
active fly populations have been devised, such as "bait cards" and "fly
grills."40
BIBLIOGRAPHY
1. Hewitt, C. Gordon, 1910. The Housefly, Manchester, England: The
University Press, xiii + 195 pp.
2. Howard, L. 0., 1900. "A contribution to the study of the insect "fauna
of human excrement," Proc. Wash. Acad. Sc., 2:541-604.
3. Dunn, L. H., 1923. "Observations on the oviposition of the housefly,
Musca domestica, in Panama," Bull. Entomolog. Research, 13:301-5.
4. Herms, W. B., 1911. "The housefly in its relation to the public health."
Berkeley: Univ. Calif., in Agric. Exper. Sta. Bull., no. 215. pp. 513-48 (16
figs.).
5. - - , 1907. "An ecological and experimental study of Sarcophagidae,
J. Exper. Zool., 4:45-83.
6. Hodge, C. F., 1911. In Nature and Culture, July, 1911.
350 MEDICAL ENTOMOLOGY
7. Copeman, S. M., Howlett, F. M., and Merriman, G., 1911. "Flies as
Carriers of Infection," in Reports to the Local Government Board on Public
Health and Medical Subjects, London, n.s. no. 53, Report no. 4.
8. Parker, R. R., 1916. "Dispersion of Musca domestica Linn. under city
conditions in Montana," ]. Econ. Entomol., 9:325-54.
9. Austen, E. E., 1926. "The housefly: Its life history, etc.," London:
British Museum (Natural History) in Economic Series no. lA 2nd Ed., pp. 5-
52. .
10. Hall, David G., 1948. The Blowflies of North America. Thomas Say
Foundation of Entomolog. Soc. Amer. vol. 4, 477 pp.
11. Aldrich, J. M., 1916. Sarcophaga and Allies in North America. Thomas
S'lY Foundation of Entomolog. Soc. Amer. 302 pp. (16 plates).
12. Herms, W. B., 1911. The Photic Reactions of Sarcophagid Flies, etc.
Cambridge: Harvard Dniv. in Contributions from Zool. Lab., Museum Compo
Zool., No. 217.
13. Dorman, S. C.; Hale, W. C.; and Hoskins, W. M.; 1938. "The
laboratory rearing of flesh flies and the relations between temperature, diet, and
egg production," ]. Econ. Entomol., 31:44-51.
14. Herms, W. B., 1928. "The effect of different quantities of food during
the larval period on the sex ratio and size of Lucilia sericata Meigen and
Theobaldia incidens Thom.," ]. Econ. Entomol., 21:720-29.
15. Esten, W. N., and Mason, C. J., 1908. "Sources of Bacteria in Milk,"
Storrs Agric. Exper. Sta., Bull., no. 51, pp. 94-98.
16. Yao, H. Y.; Yuan, I. c.; and Huie, Dorothy; 1929. "The relation of
flies, beverages, and well water to gastrointestinal diseases in Peiping," Nat.
Med. ]. China, 15:410-18.
17. Graham-Smith, G. S., 1911. "Further observations on the ways in
which artificially infected flies carry and distribute pathogenic and other bac-
teria," in Reports to the Local Government Board on Public Health and
Medical Subjects, London (n.s., no. 53, further reports no. 4) pp. 31-48.
18. Nuttall, G. H. F., and Jepson, F. P., 1909. "The part played by Musca
domestica and allied (non-biting) flies in the spread of infective diseases,"
in Reports to the Local Government Board on Public Health and Medical
Subjects, London n.s., no. 16.
19. Leidy, Prof., 1871. "Flies as a means of communicating contagious
diseases," Proc. Acad. Nat. Sci. of Phila., p. 297.
20. Jordan, Edwin 0., 1908. A Textbook of General Bacteriology, Phila-
delphia: W. B. Saunders Co. 557 pp.
21. Faichnie, N., 1929. "The etiology of enteric fever: Personal views
and experiences," ]. M. A. S. Africa, 3:669-75.
22. Gill, C. A., and Lal, R. B., 1931. "Epidemiology of cholera, with
special reference to transmission: A preliminary report," Indian]. Med. Re-
search, 18:1255-97.
23. Paul, J. R., and Trask, J. D., 1941. "The virus of poliomyelitis in stools
and sewage," ]. A. M. A., 16:493-98.
24. Sabin, A. B., and Ward, R., 1941. "Flies as carriers of poliomyelitis
virus in urban epidemics," Science, 94:590-91.
HOUSEFLIES 351
25. ---, and ---, 1942. "Insects and epidemiology of poliomyelitis,"
Science, 95:300-301.
26. Nicoll, William, 1911. "On the part played by flies in the dispersal
of the eggs of parasitic worms," in Reports to the Local Government Board
on Public Health and Medical Subjects, London n.s. no. 53, further reports
(No.4) on flies as carriers of infection.
27. Roubaud, E., 1918. "Le role des mouches dans la dispersion des amibes
dysentriques et autre protozoaires intestinaux," Bull. Soc. path. exot., 11 :166-
71.
28. Root, F. M., 1921. "Experiments on the carriage of intestinal protozoa
of man by flies," Am. J. Hyg., 1:131-53.
29. Darling, S. T., 1912. "Murrina, a trypanosomal disease of horses in
Panama, and the means used in controlling an outbreak," Tr. 15th Internat.
Congo Hyg. & Demog., Washington, 5:619-31.
30. Ransom, B. H., 1913. The Life History of Habronema muscae (Carter),
a Parasite of the Horse Transmitted by the Housefly. Washington, D. C.: Dept.
Agric., in Bur. Animal Indust. Bull, no. 163. 36 pp.
31. Grassi, B., and Rovelli, G., 1889. "Embryologische Forschungen an
Cestoden," Centralbl. f. Bakt., 5:370-77, and 401-10. Cited by Gutberlet.
32. Gutberlet, J. E., 1916. "Morphology of adult and larval cestodes of
poultry," Tr. Am. Micr. Soc., 35:23-44 (2 plates).
33. Reid, W. M., and Ackert, J. E., 1937. "The cysticercoid of Choano-
taenia infundibulum (Bloch) and the housefly as its host," Tr. Am. Micr. Soc.,
56:99-104.
34. Dolve, R. M., 1912. Barn Plans. State College: North Dakota Agric.
ColI., Govt. Agric. Exper. Sta. of North Dakota, in Bull. no. 97. 57 pp.
35. Michelbacher, A. E., and Smith, Gordon L., 1946. "Control of flies in
dairy barns," Berkeley: Univ. Calif., in Agric. Exper. Sta. Circular, no. 365,
pp. 94-96.
36. Rowe, John A., 1948. "Fundamentals of community fly control," Proc.
and Papers, 16th Ann. Conf. Calif. Mosq. Control Assn. (Berkeley), pp. 11-14.
37. Douglas, James R., 1948. "Controllable noxious arthropods, other than
mosquitoes, affecting man and animals," Proc. and Papers 16th Ann. Conf.
Calif. Mosq. Control Assn. (Berkeley), pp. 14-16.
38. Lindquist, Arthur W., and Wilson, H. G., 1948. "Development of a
strain of houseflies resistant to DDT," Science, 107:276.
39. Stiles, C. W., and Lumsden, L. L., 1911. The Sanitary Privy. Washing-
ton, D. c.: Dept. Agric., in Farmers' Bull., no. 463. 32 pp.
40. Scudder, H. I., 1947. A new technique for sampling the density of
housefly populations. U. S. Public Health Service, Pub. Health Rep. 62:681-
86.
CHAPTER XVI
.~.
A. TSETSE FLIES
Introduction. The genus Glossina, a member of the family Muscidae,
comprises the tsetse flies of Africa. The genus was established in 1830
by Wiedemann, and in the same year Robineau-Desvoidy described
Glossina palpalis. Bequaertl states that the word "tsetse" was introduced
into the English language by R. Gordon Cumming in 1850 in his "Five
Years of a Hunter's Life in the Far Interior of South Africa," and David
Livingstone in 1857 "focussed the attention of the scientific world upon
the ravages of the fly."
That tsetse flies enjoyed a wide distribution in geological times is
evidenced by the fact that several species of fossil Glossina flies from
the Miocene shales of Colorado, U.S.A., have been described. Today
the tsetse flies are restricted to continental Africa south of the Tropic
of Cancer, an area known as "the fly belt." Buxton 2 states that the tsetses
hold an area of about 4~ million square miles and are an immense
obstacle to the development of tropical Africa.
Adult tsetse flies (Fig. Ill), both male and female, depend on blood
for their existence, and while they feed on a wide variety of animals,
there are host preferences among the different species. Although man is
freely attacked, he is not considered a favored host. In areas where large
wild mammals have been decimated, the flies tum freely to man. Gloss-
ina palpalis (R.-D.) favors reptiles, particularly crocodiles and monitor
lizards.
Students concerned with tsetse flies will consult the publications of
2
Buxton, Austen and Hegh 3 (1922), Newstead 4 (1924), Hegh 5 (1929)
6
Swynnerton (1936), as well as those other authors which cover particu-
lar segments of the subject, e.g., the work of Bequaert (1946)7 which
deals with the tsetse flies of Liberia.
General characteristics. The tsetses are medium-sized flies, ranging in
352
BLOODSUCKING MUSCOID FLIES 353
size from that of a housefly to that of a blowfly. They are brownish in
color; the body is wasp-like, and the wings when at rest are crossed
scissors-like and extend well beyond the tip of the abdomen. The wing
venation is characteristic in that the fourth longitudinal vein (MH 2)
bends suddenly upward before it meets the anterior transverse vein,
which is very oblique (Fig. Ill). The dis cal cell is remarkably "cleaver-
like" in outline.
The palpi are nearly as long as the proboscis, which points bayonet-
like in front of the head. The antenna 1 arista (Fig. 112) bears a series of
long bilaterally branched and regularly arranged hairs only on the
upper surface. Griinberg 8 attached taxonomic value to the aristal hairs.
The mouth parts consist of the labium which ensheathes the two slender
piercing stylets, the labrum-epipharynx, and the hypopharynx. A charac-
teristic "onion-shaped" bulb is situated at the base of the haustellum
(Fig. 113). Both sexes are avid bloodsuckers, feeding usually in broad
daylight and outdoors. They are particularly attracted to moving ob-
jects.
Life history. The female tsetse fly gives birth to full-grown larvae
which are extruded singly at intervals of about 10 to 12 days during
the lifetime of the mother. During the intrauterine state (there are
three larval stages) the larvae feed on fluid from special glands com-
monly referred to as "milk glands." The newly extruded larvae are
creamy white to pale yellow and have a pair of intensely black, shining
lobes at the posterior extremity. After each larviposition at least one full
meal of blood is needed before the next larva begins to develop, eight
to ten being produced during the life of the female.
The larvae are unable to crawl as do other muscoid larvae because
354 MEDICAL ENTOMOLOGY
of the reduced cephalopharyngeal armature. Lewis" paints out that the
larva moves and burrows by peristaltic movements and longitudinal
contractions of the whole body. Coarse pebbly sand favors the larvae
in burrowing, although a depth of only a few centimeters is reached .
The behavior of the larva at this time, Lewis points out, is of great
importance in determining its chances of survival. "If it is slow to pene-
trat e the soil, it is exposed for a longer period to the possible attack of
predators and parasites." Pupation takes place within an hour of larvi-
112 Ilg
FIG. 112. Antenna of a Glossina fly, shOWing arista with branched hairs.
(Much enlarged.)
FIG. 113. Mouth parts of a Glossina fly. X 17.
position. The pupa rapidly darkens to a blackish brown color with the
posterior lobes and general form as shown in Figure 114. The pupal
stage lasts from three to four weeks and longer, depending much on soil
temperature and soil moisture . A great deal of work has been done on
the ecology of the puparium (Nash'O).
The fly emerges from the puparium by breaking loose the end of the
pupal case by pressure from the ptilinum. The flies are said to have a
striking dislike for excrementous matter, and the . larvae are ordinarily
depOSited in the root tangles of the mangrove and shade of other vegeta-
tion where the soil is not too dry and is loose. The presence or absence
of organic matter seems to be immaterial (Nash).
Trypanosomiasis. The tsetse flies are important vectors of trypano-
somes. The term trypanosomiasis applies to all infections with flagellate
BLOODSUCKING MUSCOID FLIES 355
protozoan parasites of the genus Trypanosoma and includes African
sleeping sickness. The Trypanosoma belong to the class Mastigophora,
order Protomonadida, family Trypanosomidae; they invade the blood,
lymph, cerebrospinal fluid, and various organs of the body, such as the
liver and spleen of many species of vertebrate animals, from fish to man.
Many species of trypanosomes are regarded as nonpathogenic. Nearly
all of the Tryanosorna require an intermediate insectan host.
The first trypanosome was discovered by Valentin in 1841 in the
blood of the salmon. The name Trypanosoma l ! was given to these organ-
isms by Gruby in 1842-43. Attention was not called to trypanosomes of
mammals until the work of Lewis in 1878 on the parasites [Trypanosoma
lewisi (Kent) J of the blood of the rat in India." After that followed the
B. STOMOXYS FLIES
Family Muscidae, Genus Stomoxys
General characteristics. Owing to similarity in color and size the
stomoxys fly is often mistaken for the common housefly Musca domestica
Linn. However, the former is more robust and has a broader abdomen .
. In color it is brownish gray with a greenish-yellow sheen; the outer of
the four longitudinal thoracic stripes are broken, and the abdomen is
more or less checkered. The wings when at rest are widely spread apart
at the tips, and are distinctly iridescent; the apical cell is open. When
resting the fly has its head thrown well up and the wings slope decidedly
toward the surface upon which it has settled. The probOSCis protrudes
bayonet-like in front of the head. The antennal aristae, unlike those of
the housefly, bear setae on the upper side only. Stomoxys calcitrans
(Linn.) enjoys practically a world-wide distribution.
Habits. Although the stomoxys fly, Stomoxys calcitrans (Linn.), is
commonly called the "stable fly," it occurs much less abundantly (often
absent) about stables than does the housefly. It is also called the "biting
housefly," since it may occur indoors, especially in the autumn and
during rainy weather, and bites human beings Viciously. It is often very
annoying along the sandy vegetation-strewn shores of lakes. Recently
BLOODSUCKING MUSCOID FLIES 361
the name "dog fly" has become attached to this species. The stomoxys
fly is typically an out-of-door day-biting fly and is usually to be found
in abundance during summer and autumn \\There large numbers of
domesticated animals occur, horses and cattle affording an abundant
food supply. This species does not breed in eXCrement as freely as does
the housefly. Sunny fences, walls, light-colored canvas coverings, and
FIG. US. Feed racks for dairy cattle aHord ali ideal breeding place for
stomoxys flies in that the moist lower layers of material in the trough furnish
abundant food for the larvae.
light objects in general, when in the proximity of: animals, are abundantly
frequented by stomoxys flies.
The stomoxys fly is a vicious "biter" which (haws blood quickly and
fills up to full capacity in from three to four mi~1Utes if undisturbed; but
ordinarily even when undisturbed it changes pC)sition frequently or flies
to another animal, where the meal is continued. This fly feeds readily
on many species of warm-blooded animals, fC)r example, rats, guinea
pigs, rabbits, monkeys, cattle, horses, and marl. Both sexes are blood-
sucking. The flight of the stomoxys fly is direct and swift. It may travel
many miles.
362 MEDICAL ENTOMOLOGY
Breeding habits and life history. Although the stomoxys fly can be suc-
cessfully reared in the manures of horses, cattle, sheep, etc. , it may be
safely said that it does not breed commonly in excrement uuder field
conditions unless this is well mixed with straw or hay. Very good breed-
ing places are afforded by the leftover soggy hay, alfalfa, or grain in the
bottoms of or underneath out-of-door feed racks (Fig. 115) in connec-
tion with dairies, feed lots, etc. This material becomes soggy and fer-
ments, and here practically pure cultures of stomoxys larvae may be
found. The material must be moist; dryness prevents larval development.
Piles of moist fermenting weeds and lawn cuttings also furnish fairly
good breeding material. Piles of decaying onions have been found by
the writer to harbor myriads of larvae late in the autumn. Old straw
piles that remain in the field through the year may produce an abun-
dance of stable flies in the moist fermenting straw near the ground,
Pupa Adult
:\ ot in sa me scale
FIG. 116. Life cycle of the stable fly, Stomoxys calcitrans. x2. (Photograph by
H. F. Gray.)
particularly if cattle have access to it and moisten it with urine. Moist
piles of fermenting peanut litter produce large numbers of these flies, as
do beach deposits of grasses along the Florida coast. The author has
also noted this along the southern shores of Lake Erie.
The larvae of stomoxys and of the housefly can readily be differenti-
ated by the form, size, and position of the posterior spiracles; otherwise
they resemble each other closely. The pair of posterior spiracles of the
stomoxys larva are roughly triangular, widely separated, and situated
near the periphery, while in the housefly larva they are elliptical, quite
large, close together, and more central in position (Fig. 119).
The eggs (Fig. 116) of the stomoxys fly are about 1 mm long, curved
on one side, and straight and grooved on the opposite side. In depositing
her eggs the female fly often crawls far into the loose material, placing
them usually in little pockets in small numbers, often in pairs. Egg
depositions range in number from 23 to 102, usually between 25 and
50, and there are ordinarily four or five layings. Mayne (Mitzmain19)
BLOODSUCKING MUSCOID FLIES 363
found in his observations made in the Philippine Islands that the maxi-
mum number of eggs produced by a single Stomoxys is 632 and possibly
820 and that there may be as many as 20 depositions during the lifetime
of the female.
The incubation period varies from two to five days, commonly three
days, at a temperature of 26° C. Higher temperatures result in a shorter
incubation period. The newly hatched larvae bury themselves in their
food at once, thus protecting themselves against light and dryness. At
a temperature of from 21° to 26° C, the larvae reach full growth in
from 14 to 26 days. Mayne found that the larval stage averaged 12 days
at a room temperature of 30° to 31°C.
Before pupation the larvae usually crawl into the drier parts of the
breeding material, where the chestnut-colored pupae are often found in
enormous numbers. The pupae are from 6 to 7 mm long and may be
recognized by the posterior spiracles as in the larva. The pupal period
also varies, dependent largely on temperature. At a temperature of from
21 ° to 26° C, this period varies from 6 to 26 days, with the greatest fre-
quency between 9 days and 13 days.
At an average temperature of 29° C, Mayne found the pupal period
to average five days.
If not handicapped, the imago emerges with astonishing rapidity,
crawls away, unfolds its wings, and is ready to flyaway in less than
half an hour. The fact that the proboscis is temporarily attached be-
neath the thorax gives the newly emerged insect a very peculiar appear-
ance, and it may then be easily mistaken for a housefly.
Summarizing the life history of the stomoxys fly it may be said that
at a temperature of 21° to 26° C, the shortest periods are: egg, 2 days,
larva, 14 days, pupa, 6 days, total, 22 days; the average, egg, 3 days,
larva, 15 days, pupa, 10 days, total, 28 clays; and the maximum, egg, 5
days, larva, 26 days, pupa, 26 days, total, 57 days. The total time at
21 ° C, from the laying of the eggs to the emergence of the adults, was
from 33 days to 36 days, as observed in five individual cases. Mayne
reports the development of this fly in 12 days under optimum condi-
tions.
Copulation takes place within a week, and egg deposition begins in
about 18 days, after emergence from the pupa cases at a temperature
of from 21° to 26° C. Higher temperatures undoubtedly decrease this
time. In warmer parts of the world the stomoxys fly continues to breed
throughout the year, slowing up the cycle during the colder months.
Longevity. With approximately 4,000 flies under continuous daily
observation in glass quart jars, 50 flies to a set, the writer has found
that the average length of life of the stomoxys fly under favorable labora-
tory conditions of feeding (i.e., daily feedings on monkeys or rabbits)
364 MEDICAL ENTOMOLOGY
is about 20 days. The maximum life under these conditions was found
to be 69 days and several hours in a female.
Mayne has found the maximum for a female stomoxys fly to be 72
days and for the male 94 days.
The writer has observed that a set of flies which fed only on sugar
water deposited no eggs, although many of them lived 20 days or longer,
while control flies fed on blood did lay eggs. Hence it seems apparent
that the flies must have blood in order to develop eggs.
As a cattle pest. Bishopp20 regards this fly as one of the most impor-
tant sources of annoyance to livestock. Injury is brought about in various
ways, e.g., worry due to the attacks of myriads of flies, loss of blood,
and loss of flesh.
Freeborn, Regan, and Folger 21 have shown that the reduction in milk
production caused by the stable fly amounted to 9.26 per cent, which for
a five months' period means a loss of 50 gallons of milk, amounting to
$10 per cow per season. The total loss occasioned by the three dairy
cattle pests-houseflies, stable flies, and horseflies-amounted to 14 per
cent.
Poliomyelitis. The following is quoted from a report by Rosenau on
poliomyelitis, presented at the 1912 meeting of the International Con-
gress on Hygiene and Demography.22
Family Muscidae
Introduction. The so-called horn fly (also called Texas fly), which
torments cattle and horses (the latter to a less extent) in many parts of
North America is classified by some entomologists as Haematobia stimu-
lans Meigen (= irritans R.-D.) and by others as Lyperosia irritans Linn.
[= Haematobia serrata (R.-D.)]. In his description of the habits of
these flies in Europe, Hammer 26 states that Haematobia stimulans extends
farther north in Scandinavia and Russia than does Lyperosia irritans, the
latter occurring only in the southern portions of this area. Hammer re-
marks that L. irritans has adapted itself to milder climates with higher
temperatures. He also describes this species as attaching very closely to
cattle, only leaving the animals to oviposit; it spends both day and night
on the cows whether they are in the byre or in the field. H aematobia
stimulans leaves the animals at night and hides away among vegetation.
The horn fly with which we have dealt in California, where it is a severe
cattle pest, sticks close' to the cattle at all times; it also deposits large
reddish-brown (or yellowish-brown) eggs, while Hammer states that
Haematobia stimulans deposits white eggs. This insect is known as the
BLOODSUCKING MUSCOID FLIES 367
horn fly because it rests on the horns of cattle much of the time, particu-
larly at night, probably because they afford a safe resting place.
The horn fly was introduced into the United States from Europe,
where it has been an important cattle pest for many years. (See Ham-
mer, Zoc. cit.) According to the United States Bureau of Entomology and
Plant Quarantine it was first reported in the fall of 1887 from Camd~n,
N. J., appearing during the following year in Maryland and Virginia,
probably having appeared in Philadelphia in 1886, and by 1892 was
found over the entire continent from Canada to Texas and from Massa-
chusetts to the Rocky Mountains. California cattlemen state that it made
its appearance in this state in about 1893-1894. It appeared in Honolulu,
Hawaii, in 1897.
Characteristics. The horn fly is about half the size of the common
housefly, i.e., about 4 mm long. It has much the same color and in most
other respects resembles the stomoxys fly. The mouth parts (Fig. 117)
are like those of stomoxys except that the labium of the horn fly is rela-
tively heavier and the palpi, almost as long as the proboscis, are flattened
and loosely ensheath this structure. The arista is plumose dorsally. The
wing venation is as in stomoxys.
Horn flies appear early in the spring and become most abundant in
late summer and autumn. When the horn fly is at rest on an animal .or
elsewhere its wings lie flat on its back and fold rather closely, but
when it bites, the wings are spread and the insect stands almost per-
pendicularly, hidden between the hairs of the host. Apparently the
habit of resting at the base of the horns is only done when flies are
overabundant.
Life history. The horn fly deposits its eggs chiefly, if not exclusively,
on freshly passed cow manure. The fly is seen to dart from the animal
and deposits its eggs in groups of four to seven, or singly, on the surface
368 MEDICAL ENTOMOLOGY
of the dung. The eggs are relatively large (1.3 to 1.5 mm), larger than
the eggs of stomoxys; they are reddish brown in color, hence not easily
seen on the cow dung. Under laboratory conditions, at least, few eggs
are deposited by the females, rarely over twenty. At a temperature of
24° to 26° C, the eggs hatch in 24 hours.
The larvae burrow beneath the surface of the droppings, reaching
full growth in from three to five days, when they crawl underneath into
drier parts and pupate. The pupal period requires from six to eight days.
Hence the entire life history (Fig. 118) from the egg to the adult
requires from 10 to 14 days at a temperature of from 24° to 26° C.
Damage done. The damage occasioned by the horn fly is chiefly
through irritation and annoyance, which in dairy animals results in dis-
turbed feeding and improper digestion causing loss of flesh and reduced
milk production. Dr. James Fletcher estimated the loss in Ontario and
~ --~-~ -~ ----
-_.-:
,
FIG. 118. Life cycle of the "horn fly," Haenwtobia serrata.
BIBLIOGRAPHY
25. Sawyer, W. A., and Herms, W. B., 1913. "Attempts to transmit polio-
myelitis by means of the stable fly (Stomoxys calcitrans)," J. A. M. A., 41:461-
66.
26. Hammer, Ole, 1941. "Biological and ecological investigations on flies
associated with pasturing cattle and their excrement," Videnskabelige med-
delelser fra Dansk naturhistorisk forening, vol. 105, 257 pp.
27. Kriggsman, B. J., and Windred, G. L., 1933. Investigations on the
buffalo fly, Lyperosia exigua de Meij. Commonwealth of Australia: Council
for Sc. and Ind. Res., Pamph. 43. 40 pp.
28. Austen, E. E., 1909. Illustrations of African bloodsucking flies other
than mosquitoes and tsetse flies. London: Mus. Nat. Hist. 221 pp. + xiii plates.
CHAPTER XVII
._.
MYIASIS
POSTERIOR
SPIRACLES
PHAENICIA
SERICATA
CEPHALO-PHARYNGEAL SKELETON
PHAENICIA SERICATA
~ POSTERIOR SPIRACLES
~ CALLIPHORA VOMITORIA
CEPHALO-PHARYNGEAL SKELETON
PHORMIA REGINA
POSTERIOR SPIRACLES
PHORMIA REGINA
~
~
POSTERIOR CEPHALO-PHARYNGEAL
SPIRACLES SKELETON
POSTERIOR
SPIRACLES
STOMOXYS
CALCITRANS
FIG. 119. Taxonomic details used in the classification of muscoid fly larvae.
(Redrawn after various authors. )
which afford useful diagnostic characters. There are two stigmal plates
more or less separated from each other, within which are situated spir-
acles one to three in number, either slit-like, sinuous, or more or less
circular. A prominence known as a "button" is best seen in certain slit-
374 MEDICAL ENTOMOLOGY
like forms, as in Phaenicia (Lucilia) sericata (Meig.) (Fig. 119). The
button may be absent or variously situated depending upon the species,
hence has taxonomic value.
In using the posterior spiracles for purposes of classification the fol-
lowing characters are to be noted: (1) diameter of the stigmal plate, the
space occupied by one stigmal plate on a line drawn through the center
of both; (2) length, when slits are absent, the space occupied by a plate
on a line drawn dorsoventrally through the center of the plate; or, when
slits are present, the space occupied by a plate along a line drawn from
the lower edge of the button (or space if button is absent) through the
longest slit (middle slit) to the margin of the plate; (3) width, along
a line drawn at the middle of the plate at right angles to the length line;
( 4) distance between the plates; (5) general form of the plates; (6)
shape of spiracles; (7) presence or absence of button; (8) general struc-
ture of plate.
Intestinal myiasis. According to Braun and SeiferF at least 30 species
of fly larvae had been reported (1926) from cases of intestinal myiasis.
No doubt, other species have been added since. They are principally
members of the families Muscidae, Calliphoridae, and Sarcophagidae,
which commonly deposit their eggs or larvae on cold meat, cheese, and
other foods of man and are thus ingested. It is also suggested that the
flies may deposit their eggs in or near the anus, particularly in the use
of old-fashioned open privies. The larvae on hatching are believed to
make their way into the intestine.
Hoeppli and Watt (1933),0 experimenting with the larvae of C hry-
somya megacephala (Fabr.) and Phaenicia (Lucilia) sericata (Meig.),
secured results that agree with those obtained by Desoil and Delhaye
(1922) 4 with larvae of Calliphora vomitoria (Linn.) showing that fly
larvae of certain kinds as well as the eggs are able to resist the influence
of temperature, gastric juice, hydrochloric acid, and ferments in all the
concentrations occurring in the human stomach, but that the larvae are
very susceptible to mechanical injuries and to the obstruction of their
stigmata. Ample food for the larvae is provided by the intestinal contents
as well as the intestinal mucosa itself. On the basis of experiments with
dogs and cats which were fed fly larvae with their food, with the result
that no living larvae of any of the species were found either in the large
intestine or in passed feces of these animals, Causey5 (1938) remarks
that" . . . it is time to revise our discussion of intestinal myiasis in ac-
cordance with known facts."
The clinical symptoms of intestinal myiasis depend on the number
as well as the species of fly larvae and on their location in the intestine.
No doubt many instances occur in which living fly larvae are passed in
the stool without having caused any intestinal disturbance. In severe
MYIASIS 375
infestations there will be nausea, vertigo, and more or less violent pains
in the abdomen; diarrhea with discharge of blood may occur as the result
of injury of the intestinal mucosa by the larvae. Living and dead larvae
are expelled with either the vomit or stool, or with both.
An obstinate case of intestinal myiasis was reported by Herms and
Gilbert (1933). 6 The patient, Z. W., female, age 38 years, was first seen
April 26, 1930. Her chief complaints were attacks of nausea, vomiting
and diarrhea, nervousness, and joint aches. There were recurring attacks
of nervousness, vomiting, and diarrhea, and apparently rather frequent
hemorrhages from the bowels. The patient was considerably depressed at
times, and treatment was difficult because of lack of cooperation except
after she had had a bad spell. Because of the difficulty of obtaining stool
specimens, especially during the acute attacks, and in view of the fact
that it was felt that there must be other reasons for her condition, early
in the spring of 1931 during an attack of nausea with vomiting and
diarrhea the patient was kept for one entire day in the office under ob-
servation and stool and vomit specimens were obtained, both containing
the first larvae which were studied. During these attacks it was difficult
for her to obtain relief with fairly large doses of opiates. Following this
observation she was given santonin by mouth and colonic irrigations
containing thymol. Many larvae were recovered after this, all of which
were dead. Following the attacks of diarrhea the patient had a number
of severe hemorrhages. Tetrachlorethylene capsules were given by
mouth, but they caused gastric distress. In the hospital a duodenal tube
was passed and tetrachlorethylene was injected beyond the stomach. For
a few weeks there was apparent improvement, but the attacks recurred,
with the passage of larvae by vomiting and bowel discharge.
Three lots of fly larvae were studied in the laboratory, i.e.: March 31,
May 12, and July 28, 1931. Adult flies belonging to three genera, Call-
iphora, Phaenicia (Lucilia), and Sarcophaga, were reared from these
larvae.
The recurrence of violent symptoms with evacuation of larvae in
vomit and stools would ordinarily point to repeated infections, but the
fact remains that the patient as observed by her physician, the co-author,
lived in a way that would seem to preclude repeated infestations, and
the exposure of stools and vomit to flies is ruled out because of circum-
stances indicated in the case report. The authors have advanced a possi-
ble explanation based on the pedogenetic reproduction of fly larvae as
suggested by observations made by Parker (1922), 7 viz.: "The increases
led me to believe that Calliphora erythrocephala occasionally multiplies
in an unusual way, and that this way is not polyembryony but pedo-
genesis." In the case described there were certainly broods of very young
larvae at intervals, at which time also full grown larvae were present.
376 MEDICAL ENTOMOLOGY
Cheese skippers as agents. The larvae of the cheese fly, Piophila casei
(Linn.) of the family Piophilidae, frequently cause intestinal myiasis, as
they are able to pass through the digestive tract without injury. Sim-
mons s cites a number of instances indicating the frequency of their oc-
currence in the digestive tract of man. The adult flies measure from 2.5
to 4 mm in length; superficially they appear shining black, with reddish-
brown eyes and wings held flat over the dorsum when at rest. The eggs
are deposited on cured meats, old cheese, dried bones, smoked fish, and
many similar materials. The eggs hatch in from 30 to 48 hours at a
temperature of 65° F; the larval stage requires about 8 days, the pupal
about 12 days. These stages are greatly influenced by temperatures. The
larvae have the peculiar habit of curving the ends of the body together
and then suddenly springing to a distance of from three to six inches.
Soldier fly. A case of intestinal myiasis caused by the larvae of a
soldier fly, H ermetia illucens (Linn.) (Family Stratiomyidae ), is reported
by Meleney and Harwood. 9 This fly feeds mainly on flowers, and the eggs
are deposited on decaying fruits, vegetables, and animal matter. The
source of infection according to the authors was apparently raw fruit
or vegetables. The symptoms were local irritation in the stomach and
rectum, and spells of fainting. The patient was a boy of ten years. M. A.
Stewart informed the author that he observed a patient in Houston,
Texas, who continued to expel these larvae for several months.
Gastric myiasis. The frequency with which the "rat-tailed" larvae
of the drone fly Tubifera tenax (Linn.), occur in liquid excrement must
lead to extreme caution in accepting reports that these larvae have been
evacuated with discharges from the bowels. The writer has on several
occasions received specimens of "rat-tailed" larvae which were said to
have been evacuated by the "double handful" and the patient was said
to have "steadily improved" thereafter.
There are, however, several recorded cases which seem to be incon-
trovertible, notably the case reported by Hall and Muir,ID who also
brought together all information then available relative to Tubifera and
myiasis. The case referred to was that of a boy aged five years "who had
been ailing for about ten weeks and who had been under medical treat-
ment for indigestion and obstinate constipation for about five weeks at
that time. The child was emaciated and anemic. Very striking symp-
toms were the constant and pronounced twitching of the eyelids and
other nervous movements. He gritted his teeth in his sleep at times,
and made convulsive movements of the limbs. When awake he com-
plained of pain in the limbs and headache. The emaciation seemed to be
due to the fact that the boy had for some time vomited almost
everything he ate. The breath was very bad, 'worse than rotten eggs,'
according to his parents. On the basis of the nervous and digestive
MYIASIS 377
disturbance and the general debility, a diagnosis of worm infestation
was made."
With this diagnosis in mind the mother of the boy gave him a dose
of a proprietary worm remedy, resulting in the discharge of an object
wriggling round vigorously in the feces and urine. The slop jar into which
the stool was passed was in regular use and had been previously rinsed
with tap water and allowed to dry during the day. The specimen was
identified by the authors as one of the "rat-tailed larvae" measuring 3.2
cm. in length, including the long "tail." A second larva was said to have
been discharged the following day. The case is believed by the authors
to be probably a genuine case of "gastric myiasis."
After the ,passage of the larvae the child is said to have improved in
health and become normal; the nervous symptoms and vomiting disap-
peared.
Three chances for infection were painted out; namely, first, the eating
of "overripe" or probably decaying peaches in which "rat-tailed" larvae
might have occurred; secondly, the drinking of "ditch" water polluted
with kitchen refuse, etc.; lastly, stable manure in a neighbor's yard where
the child played.
The authors offer the following comment relative to the gastric dis-
turbances:
A larva supplied with the stigmatic apparatus of Eristalis would appar-
ently be fitted for life in a stomach with a small amount of food and plenty
of the atmospheric air which is swallowed in eating and drinking and at other
times. Such a condition would simulate the normal life conditions fairly
closely. That the stomach would not fill to the point where it would drown the
larva might be insured by the vomiting, perhaps automatically, the activity of
the larva increasing as the stomach filled to where it threatened to cover the
rising stigmatic tube, and so setting up an irritation leading to vomiting. The
mother states that the child's stomach 'was extremely intolerant of milk and
that drinking milk was promptly followed by vomiting. This suggests that
milk, usually taken in long drinks and considerable quantities, quickly threat-
ened the larva with drowning and set up such activity as promptly to cause
vomiting.
HaHn has added the records of other cases, giving a total of 17 claim-
ing the presence of syrphid larvae in the digestive tract of man, one
claiming their presence in the nostrils of man, and two claiming their
presence in the diseased vagina of cattle.
Tubifera (= Eristalis) tenax (Linn.), the drone fly (Fig. 120), is a
large insect, somewhat larger than a honeybee and resembling the drone
bee very closely; indeed it is commonly referred to as its mimic. The fly
deposits its eggs on liquid manure or other fllthy liquids in cans, slop
jars, privies, septic tank effluent, etc. The larvae are known as ,"rat-tailed
378 MEDICAL ENTOMOLOGY
12(J 121
FIG. 120. The drone fly, Eristalis tenax, -whose larvae are commonly called
"rat-tailed larvae." X 3.5.
FIG. 121. The "rat-tailed larva" of Eristalis tenax, drone Hy. x2.
and a frequent desire to urinate. Larvae are expelled with the urine.
ChevriP~ reports that Fannia canicularis (Linn.) (see Chapter XV) is
most frequently found in urinary myiasis, although Fannia scalaris
(Fab.) and Musca domestica LinnY have been encountered. ~ppli
and Watt (lac. cit.) believe that albumin and sugar in the urine may
provide food, as may mucus and leucocytes; the lack of oxygen presents
the chief difficulty, although very small amounts of oxygen are needed by
the larvae.
Infection is probably usually accomplished at night in warm weather
when persons may sleep without covering. The flies deposit their eggs
MYIASIS 379
around the urethral opening; these hatch in a few hours, and the larvae
enter the urethra.
Traumatic dermal myiasis, the invasion of wounds or ulcers of the
skin by fly larvae, is of common occurrence in warm, humid climates. A
large number of species of flesh flies are responsible for this type of
myiasis, particularly the screwworm flies, green bottle flies, and related
species.
The following description of a case caused by Phormia regina (Meig.)
reported by StewartI4 will serve to illustrate this form of myiasis:
The dermatitic area was not large at first but it continued to spread after
hospitalization. An extremely offensive odor was given off, but aside from the
dermatitis and irritation of the sores, the patient appeared to be feeling well;
appetite, digestion and egestion were good. At first treatment was applied only
to the area around the ears, but on the night of the patient's admission to the
hospital the discovery was made that the scalp was a mass of pus and a super-
saturated sulphur wash was applied. The hair was parted to allow the wash
to penetrate freely to the scalp and a towel was tied about the head, coming
below the ears. The supersaturated sulphur wash was applied every two hours.
After the second treatment was applied to the scalp the patient became
very restless, working the fingers into the palms of her hands and alternately
putting her hands to her ears. Soon she began to scream, acted frantic, and
became nearly delirious. She was given a sedative without effect.
On taking the towel from the patient's head the nurse observed fly larvae,
which had been forced into activity by the treatment, crawling over the towel,
hair and down the cheeks. The nurse estimates that she killed twenty-five or
thirty larvae in the hour and a half she spent in removing them and still the
hair and scalp remained full of them. Back of the ears the mass of living larvae
was so great that they could almost have been spooned out. At this time the
patient complained of a buzzing in the ears similar to that occurring when the
ears are full of water, and said that she could not hear. The nurse then used
toothpick swabs to remove the great quantity of larvae found in the pinnae of
the ears; in so doing most of the larvae were killed, but some were kept alive
and placed on raw beef in vials so that they might complete their larval growth
and pupate.
As soon as pupation occurred the puparia were removed to fresh vials and
covered with fine dry soil until they emerged as adults, when they were iden-
tified as Phormia regina Meig.
Mter the removal of all visible larvae had been completed the patient's
hair was clipped, the supersaturated sulphur wash treatment was continued,
and the scalp was bandaged. To the original area of dermatitis around the ears
was applied a paste consisting of salicylic acid, 2 gm.; zinc oxide, 24 gm.;
starch, 24 gm.; petrolatum, sufficient to make 100 gm.
It is obvious that an adult female fly had been attracted to the suppurating
scalp sores by the foul odor given off and had oviposited in one or more of
these sores. The larvae were driven from the scalp to the pinnae of the ears
by the application of the supersaturated sulphur wash.
380 MEDICAL ENTOMOLOGY
MYIASIS 385
examined frequently for wounds and injuries and that all cases of screw-
worm should be treated promptly; in treating animals one should avoid
making wounds bleed; animals should be castrated, marked, branded,
and dehorned during the winter months; bloodless emasculaters should
be used for castration; all wounds should be treated with a repellent
smear; ears of cattle, sheep, and goats should be inspected for ticks;
breeding should be controlled so calves will be dropped in the early
spring.
The following species of flesh flies are listed by Froggatt and other
authors as attacking live wool: Phormia regina (Meig.), known as the
black blowfly because of its blackish-blue color and regarded as the most
important wool-maggot fly in the United States; Phaenicia (= Lucilia)
sericata (Meig.), an important sheep maggot fly in the United States,
Australia, and other parts of the world; Chrysomya albiceps (Wied.)
[Chrysomya (Pyconosma) rufifacies (Macq.)], common in Australia
and India; Callitroga (= Cochliomyia) americana (c. & P.), a menace
to sheep raising, particularly in the southern United States, Mexico, and
elsewhere in the range of this insect; Chrysomya bezziana (Villen.)
[Chrysomya flaviceps (Wlk.) = Chrysomya dux (Esch.)], an important
Australian and Oriental sheep maggot fly; Wohlfahrtia magnifica
(Schin. ), the principal sheep maggot fly of southern Russia, also causes
human myiasis in Egypt.
Control of wool-maggot flies. The following measures are recom-
mended for the prevention and treatment or «blowfly striKe" by various
workers, among them Babcock and Bennett26 of the Texas Agricultural
Experiment Station, and Belschner 27 of the New South Wales Depart-
ment of Agriculture. (I) Carcass burning: dig a trench along the back
of the carcass nearly as wide as the animal and as long, and 12 to 14
inches deep; fill trench with wood (one-quarter cord of wood is sufficient
to burn cow or horse) or cow chips; start fire at windward end and entire
carcass will be wholly consumed within 12 to 24 hours. (2) Poisoning:
a freshly killed animal is very attractive to Hies, and if treated with an
arsenic solution will kill every fly that feeds on it, or if a carcass is al-
ready alive with maggots, a similar treatment will kill these also. For
this purpose arsenite of soda at the rate of 3 pounds to 30 gallons of
water is recommended. (3) Crutching, if properly done, prevents the
attack of Hies by reducing the opportul1ity for the wool of the crutch,
rump, and Hanks to become wet and soiled and thus attractive to Hies.
It consists particularly of shearing the wool away from the breech, over
the tail and down the back of the hind legs. (4) Jetting: applying an
arsenic solution (one pound of arsenic to 40 gallons of water) by means
388 MEDICAL ENTOMOLOGY
of a single jet under pressure of 125 pounds to the rump of the sheep;
in this way the arsenic is forced through the wool to the skin, where it
dries and protects the animal for a longer time than spraying. (5) Para-
sites: the use of parasites against the flies.
Foot maggots of animals. A lameness that varies in degree and is
traceable to myiasis commonly occurs in Philippine cattle, carabaos, and
goats and is caused by the larva of Booponus intonsus Ald. Woodworth
and. AshcrafF8 state that the eggs of this fly are attached to the hairs
of the lower portions of the legs of the host animal, the incubation period
varying from three to five days. The young larvae work their way down
to the foot and enter the flesh, leaving their posterior ends exposed, and
when full grown at the end of two to three weeks they leave the flesh
and drop to the ground where they bury themselves and pupate, the
pupal period requiring about 10 days.
The method of treatment suggested by these authors consists of clean-
ing the affected area with soap and water, removing as many maggots
as possible and applying a chloroform pack, followed by heavy applica-
tions of pix liquidae every third day until the lesions heal. As a pre-
ventive means, daily inspection is recommended of all cattle, carabaos,
and goats, especially during the dry season when the animals should
have access to plenty of water and mud as wallows. I
cell. The Hies of this genus are somewhat smaller than honeybees, the
mouth parts are rudimentary, the antennae are very small and sunken
in pits, the arista is bare, and according to Curran the apical cross-vein
is absent; the vein closing the discal cell is also absent and the fourth and
fifth veins evanescent apically; the squamae are small; the ovipositor of
the female is large and protruberant. They are strong Hiers. The larvae
live in the stomach and intestines of horses.
Gasterophilus intestinalis (DeGeer) [Gasterophilus equi (Clark)]
is the common horse botHy or nit Hy, a widely distributed, nearly cosmo-
politan, species commonly seen in the United States during midsummer
A B c
FIG. 126. Horse botflies. (A) Gasterophilus intestinalis, (B) G. haemorr,
llOidali&, and (C) G. nasalis. (Adapted after Hearle.)
to early autumn, June to September. The light yellow eggs (Fig. 125)
are firmly attached to the hairs of the forelegs, belly, Hanks, shoulders,
and other parts of the body of the horse, but chieHy on the inside of the
knees where they are accessible to the tongue, teeth and lips. The female
Hy (Fig. 126A) hovers from two to three feet away from the animal,
MYIASIS 391
darting swiftly and repeatedly at the horse, each time attaching an egg
to a hair. Wells and Knipling34 report one fly placing 905 eggs in 2%
hours. Friction and moisture from the tongue of the horse seem necessary
for the hatching of the eggs; the incubation period is from 7 to 14 days,
but may be greatly prolonged. by cool weather so that viable eggs may be
found unhatched on the hair of the horse until late autumn, long after
the flies have disappeared. Eggs kept in dry cartons may remain viable
at room temperature for at least three months and hatch when moistened
with saliva. The larvae on hatching (Fig. 127) are provided with an
127 128
the stomach (Fig. 129) due to the penetration of the oral hooklets; (4)
irritation of the intestine, rectum, a,n d anus in passage.
Treatment. Although carbon disulphide had been in use for many
years in Europe as a remedy for horse bots, no wide use was made of
the chemical for this purpose in the United States until after the experi-
mental work of Halp7 in 1917. The treatment should be administered
only by veterinarians. After preparation of the animal by fasting it for
18 hours (water may be allowed), the chemical is administered in gela-
tine capsules at the rate of 1.5 fluid drams for each 250 pounds of weight.
The bots begin to appear in the animal's droppings in Bve or six hours.
Purgatives should not be used in this treatment.
Cattle grubs (ox warbles) are the larvae of flies belonging to the
family Hypodermatidae, genus Hypoderma, the heel flies. Although the
normal host is cattle, horses and humans are occasionally parasitized.
Persons dealing with cattle are familiar with the tumorous swellings on
the backs of cattle during the late winter and early spring, and most
stockmen have squeezed out the large grubs which inhabit these tumors.
There are two well-known species: Hypoderma lineata (de Villers),
widely distributed in the United States, as well as in Europe and Asia;
and Hypoderma bovis ( DeGeer ), less widely distributed and more
northerly in its occurrence 38 in the United States; it is found particularly
in the New England states, but it does occur in California.
Hypoderma bovis (DeGeer) is the larger of the two species, meas-
uring about 15 mm in length, while H. lineata (de Villers) measures
about 13 mm. The former has the thorax covered with dense yellow
hairs in front and black ones behind, with the terminal yellow hairs on
the abdomen, while the latter, H. lineata (de Villers) (Fig. 130), has a
fairly uniform hairy covering of mixed brownish black and white with
four prominent smooth and polished lines on the thorax, the hairs of
MYIASIS 395
the terminal segment of the abdomen being reddish orange. The fuII-
grown larvae are easily distinguished by examination of the spiny arma-
ture: H. bovis (DeGeer) has the last two segments entirely devoid of
spines, while H. lineata (de Villers) has only the last one smooth. It may
also be said that the full-grown larva of the former measures from 27
to 28 mm in length and that of the latter about 25 mm (Fig. 131).
Life history and habits. The eggs of both species are laid on the hairs
of cattle, H . lineata (de Villers) attaching as many as a dozen in a row
to a single hair, while H. bovis (DeGeer) is said to attach but a single
egg to a hair. As many as 800 eggs, it is stated, may be laid by a female
of either species (Warburton <D ). The eggs are eVidently deposited by
preference on the legs from the hock to the knee of the standing animal,
Injury done. The injury done by the warbles is first that of irritation
caused by their migrations in the body of the animal and later in their
emergence from beneath the skin; secondly, the escape of the larva
from the tumor leaves an open, running wound which persists for a
long time and is attractive to screwworm flies and other tormenting in-
sects. The direct pathogenesis is of minor irilportance, however, in the
face of the economic loss produced by this irlsect.
Economic losses. The economic losses produced are: (1) Reduction
in the milk secretion of cattle, which is estin1ated at from 10 to 20 per
FlG. 132. A piece of sale leather 21 X 31.5 em, showing work of ox warble.
x.S.
cent of the normal yield. (2) Loss of flesh due to the wild endeavor of
the animals to escape from the flies and the irritating larvae (which is
pointed out by Holstein: "A cow quietly grazing will suddenly spring
forward, throw up her tail, and make for the nearest water at a head-
long gait. Seemingly deprived at the moment of every instinct except
the desire to escape, she will rush over a high bluff on the way, often
being killed by the falL This, with miring in water holes and the fact
that cattle are prevented from feeding, causeS the loss"). (3) Deprecia-
tion of the value of the carcass as flesh, which becomes greenish yellow
and jelly-like in appearance at the points where the grubs are located,
and is not fit for consumption. (4) Injury produced to the hide which
becomes "grubby," full of holes, where the grubs have emerged (Fig.
132).
391>, MEDICAL ENTOMOLOGY
The under side of the head is puffed out and white. The antennae are
extremely small and spring from two lobes which are sunk into a cavity at
the anterior and under part of the head. The eyes are purplish brown, and three
small eyelets are distinctly visible on the top of the head. It has no mouth
and cannot, therefore, take any nourishment. The wings are transparent and
extend beyond the body, and the winglets (calypteres) which are quite large
and white, cover entirely the poisers. It is quite lazy and, except when attempt-
ing to deposit its eggs, the wings are seldom used.
Life history. The "head maggot fly" deposits living young during
early summer to autumn in the nostrils of sheep and goats and may also
attack human beings. One female fly may deposit as many as 60 larvae
in an hour. The larvae at once begin to move up the nasal passages,
working their way into the nasal and frontal sinuses often as far as the
base of the horns in rams and attach themselves to the mucous mem-
MYIASIS 401
branes. Here numbers of these whitish grubs may be found wedged in
closely in various conditions of development. The posterior ends of the
larvae present conspicuous spiracles. The grubs reach full growth with
a length of from 25 to 30 mm by the following spring, a larval period
of from 8 to 10 months. At the end of this time they work their way out
of the nostrils (they are usually sneezed out), fall to the ground, bury
themselves in the earth, and pupate in a few hours. The pupal period
lasts from three to six weeks and over, 19 to 34 days according to Fallis47
who found that reared flies lived on an average of 16 days, one surviving
as long as 28 days. Fallis also found that the complete development of
the parasitic stage in spring lambs in Texas and New Mexico required
from 2Y2 to 3Y2 months.
Symptoms. In the presence of the fly the sheep (or goats) are very
much excited, shake the head, rush with their noses between their
fellows, push their noses into the dust, snort, and otherwise indicate
that they are trying to escape something that persists in entering the
nostrils. Once infected there is a purulent discharge from the nostrils,
vigorous shaking of the head, and perhaps the occasional discharge of a
maggot, loss of appetite, grating of the teeth; and, when the animal
walks, the fore feet are lifted in a pawing movement. The great majority
of the cases do not result fatally, but death often comes in a week or
less after the appearance of aggravated symptoms.
Grub-in-the-head is distinguished from "gid," caused by a larval
tapeworm, Multiceps multiceps (Leske) [= Coenurus cerebralis
(Batsch) ], in that the former is always associated with purulent dis-
charges from the nostrils, absent in the latter, that the symptoms of the
former appear during the summer, and that the latter occurs ordinarily
in lambs and yearlings only. There is no undue sneezing or rubbing of
the nose in gid. Because of the mucus exuding from the nostrils of the
sheep, the infection is commonly known as "snotty nose."
Treatment. Materials such as snuff, pepper, etc., may be introduced
into the nostrils or sprinkled among the flock, to induce violent sneezing,
which causes the expulsion of many of the larger grubs. Law recom-
mends the injection of benzine, lifting the sheep's nose somewhat and
pouring a teaspoonful of the remedy into each nostril. The lower nostril
into which the benzine is poured is held shut for thirty seconds; the
other side is then turned and the treatment repeated. The application is
repeated daily or more often until the maggots are all expelled.
Prevention. "Salt log~" are used in sheep pastures by some sheep
raisers. These logs are made by boring 2-inch holes at intervals of about
6 inches along the length on top. Salt is placed in the holes, which are
kept about half full, and in turn the edges of the holes are repeatedly
smeared with pine tar, or other repellent material. In endeavoring to
402 MEDICAL ENTOMOLOGY
reach the salt the sheep involuntarily smears its nose with the sub-
stance, which protects it to some extent against the head maggot Hy.
Head maggot of horses. An important species of head maggot attack-
ing horses in Russia and parts of Europe and in Egypt is Rhinoestrus
purpureus (Brauer). Its habits are said to be similar to those of Oestrus
ovis Linn. Like other species of related genera it may attack man either
in the nose or eye.
Head maggot of deer. Deer, reindeer, elk, and other related wild
animals are commonly infested with head maggots (Fig. 134); among
these are the European species Cephenemyia stimulator Clark in the
roe deer, C. rllfiu({rbis Meig. in the red deer, C. ulrichii Brauer in elk,
and C. trompe Linn. in reindeer, also in Alaskan reindeer. Among the
!
'r
f
FIG. 134. Head maggots attached to tissue in nasal sinuses of the deer. X .6.
and various wild animals. In man the larva llas been reported from
various regions of the body, mainly head, arm, \)ack, abdomen, scrotum,
buttocks, thigh, and axilla.
Although it is not certain that this Dermatdbia does not deposit its
eggs directly on or in the human skin, it is rlOW known that several
species of mosquitoes, bloodsucking flies, anet ticks, particularly the
mosquito Psorophora (Janthinosoma) lutzii (Tlleo.) and possibly other
insects act as carriers of the eggs. The femalf.). Dermatobia is said to
oviposit on the undersides of the bodies of the :mosquitoes so that when
the latter suck blood, it is possible for the eggs to come in contact with
the warm-blooded host where either contact Of warmth stimulates the
larvae; rapid emergence results and entrance to the skin of the host is
effected. The larval period in the body of the host is said to require
about two and a half months when, like the Hypoderma species, the
larvae leave the tumorous swellings they hav~ produced, drop to the
'C>'di\\l, 'd1).~ P'd':>'5 \\lmllg'D. a pllpa\ pei)'\)~ iel.l~;''.i;''i'q, \'.i';Y.i'i', I-.\>mrc I-,~ c:';s..
weeks.
Dunn48 (1930) has described the life history of the human botfly
most accurately as the result of an infestation which he suffered in the
Panama Canal Zone. In his case the fly Limnophora, not a bloodsucker,
was the vehicle for the eggs. Two larvae we(e observed to enter the
skin of his arm, requiring 42 minutes for the Brst and one hour and 35
minutes for the second. Dunn experienced "absolutely no sensation
caused by the entrance of the (first) larva until after the first 30 min-
utes. Then, as the posterior end was being drawn inside, a sharp prick-
ing, which lasted for about two minutes, was experienced." He states
that there was at first a sharp itching at night, and by the end of two
weeks the lesions had the appearance of small boils and by the end of
three weeks these were excruciatingly painful. fit the end of 46 days and
15 hours and 50 days and 1572 hours respectively the larvae emerged
from the skin, causing "absolutely no pain or sensation." The pupal
periods were from 22 to 24 days.
The foregOing account of an infestation of human bats supports the
opinion of other authors that the larvae remain in a relatively fixed spot
in the subcutaneous tissues. The larvae of the ox botfly on the other
hand have the tendency to migrate in the subcutaneous tissues often for
considerable distances.
The author49 ( 1925 ) described the migrations of the larvae of
Hypoderma bovis (DeC.) (Family Hypodermatidae) as follows:
Mr. C. is a ranch superintendent, spending much of his time on horseback.
On a Sunday toward the end of July, 1924, he had ridden to a point known as
Mission Ridge near San Jose, when feeling tired, he dismounted and lay down
on the ground in the open and slept. He distinctly remembers that his shirt had
404 MEDICAL ENTOMOLOGY
rolled up above his belt, exposing his skin, but felt no irritation at the time.
Whether this exposure was taken advantage of by the fly can only be a matter
of conjecture. Several days later, exact time not remembered, soreness was ex-
perienced and a slight swelling in the region of the right groin appeared. In
about a week the swelling had increased to the width of a hand with no dis-
coloration. The swelling then crept downward toward the left side affecting the
scrotum, thence downward along the left leg to the knee and calf, thence back
up the left leg following about the same course to the left groin, thence across
to the right groin and back again to the left and upward along the left side of
the body, slightly anterior to the shoulder, thence downward to the upper
right arm to near the elbow, when the arm could not be raised without great
pain, thence the swelling travelled upward again to the neighborhood of the
shoulder blade where a "hive-like" local swelling was formed without any
itching sensation. Mr. C. stated that at this point he was "bothered" all night,
and while rubbing his arm and manipulating his shoulder muscles a larva of
some insect "popped" out. This emergence took place about the end of Octo-
ber (1924). The larva was placed in a vial for shipment but was lost in transit.
Relative to the second larva which was delivered to the writer in person
on the day following its emergence, Mr. C. states that since October when the
first larva emerged, no further swellings were observed, but soreness in the
region of the thigh and lower abdomen, similar to severe strain, persisted.
However, on January 28 (1925) he experienced a severe "soreness" in the
region of his right thigh which gave much distress, particularly when walking.
By that night a swelling had developed and the following day the muscular
soreness continued to spread; by January 31 a hernia-like swelling had devel-
oped which enlarged upward and outward to the region of the belt-line, the
lower hernia-like swelling gradually disappearing. Sunday night, February 1, a
hive-like swelling as observed in the case of the first larva began to form, en-
larging to an area of about four by eight inches. Tuesday evening, February 3,
lymph exuded from a small opening near the middle of the swollen area. About
a tablespoonful of lymph stained with blood was pressed out and in the proc-
ess of manipulation a larva similar to the first "popped" out. This specimen
was delivered to the writer February 4 in good condition and identified as a
third-stage larva of Hypoderma bovis DeG. The larva was milky white in
color, about 12 mm. in length by 2 mm. in width at the middle, tapering
bluntly at both ends. Very little swelling and practically no discoloration were
visible on examination, although the point of emergence was clearly seen.
Gasterophilidae as human parasites. The larvae of the horse botflies
burrow freely, as already explained, and may cause a form of creeping
cutaneous myiasis in human beings. Gasterophilus intestinalis (DeGeer)
is the species usually involved. 50 The course made by these creeping
larvae is quite tortuous and plainly visible. The infection causes severe
itching. The larvae, which measure from 1 to 2 mm in length, can be
easily extracted surgically.
Ophthalmomyiasis of man is more particularly traceable to the larvae
of he~d-maggot flies of sheep, deer, and related animals. Cases traceable
MYIASIS 405
to Oestrus ovis Linn. [Cephalomyia ovis (Linn.)] of sheep and Rhin-
oestrus purpureus (Brauer) are frequently reported in European horses.
Three first-stage larvae of Oestrus ovis Linn. measuring about 1 mm in
length that had been removed from the eye of a patient in Honolulu by
Dr. R. Faus were studied by the author 51 (Fig. 135). The attending
physician reported that the three larvae were buried in the sclera and
were extremely adherent to the conjunctiva, causing acute conjunctivitis,
larchrymation, ulceration, and neurosis.
The larvae of Oestrus ovis Linn. at times invade the nasal cavities
of man as is normally the case with sheep. Severe frontal headaches
result.
Rodent bats. The larvae of the family Cuterebridae are commonly
parasitic upon rodents, wild and domestic rabbits, and mice, which may
be severely infested with dermal tumors in which the large grubs lie.
The adult flies are robust and bumblebee-like, having the scutellum
elongate, the arista plumose or pectinate, the oral opening large, and
the palpi small. There are four genera in this family, one of which in-
cludes the human botfly, Dermatobia hominis (Linn.) previously des-
cribed; the other three, Cuterebra, Pseudogametes, and Rogenhofera,
are parasitic on rodents and rabbits, and also on some other animals, in-
cluding cats ~nd dogs. Cuterebra horripilam Clark and C. buccata Fabr.
usually infest rabbits; C. peromysci Dalmat infests white-footed mice
(see Dalmat52 for life cycle); C. tenebrosa Coq.; C. beameri Hall para-
sitizes pack rats; C. emasculator Fitch is the emasculating scrotum-
inhabiting bot of squirrels.
Surgical maggots. Although now largely discontinued in favor of
other treatments, the use of sterile maggots, maggot therapy, in the dis-
infection of osteomyelitis and other infected wounds :was introduced
406 MEDICAL ENTOMOLOGY
BIBLIOGRAPHY
1. James, Maurice T., 1947. The Flies That Cause Myiasis in Man. Wash-
ington, D. C.: Dept. Agric., in Misc. Publ., no 631. 175 pp.
2. Braun, M., und Seifert, 0., 1926. Die tierischen Parasiten des Men-
schen. Leipzig: Curf Kabitzsch. x + 608 pp.
3. Hoeppli, R., and Watt, John Y. C., 1933. "Experiments on resistance
MYIASIS 407
of ~dipterous larvae in connection with the problem of intestinal and urinary
myiasis," Chinese MI, 47:1298-1306.
4. Desai!, P., et Delhaye, R., 1922. "Contribution a la pathogenie des
myiases intestinales par l'etude de la resistance des oeufs et larves de Calli-
phorees aux agents physiques et chimiques intervenant dans Ie tube digestif."
Compt. rend. Soc. de bioi., 87:1098-1100.
5. Causey, O. R., 1938. "Experimental intestinal myiasis," Am. J. Hyg.,
28:481-86.
6. Herms, W. B., and Gilbert, Q. 0., 1933. "An obstinate case of in-
testinal myiasis," Ann. Int. Med., 6:941-45.
7. Parker, G. H., 1922. "Possible pedogenesis in the blowfly, Calliphora
erythrocephala Meigen," Psyche, 29:127-31.
8. Simmons, Perez, 1927. The Cheese Skipper as a Pest in Cured Meats.
Washington, D. C.: Dept. Agric., in Dept. Bull., no. 1453.55 pp.
9. Meleney, H. E., and Harwood, P. D., 1935. "Human intestinal myiasis
due to the larvae of the soldier fly, Hermetia illucens Linne (Diptera, Stratio-
myidae)," Am. J. Trap. Med., 15:45-49.
10. Hall, M. C., and Muir, J. T., 1913. "A critical study of a case of
myiasis due to Eristalis." Arch. Int. Med., 2:193-203.
11. Hall, M. C., 1918 .• "A note regarding myiasis, especially that due to
syrphid larvae," Arch. Int. Med., 21:309-12.
12. Chevril, R., 1909. "Sur la myiase des voies urinaires," Arch. de
Parasitol., 12:369-450.
13. Mumford, E. P., 1926. "Three new cases of myiasis in man in the
north of England," Parasitology, 18:375-83 .
., 14. Stewart, M. A., 1929. "A case of dermal myiasis caused by Phormia
regina Meig.," J.A.M.A., 92:798-99 .
.- 15. ---, 1934. "A new treatment of traumatic dermal myiasis," J.A.M.A.,
103:402.
16. Cushing, E. C., and Patton, W. S., 1933. "Studies on the higher Dip-
tera of medical and veterinary importance. Cochliomyia americana sp. nov.,
the screwworm fly of the New World," Ann. Trap. Med., 27:539-51.
17. Laake, E. W., 1936. "Economic studies of screwworm flies, Coch-
liomyia species (Diptera, Calliphorinae), with special reference to the pre-
vention of myiasis of domestic animals," Iowa State Call. J. Sc., 10:345-59.
18. Gajardo-Tobar, R., and Honorato, Armando, 1947. "Anotaciones acerca
de una epidemia de miasis humana," Hospital de Viiia del Mar, Chile, 3:5-14.
-./ 19. Walker, E. M., 1922. "Some cases of cutaneous myiasis, with notes
on the larvae of Wohlfahrtia vigil (Walker)," J. Parasitol., 9:1-5 (3 plates).
v 20. Calero, Carlos, 1948. "Cutaneous myiasis in Panama," ]. Parastiol.,
34:343-44.
21. Cushing, E. C., and Hall, D. G., 1937. "Some morphological differ-
ences between the screwworm fly, Cochliomyia americana C. and P., and
other closely allied or similar species in North America (Diptera: Calli-
phoridae)," Proc. Entomolog. Soc. Wash., 39:195-98 (2 plates).
22. Bruce, W. G., and Sheely, W. J., 1944. Screwworms in Florida. Gaines-
ville: Univ. Florida in Agric. Extension Servo Bull., no. 123, 28 pp.
408 MEDICAL ENTOMOLOGY
,.r 23. Blacklock, B., and Thompson, M. G., 1923. "A study of the tumbuBf,
Cordylobia anthropophaga Griinberg, in Sierra Leone," Ann. Trop. Med.,
17:443-501 + 4 plates.
24. Roubaud, E., 1913. "Recherches sur les Auchmeromyies," Bull. scient.
France et Belgique, 47:105-202.
25. Frogatt, W. W., 1922. Sheep-Maggot Flies. Dept. Agric., New South
Wales, Farmers' Bull., no. 144.32 pp.
26. Babcock, O. G., and Bennett, D. H., 1921. The Screwworm and the
Wool Maggot. Texas Agric. Exper. Sta., in Circ. no. 27. 15 pp.
27. Belschner, H. G., 1937. A Review of the Sheep Blowfly Problem in
New South Wales, (Studies on the Sheep Blowfly Problem). Sydney: Dept.
of Agric., New South Wales: pp. 1-60.
28. Woodworth, H. E., and Ashcraft, J. B., 1923. "The foot maggot,
Booponus intonsus Aldrich, a new myiasis-producing fly," Philippine]. Sc.,
22:143-56 (8 plates).
29. Bengston, Ida A., 1923. "A toxin-producing anaerobe isolated prin-
cipally from fly larvae," U. S. Public Health Service, Pub. Health Rep., 38:340-
44.
30. Plath, O. E., 1919. "A muscid larva of the San Francisco Bay region
which sucks the blood of nestling birds," Univ. Calif. Pub. in Zool., 19:191-
200.
31. ---, 1919. "The prevalence of Phormia azurea Fallen (larva parasitic
on nestling birds) in the Puget Sound Region and data on two undescribed
flies of similar habit," Ann. Entomolog. Soc. Amer., 12:373-81.
32. Storer, T. I., 1929. "Protocalliphora in the nest of a mountain chick-
adee," The Condor, 31:227.
33. Guberlet, John E., and Hotson, H. H., 1940. "A fly maggot attack-
ing young birds, with observations of its life history," The Murrelet, 21:65-
68.
----
34. Wells, K. W., and Knipling, E. F., 1938:, "A report of ~9me recent
studies on species of Gastrophilus occurring in horses in the United States,"
Iowa State Coll. J. SC. 12:181-203.
35. Wehr, Everett E., 1933. "The life history of Gastrophilus larvae of
the horse and lesions produced by the larvae," Cornell Veterinarian, 23:254-71.
36. Knipling, E. F., 1935. "Gastrophilus inermis Brauer, a species of horse
bot not previously recorded from North America," Entomological News,
46:105-7.
37. Hall, M. C., 1917. "Notes in regard to bots, Gastrophilus spp.," J.
Am. Vet. M. A., 51 n.s., 5:177-84.
38. Bishopp, F. C.; Laake, E. W.; Brundrett, H. M.; and Wells, R. W.;
1926. The Cattle Grubs or Ox Warbles: Their Biologies and Suggestions for
Control. Washington, D. C.: Dept. Agric., in Dept. Bull., no. 1369. 119 pp.
or' 39. Warburton, Cecil, 1922. "The warble flies of cattle," Parasitology,
14:322-41.
• 40. Hadwen, S., 1915. "Warble flies-a further contribution on the biology
of Hypoderma lineatum and Hypoderma hovis," Parasitology, 7:331-38 (2
plates) .
MYIASIS 409
41. Knipling, E. F., 1935. "The larval stages of Hypoderma lineatum
de Villers and Hypoderma bovis DeGeer," J. Parasitol., 21:70-82.
42. Bishopp, F. C.; Laake, E. W.; and Wells, R. W.; 1929. Cattle Grubs
or Heel Flies with Suggestions for Their Control. Washington, D. C.: Dept.
Agric., in Farmers' Bull., no. 1596. 22 pp.
43. Kurtpinar, Hasip, 1947. Anadolu ehU hayvanlarinda goriilen Hypo-
derma nevileri, iktisadi onemi ve miiscadelesine dair en uygun tedbirler
iizerine ara§tirmalar. (Species of Hypoderma found in domesticated animals
of Anatolia; their economic importance and most suitable control measures.)
Qali§malar: 153, T. C. Tarim Bakanligi Ankara Yiisek Ziraat Enstitiisii. 60 pp.
44. Laake, E. W., 1942. "Dry application of cube or derris combination
with wettable sulfur for the control of cattle grubs," J. Econ. Entomol., 35:112-
13.
45. Wells, R. W., 1942. "The use of power sprayers in the control of cattle
grubs," ]. Econ. Entomol., 35:112-13.
46. Hearle, Eric, 1938. Insects and Allied Parasites In;urious to Livestock
and Poultry in Canada. Dominion of Canada, Dept. Agric., in Publ., no. 604.
108 pp.
47. Fallis, A. Murray, 1940. "Studies on Oestrus avis L.," Canad. J. Re-
search, 18:442-46.
48. Dunn, L. H., 1930. "Rearing the larvae of Dermatobia hominis Linn.,
in man," Psyche, 37 :327-42 (1 plate).
v 49. Herms, W. B., 1925. "A case of human myiasis caused by the ox-
warble, Hypoderma bovis DeC.," J. Parasitol., 11:149-50 .
./50. Bedford, C. V.; Williams, D. H.; and Newton, M. V. B.; 1933. "Creep-
ing eruption, with special reference to cutaneous myiasis and report of a case,"
Canad. M. A. ]., 28:377-82.
51. Herms, W. B., 1925. "Ophthalmomyiasis in man due to Cephalomyia
(Oestrus) ovis Linn.," J. Parasitol., 12:54-56.
52. Dalmat, Herbert T., 1943. "A contribution to the knowledge of the
rodent warble Hies (Cuterebridae) ," J. Parasitol., 29':311-18.
53. Baer, W. S., 1931. "The treatment of chronic osteomyelitis with the
maggot (larva of the blowfly)," J. Bone & Joint Surg., 13:438-75.
54. Livingston, S. K., and Prince, L. H., 1932. "The treatment of chronic
osteomyelitis; with special reference to the use of the maggot active principle,"
J.A.M.A.,98:1143.
55. Stewart, M. A., 1934. "The role of Lllcilia sericata Meig. larvae in
osteomyelitis wounds," Ann. Trop. Med., 28:445-60.
56. ---, 1934. "A new treatment of osteomyelitis: Preliminary report,"
Surg. Gynec. & Obst., 58:155-65.
CHAPTER XVIII
._.
LOUSE FLIES
FAMILY HIPPOBOSCIDAE
Order Diptera (Series Pupipara)
Characteristics of Hippoboscidae. Three families of flies constitute the
Pupipara: (1) Hippoboscidae (louse flies), (2) Nycteribiidae (bat tick
flies), and (3) Streblidae (bat flies). The bloodsucking parasitic flies
belonging to the family Hippoboscidae are readily recognized as Diptera
when winged. The larvae are retained within the body of the female,
being nourished by special glands within the mother until time for pupa-
tion is reached; they are then extruded and pupation quickly follows,
whence the term, "pupipara." The adult flies are described as follows by
Williston: "Head Battened, usually attached to an emargination of the
thorax; face short, palpi forming a sheath for the proboscis, not pro-
jecting in front of the head; antennae inserted in pits or depressions
near the border of the mouth, apparently one-jointed, with or without
a terminal bristle or long hairs. Eyes round or oval, ocelli present or
absent. Thorax Battened, leathery in appearance; scutellum broad and
short. Halteres small or rudimentary. Abdomen sac-like, leathery in ap-
pearance, the sutures indistinct. Legs short and strong, broadly separated
by the sternum; tarsi short; claws strong and often denticulated." The
members of this. family are all parasitic in the adult stage upon birds or
mammals. There are about 400 species widely distributed throughout the
world. They range in size from 2.5 to 10 mm.
The sheep "tick" or ked, Melophagus ovinus (Linn.), is a wingless
bloodsucking species, reddish brown in color, about 5 to 7 mm in length.
It is a world-wide parasite of sheep and goats. The head is short and
sunken into the thorax, the body sac-like, leathery, and spiny (Fig. 136).
Life history. The eggs are retained and hatch within the body of the
female ked, where the larvae develop in about seven days and are
extruded fully grown ready to pupate. The extruded larva pupates dur-
ing the course of a few hours, becoming chestnut brown in color; the
secretion with which it is covered hardens and serves to glue the pupa
firmly to the wool of the host. The pupae are commonly found on in-
410
LOUSE FLIES 411
fested animals in the region of the shoulders, thighs, and belly. Pupae
may be found on sheep at all times of the year, though the time re-
quired for development in the winter is longer than in the summer.
Swingle," who has observed this insect very carefully, states that pupae
require from 19 to 23 days to hatch in the summer, whereas 19 to 36
days are requ~ the winter on sheep kept in the barn and prob-
ably 40 to 45 days on sheep out of doors. The time required for the
females to reach sexual maturity is from 14 to 30 days and over, when
they begin extruding young at the rate of one about every seven to eight
days. Swingle (loc. cit.) considers about four months as the average life
of the insect, during which time from 10 to 12 pupae are deposited.
The entire life of the ked is spent on its host; when off the sheep
the insects die in from two to eight days, the majority in about four days.
sheep-dip for the sheep "tick." Tobacco dips when used in 0.07 per cent
solution will eradicate sheep "tick" according to Imes,2 if two dippings
are given with an interval of 24 to 28 days between them.
Louse flies of deer. Lipoptena depressa (Say) and Lipoptena subulata
Coq. (= L. ferrisi Bequaert) are common parasites of deer in North
America. These species are smaller than Melophagus ovinus (Linn.), but
otherwise resemble it; they are wingless when established on the host
but have well-developed filmy wings on emergence from the pupal
stage (Fig. 137). The parasites have been found in chains, three or four
individuals attached to one another, the first fly drawing blood from the
host, the second with its proboscis thrust into the abdomen (dorsally)
of the first, the third drawing on the second, and so on to the last in-
r"'·""-·~·-
I
are primarily parasites of Old World bats. Ferris 15 has reviewed the New
World species.
BIBLIOGRAPHY
1. Swingle, Leroy D., 1913. The Life History of the Sheep Tick, Melo-
phagus ovinus. Laramie: Univ. of Wyoming, Agr. Exper. Sta. Bull., no. 99.
2. rmes, Marion, 1932. The Sheep Tick and Its Eradication by Dipping.
Washington, D. C.: Dept. Agric., in Farmers' Bull., no. 798. 22 pp.
3. Bequaert, J., 1937. "Notes on Hippoboscidae, 5, The American species
of Lipoptena," Bull. Brooklyn Entomolog. Soc., 32:91-101.
4. Hare, John Edward, 1945. "Flying stage of the deer louse-Hy, Lipa-
ptena depressa (Say), in California," Pan-Pacific Entomologist, 21 :48-57.
5. Herman, Carlton M., 1945. "Hippoboscid Hies as parasites of game
animals in California," California Fish and Game, 31:16-25.
6. Bequaert, J., 1939. "Notes on Hippoboscidae, 13. A second revision of
Hippoboscinae," Psyche, 46:70-90.
7. Bishopp, F. C., 1929. "The pigeon Hy, an important pest of pigeons
in the United States," J. Econ. Entomal., 22:974-80.
8. Huff, C. C., 1932. "Studies on Haemoproteus of mourning doves,"
Am. J. Hyg., 16:618-23.
9. Bequaert, J., 1939. "Hippoboscid flies from North American doves,"
Science, 89:267-68.
10. O'Roke, E. C., 1930. "The morphology, transmission, and life history
of Haemoproteus lophortyx O'Roke, a blood parasite of the California valley
quail," Univ. Calif. Publ. in Zool., 36:1-50.
11. Herms, W. B., and Kadner, C. C., 1937. "The louse fly, Lynchia fusca,
parasite of the owl, Bubo virginianus pacificus, a new vector of malaria of the
California valley quail," J. Parasitol., 23:296-97.
12. Herman, Carlton M., 1944. "Notes on the pupal development of
Stilbometopa impressa," J. Parasitol., 30:112-18.
13. Ferris, C. F., 1927. "Some American Hippoboscidae (Diptera: Pupi-
para) ," Canad. Entomologist, 59:246-51.
14. Kessel, Q. C., 1925. "A synopsis of the Streblidae of the world," J.
N. Y. Entomolog. Soc., 33:11-34 (4 plates).
15. Ferris, C. F., 1924. The New World Nycteribiidae (Diptera: Pupi-
para). Entomological News, 35:191-99.
CHAPTER XIX
._.
FLEAS
ORDER SIPHONAPTERA
Structural characteristics. "No part of the external anatomy of an
adult flea could possibly be mistaken for that of any other insect. The
head, the mouth parts, the thorax, the legs, the abdomen, the external
genitalia, all present features that are not elsewhere duplicated among
the hexapods." Snodgrass! (1946) continues to marvel, as well he may,
"there are numerous peculiarities that strain the imagination for a plau-
sible explanation, and the complexity of the male intromittent apparatus
is almost beyond belief." Yet internally, except for the array of spines
in the proventriculus, the flea is a fairly generalized insect. '
Fleas constitute the order Siphonaptera (Siphunculata of some au-
thors ); they are laterally compressed, highly sclerotized, totally wing-
less, minute bloodsucking ectoparasites of warm-blooded vertebrate
animals. The commoner species vary from 1.5 to 4 mm in length. The
males are as a rule smaller, often considerably smaller, than the females;
both sexes are bloodsuckers. The posterior pair of legs is strikingly
adapted for leaping; some species, such as the chigoe fleas, are able· to
burrow partly into the skin of the host and are practically sessile.
The head is a highly specialized cranial capsule; it is set closely
against the notum of the pronotum with a very short neck which pre-
cludes much movement of the head, but does allow some. On the sides
of the head are depressions (grooves) that contain the tiny knobbed
antennae (the knobs are segmented), and in front of these are the simple
eyes when these are present. The position of a conspicuous bristle (ocular
bristle) in certain position in front of the eye, may be useful in classify-
ing fleas; also useful in classincation is the presence in some species of
a conspicuous comb of bold spines, ctinidium, located just above the
mouth parts-the oral or genal ctenidium (Fig. 138).
The mouth parts of the adult flea include a minute labrum, a long,
slender, 'unpaired epipharyngeal stylet, a pair of maxillae with paired
maXillary stylets, a small hypopharynx, and a simple labium. Mandibles
are lacking in the adult flea, though present in the larva in the form of
toothed jaws.
416
MALE
CTENOCEPHALIDES fEUS
MALE
HYSTRiCHOPSYUA.IIPPIEI
FIG. 138. Showing the structural details used in the classification of Siphonap-
tera, and alsQ the life history.
417
418 MEDICAL ENTOMOLOGY
The thorax of the flea is compact, consisting of the pro-, meso-, and
metathorax .. The pronotum lies immediately behind the head, and at its
posterior margin in many species there is a ctenidium of spine-like proc-
esses known as the pro notal ctenidium, which is useful in rough classi-
fication. The mesotlwrax is the middle segment of the thorax; the meso-
notum, the middle segment, is a simple arched plate. The metathorax is
highly developed and is specially fitted to sustain the jumping mecha-
nism. The several segrrwnts of the thorax and abdomen as well are made
up of plates (sclerites); the dorsal plates are known as tergites, the
ventral plates are the sternites, and the lateral plates are pleurites.
The abdomen consists of ten (actually eleven according to Kessel")
segments, which like the thoracic segments are made up of plates (scle-
APPENDIX OF SPERMATHECA
rites), except that the pleurites are concealed. There are numerous
backward-pointing spines. On the apical edge of the seventh tergite are
the antepygidial bristles; the ninth tergite consists of a peculiar pin-
cushion-like structure known as the pygidium, probably a sensory organ .
The male terminalia are particularly important in classification. Among
the parts to be observed are the claspers, !povable and nonmovable por-
tions, and the manubrium (Fig. 138). In cleared specimens the spring-
like penis may be seen lying in the region of the fifth and sixth segments
which in copulation projects out from between the upper and lower
claspers. The females possess a sacculated spermatheca (Fig. 139), situ-
ated in the region of the eighth or ninth segment and easily visible in
cleared specimens. Some species have two spermathecae. This organ is
characteristic for many species and is, therefore, an important taxonomic
character (Fig. 138).
The legs consist of five jOints: the coxa, the joint nearest the body;
the trochanter, a very small segment; the femur; the tibia (strongly
FLEAS 419
spined); and the five-jointed tarsus terminating in a pair of ungues or
claws which may be considered as a sixth segment.
Digestive tract. As soon as blood begins to flow from the wound
made by the protraction and retraction of the maxillary laciniae, it is
drawn up into the pharynx by the action of both the cibarial and the
pharyngeal pumps. By means of powerful muscles the blood is aspirated
from the wound and on relaxation it is carried to the long narrow esoph-
agus which begins in the region of the brain and passes through the
FIG. 140. Life cycle of a flea: (upper left) egg, (center) larva, (lower left)
pupa, (upper right) female, (lower right) male.
circum esophageal ring. The esophagus opens into the stomach through
the bulbous proventriculus, which is provided internally with radially
arranged (seven rows) hair-like chitin-covered processes (Fig. 141)
which, when the encircling bands of muscles contract, cause them to
meet and form a valve, thus preventing regurgitation from the stomach.
The stomach is a capacious distensible organ nearly as long as the abdo-
men, emptying into the short intestine which in hIm empties into the
wide rectum with its six rectal glands. Where the stomach joins the in-
testine, four filamentous Malpighian tubules arise.
Life history. The eggs of a flea (Fig. 140) are comparatively large
(5 mm long), glistening white, and rounded at both ends. Relatively few,
from 3 to 18, are deposited at one laying; however, during the entire life-
time of a female the number may be quite considerable. Bacot (1914)3
records a total of 448 eggs over a period of 196 days deposited by a
420 MEDICAL ENTOMOLOGY
single female flea, Pulex irritans Linn. Most species deposit dry eggs
which do not become attached to the hairs of the host even though
oviposition takes place on the host. Fleas seldom oviposit among the
hairs of the host, preferring the nests of the hosts where flea excrement
occurs. Captured fleas will readily oviposit in glass vials or other re-
ceptacles in which they are trapped. If deposited on a dog or cat the
eggs fall off readily when the animal stretches and shakes itself; thus
myriads of eggs may be found on the sleeping-mat of a flea-infested
animal. Temperatures of 65° to 80° F when combined with a fairly high
humidity, 70 per cent and over, appear to favor egg laying. The incu-
bation period varies from 2 to 12 days.
High mean temperature from 35° C to 37° C inhibits development,
which may account for the fact that the eggs do not hatch well on the
host. At a temperature of from 17° C to 23° C, Mayne (Mitzmain4)
found that the egg stage lasted from seven to nine days; at from 11 ° C to
15° it lasted about 14 days. Others have found that this stage may be
completed in from two to four days in Ctenocephalides felis (Bouche).
The best growth and survival of this species was obtained at 65 to 90
per cent relative humidity (Bruce 5 ).
The embyro is provided with a sharp spine (egg burster or "can
opener") on the head by means of which the eggshell is cut into shreds
by a tumbling motion of its inhabitant, which is thus liberated. (Kessel,
lac. cit.) The larvae (Figs. 138 and 140) are very active, slender, 13-
segmented, yellowish-white maggots, with segmentally arranged bristles.
The mouth parts are of the biting type, and the newly hatched larvae
of some species, e.g., Nosopsyllus fasciatus (Bosc), may subsist wholly
on the feces of the adult fleas. Very little food seems to be necessary for
their development, though excrementous matter, e.g., feces from rabbits,
rats, squirrels, and other rodents, and also dry blood may be used as
food. Excessive moisture is certainly detrimental to the life of the larvae,
although a high percentage of moisture in the air is needed. The larvae
are frequently found in houses in the crevices of the floor under the
carpet or matting, and also in stables, coops, kennels, nests of rodents,
pig pens, etc. When conditions are favorable, the time required for the
larval period may be but 9 to 15 days; if they are unfavorable, it may
extend over 200 days. At the end of the active feeding period when full
growth has been achieved, the larva enters a quiescent stage, spins a
cocoon, and pupates. The cocoon is whitish in appearance and so loosely
spun that one may see the pupa within it.
The pupal period (Figs. 188 and 140) is influenced by temperature
and varies greatly, from as short a time as seven days to nearly a year.
The life cycle (egg to adult) accordingly may vary from as short a time
as 18 days to many months. Under laboratory conditions at a tempera-
FLEAS 421
ture of 24° C Kerr 6 (1946) reports the life cycle of Ctenocephalides
felis (Bouche) to be 20 to 24 days (larval stage 11 to 12 days). His
cultures were from fleas fed on a cat.
Mayne (Mitzmain, 19107 ) observed one individual of the squirrel
flea, Diamanus montanus (Baker) (Ceratophyllus acutus Baker), from
the moment the egg was laid to the emergence of the adult flea, securing
the following data: incubation period of the egg, 8 days; first instar larva,
6 days; second instar larva, 10 days; third instar larva, 12 days; cocoon
(pupal stage), 31 days; total, 67 days.
Longevity of fleas. Bacot (loc. cit.) states that with nearly saturated
air at 45° to 50° F fleas can live for many days unfed. He reports that
Pulex irritans Linn. survived for 125 days, Nosopsyllus fasciatus (Bosc)
for 95 days, Xenopsylla cheopis (Roth.) for 38 days, Ctenocephalides
canis (Curt.) for 58 days, and Ceratophyllus gallinae Schrank for 127
days. If fed on their natural host, P. irritans Linn. may live upward of
513 days, N. fasciatus (Bosc) for 106 days, and X. cheopis (Roth.), fed
on man, 100 days. Ct. canis (Curt.) and C. gallinae Schrank have lived
for periods of 234 and 345 days respectively when fed on man. Thus
Bacot indicates that the maximum possible length of life of the various
species mentioned is 966 days for Pulex irritans Linn., 738 days for
Ctenocephalides canis (Curt. ), 680 days for Nosopsyllus fasciatus
(Bosc), 481 days for Ceratophyllus gallinae Schrank, and 376 days for
Xenopsylla cheopis (Roth.). In a moist medium such as sprouting wheat
grains and sawdust Mayne (Mitzmain, 1910, loco cit.) has kept squirrel
fleas alive for 38 days in one case and 65 days in another, the former a
male, and the latter a female. Male rat fleas fed on human blood alone
averaged 21f2 days (maximum 17) of life, and the females 34% days
(maximum 160).
Hosts and occurrence of species. As will be seen later in this chapter,
the rodent fleas are important from the public health standpoint, and
ready transfer of fleas from host to host of different species adds much
to the danger of disease transmission.
While it is apparent that ordinarily a certain species of flea predom-
inates on a given species of host, e.g., Ctenocephalides canis (Curt.) on
the dog, and particularly the cat, Nosopsyllus fasciatus (Bosc) on the rat
in Europe and the United States, Xenopsylla cheopis (Roth.) on the rat
in Asia, Ctenopsyllus segnis (SchOn.) on the mouse, and Pulex irritans
Linn. on the human, etc., host specificity in fleas is not strongly marked
in many species.
In an unpublished report to the writer on the species of fleas found
on rats in San Francisco, Rucker states that a great preponderance of
the rat fleas recovered in San Francisco were Nosopsyllus fasciatus
(Bosc) as based on 10,972 specimens as follows:
422 MEDICAL ENTOMOLOGY
PEII CENT
Nosopsyllus fasciatus (Bosc) 68.07
Xenopsylla cheopis (Roth.) 21.36
Pulex irritans Linn. 5.57
Ctenopsyllus segnis (SchOn.) 4.48
Ctenocephalides canis (Curt.) 0.52
The following tables (Tables V to XI) adapted after McCoy8 throw
mnch light on the interchange of hosts and the predominance of species:
TABLE V
FROM BROWN RATS [Rattus r. norvegicus (ERXLEBEN)]
I
606 570 I 1,252 790 1,146 225 425 44 137 13 15
TABLE VI
FROM BLACK RATS [Rattus rattus rattus (LINN.)]
!
N. fasclatus X. cheopis P. irritans C. segnis Ct. cams
No. of rats - - - - - -
combed
I -------
Male Female Male Female I Male I Female Male Female Male Female
------ --- --- --- ---
11 7 32 6 5 0 0 4 17 0 2
I
I
I
TABLE VII
(Mus musculus LINN.)
FROM MICE
-
1 5 2 0 0 0 i
3 I 10 o o
I I i I
TABLE VIII
FROM CALIFORNIA GROUND SQUIRRELS [Citellus beecheyi beecheyi
( RICHARDSON) J
Diamanus Hoplopsyllus
No. of montanus anomalus
squirrels
combed
Male Female Male Female
Ctenocephalides felis
No. combed
Male Female
2 5 15-
TABLE XI
FROM MAN (Homo sapiens LINN.)
et al. 9 was that of Justinian in the sixth century, starting in Egypt in 542
A.D. and spreading to Constantinople. It' lasted 50 to 60 years, and its
victims are estimated at 100,000,000. The second plague pandemic, the
"Black Death," took place in the middle of the fourteenth century in
Europe and claimed 25,000,000 victims or about one-fourth of the popu-
lation. In Great Britain from half to two-thirds of the people perished.
The great plague epidemic of London, 1664-1666, is said to have killed
70,000 persons out of a total population of 450,000. Plague disappeared
from England in about 1680, having been almost continously present
for nearly 140 years, with five epidemics.
Gradually this infection receded from Europe and the Near East,
and as Wu et al. (lac. cit.) points out "the existence of epidemic foci,
424 MEDICAL ENTOMOLOGY
comparable to stagnant pools left behind by the lowering tide, was
recognized. . . we now know a whole series of endemic plague foci,
usually with epizootics among the wild rodents situated near or even
contiguous with Central Asia . . . the whole of this vast territory with
its hosts of wild rodents might be compared with a heap of embers
where plague smoulders continuously and from which sparks of infec-
tion may dart out now and then in various directions." The present
pandemic is believed to have originated in a wild hibernating rodent,
the tarabagan (Arctomys sibirica Schreber) in the interior of China and
began as an epidemic in Hongkong in 1894 and was transported along
world trade routes to many parts of the globe. The rat, as transported
in commerce, constitutes the chief means of spreading the diseases, the
infection being carried from rat to rat by means of rat fleas. For this
reason plague may appear in a city far removed from the original focus
of infection.
The first recorded appearance of plague on the North American con-
tinent, according to Hampton lO occurred in San Francisco, California,
on March 6, 1900, when the body of a Chinese who had died of plague
was discovered in the Chinese quarter. Rat infection was not demon-
strated until 1902. Human cases of plague continued to appear in San
Francisco, and 12~ cases with ll3 deaths were reported up to February,
1904, when the last case in the first outbreak was recorded. In May,
1907, plague was again discovered in San Francisco, and the last of this
series with 159 cases and 77 deaths occurred in June, 1908.
The next outbreak of plague in the United States, according to
Hampton, occurred in New Orleans in 1914 with 30 cases and 10 deaths
reported from June 21 to September 8. The Los Angeles outbreak of
pneumonic plague-November 1, 1924, to January 5, 1925-resulted in
41 cases with 34 deaths. The outbreaks traceable to plague-infected rats
and their fleas were quickly stamped out. However, as Hampton points
out, large areas in our Pacific coast states and adjacent territory harbor
plague-infected wild rodents such as ground squirrels and their ecto-
parasites (fleas) presenting a problem fraught with potential danger.
The answer to the question, "Is the disease in man and rodents
identical?" was not forthcoming until 1894 with the work of Yersin and
Kitasato in Hongkong. The former found the organism in the corpses of
dead rats and according to Wu et al. gave the first detailed and accurate
description of Pasteurella pestis, Yersin11 calling it Bacille de la peste.
To Kitasato, Wu states, we owe the earliest account of the organism, as
he found the plague bacilli in the "finger blood of a patient with axillary
bubo."
The disease in man. Wu et al. (lac. cit.) give the period of incuba-
tion from 2 to 10 days; the onset usually occurs within a period of 3
FLEAS 425
days. Fox in -Insects and Disease of Man/ 2 page 294 (P. Blakiston's Son
& Co., by permission), describes the disease as follows:
0
It develops suddenly with a rapid rise of temperature, reaching 103 or 104 F.
0
in two or three days, after which it is more or less irregular. There is headache,
the eyes are injected and the facies are characteristic of extreme illness. Prostra-
tion is profound and comes on early. Delirium also appears early. The charac-
teristic lesion of the disease, the bubo, usually is sufficiently pronounced by the
second day to be readily detected. The most common site for the bubo is the
femoral or inguino-femoral region, then the axillary region, cervical, iliac and
popliteal. Over the enlarged glands oedema appears and pressure elicits great
tenderness. The individual lymph nodes cannot be palpated. This swelling
forms the primary bubo. Secondary buboes may appear in other parts of the
body. In these, the glands are not matted together as in the primary bubo.
Four forms of skin eruption may be described-a petechial eruption, ecchy-
moses, a subcuticular mottling, and the so-called plague pustule . . . a bulb-
ous-like formation containing thin, turbid material teeming with plague bacilli.
It is believed to indicate the original point of inoculation, the flea bite. Extend-
ing from this to the nearest lymphatic glands faint red lines indicating lym-
phangitis may be observed. A secondary pneumonia due to the deposit of
plague bacilli in the pulmonary tissues may occur. In about a week if the
patient survives, the bubo breaks down leaving an ulcer which heals slowly.
FIG. 143. Pulex irritans, the human flea; male (right), female (left). X 17.
plague under laboratory conditions and may be the chief vector of two
unusual types of plague, e.g., viruola pestosa (a vesicular form) and
angina pestosa (a tonsillar form) found in ECllador.
Ctenocephalides canis (Curtis) and Ctenocephalides felis (Bouche)
are the dog flea and cat flea respectively. Both species attack cats and
dogs as well as man. Both have the oral ctcnidia consisting of eight
spines and the pronotal comb of 16 spines. They may be separated as
follows:
In the female the head is fully twice as long as high (seen from side); two
or three bristles on metathoracic episternum; bristles on metathoracic epimeron,
first row, four to eight, second row, five to seven; seven to ten bristles on inner
side of hind femur.. ....... ......... . .............. ·felis
In the female the head is less than twice as long as high (seen from the
side); three or four bristles on metathoracic episternum; bristles on meta tho-
racic epimeron, first row, seven to eleven, second row, seven to nine; ten to
thirteen bristles on inner side of hind femur .......... · .................................... canis
absent. The ocular bristle is in front of and just above the middle of the
eye; there are two bristles on the gena; oral bristles placed low down
just above the base of the maxillae; each abdominal tergite has but one
row of bristles; the hind femur has a row of about eight bristles. The
mandibles reach nearly to the end of the anterior coxae. Incrassation of
mesosternite consists of one rod extending anterodorsally and one rod
extending upward nearly perpendicularly (Fig. 138).
Mellanb y 40 (1933) has performed experiments proving that X. cheo-
pis (Roth.) can complete its life history between 18° C and 35° C in
moist air. Between 18° C and 29° C air with a relative humidity of 40
per cent is unfavorable, while with 60 per cent pupation takes place suc-
cessfully. Pupation at 18° C required eight days, at 22° C it required
d "
/!¥,/ ~ ~~"~~
~) \~
-/;>/
(:;:5:;;V'
~
';)
FIG. 144. Xenopsylla eheopis, the Oriental rat flea; male (left) , female
( right). X 17.
six days, and at 29° C to 35° C it required four days. The develop-
mental zero for pupation is about 15° C.
Xenopsylla brasiliensis (Baker) is an African species, the predomi-
nant rat flea in Uganda, Kenya, and Nigeria. It has spread to South
America and certain areas in India. It is regarded as a more important
vector of plague than X. cheopis (Roth.) in Kenya and Uganda, since it
is "the flea of the hut" while the latter infests rats of stone and brick
buildings.
Xenopsylla astia Roth. has a restricted distribution
being found mostly along the low-lying coast of Ceylon, the east coast of India,
and along the opposite coast of Bengal . . . while X. astia may be the respon-
sible vector [of plague] in certain circumscribed and isolated outbreaks, the
available evidence . . . points to its inferior position in the epidemiological
picture. . . . Moreover astia outbreaks, if and when they do occur, are not
known to carry over from one season to another.
(Wu, et al., loe. cit.)
FLEAS 441
Xenopsylla hawaiiensis Jordan is a common flea of the Hawaiian rat,
Rattus hawaiiensis. According to Eskey reported by Jordan 41 this species
of flea has a very peculiar distribution.
It has not been found in Honolulu or vicinity, while it is quite common on rats
caught about nine miles away on the opposite side of the island. It is essen-
tially a flea of field rats and rarely found on rats caught in buildings.
Family Dolichopsyllidae. Nosopsyllus (= Ceratophyllus) fasciatus
(Bosc) is the European rat flea (Fig. 145). It is widespread over Europe
and America, being less common in other parts of the world. It has been
recorded on rats, house mice, pocket gophers,. skunk, man, and many
other host animals. It has but one ctenidium, the pronotal, which has
FIG. 145. Nosopsyllus fasciatus, the rat flea; male (left), female (right). X 17.
18 or 20 spines. There are three bristles in front of the eye; and in the
female two bristles, and in the male four in front of these. There are
three or four hairs on the inner surface of the hind femur. N. fasciatus
(Bosc) is regarded as a negligible factor in the causation of natural out-
breaks of plague.
The genus Nosopsyllus may be distinguished from the genus Dia-
manus by the fact that in Diamanus there are long, thin bristles on the
inside of the mid and hind coxae from the base to the apex, while in
Nosopsyllus such bristles occur at most in the apical half.
Diamanus montanus (Baker) ( Ceratophyllus acutus Baker) (Fig.
146) is a common species of squirrel flea described from California.
This species may be recognized by a spine at the tip of the second joint
of the hind tarsus longer than the third joint and reaching over on to the
fourth joint; the abdominal tergites have each two rows of bristles; the
male claspers are very large and long, and sickle-shaped.
Ceratophyllus niger Fox was originally described from specimens
taken from man and from Rattus r. norvegicus in California.
Ceratophyllus gallinae Schrank is commonly known as the European
hen flea although it has a wide range of hosts. See previous pages.
442 MEDICAL ENTOMOLOGY
Family Hectopsyllidae. Tunga penetrans (Linn.) [Dermatophilus
(= Sarcopsylla) penetrans (Linn.)] is commonly known as the chigoe
flea.
Echidnophaga gallinacea (Westw.) is commonly known as the stick-
tight flea of poultry and other animals.
FIG. 146. Diamanus montanus, the squirrel flea; male (right), female (left).
x17.
Family Hystrichopsyllidae. Ctenopsyllus segnis (SchOn.) (Leptopsylla
musculi Duges) is the cosmopolitan mouse flea (Fig. 147). It is com-
monly found on rats. It bites man reluctantly and is regarded as a weak
vector of plague; its role in human outbreaks is considered negligible.
Rat fleas on ships and at seaports. The United States Public Health
FIG. 147. Ctenopsyllus segnis, a mouse flea; male (right), female (left). x17.
Service has conducted a number of rat-flea and rat surveys at various
seaports. Williams 42 reports that on a two-year survey of ships at the
Port of New York 1,913 ships produced 18,265 rats, an average of 9.6
rats per ship. The ship rat is almost exclusively the black rat, Rattus
r. rattus (Linn.) and the roof rat, Rattus rattus alexandrinus (Geoffroy-
St. Hilaire and Audouin), constituting 99.65 per cent of all rats. Because
FLEAS 443
of the climbing habits of these rats, they are more likely to get into cargo
and aboard ships than the Norway rat. The report indicates that the
majority of ships carry few rats, and only about 50 per cent of arriving
ships constitute about 90 per cent of the potential plague menace.
The dead rats collected after ship fumigations (hydrocyanic acid)
were examined for fleas. A total of 7,886 fleas were taken from 18,265
rats, an average of 0.43 per rat, which was about 30 per cent of the
expectation of fleas from live rats. Of the total number of fleas, 6,992
(88.68 per cent) were Xenopsylla cheopis (Roth.) and 786 (9.97 per
cent) Nosopsyllus (= Ceratophyllus) fasciatus (Bosc). The remaining
number of rodent fleas were Ctenopsyllus segnis (Schon.), 63, Xenop-
sylla brasiliensis (Baker), 4. Pulex irritans Linn. appears as a single
.specimen and the cat and dog flea numbered but 7.
The rat-flea survey at Norfolk, Va. (Hasseltine, 1929),43 resulted in
the capture of 1,561 rats, of which 883 harbored fleas; 4,898 fleas were
taken. Of these fleas 81.6 per cent were Xenopsylla cheopis (Roth.),
and 17.7 per cent were Nosopsyllus (= Ceratophyllus) fasciatus (Bosc).
The Norfolk survey was based on caged, trapped rats taken under favor-
able conditions for harborage and propagation. Consequently, the num-
ber of fleas per rat (the living rats were chloroformed) was much higher
than the average per ship rat on fumigated vessels, i.e., 5.5 against 0.43;
also Rattus r. norvegicus (Erxleben) constituted all but four of the total
number of rats taken at Norfolk.
At the port of New Orleans, Fox and Sullivan44 report that from 3,839
live rats 17,559 fleas were taken, of which 6,566 were Xenopsylla cheopis
(Roth. ), 10,269 were Ctenopsyllus segnis (Schon.), (Leptopsylla musculi
Duges ), and 724 were Nosopsyllus (= Ceratophyllus) fasciatus (Bosc)
-an average of 4.83 per rat. These authors state that it is quite significant
that at the port of New Orleans, where plague has actually existed,
Xenopsylla cheopis (Roth.) is the predominant rat flea present during
every month of the year.
Inspection of vessels for rat infestation has two principal objects ac-
cording to Williams: 45 first to determine the presence or absence of rats
so as to determine whether or not a vessel shall be fumigated or other-
wise treated to kill fleas and rats; and second, to determine the location
of rats when present so as to apply fumigation effectively and to main-
tain proper rat-proofing.
The chigoe flea. Tunga (= Sarcopsylla) penetrans (Linn.) (Fig.
148) belongs to the family Hectopsyllidae and is known as "chigoe,"
"jigger," "chigger," "chique," "nigua" or "sand flea." The head of this flea
is definitely angular and is usually larger proportionately than the heads
of other fleas; there are no ctenidia on the head or pronotum; the mouth
parts are conspicuous; the palpi are four-segmented. Tunga penetrans
444 MEDICAL ENTOMOLOGY
which emerge in a few days from the eggs are typical flea larvae. Those
hatching in the ulcer usually drop to the ground to develop under con-
ditions similar to those having hatched on the ground. Faust and Maxwell
(1930) 46 report a case in which the eggs had hatched in or on the body
around the sites of the burrows of the gravid females, and the larvae
had thrived and grown there. The larval peric)d under favorable condi-
tions probably requires not more than 10 to 14 days and the cocoon
or pupal period about a like number of days.
Pathogenesis. The chigoes commonly attack the bare feet, these being
nearest the ground, infesting the skin between the toes and soles; but
no part of the body is exempt from attack. The burrowing female flea
causes extreme irritation; the area surrounding it becomes charged with
pus, producing a distinct elevation. The ulcera.tions due to the presence
of numerous chigoes become confluent. Weltman in a personal com-
munication to the author attributes the commonly observed autoampu-
tation of toes of natives in Angola to the work of the chigoe. Tetanus
and gangrene frequently result.
FLEAS 445
Where the chigoe flea occurs, walking in bare feet should be avoided.
Parts of the body attacked by the fleas should receive immediate at-
tention. Repeated bathing of the infested part with Lysol gives good
results. The insect can be removed quite easily by means of a sterile
needle or very fine-pointed knife blade. The wounds caused by this
treatment must be carefully dressed and allowed to heal.
The sticktight flea. Echidnophaga gallinacea (Westw. ), also known
as the "sticktight," is a serious poultry pest in many parts of subtropical
America. It commonly attacks poultry of all kinds, also cats, dogs, rab-
bits, horses, and man. It differs from Tunga penetrans (Linn.) in having
the angle of the head acutely produced, while in T. penetrans (Linn.)
the head is obtuse instead of rounded and the eyes and antennae are
in the posterior half of the head. It is from 1 to 1 y:! mm in length.
Before copulation both sexes are active, hopping about much as do
other species of fleas. Shortly after feeding, the females attach themselves
firmly to the skin of the host and begin, to burrow. At this time the sexes
are in copulation, The burrowing fema1es deposit their eggs in the ulcers
which have been produced by the infestation, The usual incubation
period according to Parman 47 is from six to eight days at a temperature
average of 76° F. If the eggs are deposited in the ulcer, the larvae crawl
out and drop to the ground, where they grow rapidly under favorable
conditions, feeding on nitrogenous matter, dry droppings, etc. The full
grown larva, which is not unlike other flea larvae, is about 4 mm in
length, reaching this stage in about two weeks. The larva then spins a
cocoon, pupates, and in about two weeks (9 to 19 days) emerges as a
fully developed flea, The life history requires from 30 to 60 days, Eggs
are also deposited in the dust or dry droppings of poultry or in old
nests, etc.
The fleas are most likely to attack the skin around the eyes, the
wattles and comb, and the anus or other bare spots, The ulceration and
wart-like elevations around the eyes often become so aggravated that
blindness occurs, the host is unable to find its food, and death results.
Since this flea also lives on dogs, cats, rats, quail, blackbirds, and spar-
rows, suitable precautions should be taken to exclude these from chicken
pens,
The western hen flea, Ceratophyllus niger Fox, is considerably larger
than the sticktight and does not attach except when feeding and then
only for a brief period. It readily attacks man and cats and dogs. It
breeds primarily in fowl droppings. The European hen flea, Ceratophyl-
lus gallinae Schrank, which has habits similar to C. niger Fox, is also at
times a serious pest of poultry (Stewart, 1927).48
Fleas in the household. Very few species of fleas are annoying to house-
hold pets, Among these are particularly the dog and cat fleas. Cteno-
446 MEDICAL ENTOMOLOGY
cephalides canis ( Curt. ) and Ctenocephalides felis (Bouche) (Fig.
149), and the so-called human flea, also known as the sand flea, Pulex
irritans Linn. While the common name might imply that there is a
specific host relationship, this is not the case, since interchange of host
species is quite usual. Cat and dog fleas readily attack humans, and the
human flea is often remarkably abundant on swine.
Fleas in the house generally indicate that cats or dogs or both are
present or have been present fairly recently. Fleas may be carried on
clothing into the house from pig pens or from flea-infested public meet-
ing places. The exclusion of cats and dogs or their proper management
is necessary to prevent flea infestations. Cats and dogs (unless properly
FIG. 149. Ctenocephalides felis, the cat flea; male (left), female (right). X 17.
bedded), as well as rats, must be excluded from the basement and
from beneath the house.
Ordinarily fleas lay their eggs on the infested animal, but because
the eggs are dry, they drop off when the host shakes itself. For this
reason mats should be provided upon which the animals may sleep at
night, and these should be shaken off every day or two over fire or into
kerosene (see flea control). The eggs are minute glistening white objects.
The incubation period varies considerably, but they usually hatch in
from five to six days, sometimes less, and the worm-like sparsely haired
larvae emerge. The larvae feed on particles of dry blood, fecal matter,
and various organic substances collected in corners and crevices. The
larvae are quite active and in two to four weeks reach a length of about
one-fourth inch and then spin a crude cocoon in which they pupate. The
flea emerges from the cocoon in about a week; thus three to four weeks
are required for the entire life history of a common house flea under favor-
able conditions. Undisturbed mats, rags, and carpets favor the develop-
ment of fleas. All carpets or matting tacked down and covering the floor
should be dispensed with and smaller rugs substituted. Houses that have
been vacant for several weeks may be badly infested with fleas because
these insects are able to live without food for several weeks.
FLEAS 447
Fleas as intermediate hosts of cestodes. Although Melnikoff in 1867
showed that the biting louse of the dog, Trichodectes canis DeGeer,
serves as an intermediate host of the double-pored dog tapeworm, Dipyl-
idium caninum (Linn.); it has since been shown by other workers that
fleas play a more important role in the transmission of this tapeworm,
particularly the cat and the dog flea, Ctenocephalides felis (Bouche) and
Ct. canis (Curt.). Although Dipylidium caninum (Linn.) is a tapeworm
of dogs, cats, and certain wild carnivores, it also occurs in man, particu-
larly in young children. The tapeworm measures from 20 to 70 cm in
length; the mature proglottids are shaped like pumpkin seeds, and each
has a double set of reproductive organs with a genital pore on each side.
The scolex has a rostellum which is armed with three to seven circlets
of spines and has four deeply cupped oral suckers. The embryonated
eggs of the tapeworm are discharged in the fecal material of the host
and are ingested by the larval flea and develop into cysticercoids in the
body cavity of the insect. Thus the mature flea is infected and when
ingested by a cat or dog or human, the cysticercoids are liberated and
develop into tapeworms in the animal's digestive tract.
A common tapeworm of rats and mice, rarely of man, Hymenolepis
diminuta (Rudolphi), has numerous intermediate arthropod hosts, among
them Nosopsyllus fasciatus (Bosc) and Xenopsylla cheopis (Roth.).
Flea control. With a substantial background of knowledge concerning
the parasitic habits, the life history, and particularly the ecology of fleas,
control of these pestiferous, disease-bearing insects can be accomplished.
Management of host animals and the practice of good sanitation in the
household and in public places are fundamental principles which must
not be neglected· granting the effectiveness of the newly discovered in-
secticides, the proper use of which must be understood as well as their
limitations.
Dichloro-diphenyl-trichloroethane (DDT) may be applied either as
a 10 per cent dust (particularly when used in murine typhus fever control
operations) or as a 5 per cent DDT-kerosene solution for application as
a spray to floors and beneath rugs in the house and sleeping places of
cats and dogs. One gallon of 5 per cent DDT-kerosene solution sprayed
lightly over areas of 1,000 to 2,000 square feet will completely eradicate
fleas. DDT is not a repellent, and it kills slowly. It retains its killing
effect against fleas for about two months.
When DDT is used as a dust it is mixed with pyrophyllite, Fuller's
earth, calcium dust, or walnut shell flour and is applied with a hand
duster or with a hand shaker. That DDT dust kills fully grown flea
larvae [Ctenocephalides felis (Bouche)] as well as adults was shown
by Kerr (loc. cit.), who used among other rates a 5 per cent DDT-
pyrophyllite dust. All larvae died within 24 hours after treatment. Adult
448 MEDICAL ENTOMOLOGY
fleas remained normal in behavior for about 10 minutes after exposure
to toxic doses, then followed a period of increasing activity, with the fleas
jumping vigorously in 15 to 20 minutes; within an hour they were in-
capable of movement except a slow waving of the legs.
Wherever pets sleep or are accustomed to lie down DDT dust
(10 per cent recommended) is applied where fleas will come in contact
with it. The dust should be forced into cracks and crevices and in all
places where fleas may breed. Excess powder if objectionable after a few
days can be wiped up with a cloth or removed with a vacuum cleaner.
Flea-infested basements as well as yards and other out-door areas should
be Similarly dusted.
Dogs may be safely dusted with DDT; often only a line of 10 per
cent dust along the middle of the back is sufficient to kill all the fleas
and to prevent reinfestation for several weeks. Since DDT agitates fleas
before killing, this activity causes the dog to scratch and bite vigorously
until the insects cease crawling about.
Although DDT dust is not absorbed through the skin of mammals,
cats should not be treated with DDT because of their cleaning habits;
however, treating the cat's bed is usually sufficient. Flea powders con-
taining rotenone and pyrethrum are safe to use on cats.
In the use of DDT dust (10 per cent DDT) in murine typhus con-
trol, the United States Public Health Service points out that this is aimed
at the flea link in the typhus chain. Proper dusting of rat runs and har-
borages with DDT combats fleas both on and off their rodent hosts.
With regard to the use of DDT for the control of murine typhus
fever the United States Public Health Service points out that rats in
passing over the dusted places, pick up a considerable amount of dust
on their feet, bellies, and tails, and fleas on the rats come in contact with
the DDT dust and, if exposed to it for a sufficient length of time, are
killed. Thorough residual dusting (not too heavy) of rat runways, both
inside of buildings and in outside areaways, is essential not only to
ensure killing fleas on the rats but also to kill the fleas (off the animals)
in or near rat runs, nests, or harborages. Treatment of premises and build-
ings should be repeated at intervals of two or three months throughout
the flea breeding season. Success depends upon a good knowledge of the
habits of rats and careful inspection.
Flea repellents. Tests made by Lindquist, Madden, and Yates 49 show
that insect repellents used during World War II, dimethyl phthalate,
Rutgers 612, and indalone, are effective flea repellents giving an average
repellent period of IS9-260 minutes, the first giving the longest. Tests
made with a mixture of one per cent pyrethrins and 2 per cent IN-9S0
in mineral oil gave even a longer repellency.
Rodent control. Officials responSible for the prevention and control
FLEAS 449
FIG. 150. House rats. (A) Rattus r. rattus, the black rat; (B) Rattus n. norve-
gicus, the brown rat; and (C) Rattus r. alexandrillus, the roof rat. X .13.
glycerin mixed with the bait prevents hardening and sodium sulphite
may be used as a preservative. Red squill is the safest rat poison for
general use since experiments show that cats, dogs, chickens, pigeons,
and hogs usually will not eat it, probably because of its disagreeable
taste, or will quickly vomit any which may }lave been eaten. Red squill
is a poison, hence should be treated accordingly and be placed out of
reach of children and pets.
(2) Antu is an abbreviation for the chemical alpha-napthyl-thiourea,
a light, gray powder, quite insoluble in water, highly stable and non-
irritating to the human skin. It is highly toxic to the Norway rat in con-
centrations of 1 to 1 liz per cent, but much l(~ss toxic to Alexandrine and
black rats. This deficiency can be corrected 1:)y increasing the percentage
of "antu" in baits to 5 per cent. It kills rats by causing an accumulation
of body fluids within the chest cavity. Sublethal dosage quickly builds
up a tolerance. Antu is particularly toxic to dogs and young chicks; it
can also poison pigs. Monkeys tolerate large quantities, hence it may not
be dangerously toxic to human beings; however, antu should be guarded
like any other poison to prevent children, pets, domestic animals, or
foodstuffs from coming in contact with it. Keep antu out of the mouth;
do not eat or smoke when handling it. As a rat poison it is used in baits
in concentrations referred to above, or it cafl be used as a dust on run-
ways or pumped into burrows in a mixture of 20 per cent antu, 2 per
cent DDT, and 78 per cent pyrophyllite. This formula tends to control
rat fleas as well as the rats.
(S) Zinc phosphide is a heavy dark-gray powder with a faint odor
of phosphorus. It is used in baits at a percentage of from 2l1z to 5 per
cent.
(4) Barium carbonate is a fine white powder. The proportions used
are: bait, 4 parts by weight, and barium ~arbonate, 1 part by weight.
It is slow acting and although regarded as mild it may still be fatal to
chickens, dogs, and cats; hence great care I11ust be exercised in its use.
It must be inaccessible to children and to pets and other animals. It is a
pOison.
(5) Compound 1080 (sodium fiuoroacetate) is a violent poison
(Ward and Spencer54 ). Water poisoned with liz ounce of 1080 per gallon
will kill monkeys on the basis of about 3 Oullces of the solution to a 150-
pound animal. It is highly fatal to man. Cats and dogs are almost sure to
be fatally poisoned if rats, mice, or other rodents killed with 1080 are
eaten. Compound 1080 should be used only by carefully instructed, re-
liable personnel competently supervised. It should not be used in dwell-
ings.
(6) Thallium sulfate is a heavy-metal poison obtained from smelters.
It is used by governmental agencies for the control of both rats and neld
454 MEDICAL ENTOMOLOGY
rodents. For thallium, as for 1080, there is no certain antidote. It is a
slow acting poison in contrast to 1080 which acts very quickly.
Toxic gases such as calcium cyanide, sulfur dioxide, methyl bromide,
and carbon monoxide (from automohile exhaust) are commonly forced
into rodent burrows by means of special pumps to kill rats and other
burrowing rodents.
Use of traps. In trapping rats the proper placement of the trap is far
more important than the selection of a bait. Bacon strips, a piece of fresh
fish, or bacon-scented oatmeal is better than cheese as a bait according
to the "Fish and Wildlife Service." Such baits should be tied firmly to
the trigger of the trap.
Dead rats resulting from poisoning, gassing, trapping, or any other
cause should be treated copiously with kerosene, boiling water, or an
insecticide before disposal, to destroy any fleas still present on the body.
Incineration or deep burial of dead rats is good practice. Deodorants
such as powdered activated charcoal may be used where rats have died
within walls. Storer (loc. cit.) refers to a commercial product, Hyamine
1622, as useful to reduce such odors.
Field rodents. Among the more important field rodents are the ground
squirrels belonging to the genus Citellus, family Sciuridae. They are
important reservoirs of sylva tic plague and tularemia and may cause·
losses to cereal crops amounting to from 10 to 15 per cent or more. They
materially reduce the forage in pastures and may damage ditch banks
and levees by burrowing.
Storer 55 (1947) states that there are seven varieties or subspecies of
ground squirrels in California, each occupying a separate area. The most
widespread is the dark-colored Douglas ground squirrel, Citellus beechyi
douglasii ( Richardson), with much black between the shoulders; it
occurs northward from San Francisco Bay throughout the region west
and north of the Sacramento and Feather rivers. The brownish Beechey
ground squirrel, Citellus beechyi beechyi (Richardson) (Fig. 142) oc-
cupies coastal California from the Golden Gate and Carquinez Strait
south nearly to San Diego. The gray-toned Fisher ground squirrel,
Citellus beechyi fisheri (Merriam), inhabits the greater part of central
California from the Feather and Sacramento rivers south to the southern
end of the San Joaquin Valley. The Oregon ground squirrel, Citellus
oregonus (Merriam), a short-tailed brownish-gray species of the north-
eastern part of California, is essentially an inhabitant of grasslands. The
Belding ground squirrel, Citellus beldingi (Merriam) is known as the
picket-pin; it is also bob-tailed and is found in the high Sierra at eleva-
tions of 6,500 feet to 12,000 feet.
Every ground squirrel has two thin, internal cheek pouches, opening
inside the lips, one on each side of the mouth, which are used to carry
FLEAS 455
food. Storer points out that this characteristic is important in control
because ground squirrels may be killed by absorbing poison on baits
through the lining of the pouches.
Habits. Ground squirrels find their food on the surface of flat country,
hillsides, or embankments. They are active by day during the warmer
season of the year and on warm days in winter. All species 'dig burrows
for safety, for shelter during very hot or rainy weather, for hibernation,
for storage of food, and for the rearing of young. Burrows are about 4
inches in diameter, within 2112 to 4 feet below the surface, and may
reach a length of 30 feet; occasionally they are much longer. Entrances
to the burrows are always open. These tunnels, often branched, are made
in hillsides, in ditch banks, in railroad embankments, and in Hat lands.
Storer describes a complicated system of tunnels with a total length of
471 feet and 33 opening.
During the rainy months ground squirrels feed chiefly on green
herbage and seeds on the ground; when seed crops ripen these animals
collect unhulled seeds of both wild and cultivated plants in their cheek
pouches and hide these in caches in the ground and in various crevices
for later use.
Estivation and hibernation. In the lowlands ground squirrels are
reported to estivate as early as mid-May, whereas in the high mountains
they do not begin hibernation until as late as early August. Emergence
occurs in late winter or early spring. Storer (lac. cit.) points out that
estivation explains why old breeding adults suddenly appear in spring,
after all squirrels active in a field during autumn had been killed, and
there seemed no chance for migration from surrounding fields. It is
extremely important to carryon intensive control in the spring and
early summer when all squirrels are active. During hot summer weather
and in the autumn and early winter, some of the squirrels may be under-
ground and out of reach. There is some doubt whether dormant animals
are killed by gassing their burrows with carbon disulfide.
Breeding. Ground squirrels probably produce only one litter a year,
of which about 5 or 6 are said to survive long enough to appear above
ground. The breeding season is during the months of December to April.
The young are seen in greatest numbers during May and June, when
they scatter to new territory or move to unoccupied old burrows. Control
operations, therefore, should be espeCially intensive in late winter and
early spring.
Ground-squirrel control. Storer (lac. cit.) states that there are six
general means of controlling ground squirrels, viz.: (1) poison bait, (2)
poisonous gases, (3) trapping, (4) shooting, (5) exclusion, and (6)
encouragement of natural enemies.
Strychnine-coated barley. In the use of poison for squirrels several
456 MEDICAL ENTOMOLOGY
in its use are these: it is readily converted into a poisonous gas, diffuses
quickly, destroys life rapidly, and can be used most readily during the
rainy season, when green food is abundant, and the use of poisoned grain
is not practicable.
Carbon bisulfide is applied in two ways: with a special pump to
force the fluid or gas into the burrow or by soaking waste balls in the
fluid and then placing them in the burrow. The balls of waste may be
ignited, but this is hazardous. In either case it is suggested that from
one to three days prior to the application of the poison all squirrel bur-
rows in the area to be treated should be stopped with earth. The holes
found opened indicate the burrow in which there are squirrels.
The method of applying carbon bisulfide by the ignition method is
as follows: to handle a large area to the best advantage two men should
work together.
458 MEDICAL ENTOMOLOGY
One man is provided with a supply of "waste," "sacking," or other ab-
sorbent material, divided into a number of small balls about half the size of
the fist. The bisulfide is carried in an ordinary one-gallon oil can, and re-
filled from time to time from a supply kept in a cool place out of the sun.
He is supplied with matches. (Matches are dangerous, hence other methods of
exploding the gas should be used.) His "pardner" carries a mattock or long-
handled shovel. On arrival at an opened squirrel burrow, a ball of "waste"
is saturated with two ounces of bisulfide, dropped deeply in the burrow and
then a match applied. After a moment's time the man with the shovel stops
with earth this burrow and all other burrows near from which the gas escapes.
On subsequent inspection of the field all opened burrows will indicate holes
lacking affective treatment.
..J
«
en
'o"
o
.~
,~ I
"ry
j
6\
"'0...'
......:'
!":....
; \'
.. '\
en
UJ
<)
0::'
oco
...J
,...«
Z
W
<!>
en
w
,...
«
...J
0..
-'
«
:::.
t!)
i=
en
FIG. 151. Structural details of the two families of ticks, Ixodidae and Argasidae.
471
472 MEDICAL ENTOMOLOGY'
TABLE XII
DIFFERENCES BY WHICH THE TWO FAMILIES OF THE IXODOIDEA MAY BE
SEPARATED (ADAPTED AFTER NUTTALL)
Argasidae Ixodidae
FIG. 154. The Rocky Mountain spotted fever tick, Dermacentor al1de'l'soni;
(left) male, (right) unengorged female. X 3.5.
taken. Copulation takes place on the host, and when fully fed, the
greatly distended female drops to the ground. The preoviposition period
is about a week, after which egg-laying begins, continuing over a period
of about three weeks. If undisturbed, the eggs pile up ahead of the
female in one large mass, averaging some 6,400 eggs. The incubation
period of the eggs requires about 35 days, when the young hexapod seed
ticks emerge and find suitable rodent hosts, feed for three to five days,
drop off, and molt in from 6 to 21 days, emerging as nymphs with four
pairs of legs. These nymphs, the progeny of overwintered adults, go
into hibernation to come up for feeding the next spring when they seek
larger-sized hosts as already explained, to which they attach for feeding
over a period of from four to nine days. When fully engorged, the
nymphs drop to the ground and in 12 to 16 days or more, molt for the
second time, emerging as adults. Some of these adults may find hosts
in the same summer in which they have emerged as adults, but by the
time they have emerged, Cooley explains, the season has generally be-
come hot and dry, making it necessary for them to seek protection under
476 MEDICAL ENTOMOLOGY
waste and vegetation. The "normal cycle" is therefore two years. The
larvae are found feeding through the summer months, and while the
adults disappear by about July 1, the nymphs continue in diminishing
numbers until late summer. Since man is usually bitten only by the adult
ticks, danger from this source exists only from early spring to about
July 1.
Like other species of ticks, Dermacentor andersoni Stiles is remark-
ably resistant to starvation. Hunter and Bishopp'2 report that all unfed
seed ticks hatching from a mass of eggs usually die within one month
after the first eggs hatch if food is not available. However, in one in-
stance a period of 117 days elapsed between the beginning of hatching
of the eggs and the death of the last seed tick. (A later record noted by
these investigators exceeded 317 days.) Unfed nymphs have been found
to survive one year and 11 days, and adults collected on vegetation dur-
ing the spring months may survive for 413 days without food. Students
concerned with the anatomy of this important species of tick will need
to consult the work of Douglas 13 (1943).
Dermacentor albipictus (Packard) is commonly known as the winter
tick, elk tick, or horse tick. It is a widely distributed North American
species. It is a one-host tick and does not occur on the host during the
summer months, it is distinctly a winter tick. The eggs are laid during
the spring months and hatch in from three to six weeks. The seed ticks
then bunch tightly together, remaining in a torpid condition until the
first cold weather in autumn, when they become very active and seek
host animals. Molting takes place on the original host animal. The
females reach maturity with the final molt and engorgement usually in
about six weeks after the seed ticks have become attached. Although
the females drop off the host after final engorgement as do other ticks,
egg laying is delayed until spring, often after an interval of several
months.
Hearle (1938, loco cit., p. 399) states that heavy infestations of horses,
cattle, moose, elk, and deer may result in death from "tick poverty" due
to the drain on the vitality of the infested hosts. In this respect, Hearle
states, it is the most important species occurring in Canada. This "tick,
it is reported, caused a loss of at least 20 per cent of the moose popula-
tion in Nova Scotia. A disease of moose (Alces americana americana
Jardine) is described by Thomas and Cahn 14 as occurring in northeastern
Minnesota and the adjacent region. It is reported that guinea pigs and
rabbits infested with the tick, Dermacentor albipictus (Packard), from
diseased moose have reproduced in detail the symptoms of weakness,
anemia, paralysis, excessive blind activity, and death as exhibited by in-
fected moose. The causal bacterium is described as Klebsiella paralytica
"because of the paralysis it causes" (Cahn, Wallace, and Thomas 15 ).
TICKS AND TICK-BORNE DISEASES 477
Dermacentor occidentalis Marx has a narrow Pacific coast distribu-
tion, being particularly abundant in southwestern Oregon, rare north-
ward and southerly. Adults of this species have been taken from cow,
horse, mule, ass, deer, rabbit, sheep, dog, man, and the immature stages
from many species of smaller animals such as ground squirrel, rabbit,
skunk, and field mouse. Dermacentor andersoni and D. occidentalis,
though distinct species, are very closely related and have been hybrid-
ized.
Key to the adults of the genus Demacentor
in the United States (after Cooley)
1. Spurs on coxa I widely divergent .. ............... 2
Spurs on coxal I with proximal edges parallel or only a little diver-
gent .... ................. 3
2. Scuta with deep large punctations parumapertus Neum.
Scuta with the larger punctations shallow and moderate in size (known
from peccary in southern Texas) . . halli McIntosh
3. Spiracular plate oval, without dorsal prolongation and with goblets
few and large .. ............ .. .... albipictus (Packard)
Spiracular plates oval, with dorsal prolongations, and with goblets
many or of moderate numbers 4
4. Cornua" long.. ..occidentalis Marx
Cornua short or of moderate length. 5
5. Spiracular plate with goblets very numerous and small
variabilis (Say)
Spiracular plate with goblets moderate in size and number 6
6. The larger punctations of the scuta very large and deep
andersoni Stiles
The larger punctations on the scuta moderate in size and depth (known
from Rocky Mountain sheep in southern Arizona) hunteri Bishopp
adults are small; the scutum of the female is quite small and the spiracles
are circular or oval in both sexes. There are less than half a dozen species.
The Texas cattle fever tick, Boophilus annulatus (Say) (Margaropus
annulatus Say) (Fig. 156) is normally restricted to North America south
of the 37° latitude into parts of Mexico. It is typically a cattle tick, al-
though it occurs at times in smaller numbers on deer, sheep, horses ,
mules, and other animals. The bison is evidently also a suitable host.
Boophilus annulatus microplus (Can.) (= australis Fuller) is referred
to as the tropical cattle tick (Tate 18 ).
Fully engorged females range in length from 10 to 12 mm, while
the male ranges from 3 to 4 mm. The body of the female is about equally
rounded both posteriorly and anteriorly, with a slight median incurving.
The anterior pair of legs is set well out on the shoulders away from the
capitulum (in Dermacentor close to the capitulum) . The palpi are
short, and the capitulum is inconspicuous. The relatively small (about
1 mm long, scutum is solid chestnut brown in color.
Economic importance. Tremendous strides have been made in the
last few years in the control of the Texas fever tick. It is of interest to
TICKS AND TICK-BORNE DISEASES 481
note that as late as 1906 it was estimated that the annual losses to south-
ern United States occasioned by the "cattle tick" directly and indirectly
amounted to $130,500,000. 19 This sum included (1) death, from Texas
fever, of pure-bred cattle imported from the North for breeding pur-
poses; (2) death, from Texas fever, when cattle reared in isolated tick-
free areas were unintentionally or accidentally placed with ticky cattle,
or on tick-infested areas; (3) death of native cattle from excessive para-
sitism and fever, occasioned by the ticks; (4) universal loss of weight by
all tick-infested cattle, and their failure to gain flesh at a rate great
enough to make beef production profitable; (5) the lower price which
"Southern" cattle brought upon the market, regardless of how perfect
their condition; (6) sterility induced in high-grade cattle by tick in-
festation; (7) the expense of maintaining the Federal quarantine for the
protection of the North against invasion by the tick, and the added
expense of maintaining quarantine pens for southern cattle shipped North
for slaughter; (8) the discouraging effect on the breeding of pure-bred
cattle in the South by reason of southern breeders not being allowed
to exhibit in northern show rings; (9) by no means least, the potential
loss in fertility of southern farm lands due to a one-crop system which,
with the tick eradicated, would quickly give way to a diversified agri-
culture thus tending to conserve and increase the fertility of soils; (10)
shrinkage in milk production of tick-infested cattle.
From 1906, when cooperative tick-eradication work was undertaken
between the United States Bureau of Animal Industry and state authori-
ties, to December, 1918, a total of 458,529 square miles of territory was
released from quarantine against Texas cattle fever, which speaks well
for the methods employed.
Life history of Texas fever tick. Boophilus annulatus (Say), is a one-
host tick. The life history may be divided into two phases: ( 1) the
parasitic phase during which the tick is attached to the host and which
terminates when the mature tick drops to the ground after fertilization;
(2) the nonparasitic phase when the tick is on the ground. After the ma-
ture female tick drops to the ground, there is a pre oviposition period of
three or four days to perhaps a month. Oviposition usually begins about
72 hours after the tick drops and continues usually for eight or nine days
but may be greatly prolonged if the temperature is adverse.
The maximum number of eggs deposited by a female tick according
to Graybill (lac. cit.) was 5,105, the minimum 357, with an average
ranging from 1,811 to 4,089. The incubation period, also dependent on
temperature, ranged from 19 days in summer to 180 days in the early
autumn, with the average of 43.6 days for April, 26.3 days for May, 24.5
days for June, 20.5 days for July, 21.2 days for August, and 35.9 days
for September. The hatching period depends on the time when the eggs
482 MEDICAL ENTOMOLOGY
are laid, the eggs first deposited ordinarily hatching first. The seed ticks
(Fig. 157) on hatching are very active; they climb onto blades of grass
or other objects which they ascend to the top, remaining clustered there
until a suitable host animal brushes against them to which they can
attach themselves. The time during which the seed ticks remain alive,
i.e., longevity of the newly hatched ticks, again varies considerably, de-
pending on temperature; the longevity for April ticks was found to be
65.1 days, May ticks 62.3 days, June ticks 65.1 days, July ticks 38.6 days,
August ticks 84.9 days, October ticks 167.4 days. The total average
ranged from 86.9 days for June to 279.6 for October.
The three stages considered in the parasitic period of the ticks are
larval (seed tick), nymphal, and adult. As Graybill has well said, "The
FIG. 157. (Left) eggs and (right) larva of the Texas fever tick, Boophilus
anntllatus. X 50.
duration of each of these stages and the duration of a single infestation
upon cattle during different portions of the year are of great practical
importance. Upon the duration of an infestation depends the time ani-
mals must be kept on the tick-free fields in order to become free from
ticks." After the seed tick has attached itself to the host, the larval
period ranges from 5 to 10 days, the nymphal period from 5 to 20 days,
and the life of the adult female from 5 to 35 days, with a total period of
infestation, including the time for molting twice, which is accomplished
on the host, from 20 to 65 days. The entire life cycle may be completed
in about 40 days under most favorable conditions, usually nearer 60
days under natural conditions.
Texas cattle fever. Red water, splenic fever, bloody murrain, Mexican
fever, tick fever, etc., are names given to a widely distributed disease
of cattle, being endemic in southern Europe, Central and South America,
TICKS AND TICK-BORNE DISEASES 483
TABLE XIII
COMPARISON OF THE LIFE CYCLE OF A WOOD TICK AND THE
TEXAS CATTLE FEVER TICK
I. Adult tick becomes engorged on host Adult tick becomes engorged on host animal
animal and drops to ground and drops to ground
II. Adult tick begins egg laying (3,000 Adult tick begins egg laying (3,000 ± eggs)
± eggs) after 3-5 days after 3-5 days
III. Seed ticks hatch from eggs in about Seed ticks hatch from eggs in about 30 days
30 days
IV. Seed ticks bunch on grass and await Seed ticks bunch on grass and await coming
coming of host animal, from one, of host animal from one day to several
day to several weeks weeks
IX. Adult ticks mate and feed 5-8 days to Adult ticks feed 4-14 days to engorgement,
engorgement, then drop to the then drop to the ground and lay eggs
ground and lay eggs
parts of Africa, Mexico, the Philippines, and the southern United States
where it has heen known for more than a century, having been intro-
duced into this country probably from Europe. The causal organism is
Babesia begemina (Smith and Kilbourne).
The name Texas fever became attached to the disease in the United
States because of the large herds of cattle which were driven northward
from Texas and gave a certain disease in some mysterious manner to
northern cattle that crossed the trail of the southern cattle. The first
account of the disease was given by James Mease in 1814 before the
Philadelphia Society for Promoting Agriculture. In 1879 Salmon began
an investigation of the disease; and in 1889 Theobald Smith made his
484 MEDICAL ENTOMOLOGY
epoch-making discovery of the intracorpuscular protozoan parasite in-
habiting the blood of the diseased cattle. Immediately thereupon fol-
lowed the experiments of Smith and Kilbourne, on suggestion of Salmon,
which proved the disease to be tick-borne, a suspicion held as early as
1869 according to Smith and Kilbourne. Until that time (1889) infection
was variously attributed to saliva, urine, or feces.
The disease may assume either an acute or a chronic form, the acute
form occurring during the summer months and the chronic during the
autumn and early winter. The symptoms of the acute form are as follows:
The temperature often rises to 106° to 108° F within 24 to 48 hours.
The sick animal leaves the herd, stands with arched back, head lowered,
and ears drooping, the muzzle dry, appetite lost, and rumination stopped.
There is constipation during the first stage of the disease, which may give
way to diarrhea later. The manure is frequently stained with bile and
may be tinged with bloody mucus; the urine is often very dark red or
coffee-colored. The blood becomes thin and watery, so that when making
an incision into the tip of the ear and allowing the blood to flow over
the hand it does not stick to the hand as does the blood from a healthy
animal.
Vast numbers of red blood corpuscles are destroyed by the parasites,
which accounts in a measure for the reddish color of the urine through
the elimination of hemoglobin by the kidneys; and it is believed that the
excessive work that the liver has to perform in attempting to trans-
form the excess of destroyed corpuscles into bile, causes this organ to
become deranged in function, and eventually a complete stagnation
may result with fatal termination. Mortality ranges from 50 to 75 per
cent.
The chronic form of the disease according to Mohler 20 shows all the
symptoms of the acute type, but in a milder degree. The temperature
usually remains about 103° and never exceeds 105° F. There is loss of
appetite, stoppage of rumination, constipation, and albumin in the urine.
An anemic condition of the blood, as indicated by the pale and bloodless
mucous membranes, is also present, but hemoglobin is not usually ex-
creted by the urine; hence the red-water symptom is absent. There is also
excessive loss of flesh, and before the end of the attack the affected ani-
mal is greatly emaciated. Although death rarely occurs, the value of the
animal is much reduced.
Experimental evidence. In 1888 an "investigation into the nature,
causation and prevention" of the disease was undertaken by the United
States Department of Agriculture, Bureau of Animal Industry, under
the direction of D. E. Salmon. The work was done by Theobald Smith
and F. L. Kilbourne 21 and marks a most important epoch in our knowl-
edge of protozoon diseases and in the history of preventive medicine.
TICKS AND TICK-BORNE DISEASES 485
During a period of about four years of almost continuous investiga-
tion, the problem was exhaustively studied in both the field and the
laboratory. The field experiments were carried out along three different
lines:
(1) Ticks were carefully picked from Southern animals so that none could
mature and infect the ground. The object of this group of experiments was to
find out if the disease could be conveyed from Southern to Northern stock on
the same inclosure without the intervention of ticks. (2) Fields were infected
by matured ticks and susceptible cattle placed on them to determine whether
Texas fever could be produced without the presence of Southern cattle. (3)
Susceptible Northern cattle were infected by placing on them young ticks
hatched artifically, i.e., in closed dishes in the laboratory (Smith and Kilbourne,
1893, lac. cit.).
Healthy native cattle (Washington, D. C.) were exposed to sick
native cattle free from ticks for months without contracting the disease,
proving that the excretions had nothing to do with the transmission of
the disease. In the absence of ticks, sick animals are harmless. Again
several thousand, mostly full-grown ticks, collected from cattle in North
Carolina, were scattered over the ground in a field on September 13.
Four native cattle were placed in the field September 14; of these ani-
mals three contracted Texas fever. This experiment was repeated with
five experimental animals, and a newborn calf, all of which contracted
the fever. A yearling heifer was plac~d in a box stall and a number of
young ticks, hatched artifiCially in glass dishes, were placed on the ani-
mal at intervals. The heifer contracted Texas fever. A repetition of this
experiment on various occasions always gave similar results. It was
definitely concluded that "Texas fever in nature is transmitted from
cattle which come from the permanently infected territory to cattle out-
side this territory by the cattle tick, Boophilus bovis, and that the infec-
tion is carried by the progeny of the ticks which matured on infected
cattle, and is inoculated by them directly into the blood of susceptible
cattle." The authors above cited state that the contents of· the bodies
of ticks in various stages of growth were examined microscopically with
considerable care, but that the abundant particles resulting from the
breaking up of the ingested blood corpuscles obscured the search so
that nothing definite was discovered. "The very minute size of the micro-
organism renders its identification well-nigh impossible, and any at-
tempt will be fraught with great difficulties."
Other tick carriers of the protozoon are Boophilus microplus (Cane-
strini) and B. decoloratus (Koch) within their range-the former Aus-
tralia, Philippine Islands, South America, and the latter Africa.
The causal agent. Babesia bigemina [= Piroplasma bigeminum
(Smith and Kilbourne)], the causal protozoon parasite of Texas cattle
486 MEDICAL ENTOMOLOGY
fever, was discovered by Theobald Smith in 1889 and was named Pyro-
soma bigeminum.
Rees 22 reports that the piroplasms described and illustrated by Smith
and Kilbourne (1893) included two species: (1) Babesia bigemina and
(2) B. argentina Lignieres, which is of minute size and possesses other
characteristics as well. He was able to cultivate the latter in vitro but
could not cultivate the former.
The life cycle of Babesia begemina (Smith and Kilbourne) in the
tick was fully elucidated by Dennis (1932).23 He summarizes his results:
When blood which is infected with B. bigemina is taken into the gut of
the tick, many of the intracorpuscular parasites are soon freed. Certain of these
normal-appearing parasites become transformed into gametes through growth
and slight structural modification. The gametes are motile vermicule-like bodies
which show no differentiation between the sexes. The gametes become asso-
ciated in pairs, the individuals of which eventually fuse to form the zygote.
The zygote becomes a motile ookinete which passes through the thin wall of
the gut and penetrates the contiguous reproductive organs. The ova of the tick
are invaded by the ookinetes which round up and grow to form sporonts. The
sporont secretes a cyst within which it divides to form naked sporoblasts. The
sporoblasts form multinucleate sporokinetes which migrate and are carried by
cell proliferation throughout the tissues of the developing tick; some of the
sporokinetes come to occupy the anlagen of the salivary glands. The sporoki-
nete undergoes fragmentation to form the minute infectious sporozoites" (Fig.
158).
Rocky Mountain spotted fever has been known in the Bitter Root
Valley of Montana (U.S.A.) since 1872.24 It is also known as "tick
fever," "black fever," "blue disease," and "black measles." The most
characteristic and constant symptom is the rash which appears about the
second to the fifth day on the wrists, ankles, and less commonly on the
back, later spreading to all parts of the body. Parker 25 st'ates that the rash
is sometimes preceded by a mottled appearance of the skin. The symp-
toms most often complained of at the outset are frontal and occipital
headache, intense aching in the lumbar region, and marked malaise. The
incubation period is from two to five days in the more severe infections
and from 3 to 14 days in the milder ones. The fever rises rapidly in the
more virulent infections to 104 0 and 106 0 F. In fatal infections death
usually occurs between the ninth and fifteenth day. Both mild and viru-
lent strains of spotted fever occur in the same locality. Because errors in
diagnosis are easily made, laboratory tests are advised. One of the com-
mon tests consists of the intraperitoneal injection of blood (1 cc whole
blood) into male guinea pigs. In positive tests the guinea pigs show
scrotal swelling, reddening, and sloughing of the skin.
The causal agent was discovered by Wolbach 26 in 1919; he named
7@ @
8 ~~ ~~
to ~
~
A
" V
I
FIG. 158. A schematic diagram of the life cycle of Babesia bigemina. 1-6,
the cycle in the blood of the bovine host, showing binary fission ; 7, parasite
just taken into gut of tick; 8, freed trophozoites in the gut of the tick; 9,
vermicule-like isogametes; 10, beginning of syngamy, association of the
gametes in pairs; 11, completion of syngamy; 12, motile zygote, or ookinete;
13-14, ookinete passing through wall of the gut of the tick, through the ovi-
duct, and entering the ovum; 15, sporont formed by the rounding-up and
growth of the ookinete; 16-17, formation of sporoblasts; 18, sporokinetes in
one of the large cells which are destined to form part of a salivary acinus; 19,
sporozoites in the salivary gland (a single acinus shown) of the larva of the
tick, whence they are transferred into the blood of a new host. (After Dennis.)
487
488 MEDICAL ENTOMOLOGY
it Dermacentroxenus rickettsi in honor of Dr. Howard T. Ricketts, who
made great contributions to our knowledge of both Rocky Mountain
spotted fever and typhus fever and lost his life in the conduct of in-
vestigations in Mexico. The several rickettsioses transmitted by lice,
fleas, mites, and ticks are caused by infectious agents known as rickett-
siae; hence the causal agent of Rocky Mountain spotted fever is gen-
erally referred to as Rickettsia rickettsi (Wolbach).
Rocky Mountain spotted fever is endemic in the Unital States, in
some parts of Canada (western), in Mexico, and in some parts of SO"!lth
America where it is known as Sao Paulo fever and by other names (see
below). The greatest number of cases occur in populations engaged in
outdoor occupations, principally agriculture. Both sexes and all ages
are subject to the disease. In the western part of the United States most
of the cases occur in men, while in the eastern part of the United States
more women and children contract the disease. Parker suggests that this
is probably due to the fact that the eastern vector is a tick, Dermacentor
variabilis (Say), which infests the dog, a household animal. The Rocky
Mountain wood tick, Dermacentor andersoni Stiles, is found far less
frequently on dogs.
Tick transmission of spotted fever. In 1902, after a preliminary investi-
gation, Wilson and Chowning 27 advanced for the first time the theory
that a tick ("wood tick") acts as the natural vector of the disease. Ac-
cording to Ricketts (in the 48th Biennial Report of the Montana State
Board of Health, p. 106) as recorded by Hunter and Bishopp28 "the first
experiments which resulted in the proof of the transmission of spotted
fever by a tick were conducted by Drs. McCalla and Brenton of Boise,
Idaho, in 1905. In these experiments a tick which was found attached to
a spotted fever patient was removed and allowed to bite a healthy per-
son. In 8 days this person developed a typical case of spotted fever. The
experiment was continued by allowing the same tick to bite a second
person. In this case again a typical case of spotted fever resulted."
The famous experiments of Dr. H. T. Ricketts 29 began in April, 1906.
The more important published work of this lamented investigator has
been brought together in a memorial volume 30 from which the following.
summary is made of his reports on spotted fever. First of all it was
shown that the disease could be transmitted to guinea pigs by direct
inoculation and that the duration of the fever and cutaneous phenom-
ena resembled very closely the conditions as observed in humans. Hence,
knowing the susceptibility of this species, it was used for further experi-
mentation.
On June 19, 1906, a small female tick was placed at the base of the
ear of a guinea pig inoculated intraperitoneally June 11 and S cc of
defibrinated blood of a spotted fever patient. The tick fed for two days
TICKS AND TICK-BORNE OISEASES 489
on this animal and was then removed and kept for two days in a pill
box and on June 23 placed at the base of the t)ar of a healthy guinea pig,
the former animal dying on the same day with characteristic symptoms.
On June 28 the second guinea pig showed d~cided rise in temperature,
which continued high until July 5 and became normal on July 7. Proper
controls were conducted and two guinea pigs which were in the same
cage with the tick-bitten guinea pig for two weeks did not become in-
fected, indicating that mere association did npt result in contracting the
disease. It will be noticed that Ricketts. called the wood tick which he
used Dermacentor occidentalis Neum. Evidently the species was actually
Dermacentor andersoni Stiles.
In addition to many other successful experiments during the follow-
ing year Ricketts found that the disease can be transmitted by the male 31
as well as by the female tick and that "one ~ttack of the disease estab-
lishes a rather high degree of immunity to supsequent inoculation." Fur-
tbermore a collection ot tiCKS taKen in tbe field transmitted the disease
to a guinea pig in the laboratory, indicating the fact that infective ticks
occur in nature in small numbers.
It was also ascertained that "the disease may be acquired and trans-
mitted . . . by the tick during any of the c1ctive stages . . . and that
the larvae of an infected female are in soJJ1e instances infective. . . .
The disease probably is transferred through the salivary secretion of the
tick, since the salivary glands of the infected adult contain the virus."
The transmission is believed to be "biological rather than purely me-
chanical."
Experiments conducted by Moore (Ricketts, 1911, lac. cit., pp. 428-
436) show that the "minimum duration of feeding necessary for a tick to
infect a guinea pig was one hour and forty-five minutes. The average
time necessary seems to be about ten hours, while twenty hours were
almost constantly infective." Maver (see Ricketts, 1911, Zoe. cit., pp.
440-444) in a series of experiments with other species of ticks found that
spotted fever can be transmitted from infected to normal guinea pigs
by nymphal Dermacentor variabilis (Say) iflfected as larvae, by adult
Dermacentor parumapertus marginatus Banl<s and nymphs of Ambly-
omma americanum (Linn.). Ricketts showed transmission by adult
Dermacentor albipictus (Packard) infected <}s nymphs.
The infection in nature. Parker points out that field observations made
in eastern Montana in 1916 and 1917 suggested that under the "epi-
zootilogic" conditions concerned, some ageI1t other than Dermacentor
andersoni Stiles was likely involved in the flatural maintenance of the
virus. In 1923 Parker32 established the fact that the rabbit tick, Haema-
physaliS leporis-palustris (Packard), is capable of transmitting the in-
fection from rabbit to rabbit and also that infected rabbit ticks occur in
490 MEDICAL ENTOMOLOGY
nature. A third important fact was established, namely that the infec-
tion is transmitted by infected female ticks to the egg as in the case of
Dermacentor andersoni Stiles. While the rabbit tick only rarely bites
man, it is important indirectly in that it is a potent vector under natural
conditions and is furthermore the only known vector which occurs in
all parts of the United States. The infection carried by this tick is re-
ported by Parker to be extremely mild. Rabbits of all species studied are
hosts of both wood ticks and rabbit ticks. Rabbits are natural reservoirs
of the infection in western North America, field mice in other parts. Dogs
are believed to be important reservoirs of the infection in the closely
related disease, boutonneuse fever of Europe.
The American dog tick, Dermacentor variabilis (Say), was proved
to be a carrier of the eastern type of Rocky Mountain spotted fever in
1931 by Dyer, Badger, and Rumreich,33 who used larvae bred from eggs.
The larvae were fed on a guinea pig infected with eastern spotted fever
and after engorgement were allowed to molt, and the nymphs were fed
to engorgement on a noninfected guinea pig and were then ground up
and injected into fresh guinea pigs, thus establishing a strain of virus
in guinea pigs. The results of these investigators confirmed the early
work of Ricketts and Maver (1911). They also proved that transmission
is transovarian. Parker,34 1937, reports successful stage-to-stage and
generation-to-generation transmission with Dermacentor occidentalis
N eum., the Pacific coast tick, and Rhipicephalus sanguineus (Latreille),
the brown dog tick. In the latter species virus continuity was shown
from larval ticks of one generation through six successive stages to adults
of the next. In Amblyomma americanum (Linn.), Maver (1911) had
already reported larva-to-adult continuity, and transmission from female
to larvae was accomplished by Parker. With Amblyomma caiennense
(Fabr. ), the Cayenne tick, transmission from larvae to adults has been
shown, and for Dermacentor parumapterus marginatus Banks, a rabbit
tick, transmission from nymphs to adults was shown by Maver (1911),
and continuity from larvae to nymphs as well as survival of the virus in
adults was shown by Parker (1937). Parker states that these data are
considered sufficient to indicate that each of these six additional species
is a possible natural carrier of spotted fever virus and that four of these,
D. occidentalis Neum., R. sanguineus (Latr.), A. americanum (Linn.),
and A. caiennense (Fabr.), are possible present or future agents of
transmission to man. Actually Amblyomma americanum Linn., the lone
star tick, is now known to be the vector of spotted fever in Oklahoma
and Texas (Parker, Kohls, and Steinhaus 35 ); and Amblyomma caiennense
(Fabr.) is the vector of the Sao Paulo fever (spotted fever) of Brazil
and of Tobia petechical fever (spotted fever) of Columbia.
Mechanism of infection. The infection is picked up with the bite from
TICKS AND TICK-BORNE DISEASES 491
the reservoir animal by a tick in any stage of its life history and is passed
on from stage to stage; e.g., infected blood is ingested by the larva, the
infection is passed on to the nymph (which may infect), and thence to
the adult which in turn may infect, and at least some infected female
ticks will pass the virus on through their eggs to the larvae of the next
generation.
When normal adult ticks are nrst fed on an infected host, just long
enough to ensure ingestion of the virus, and are then transferred directly
to a normal host (the tick-feeding thus being interrupted but essentially
continuous) Parker's37 tests showed a period of from 9 to 12 days be-
tween the ingestion and the transmission of the virus. Except under
experimental conditions infection is not transmitted by the same stage
of the tick that acquires it, but by the next and subsequent stages. The
infection is transmitted by the bite of the tick. The great majority of
persons with cases of Rocky Mountain spotted fever give dennite history
of "tick bite from 2 to 10 or 12 days before onset." The percentage of
ticks that contain infectious virus is reported to be very small: it may
be less than one per cent and is rarely as high as nve.
Parker 37 states that a minority of perhaps 5 per cent of infected per-
sons deny the possibility of having been infected by the tick bite. "It has
long been known that blood-virus of experimental animals would not
pass the unabraded skin, nor would it infect if ingested. The possibility
that tick virus would act differently was not considered until a short
time ago. In an exceptionally clear-cut series of tests it was shown that
tick virus would infect if merely dropped among the hairs on the unab-
raded skin of guinea pigs; also if dropped into the eye. In another
series of tests it was demonstrated, contrary to previously accepted
ideas, that tick excrement is frequently infectious, but tests to determine
whether it will cause infection by contamination of the unabraded skin
have proved negative."
The virus survives the winter in infected nymphal or adult ticks. At
the end of winter the virus in these ticks is present according to Parker
(lac. cit., 1933) as a nonsymptom-producing and frequently immunizing
virus, and does not produce symptomatically recognizable infections
until its level of virulence is raised, either by heat or by the ingestion
of blood. This phenomenon of reactivation has direct bearing on the fact
that the bites of hibernated ticks in nature very early in the spring do
not result in frank infection. It also explains why tick bites grow more
dangerous as the season advances. Parker states, "In the early spring
when the virus in the recently emerged tick is at its lowest ebb of in-
fectiousness, and while the days and the nights are still cool, it takes so
long for the virus to become reactivated after a tick has become at-
tached that it is usually detected and removed before the virus has be-
492 MEDICAL ENTOMOLOGY
come virulent." It further gives force to the advice so seriously given
by all authorities on Rocky Mountain spotted fever to detach ticks at
once. It may be a matter of some hours and not infrequently a day or
more after the tick attaches itself before reactivation occurs. The shortest
recorded interval is one and three-quarters hours (Ricketts). If a tick
which has become attached is removed within a few hours, the danger
of infection is materially minimized. The danger from infection in the
Atlantic coast states is later in the summer.
Control and prevention. The control of Rocky Mountain spotted fever
over a wide area by the control of the tick vectors has been discourag-
ing. According to Parker (loc. cit., 1933) definite local good has been
accomplished by dipping, grazing control, and the control of rodents,
but lack of permanence of results and lack of knowledge as to the rela-
tive importance of the various factors of the local complex have all
militated against substantial gains.
In 1926 Cooley obtained parasitized nymphal ticks from a tick
parasite colony established by Larrousse on Naushon Island. The para-
site, introduced originally from France, is named lxodiphagus caucurtei
du Buysson, a chalcidoid parasite of the subfamily Encyrtinae (Hymen-
optera ), which is said to attack only ticks. Cooley 38 introduced these
parasites into Montana, where they were reared in quantity under lab-
oratory conditions, and a field release of 381,190 parasites was made
during the summer of 1928. The parasite has become established but
it is believed unlikely that it will prove useful as an agency of tick con-
trol.
The avoidance of tick bites is urged by keeping out of known tick-
infested areas during spring and early summer; or by wearing suitable
clothing, such as high boots, leggings, puttees or socks outside the trou-
ser legs. The advantage of early removal of ticks that may have escaped
attention and have become attached has already been pointed out.
Parker39 reported in 1935 on the results of the Public Health Serv-
ice vacci~le for the prevention of Rocky Mountain spotted fever and in
1935 (loc. cit.) he comments as follows:
The vaccine has definite protective value. The degree and the duration
of protection vary with the person vaccinated and with the degree of virulence
of the infecting strain of spotted fever virus.
The average person vaccinated in the spring retains marked immunity
during at least the remainder of that year. The immunity is usually' sufficient
to afford full protection against the relatively mild strains of spotted fever
but is apparently progressively less effective as the virulence of infecting strains
is increased.
Colorado tick fever. Parker, in 1937, reported a febrile diseases of
frequent occurrence in many parts of the Rocky Mountain region fol-
TICKS AND TICK-BORNE DISEASES 493
lowing the bite of Dermacentor andersoni Stiles. The disease is now
known as "Colorado tick fever." There is a close similarity between
this disease and dengue (see Chapter XII) both clinically and in the
particle size of the respective viruses; however, the two diseases do not
give cross immunity hence "appear to be distinct disease entities."
(Florio, Hammon et al.) 40 Parker describes Colorado tick fever as a
"disease of a remittent type and is commonly characterized by the occur-
rence of two febrile periods, each of two to four days' duration, with
a remission period of one to several days between. The onset is sudden
and the climax is often reached within the first 24 hours. There is no rash.
Symptoms other than fever are malaise, chilly sensations, severe head-
ache, conjunctivitis, photophobia, and generalized muscular and joint
pains with particularly severe aching in the lumbar region. The malaise
is usually intense. Constipation is the rule. The temperature often
reaches 104° to 105° F or over, but may not exceed 101° to 102,0 F. The
pulse rate is frequently 120 to 130. In most instances, though not al-
ways, the symptoms are more severe during the first febrile period. . . .
It is non-fatal."
Tick transmission of tularemia. Parker 41 states that tularemia infection
in ticks was supected in numerous instances during the seasons of 1922
and 1923 on account of the gross lesions at death in guinea pigs into
which such ticks had been injected. Confirmation was made by cultiva-
tion of Pasteurella (= Bacterium) tularensis from guinea pigs in which
the tick strain had been propagated. Dermacentor andersoni Stiles col-
lected from nature proved infective; also experimentally, infection ac-
quired by immature ticks was passed on to subsequent stages of the
same generation. Later Parker and Spencer 42 (1926) demonstrated con-
genital transmission. This is believed to be the first record of "hereditary
transmission" of a known bacterial infection. Probably several species of
ticks are able to transmit the infection; Dermacentor occidentalis Neum.
and Dermacentor variabilis (Say) have been incriminated. Haemaphy-
salis leporis-palustris (Packard), the so-called rabbit tick, is largely
responsible for the maintenance of the infection in nature. Pasteurella
tularensis has been recovered both from infected sage hens in Montana
and from the tick, Haemaphysalis cinnabarina Koch, taken from the
same birds. Davis and Kohls 43 (1937) discovered evidence indicating
that Ixodes pacificus Cooley and Kohls may also be a carrier of tularemia
to human beings.
Tick paralysis. A paralysis of sheep and calves attributable to ticks
has been known in Australia according to Henning,5B since 1843. Paralysis
reported as "acute ascending paralysis" associated with tick bite was
described in 1912 by Temple H in Oregon. The case reported was that of
a child in which there was a complete paralysis of the motor and sensory
494 MEDICAL ENTOMOLOGY
nerves extending to the knees, causing inability to stand in the morning
after retirement in apparent good health. On the third day the paralysis
had involved the nerves of the throat and the child was unable to
swallow or speak. Upon removal of two fully engorged ticks from the
occipital region recovery was rapid and complete within a week. The
ticks were not positively identified, though they were presumably
Dermacentor andersoni Stiles. In 1913 Hadwen 45 reported cases of paraly-
sis in sheep following the bite of Dermacentor andersoni Stiles ( D.
venustus Banks). He also cites excerpts from letters (Canad. M. A. J.,
1912) from physicians in British Columbia indicating frequent occur-
rence of paralysis in children following tick bite. The ticks were com-
monly removed from the nape of the neck.
In 1913 Hadwen and Nutta1l 46 report having produced paralysis ex-
perimentally in the dog by means of Dermacentor andersoni Stiles (D.
venustus Banks). The paralysis was the same as in sheep. In the experi-
ment reported, paralysis was caused by a single tick in eight days. The
authors state: "On the hypothesis that the symptoms are due to toxins
given off by the tick, 'the period of incubation' might be explained on
the supposition that it is only when the tick commences to engorge or
feed rapidly, some days after it has becbme attached, that it gives off
the hypothetical toxin in its saliva in sufficient quantity to produce patho-
genic effects."
Tick paralysis is widely known in the western United States and
Canada adjacent to the Rocky Mountains and coincides with the distri-
bution of Dermacentor andersoni Stiles. Hearle, 1938 (loc. cit. p. 399),
states:
As an index of the wide distribution of this trouble in British Columbia,
incomplete returns from medical practitioners indicated that nearly 150 human
cases had been noted in the province. . . cases in sheep have been par-
ticularly numerous, and many deaths have resulted. Cattle are usually less
susceptible, but trouble from tick paralysis has been noted from time to time,
and in the spring of 1930 a serious outbreak in steers was investigated; over
100 paralysis cases, sixty of them fatal, being noted in one herd. We know
of only one equine case. In sheep districts where this trouble is prevalent,
flock masters are obliged to examine their animals frequently for the purpose
of removing the offending ticks from sheep showing symptoms of weakness or
staggers. . . . When animals become paralyzed all ticks showing engorgement
should immediately be removed; in searching for them special attention should
be paid to the back of the head, the region of the spine and along the neck,
since this is where they mainly become attached.
GENUS ORNITHODOROS
A B c D
FIG. 160. Immature stages of Omithodorus hermsi, (A) larva, (B) first nym-
phal stage, (C) second nymphal stage, and (D) third nymphal stage.
lows: Female tick, no. 5, taken as a last-stage nymph August 17, 1934,
deposited a total of 232 eggs in four batches, 98 (April 8), 73 (May 19),
49 (May 26), and 12 (June 12) with but one feeding (i.e., after first
batch was laid) between egg-layings, and died October 21, 1935. Under
natural conditions the eggs are deposited in the hiding places of the
ticks: in summer cabins (Fig. 162) the eggs are laid in such corners and
crevices as afford protection to the ticks.
The incubation period at a temperature of 75° F and 90 per cent
humidity ranges from 15 to 21 days. The number of eggs and the per-
centage of larvae hatching seems to grow less in the later egg layings,
decreasing from as high as 95 per cent for the first batches to less than
50 per cent in the last. The first molt is usually accomplished within the
egg; however, the larva (seed tick) remains hexapod until after the
second molt. After about three days the larvae is ready to feed, remain-
ing attached to the host for only about 12 to 15 minutes as is the case
in later stages, although this attachment in the latter may be for from
one-half to one hour in many cases. The larvae when fully engorged
increase as much as three times in size and acquire a bright red color
due to the imbibed blood. In this condition these tiny ticks have been
508 MEDICAL ENTOMOLOGY
referred to as a "strawberry seed insect" by persons living in relapsing
fever areas. Molting takes place in about 15 days after feeding. With
this molt the fourth pair of legs appears, and this stage is termed the first
nymphal instar. Ticks in the first nymphal stage may feed within a few
hours after molting, and again a period of 11 to 15 days elapses before
the third molt and the appearance of the second nymphal instar. Then
follows the third feeding and again an elapsed period, in this case about
FIG. 161. Ornithodoros hermsi. (Top left) mature female, (top right) mature
male, (bottom) female despositing eggs.
10 to 32 days, before the fourth molt and the appearance of the third
nymphal instar, or even the adult may appear with this molt. Usually a
fifth feeding and a fifth molt are necessary before sexual maturity is
reached. Egg laying may begin in about 30 days after the last molt,
fecundation taking place in a few days after maturity is reached. The
cycle from egg' to egg under our laboratory conditions required about
TICKS AND TICK-BORNE DISEASES 509
four months-e.g., from April 29, when eggs were laid, to August 24,
when eggs were laid by a female from the April 29 hatch of eggs.
The life cycle may be greatly prolonged in the absence of food be-
cause of the ability of these ticks to withstand starvation; thus larvae
may live as long as 95 days without food; unfed nrst-molt nymphs may
live as long as 154 days; unfed second-stage nymphs may live as long as
79 days; third stage, as long as 109 days, and adults well over 7 months.
Adult ticks have been kept alive in pill boxes with occasional feedings
for a period of over four years.
The mature female tick (Fig~ 161) measures from 5 to 6 mm in
length by 3 to 4 mm in width. The male resembles the female closely in
general appearance but is slightly smaller. This species is described as
ovoid, conically painted anteriorly, broadly rounded posteriorly. The
anterior dorsal portion of the hood is visible from above. Unengorged
specimens are of a light sandy color with the black of the intestinal
diverticulae visible through the integument ()f the dorsal surface; freshly
engorged specimens are of a dun, deep garnet shade with a grayish
sheen over the body. The anterior conical point is whitish. The color
changes to a grayish blue a few days after feeding. Legs and hood are
pale yellow. In newly molted forms the body and legs are lighter but
gradually assume the light sandy appearance and the leg darken cor-
respondingly.
Tick vectors in various parts of the world. The known vectors of
relapsing fever in the United States92 are Ornithodoros turicata (Duges)
in Texas and Kansas, and O. hermsi Wheeler in California, Colorado, and
Idaho. O. talaje (Guerin-Meneville) has been conected in Arizona and
California, and also O. parkeri Cooley,93 the only known species in a
large area from which a number of cases of relapsing fever have been
reported; however, the latter species has not been adequately tested on
humans.
In Mexico the vector is Ornithodoros tflricata (Duges). In Central
America O. talaje (Guerin-Meneville) and O. venezuelensis Brumpt are
vectors; in South America, O. venezuelensis and O. talate; in Africa, O.
moubata (Murray), O. savigngi (Audouin), and O. erraticus Lucas; in
Asia, '0. asperus Warburton, O. tartakovskYi Olenev, and O. tholozani
(Laboulb(me and Megnin) (= O. papillipes Birula; in Europe, O.
verricosus Olenev Sassuchin and Fenik and O. erraticus Lucas (= O.
moracanus Velu).
Spirochetes of endemic relapsing fever. The causal organism of tick-
borne Central African relapsing fever was named Spirochaeta duttoni
by Navy and Knapp in 1906. The South and Central American strain
was called Spirochaeta venezuelense by Brumpt in 1921, and the Texas,
U.S.A., strain was called Spirochaeta turicatae by Brumpt in 1933.
510 MEDICAL ENTOMOLOGY
Other strains, such as S. kochi Novy, 1907, S. hispanica Sadi de Buen,
1926, S. persica Dschunkowsky, 1912, and S. neotropicalis Bates and St.
John, Central and South America, have been recognized.
FIG. 162. (Top) a Sierrian summer cabin in which relapsing fever was con-
tracted. (Bottom) interior view of the cottage.
That these are probably all strains or local varieties of one widely
distributed species, Borrelia (Spirochaeta) recurrentis Lebert, is believed
to be the case by various authors. Students should consult Publication
TICKS AND TICK-BORNE DISEASES 511
No. 18 (1942), American Association for the Advancement of Science,
entitled "A Symposium on Relapsing Fever in the Americas."
Porter, Beck, and Stevens (loc. cit., 1932) report finding spirochetes
in blood smears from a chipmunk shot near Polaris, the location of the
first endemic case reported by Briggs (1921), and also from a squirrel
killed at Packer Lake, another endemic focus . Beck (1937) described
three of the California foci (Big Bear Lake, Lake Tahoe, and Packer
Lake) and gives an account of the rodent population in each. The re-
sults of her laboratory inoculations of white mice indicate that of a total
of 183 inoculated, 13 were found to be infected with spirochetes re-
sembling Borrelia (= Spirochaeta) recurrentis. Herms and Wheeler (loc.
cit., 1936) proved this spirochete to be the causal organism of relapsing
fever in man. Only chipmunks and Tamarack squirrels were discovered
harboring this spirochete in these areas. Three varieties of chipmunks are
and O. lagophilus Cooley and Kohls,'" the latter a parasite on the face
of rabbits in western United States and Canada.
The spinose ear tick, Otobius megnini (Duges), is a widely distrib-
uted species, being found in warmer parts of the United States, South
America, South Africa, India, and no doubt other parts of the world. It
receives its name from the fact that the nymph is covered with spines
(Fig. 164), and in all stages the tick invades the ears of cattle, horses,
mules, sheep, cats, dogs, other domesticated animals, and man, as well
as deer, coyotes, rabbits, and other wild animals. Rather large dark eggs
are depOSited by this species on the ground; under laboratory conditions
at a temperature of about 21 0 C the incubation period is from 18 to 23
days. In the field newly emerged larvae crawl up weeds and other vege-
tation like the larvae of other ticks, coming in contact with suitable host
animals such as cattle and gradually working their way to the shoulders,
neck, and head, and thence to the deeper inner folds of the outer ear of
514 MEDICAL ENTOMOLOGY
the host, where they assume a peculiar sac-like form. After molting in
the ear the nymphs attach themselves and remain attached for long
periods of time; this, the second nymphal stage, is the stage in which this
species is most easily distinguished from other ticks. Individual ticks
may remain in the ear as long as 121 days, as observed in our tests. On
detaching they crawl out of the ear, drop to the ground and molt again
(there are three molts), after which maturity is reached. Copulation
takes place within a day or two after the final molt, and oviposition
occurs in from 14 to 42 days, with a maximum oviposition period of 155
days in the individuals observed, during which time 562 eggs were laid.
the first nymphal stage, looking like miniature adults, Nocturnal feed-
ing now takes place, and in 10 or 12 days another molt occurs and the
second nymphal stage is reached. Again the tick attaches itself, being
now able to engorge itself in about an hour; again, after the expiration
of something over a week, a third molt takes place (there may even be
a fourth molt) and then the adult stage is reached. The adults are able
to engorge themselves in from 20 to 45 minutes. Under favorable condi-
tions the adult stage is reached in about SO days. Absence of hosts to
feed upon may greatly prolong the life history.
Since eggs are deposited mainly during July in California, the adult
stage mayor may not be reached before the rainy season begins, and
the overwintering stage may be in the second nymphal condition or as
adults , appearing in pestiferous numbers early during the following sum-
mer. Hence there is ordinarily one generation of ticks per year under
normal conditions. In the absence of a host this species can live more
than two years without food.
The species will bite man. Instances are recorded in which transient
lahorers occupying long-vacated but renovated poultry houses have been
TICKS AND TICK-BORNE DISEASES 517
badly bitten by the poultry tick. It might perhaps under certain circum-
stances become involved in the transmission of human spirochetosis.
Damage done. Each tick when engorging requires considerable
blood to become replete, hence, when myriads of these parasites attack
fowls great quantities of blood must be extracted. The writer has known
of chickens being picked up under the roost in the morning with no
apparent cause for death, and believes this to have been due directly to
the work of ticks. Weakened and unthrifty condition of a flock may be
traceable solely to ticks. Poultry suffering from ticks have dull, ragged
plumage, suffer from diarrhea, are weak, and lay poorly. Turkeys are
most likely to suffer.
A vian spirochetosis. A very dangerous disease, known as "fowl spiro-
chetosis," is traceable to Borrelia (Spirochaeta) gallinarum Blanchard
(Spirochaeta marchouxi Nuttall), occurring in India, Australia, Brazil,
Egypt, and Persia, and is no doubt very Widely distributed. The disease
attacks chickens, geese, turkeys, guinea fowls, and other birds. The
symptoms are described as follows:
The disease begins with diarrhea, followed by loss of appetite, the birds
appearing somnolent; the feathers being ruIRed and the eomb pale. The birds
cease to perch, lie down with the head resting upon the ground and death takes
place during a convulsive attack. At times the disease runs a slower course, the
legs become paralyzed, then the wings, and the bird grows thin and dies in
eight to fifteen days. Recovery may take place, but it is rare after paralytic
symptoms have appeared. At autopsy, during the acute period of the disease,
the spleen appears much enlarged and the liver swollen with more or less fatty
degeneration; at times the liver is dotted with focal necroses. In chronic cases
both these organs may appear atrophied. The blood is fluid and dark. Spiro-
chaetes are plentiful in the blood until shortly before death, and they disappear
as recovery sets in (Nuttall).
BIBLIOGRAPHY
1. Hunter, W. D., and Hooker, W. A., 1907. Information Concerning
the North American Fever Tick. Washington, D, C.: Dept. Agric., in Bur.
Entomol. Bull., no. 72. 87 pp.
2. Woodward, T. E., and Turner, W. F., 1915. The Effect of the Cattle
Tick upon the Milk Production of Dairy Cows. Washington, D. C.: Dept.
Agric., in Bur. Animal Indust., Bull., no. 147. 22 pp.
3. Jellison, W. L., and Kohls, G. M., 1938. "'Tick-host anemia: a second-
ary anemia induced by Dermacentor andersoni Stiles," ]. Parasitol., 24:143-
54.
4. Cooley, R. A., 1932. The Rocky Mountain Wood Tick. Bozeman:
Montana State CoIl., in Agric. Exper. Sta., Bull., no. 268. 58 pp.
5. Nuttall, G. H. F., and Warburton, Cecil, 1908. Ticks, a Monograph
of the Ixodoidea. Part I, Argasidae. x + 104 + 35 pp. Part II, Ixodidae.
xix + 105 + 348 pp. London: Cambridge Univ. Pr,ess.
6. Graybill, H. W., 1911. Studies on the j3iology of the Texas Fever
Tick. Washington, D. C., De1:?t. Agric., in Bur. Animal Indust., Bull., no. 130.
42 pp.
7. Cooley, R. A., 1938. The genera Dermacentor and Otocentor
(Ixodidae) in the United States with Studies in Variation. Washington, D. C.:
U. S. Public Health Service, in Nat. Inst. Health Bull., no. 171. v + 89 pp.
(30 plates).
8. ---, and Kohls, Glenn, M., 1943. "Ixodes californicus Banks, 1904,
Ixodes pacificus n. sp., and Ixodes conepati n. sp," Pan Pacific Entomologist,
19:139-47 (see also errata same vol.).
9. Smith, Carroll N.; Cole, Moses M.; and Gouck, Harry K.; 1946.
Biology and Control of the American Dog Tick. Washington, D. C.: Dept.
Agric., in "Tech. Bull.," no. 905. 74 pp.
10. Parker, R. R.; Philip, C. B.; Davis, G. E·; and Cooley, R. A.; 1937
"Ticks of the United States in relation to disease in man," ]. Econ. Entomol.,
30:51-69.
11. Cooley, R. A., 1932. The Rocky Mountain Wood Tick. Bozeman:
Montana State CoIl., in Agric. Exper. Sta., Bull., no, 268. 58 pp.
12. Hunter, W. D., and Bishopp, F. C., 1911. The Rocky Mountain
Spotted Fever Tick. Washington, D. C.: Dept. A~ic., in Bur. Entomol. Bull.,
no. 105. 47 pp.
13. Douglas, J. R., 1943. "The internal anaton1Y of Dermacentor anderson!
Stiles," Univ. Calif. Publ. in Entomol., 7:207-72, plates 8-26, 7 text figures.
14. Thomas, L. J., and Cahn, A. R., 1932. "A new disease of moose.
1.," ]. Parasitol., 18:219-31.
15. Cahn, A. R.; Wallace, G. 0.; and Thomas, L. J.; 1932. "A new
disease of moose. III," Science, 76:385-86.
16. McIntosh, Allen, 1931. "The brown dog tJck," North Am. Vet., 12:37-
41.
17. Cooley, R. A., and Kohls, Glen M., 1944. "The Genus Amblyomma
(Ixodidae) in the United States," ]. Parasitol., 30:71-111.
520 MEDICAL ENTOMOLOGY
18. Tate, H. Douglas, 1941. "The biology of the tropical cattle tick
and other species of ticks in Puerto Rico, with notes on the effects on ticks
of arsenical dips," Univ. of Puerto Rico, J. Agric., 25:1-24.
19. State Crop Pest Commission of Louisiana, 1906. The Cattle Tick.
Circ. no. 10.
20. Mohler, John R., 1930. Tick Fever. Washington, D. C.: Dept. Agric.,
in "Farmers' Bull.," no. 1625.
21. Smith, T., and Kilbourne, F. L., 1893. Investigations into the Nature,
Causation, and Prevention of Texas or Southern Cattle Fever. Washington,
D. C.: Dept. of Agric., in Bur. Animal Indust., Bull., no. 1. 301 pp.
22. Rees, C. W., 1934. "Characteristics of the Piroplasms, Babesia argen-
tina and B. bigemina in the United States," J. Agric. Research, 48:427-38.
23. Dennis, E. W., 1932. "The life-cycle of Babesia begimina (Smith
and Kilbourne) of Texas cattle-fever in the tick, Margaropus annulatus (Say),"
Univ. Calif. Publ. in Zool., 36:263-98 (6 plates).
24. Stiles, Ch. Wardell, 1905. A Zoological Investigation into the Cause,
Transmission and Source of Rocky Mountain "Spotted Fever." Washington,
D. C.: Public Health and Marine Hospital Service of the United States, in
Hygienic Bull., no. 20. 121 pp.
25. Parker, R. R., 1938. "Rocky Mountain spotted fever," J.AM.A,
110:1185-88 and 1273-78.
26. Wolbach, S. B., 1919. "Studies on Rocky Mountain spotted fever."
f. Med. Research, 41:1-197.
27. Wilson, Louis B., and Chowning, William M., 1902. "The so-called
'spotted fever' of the Rocky Mountains. A preliminary report to the Montana
State Board of Health," J.A.M.A., 39:131-36.
28. Hunter, W. D., and Bishopp, F. C., 1911. The Rocky Mountain
Spotted Fever Tick. Washington, D. C.: Dept. Agric., in Bur. Entomol., Bul!.,
no. 105. 47 pp.
29. Ricketts, H. T., 1906. "The transmission of Rocky Mountain spotted
fever by the bite of the wood tick (Dermacentor occidentalis)," J.AM.A, 47:
358.
30. ---, 1911. Contributions to Medical Science. Chicago: University
of Chicago Press. 497 pp. (See pp. 278-450.)
31. ---., 1906. "Observations on the virus and means of transmission of
Rocky Mountain spotted fever," J. Inf. Dis., 4:141-53.
32. Parker, R. R., 1923. "Transmission of Rocky Mountain spotted fever
by the rabbit tick, Haemaphysalis leporis-palustris Packard," Am. J. Trop.
Med., 3:39-45.
33. Dyer, R. E.; Badger, L. F.; and Rumreich, A.; 1931. "Rocky Mountain
spotted fever (eastern type) transmission by the American dog tick (Derm-
acentor variabilis}," U. S. Public Health Service, Pub. Health Rep., 46:1403-
13.
34. Parker, R. R., 1937. "Recent studies of tick-borne diseases made at
the United States Public Health Service Laboratory at Hamilton, Montana,"
Proc. Fifth Pacific Science Cong., pp. 3367-14.
TICKS AND TICK-BORNE DISEASES 521
35. ---; Kohls, Glen M.; and Steinhaus, Edward A.; 1943. "Rocky
Mountain Spotted Fever; spontaneous infection in the tick, Amblyomma
americanum," U. S. Public Health Service, Pub. Health Rep., 58:721-29.
36. ---, 1933. "Certain phases of the problem of Rocky Mountain
spotted fever," Arch. Path., 15:398-429.
37. ---, 1928. "Rocky Mountain spotted fever," Montana State Board
of Entomol., Seventh Biennial Rept., 1927-28, pp. 39-62.
38. Cooley, R. A., 1928. "Preliminary report on the tick parasite, Ixodi-
phagus caucertei du Buysson," Montana State Board of Entomol., Seventh
Biennial Rept., 1927-28, pp. 17-31.
39. Parker, R R, 1935. "Rocky Mountain spotted fever: results of ten
years' prophylactic vaccination," /. Infect. Dis., 57:78-93.
40. Florio, Lloyd; Hammon, W. Mc.D.; Laurent, A.; and Stewart, M.;
1946. "Colorado tick fever and dengue," /. Exper. Med., 83:295-300.
41. Parker, R R, 1924. "Tularaemia. XI. Tularaemia infection in ticks of
the species Dermacentor andersoni Stiles in the Bitter Root Valley, Montana,"
U. S. Public Health Service, Pub. Health Rep., 39:1057-73.
42. ---, and Spencer, R R, 1926. "Hereditary transmission of tularae-
mia infection by the wood tick, Dermacentor andersoni Stiles," U. S. Public
Health Service, Pub. Health Rep., 41:1403-07.
43. Davis, C. E., and Kohls, C. M., 1937. "Ixodes ricinus californiclls
(Banks) a possible vector of Bacterium tularense," U. S. Public Health Service,
Pub. Health Rep., 52:281-82.
44. Temple, J. D., 1912. "Acute ascending paralysis, or tick paralysis,"
Med. Sentinel, 20:507-14.
45. Hadwen, S., 1913. "On 'tick paralysis' in sheep and man following
bites of Dermacentor venustus," Parasitology, 6:283-97,2 plates.
46. ---, and Nuttall, C. H. F., 1913. "Experimental 'tick paralysis' in
the dog," Parasitology, 6:298-301.
47. Ross, 1. C., 1926. "An experimental study of tick paralysis in Aus-
tralia," Parasitology, 18:410-29.
48. Woodland, John C.; McDowell, Mordecai M.; and Richards, John
T.; 1943. "Bullis fever (Lone Star fever-tick fever)," J,A.M.A., 122:1156-60.
49. Anigstein, Ludwick, and Bader, Madero N., 1943. "Investigations
on rickettsial diseases in Texas. Part 4. Experimental study of Bullis fever,"
Texas Rep. BioI. & Med., 1:389-409.
50. Derrick, E. H., 1937. "'Q' fever. A new fever entity. Clinical features
and laboratory investigation," M. J. Australia, 24:281-99.
51. Cox, H. R., 1939. "A filter-passing infectious agent isolated from
tick. III. Description of organism and cultivation experiments," U. S. Public
Health Service, Pub. Health Rep., 53:2270-76.
52. Parker, R. R., and Davis, Cordon E., 1938. "A filter-passing infec-
tious agent isolated from ticks. II. Transmission by Dermacenter andersoni,"
U. S. Public Health Service, Pub. Health Rep., 53:2261-10.
53. Steinhaus, Edward A., 1946. Insect Microbiology. Ithaca: Comstock
Publ. Co., Inc. x + 763 pp.
522 MEDICAL ENTOMOLOGY
54. Parker, R R., and Davis, Gordon E., 1943. "American Q fever: the
occurrence of Rickettsia diaporica in Amblyomma americanum in eastern
Texas," U. S. Public Health Service, Pub. Health Rep., 54:1510-11.
55. Philip, Cornelius B., 1948. "Observations on experimental Q fever,"
J. Parasitol., 34:457-64.
56. Huebner, R. J.; Jellison, W. L.; Beck, M. D.; Parker, R. R; and
Shepard, C. C.; 1948. "Q fever studies in southern California," U. S. Public
Health Service, Pub. Health Rep., 63:214-22.
57. Shaughnessy, H. J., and Milzer, Albert, 1939. "Experimental infec-
tion of Dermacentor andersoni Stiles with the virus of lymphocytic chorio-
meningitis," Am. J. Pub. Health, 29:1103-8.
58. Henning, M. W., 1932. Animal diseases of South Africa. "South
African Agriculture Series," 11 :298-329.
59. Bmmpt, E., et Larrousse, F., 1922. "Transmission de la Piroplasmose
canine fran9aise par Ie Dermacentor venustus," Bull. Soc. path. exot., 15:540-
45.
60. ---, 1919. "Transmission de la piroplasmose canine tunisienne par
Ie Rhipicephalus sanguineus," Bull. Soc. path. exot., 12:757-64.
61. Sanders, D. A., 1937. "Observations on canine babesiasis (piroplas-
mosis)," ]. Am. Vet. M. A., 90, n.s. 43:27-40.
62. Henning, M. W., 1932. Animal Diseases of South Africa. "South
African Agricultural Series," 2:545.
63. Stiles, Geo. W., 1939. Anaplasmosis in Cattle. Washington, D. C.:
Dept. Agric., in Circ., no. 154 (revised). 10 pp.
64. Herms, W. B., and Howell, D. E., 1936. "The western dog tick,
Dermacentor occidentalis Neum., a vector of bovine anaplasmosis in Califor-
nia," J. Parasitol., 22:283-88.
65. Howell, D. E.; Stiles, Geo. W.; and Moe, Lewis H.; 1941. "The
hereditary transmission of anaplasmosis by Dermacentor andersoni Stiles,"
Am. J. Vet. Research, 11:165-66.
66. Boynton, W. H., and Woods, Gladys M., 1933. "Deer as carriers
of anaplasmosis," Science, 78:559-60.
67. Ellenberger, W. P., and Chapin, R. M., 1940. Cattle-fever Ticks
and Methods of Eradication. Washington, D. C.: Dept. Agric., in Farmers'
Bull., no. 1057. 27 pp.
68. Bishopp, F. C., and Smith, C. N., 1938. The American Dog Tick,
Eastern Carrier of Rocky Mountain Spotted Fever. Washington, D. C.: Dept.
Agric. in Circ., no. 478. 26 pp.
69. Smith, Carroll N., and Gouck, Harry K., 1945. "DDT to control
ticks on vegetation," ]. Econ. Entomol., 38:553-55.
70. Cooley, R A., and Kohls, Glen M., 1944. The Argasidae of North
America, Central America, and Cuba. Notre Dame:- The University Press,
in American Midland Naturalist. 152 pp.
71. Jobling, B., 1925. "A contribution to the biology of Ornithodoros
moubata Murray," Bull. Entomolog. Research, 15:271-79 (1 plate).
72. Davis, Gordon E., 1947. "A note on the larval stage of the argasid
tick, Ornithodoros moubata (Murray) 1877," J. Parasitol., 33:495-96.
TICKS AND TICK-BORNE DISEASES 523
73. Aitken, T. H. G., 1939. "Ornithodoros talaje on the California main-
land," Pan-Pacific Entomologist, 15:12-13.
74. Bates, L. B.; Dunn, L. H.; and St. John, J. H.; 1921. "Relapsing
fever in Panama," Am.]. Trop. Med., 1:183-210.
75. Matheson, R., 1931. "Note on the Ornithodoros talaje (Guer.-Men.),"
Parasitology, 23:270.
76. Dunn, L. H., 1937. "Studies on the South American tick, Ornitho-
doros venezuelensis Brumpt in Colombia," J. Parasitol., 13:249-59.
77. Hindle, E., 1935. "Relapsing fever: some recent advances," Trop.
Dis. Bull., 32:309-27.
78. Cooley, R. A., 1936. "Ornithodoros parkeri, a new species on rodents,"
U. S. Public Health Service, Pub. Health Rep., 51:431-33.
79. Herms, W. B., and Wheeler, C. M., 1936. "Ornithodoros hermsi
Wheeler as a vector of relapsing fever in California," J. Parasitol., 22:276-
82. .
80. Ross, P. H., and Milne, A. D., 1904. "Tick fever," Brit. M. ]. 2:1453-
54.
81. Dutton, J. E., and Todd, J. L., 1905. The Nature of Human Tick
Fever in the Eastern Part of the Congo Free State, with Notes on the Distribu-
tion and Bionomics of the Tick. Liverpool: School Trop. Med. Memoir, no.
17. 18 pp.
82. Feng, Lan-Chou, and Chung, Huei-Lan, 1936. "Studies on the de-
velopment of Spirochaeta duttoni in Ornithodoros moubata," Chinese M. J.,
50:1185-90.
83. Meador, Charles N., 1915. "Five cases of relapsing fever originating
in Colorado, with positive blood findings in two," Colorado Med., 12:365-68.
84. Briggs, LeR. H., 1922. "Relapsing fever in California," J.A.M.A.,
79:941-44.
85. Wheeler, C. M., 1935. "A new species of tick which is a vector of
relapsing fever in California," Am. J. Trop. Med., 15:435-38.
86. Porter, G. S.: Beck, M. Dorothy; and Stevens, 1. M.; 1932. "Relapsing
fever in California," Am. J. Pub. Health, 22:1136-40.
87. Herms, W. B., and Wheeler, C. M., 1935. "Tick transmissions of
California relapsing fever," J. Econ. Entomol., 28:846-55.
88. Wheeler, C. M.; Herms, W. B.; and Meyer, K. F.; 1935. "A new
tick vector of relapsing fever in California," Proc. Soc. Exper. Biol. & Med.,
32:1290-92.
89. ---, 1938. "Relapsing fever in California-attempts to transmit
spirochaetes of relapsing fever to human subjects by means of the bite of the
vector, Ornithodoros hermsi Wheeler," Am. J. Trop. Med., 18:641-59.
90. Weller, B., and Graham, G. M., 1930. "Relapsing fever in central
Texas," J.A.M.A., 95:1834-35.
91. Wheeler, C. M., 1938. Progress of spirochaete infection in the de-
velopmental stages of the host tick, Ornithodoros hermsi Wheeler. Am. J. Trop.
Med., 18:413-19.
92. Davis, Gordon E., 1940. "Ticks and relapsing fever in the United
States," U. S. Public Health Service, Pub. Health Rep., 55:2347-51.
524 MEDICAL ENTOMOLOGY
93. ---, 1941. "Ornithodoros parkeri Cooley: observations on the
biology of this tick," ]. Parasitol., 27 :425-33.
94. Beck, M. Dorothy, 1937. "California field and laboratory studies on
relapsing fever," J. Infect. Dis., 60:64-80.
95. Davis, Gordon K, 1942. "Species unity or plurality of the relapsing
fever spirochaetes," A Symposium on Relapsing Fever in the Americas. Wash-
ington, D. C.: Amer. Assoc. Advancement Sc., Publ. no. 18, pp. 41-47.
96. ---; Wynns, Harlin L.; and Beck, M. Dorothy; 1941. "Relapsing
fever: Ornithodoros parkeri a vector in California," U. S. Public Health Service,
Pub. Health Rep., 50:2426-28.
97. Cooley, R. A., and Kohls, Glen M., 1940. "Two new species of
Argasidae (Acarina: Ixodoidea) ," U. S. Public Health Service, Pub. Health
Rep., 55:925-33.
98. Herms, W. B., 1917. "Contribution to the life history and habits
of Ornithodoros megnini," ]. Econ. Entomol., 10:407-11.
99. Imes, Marion, 1918. The Spinose Ear Tick. Washington, D. C.:
Dept. Agric., Bur. Animal Indust., in Farmers' Bull., no. 980. 8 pp.
100. Seddon, H. R., 1926. "A note on spirochaetosis in fowls," New South
Wales: Dept. of Agric., in Science Bull., no. 26, Veterinary Res. Rept. no. 2.
pp. 17-19.
CHAPTER XXI
MITES
should be made. The life history and habits of the swine mange mite
correspond in every respect with those of the itch mite of humans.
Treatment for swine mange. In the treatment of swine mange it is
necessary to apply external remedies, in addition to sanitary precautions
to prevent spread and the reinfection of treated animals. Remedies are
best applied in the form of solutions such as "lime and sulfur" dip be-
cause all parts of the animal's body are easily reached in the dipping
process. Hand dressing, scrubbing, and application of ointments may be
practiced where dipping is not practical; however, all parts of the animal
should be thoroughly treated. A suitable dip may be made as follows:
8 pounds of fresh lime and 24 pounds of Howers of sulphur to 100 gallons
of water, slaking the lime with sufficient water to form a thick paste,
sifting in the sulphur, and mixing with a hoe. This mixture is placed in
a kettle with 25 to 30 gallons of water and boiled for one hour at least,
two hours being better. The entire mass is used for swine but must not
be used for sheep. The dip is used warm at a temperature of from 100°
to HO° F.B
Lime and sulphur dips may be purchased ready made and are com-
monly used at the rate of one part of the solution to 15 parts of water;
however, care should be exercised to use the dip as directed, owing to
MITES 529
variation in constituents. Coal-tar dips are also used extensively and are
effective if given properly.
Dipping vats may be made of wood or concrete and are usually set
in the ground at a slight elevation to ensure drainage away from the vat.
A convenient size for a vat is "ten feet long on top, eight feet long on
the bottom, one foot wide on the bottom and two feet wide at the top.
The end where the hogs enter should be perpendicular and the other
end inclined, with cleats, so that the hogs can emerge after passing
through. The entrance should be by a slide. For pigs and small shoats
that can be easily handled, a barrel serves the purpose well; the pigs can
be caught, plunged in the dip and held there the required time. Some
successful swine raisers build cement bathing places or wallows for
swine and keep these filled with a watery solution of some dip or disin-
fecting solution." The time to treat young pigs, and this is important, is
at weaning time. Dipping twice as for older animals is necessary, and
if placed in uninfected quarters they ought to remain clean.
Mangy swine should be hand dressed with a stiff brush before
dipping in order to loosen up scabs and then kept in the dip long
enough to permit the solution to soak through the scabs, certainly not
less than two minutes. All the animals must be dipped a second time in
eight or ten days, in order to destroy the mites which have hatched from
the eggs which are not destroyed.
May0 8 recommends a disinfecting whitewash to be applied to pens,
etc., "Fresh lime, 25 pounds, flowers of sulphur, 15 pounds; mix the
sulphur with a little water, to a paste, add SO gallons of water and cook
for an hour, then add water sufficient to make 50 gallons and apply with
a spray pump, using a 'Bordeaux' nozzle."
Equine mange. Sarcoptic acariasis in horses, mules, and asses is
caused by Sarcoptes scabiei var. equi Gerlach. This species is also trans-
missible to man and is said to be the chief cause of a transitory itch of
cavalrymen and others handling horses extensively.
The most reliable diagnostic character is the discovery of the mite,
as already explained. The usual symptoms are first of all a strong tend-
ency to rub some circumscribed part such as the head, root of the
mane or tail, withers, or back, due to an incessant itching. If a person
scratches the affected parts, the animal moves its lips as though it were
nibbling. The skin of these parts also shows an eruption of "fine conical
papillae." The hair stands erect and bristly, much having dropped out,
but totally bare spots where there are no isolated hairs apparently do
not occur in mange but do in ringworm. The affected parts are at first
scurfy, then become covered with yellOWish scabs, which later exude
matter due to the rubbing and inflammation, and finally there are formed
scabs and crusts, often with deep crevices. During the first 14 days the
530 MEDICAL ENTOMOLOGY
progress of the disease is usually slow, but by the sixth week the ravages
of the disease become extensive and there is rapid progress.
The life history and habits of Sarcoptes scabiei var. equi Gerlach
correspond in every respect with those of the species already described.
Treatment for equine mange. Before applying a remedy for mange
the animal should be clipped if possible so as to disclose all points of
attack which might otherwise be hidden by hair. The clipped hair must
not be blown away by the wind but should be burned. The parts affected
are next thoroughly lathered and left for a short while to soften, after
which warm water is applied and the scabs rubbed off as far as possible
with wisps of hay or straw which should also be burned. The affected
parts are now ready for a parasiticide, which should be applied by
hand.
Various remedies may be obtained for mange, all of which have more
or less value, but the writer has found that those containing sulphur are
the most effective. Cameron,9 Veterinary Director General, Health of
Animals Division, Department of Agriculture, Dominion of Canada,
prescribes for hand treatment of horses (and cattle as well, but not
sheep) a mixture of sulphur, 2 pounds, oil of tar, 8 ounces, and raw
linseed oil, 1 gallon. These ingredients are gradually heated together
but not boiled. This dressing should be very thoroughly applied over the
whole surface of the body and extremities of the animal, including the
ears and tail, at a temperature not less than llOO F and not more than
1200 F. Two dressings are necessary. Forty-eight hours before the second
application (twelfth to fourteenth day inclusive) the first dressing should
be washed off with hot water and castile soap. Ten days after the second
application the animals should again be washed to remove the dressing.
In severe cases it may be necessary to repeat the treatment many times.
For dipping animals Cameron (lac. cit.) uses a mixture of flowers of
sulphur, 24 pounds; fresh un slaked lime, 10 pounds; and water, 100 gal-
lons. The lime should be carefully slaked and made into a paste, and
the sulphur added and thoroughly incorporated with the paste; the
whole should be added to sufficient water, preferably boiling water, and
thoroughly boiled for at least two hours and while boiling must be
frequently stirred. The mixture should then be a rich chocolate-brown
color. It should be allowed to stand for a few hours or overnight, then
the liquid should be drained off without disturbing the sediment and
sufficient water should be added to make 100 gallons. The dipping vat
(cage or swimming) is filled with the solution in the proportions men-
tioned and heated to not less than llOo F or more than 115 0 F, main-
taining this temperature while the animals are held in the vat for at
least two minutes, during which period all crusts and scabs must be
loosened with a stiff brush. A second dipping must be undertaken be-
MITES 531
tween the twelfth and fourteenth days after the first dip in order to
destroy the new generation of mites (eggs ar.e not killed by the dip)
before they mature.
Stalls in which mangy animals have been :kept must be disinfected
with live steam or boiling water or be treated with an acaricide such as
lime and sulfur. Brushes, scrapers, "rubbers:! etc., should be boiled;
harnesses should be rubbed thoroughly with a strong disinfectant.
Bovine mange. Sarcoptic acariasis, or maDge, in cattle caused by
Sarcoptes scabiei var. bovis Robin is not so (:ommon as the psoroptic
form (scabies) but is far more difficult to cure. It usually attacks the
parts of the body where the hair is short, namely the brisket and around
the base of the tail. Treatment is the same as for horses described above.
Canine mange. The common mange of do~S is caused by Sarcoptes
scabiei var. canis Gerlach, closely resembling t:he swine parasite. Mange
in the dog appears first on the muzzle, arour1d the eyes, on ears and
b,=-~~"'t, ~Rd. l~t~,=- "''t>,=-~~d.", t~ t"h.~ b~~l,., ~bd.~W>.~-, lLlJn.. pj_cm\¥.bf'.J..~. S:'}TJJ1}-
toms are much as in swine and horses.
Infected long-haired dogs should be clipped before treating. The
following treatment is recommended:
The whole skin may be covered with a soluti.on of equal parts of green
potash soap and alcohol and just enough carboliC acid to give it the odor.
This is washed off next day and the surface is covered with the following:
Napthalin, 12 oz.; Vaseline," 212 oz.; oil of lavender, 8 drops. This may be
applied daily until a cure is established. Another very effective dressing and
*
equally safe is sulphur, 1 oz.; carbonate of potash, oz.; lard, 4 oz. For house
dogs balsam of Peru or styrax, ~ oz. to Vaseline," 2 oz., or alcohol, 1 pint,
makes a most agreeable, if somewhat expensive dressing, which though slow
is effective. (Law'·)
Notoedric mange. Mange of cats is caused by Notoedres minor var.
cati (Hering) (Sarcoptes minor var. felis Gerlach), smaller and more
circular than Sarcoptes but otherwise quite siJ1lilar. Notoedric mange of
cats begins at the tips of the ears and gradUi-llly spreads over the face
and head. After clipping the hair in the region of the affected parts,
apply ointments only, such as sulphur two parts, potassium carbonate
one part, and lard eight parts. N. minor var. cuniculi Gerlach causes a
severe mange of rabbits, beginning at the muztle and spreading over th.e
whole body.
N. muris (Meigen) occurs on rats, and recently, 1934, Skidmore l1
describes an acariasis of white rats caused by a mite for which he pro-
poses the name M yobia ratti (Family Cheyletidae).
Other mange mites. Sarcoptes scabiei var. ovis Megnin of sheep oc-
curs on the face primarily and causes "black nlUzzle." Repeated dipping
for several weeks in lime-sulphur is recommended. S. scabiei var.
" "Vaseline" Petroleum Jelly.
532 MEDICAL ENTOMOLOGY
auckeniae Railliet occurs on llamas, and S. scabiei var. caprae Fursten-
berg on goats.
Scaly leg mite on poultry. The legs of domestic fowls (chickens, tur-
keys, pheasants, etc.) are frequently attacked by a microscopic burrow-
ing mite, Cnemidocoptes mutans (Robin and Lanquentin) (Fig. 169),
which causes a lifting of the scales and a swollen condition of the shank
with deformity and encrustation. The mites burrow and live in the skin,
depositing their eggs in channels as do the mange mites. Scaly leg (Fig.
170) is easily transmitted from fowl to fowl; hence the infested birds
should be segregated and treated.
A B
FIG. 169. (A) photograph of a portion of scale from a fowl affected with
"scaly leg," sllOwing mites (Cnemidocoptes mutans) in situ; (B) enlargement
of an individual mite. X 170.
In treating scaly leg the legs should be soaked and manipulated with
the hands in soap and warm water in order to soften the scabs. Then
when dry, "apply a coating of balsam of Peru or an ointment, containing
2 per cent of carbolic acid," or "a mixture of one part of oil of caraway
with five parts of Vaselineo" (United States Department of Agriculture,
Farmers' Bulletin 530). A simple treatment consists in dipping the legs
of the fowl in a mixture of equal parts of kerosene and raw linseed oil;
the oil must not touch the feathers on the legs; otherwise the skin may
suffer. This dipping process is best done while the birds are roosting,
lifting each bird from the roost, dipping, and then replacing it. The
process should be repeated in about a week.
" "Vaseline" Petroleum Jelly.
MITES 533
A B
FIG. 170. (A) normal leg and claw of a fowl; and (B) one affected with
sarcoptic mites, Cnemidocoptes mutaM, causing scaly leg.
No satisfactory treatment is available, but some benefit may be ob-
tained by repeatedly rubbing the skin with a sulphur ointment made by
mixing three parts of flowers of sulphur with one part of lard.
FOOT AND TAIL MANGE-CHORIOPTIC ACARIASIS
Chorioptic or symbiotic scabies. Mites belonging to the genus
Chorioptes produce a mange which is restricted to certain parts of the
body such as the feet, tail, and neck. Chorioptes symbiotes Verhey en
[= C. equi (Gerlach)] attacks the lower parts of the legs of horses,
particularly those with long hairs on the fetlocks. The infection is known
as "aphis foot" in Australia. 12 A mixture of one part carbolic acid to 15
to 20 parts of linseed oil, or equal parts of kerosene and linseed oil, is
recommended as treatment. Several applications are needed to eHect a
cure.
Tail mange in cattle caused by Chorioptes bovis (Gerlach) is
534 MEDICAL ENTOMOLOGY
localized on the tail or legs and is uncommon. Foot mange in sheep is
caused by Chorioptes ovis (Railliet).
SCAB MITES-PSOROPTIC ACARIASIS
Characteristics of psoroptic mites. The psoroptic or scab mites belong
to the family Sarcoptidae as do the itch and mange mites, hence par-
take of the family characteristics. However, in the psoroptic mites the
legs are long and slender, all four pairs extending beyond the margin of
the body, which is elongate. The "pedicel of the suckers is jointed" and
the "mandibles styliform, serrate near tip" and suited for piercing. The
psoroptic mites do not burrow, as do the sarcoptic mites but live at the
base of the hairs of the host, piercing the skin and introducing a toxic
saliva which causes inflammation. An exudate follows which partially
hardens, forming a scab. As the mites multiply bites increase as well as
itching; more serum oozes out to form a crust of loose humid matter.
The parasitized area increases, and the skin becomes hardened and
thickened. This condition is known as scabies or scab. The eggs are
deposited among the piled-up scabs. Owing to the loose condition of the
scabs and the hardihood of the mites, this form of acariasis becomes
quickly and easily distributed from animal to animal by contact and
by rubbing against fences, trees, and the like.
The commonest scab mites belong to the genus Psoroptes (Fig. 171)
of which Psoroptes communis var. ovis (Hering) of sheep is best known.
Other varieties of this species infest cattle and horses.
Ovine scabies (sheep scab). Psoroptes communis var. ovis (Hering)
MITES 535
is the causal organism of scabies in sheep. This is by far the most impor-
tant species of scab mites. However, with the widespread use of dips
and rigid quarantine regulations, scabies in sheep is gradually being
controlled.
The sheep scab mite is easily visible to the naked eye. The adult
female measures about "one-fortieth" of an inch in length by "one-six-
tieth" of an inch in breadth, and the male "one-fiftieth" by "one-eightieth"
of an inch. As in all psoroptic species the mites are found on the surface
j
!
I,
of the body among the scabs at the base of the hairs. The parts of the
body most thickly covered with wool are chiefly affected. Scabies13 is
indicated by a "tagging" of the wool; the coat becomes rough, ragged,
and matted at the points affected. Tags of wool are torn away by the
sheep or are left attached to rubbing posts and other objects against
which the animal rubs. The sheep scratches vigorously and shows signs
of intense itching.
Life history of the scab mite. The female scab mite deposits an aver-
age of about 15 (maximum 30) eggs, one at a time, and the period of
oviposition often lasts several days, after which the female evidently
dies. The eggs (Fig. 172) are either attached to the wool near the skin
536 MEDICAL ENTOMOLOGY
or deposited directly upon the latter. The hexapod larvae hatch in from
two to three days when next to the skin but take longer (up to six or
eight days) when on wool not close to the body; the first molt takes
place in three or four days, when the fourth pair of legs appears;
second and third molts take place within the next four or five days. The
males are said to molt but twice, and the f(~male is fertilized after the
second molt with a third molt before egg de}?osition. The length of time
elapsing from egg to egg averages about rline days. The infection is
spread by contact with infected sheep.
Treatment for sheep scab. Several kinds of dips with variations are
used for sheep scab, among them lime and sulphur, nicotine and sulphur,
nicotine cresol, coal-tar products, sodium silicofluoride, and derris. If
proprietary dips are used, extreme care must be exercised in following
the directions. The dip should have the aperoval of the United States
Department of Agriculture. All dips must be repeated in ten to twelve
days in order to destroy the mites newly hatched from eggs, which are
not killed by the dip. The dips commonly used and permitted by the
United States Bureau of Animal Industry for official dippings of sheep
for scabies are lime-and-sulphur and nicoti(le solutions. See Imes 13 for
directions for dipping sheep.
Psoroptic mange of horses is caused by psoroptes communis var. equi
Gerlach. It generally makes its appearance at or near the root of the
mane or tail. It is regarded as a serious disease. Treatment is the same
as for sarcoptic mange.
Bovine scabies (Psoroptic mange). Scabies in cattle is caused by
Psoroptes communis var. bovis (Gerlach) and is a comparatively com-
mon infection. The disease usually appears at the root of the tail, thighs,
neck, and withers and spreads rapidly to other parts of the body. Heavy
losses may result from this disease. '
Treatment for scabies in cattle is the same as for horses, namely lime
and sulphur as previously described.
AURI CULAR MITES-OTOACARIASIS
Auricular mites. A comparatively commo(l affection of cats, dogs, and
faxes, known as otoacariasis or parasitic otitis, is traceable to Otodectes
cynotis (Hering), which resembles Psoroptes very closely. These mites
belong to the family Sarcoptidae. They literally swarm in the ears of the
host causing much discomfort, tenderness of the ears, auricular catarrh,
loss of appetite, wasting, torticollis, "fits," etc.
Cleansing the ears first with soapsuds and warm water and then ap-
plying a sulphur ointment or a 10 per cent solution of tincture of iodine
in glycerin, or a one per cent solution of c~rbolic acid in linseed oil is
recommended. Banks recommends injecting olive oil containing one-
MITES 537
tenth part of naphthol. The hutches or kennels must be thoroughly dis-
infected with a strong lime-and-sulphur solution or other effective solu-
tion to prevent further contagion.
Family Demodicidae
Characteristics of follicle mites. The Demodicidae comprise the follicle
mites, very minute (.3 to .4 mm) mites with an elongated (vermiform)
transversely striated abdomen and four pairs of "stubby" three-jointed
legs. They parasitize the skin of mammals. All stages of the life history
are often present together in a follicle.
The follicle mite of man (Demodex folliculorum Simon) (Fig. 173)
inhabits the hair follicles and sebaceous glands "causing inflammation of
LIPONYSSID MITES
Family Macronyssidae
Family Macronyssidae. The important group of Liponyssid mites was
heretofore included in the family Dermanyssidae Kolenati, 1859 until
1931, when Vitzthum (loc. cit.) erected the family Liponissidae. In
1936 Oudemans proposed Macronyssidae as the family name for this
group. Da Fonseca 15 calls attention to the fact that the type species of
Liponyssus (Lipimyssus setosus Kolenati), 1858, is lost; hence the
generic characters cannot be ascertained. It is, therefore, an unscientific
procedure to accept Liponyssus with unknown characters as a type for
a family, and Macronyssus Kolenati is proposed as a substitute. "Ma-
cronyssidae," therefore, becomes the new family name. Fonseca sum-
marizes the diagnosis of the new family as follows: "Mandibles' with
fixed and moveable arms devoid of any armature in the female. Palps
with a bifid seta at the fifth segment. Dorsal shield of adults entire or
divided in females. Sternal plate with two or three pairs of setae. Anal
plate more or less piriform, never enlarged or prolonged. Holoventral
shield of males entire or divided. Haemotophagus; oviparous or ovovi-
parous; sometimes facultative parthenogenetic; permanent ectoparasites
on mammals, birds and reptilia."
All representatives of this group (Liponyssids) were heretofore in-
cluded in the genus Liponyssus Kolenati, 1858; now, however, Fonseca
(loc. cit.) lists 17 genera of which 5 are new. Liponyssus is retained as
a monotypic genus Liponyssus setosus (Kolenati); the familiar tropical
Liponyssid rat mite and several other species are placed in a new genus
MITES 539
Bdellonyssus Fonseca 1941. LiponysStls bacoti (Hirst), therefore, be-
comes Bdellonyssus bacoti (Hirst) (Fig. 174) .
The genus Bdellonyssus Fonseca includes a homogeneous group of
mostly tropical species in which the "dorsal shield is undivided; sternal
plate of female with three pairs of setae and two pairs of slit-like pores;
genital shield of female tapering to a more or less sharp point, not scale-
like and with only a pair of setae; tibia I more than 1 Y2 times as long
as broad in the female; coxae of females and of nearly all males devoid
of spines other than the dorsal one of coxa II; first p~lpal segment with
a spur; holoventral shield of male undivided and undilated at the ven-
tral surface" (Fonseca).
Tropical rat mites. According to Fonseca (loc. cit. ) the triad of
species Bdellonyssus (= Liponysstls) bacoti ( Hirst), B. brasiliensis
Rather large species, with a long body and long legs; no shoulders present.
Dorsal plate.-Covering considerably less than half of the dorsal surface of the
body, broadest above the second pair of coxae, with lateral margins converg-
ing posteriorly behind widest part until truncate end is reached. Each pos-
terolateral corner of dorsal plate is occupied by an oval light spot. Ventral
cephalothoracic characters.-The posterior pair of sternal pores is represented
by two minute circular openings on the posterior margin of the sternal plate
near the posterolateral corners. Anal plate.-Sligp.tly longer than broad, an-
terior margin slightly out-curved. Anal opening jUore than twice as long as
broad, with lateral margins parallel Anal covers very -long, occupying more
than half of the anal opening; behind them in the anal opening a minute,
transverse, sclerotized bar. Paired anal setae situated at a level slightly in
front of middle of anal opening and at about one-third the distance from rim
of anal opening to lateral margins of anal plate; unpaired anal seta situated
at a point about one-third the distance from posterior rim of anal opening
to posterior margin of anal plate.
Habits and life history. During the daytime the mites remain hidden
in crevices of the henhouse and roosts, under 'boards and debris. In these
hiding places the mites deposit their eggs. At night the pests swarm out
from their hiding places and attack the birds upon the roosts. Their
attack is not restricted, however, altogether to the nighttime, for swarms
of mites may be found on setting hens and lllying hens during the day
if these are nesting in dark places.
Bishopp and Wood,26 and Wisseman and Sulkin27 have made im-
portant contributions to a knowledge of the life history of this mite.
Adult female mites usually begin ovipositing in from 12 to 24 hours
after feeding and lay as many as 7 eggs, which hatch in from 48 to 72
hours at summer temperatures. The hexapod larvae are sluggish and
do not feed. The first-stage nymph (eight-legged and active) appears in
from 24 to 48 hours and, after a blood meal, molts and gives rise to the
second nymphal stage. After feeding and a second molt the adult stage
is reached. Occasional instances of a third nymphal stage are reported.
The entire life cycle may he completed in a, short a period as 7 days.
Damage done and control. The poultry mite is a serious pest in many
parts of the world. The damage which this mite causes is very consider-
able and may be summarized as follows: Egg production is greatly re-
duced or entirely prevented; setting hens are often caused to leave their
544 MEDICAL ENTOMOLOGY
nests or perish; newly hatched chicks perish in large numbers in the
presence of these mites; chickens lose flesh, are unthrifty, and are un-
profitable for marketing; loss of blood and reduced vitality cause birds
to be easily susceptible to disease. Inasmuch as the mites are seldom
found on the bodies of the birds during the day, except in the first feed-
ing period when they sometimes remain attached for a night and a day,
or in dark nest boxes, control measures are directed most advantageously
when they are in their hiding places. A thorough clean-up of the premises
to which the birds have access, together with the elimination of every
useless article therein, such as boxes, coops, boards, etc., is the first step.
Old. nesting material should be burned and if the infestation is severe,
roosts and nests should be dismantled to be replaced by construction
that will facilitate future clean-ups. Methods must now be directed
against the cracks and crevices of the floors, walls, and even the roof of
the poultry house. In heavy infestations the mites sometimes migrate to
the outside of the house when the inside is sprayed. They should be
looked for in cracks on the outside and if present the outside should
also be treated. The most efficient method of treating poultry quarters
is by the use of liquid insecticides applied by "knapsack" spray pump.
A coarse spray is most effective and should be applied to each area from
several different angles to ensure penetration into all hiding places. Many
of the existing sprays are efficient. Any of the dips used on domesticated
animals made up in a slightly stronger solution than directed for the
dipping of animals will give fairly satisfactory results. The most satis-
factory of all applications, however, are the wood preservatives that have
coal-tar product anthracene oil as a base. These have the advantage of
being effective over a long period of time and soak into the wood rapidly
without leaving a greasy residue to soil the feet, feathers and eggs of the
birds. They should be diluted about one-half with kerosene to facilitate
spraying. One thorough treatment with this type of spray is generally
sufficient. Whitewash containing 3 to 5 per cent of crude carbolic acid
kills large numbers of mites but is not nearly so effective as anthracene
oil. Nicotine sulphate used on the roosts, as for lice, is effective in killing
young mites feeding on the birds and in protecting roosting birds. Used
as a spray at the rate of three tablespoonfuls per gallon of water to which
is added one-half teaspoonful of baking soda it gives very satisfactory
results if applied carefully and in drenching quantities.
Prevention. The chicken mite is introduced into clean flocks in many
cases in contaminated shipping coops. In some cases the introduction
may be accomplished by a few young mites that are engorging for the
first time on the introduced fowls. To overcome this possibility, newly
acquired birds should be kept in special coops for two or three days
before being placed in clean houses. These coops should then be de-
MITES 545
stroyed or disinfected with bOiling water or with one of the sprays sug-
gested above. Shipping coops from other poultry plants should not be
left in or near clean houses, nor should second-hand equipment be in-
troduced unless properly disinfected. Mites will live for from three to
five months without food, a fact which should be considered when
vacant buildings are to be occupied by clean flocks. In cases where the
control of the mite is impossible owing to the character of the quarters
or lack of them, some relief is afforded by wrapping the ends of the
roosts and other points of contact with rags soaked in crude oil to prevent
the mites from gaining access to the fowls after they have gone to roost.
To make this procedure effective crowding should be discouraged, and
the back roosts should not be near enough to the wall to permit the
movement of the mites to the plumage of the birds.
Other Dermanyssid mites. Dermanyssus americanus Ewing was de-
scribed from English sparrows in Washington, D. C. The palpi of the
female extend beyond the tips of the anterior femora; chelicerae are
needle-shaped; the peritreme very short, not extending beyond the third
coxa; the anus is situated almost entirely behind a middle transverse
line; the paired setae are slightly behind the level of the anterior margin
of the anus; the legs are very short and stout, the last pair falling far
short of the tip of the abdomen. The length of the mite is 0.70 mm, the
width, 0.39 mm.
Allodermanyssus sanguineus (Hirst), a mouse mite, the vector of
rickettsialpox of man, is described by Ewing (lac. cit.) as follows:
"Palpi slender, reaching to the tips of anterior femora; chilicerae showing
plainly the needle-like elements representing both arms. Dorsal shield
divided; anterior shield broadest at the shoulders, lateral margins behind
the shoulders concave; posterior shield circular, minute. Sternal plate
squarish, lying entirely between the second coxae, with three pairs of
sub equal marginal setae. Anal plate egg-shaped in outline, anterior
margin broadly rounded; anus situated centrally, rim very thin in front
and on the sides, but enormously thickened behind; paired setae situated
at the level of the center of the anus; median seta situated about two
thirds its length behind anus; caudal area reaching about halfway to the
base of median seta. Legs very long and slender. Length, 0.91 mm;
width, 0.46 mm."
Rickettsialpox of man was first observed in New York City during
the summer of 1946, the causal organism, Rickettsia akari, being isolated
by Huebner, Jellison, and Pomerantz. 28 The epidemiology of the disease
is described by Greenberg, Pellitteri, and Jellison;29 the infection is trans-
mitted by the rodent (mouse) mite, Allodermanys8U8 sanguineus (Hirst),
and the house mouse, Mus musculus, serves as a reservoir.
Pulmonary acariasis of monkeys is traceable to mites of the genus
546 MEDICAL ENTOMOLOGY
Pneumonyssus which live in the lungs of the host, e.g., Pneumonyssus
simi cola Banks. Halarachne zalophi Oudemans occurs in the nasal pas-
sages of the California sea lion; and Sternostomum rhinolethrum Troues-
sart is said to produce catarrhal inflammation of the respiratory tract of
fowls. Lung mites commonly infest the respiratory system of snakes.
(Turk. 30 )
The role of bird mites in the epidemiology of arthropod-borne en-
cephalitides. In 1942 Hammon et al. 31 demonstrated that a large per-
centage of wild birds as well as domestic fowl possess neutralizing anti-
bodies for the western equine and St. Louis encephalitis. This discovery
gave impetus to an investigation already under way concerning the part
that avian bloodsucking ectoparasites may have in the infection chain
of these viruses. (See Chapter XII, Mosquitoes as Vectors of Disease.)
In 1944, Smith, Blattner and Heys,32 reported the isolation of the
St. Louis encephalitis virus from chicken mites, Dermanyssus gallinae
( DeGeer ), in nature during a nonepidemic period. Evidence was pre-
sented that this mite is capable of transferring the virus of St. Louis
encephalitis congenitally to its offspring and "that a colony of mites once
infected probably remains infected indefinitely." Sulkin33 ( 1945) re-
covered the virus of the western type of equine encephalitis in the same
species of mite, also in nature, but at the time of an outbreak of the
disease among horses in Texas Howitt and associates 34 (1948) reported
the isolation of the virus of the eastern type of the disease from D.
gallinae. It had previously been shown (pp. 242 to 244) (as early as
1942) that mosquitoes belonging to several species are capable of acquir-
ing, and transmitting to animals, the virus of both the St. Louis and the
western equine encephalitides. However, these viruses appear not to be
transmitted transovarianly in the mosquito, nor have they been recovered
in hibernating mosquitoes; hence poultry and/or wild birds mites serving
as reservoirs would constitute a strong link in the infection chain of the
arthropod-borne encephalitides. In 1948 Smith and associates 35 reported
having transmitted the virus of St. Louis encephalitis to hamsters by
mosquitoes, Culex pipiens, at periods varying from 4 to 27 days after
these insects had fed on chickens having viremia as a result of the bite
of infected mites. Thus the concept is supported that two bloodsucking
vectors may be involved, one the chicken mite which does not bite man
and in which the virus is maintained in nature by transovarian passage,
and the other, a mosquito, which transmits the infection from birds to
other vertebrates, including man. Two other species of bird mites are
involved, perhaps even more plausibly (Hammon 36 obtained negative
results with D. gallinae) , namely, Leiognathus (= Liponyssus) sylvi-
arum (c. and F.) from which Reeves and associates 37 isolated the virus
of western equine encephalomyelitis in California (mites were from
MITES 547
=
nest of English sparrow), and Bdellonyssus ( Liponyssus) bursa
(Berlese) from which Sulkin and IzumP8 isolated the western equine
virus in Texas.
While apparently complicating the infection chain, the discoveries
implicating mites do furnish the factor of maintenance of the virus in
nature. Thus mites infected previously either C()ngenitally or by feeding
on an infected bird may initiate infection, as Hammon (lac. cit., 1948,
p. 244) points out, in nestling birds or in newly hatched fowl in the
spring. The young birds are then fed on by nlOsquitoes, and after the
essential extrinsic incubation period, these mosquitoes may infect other
birds. Hammon continues to reason that several such cycles in mosquitoes
and birds will build up the number of infected mosquitoes, and infection
may then appear in men or horses. Infection is llsually seen first in horses
and later in man, no doubt, because of the greater number of mosquitoes
having access to these large unprotected animals and because of the
zoophilism of these insects.
CHIGGER MITES
Family Trombidiidae (Subfamily Trombiculinae)
Family Trombidiidae. The family of mites (Trombidiidae) to which
the chiggers (larval Trombidids) belong is characterized by Banks
(loc. cit.) as follows (adult characters):
the body being divided into two portions, the antE:rior (cephalothorax) bear-
ing the two anterior pairs of legs, the palpi, mouth parts, and eyes; the poster-
ior (abdomen) is much larger and bears the two posterior pairs of legs. The
mandibles are chelate; at least there is a distinCt jaw or curved spine-like
process. They are always red in color, some, however, being much darker
than others. The body is covered with bristles or feathered hairs according
to the species. The palpi are nve-jointed, quite prominent, often swollen in
the middle, the penultimate joint ending in one Or two claws, the last joint
(often clavate) appearing as an appendage or "thumb" to the preceding joint.
The legs are seven-joirited; the tarsi terminate in two small claws. The legs
are clothed in the same manner as the body. There are two eyes upon each
side of the cephalothorax, quite frequently borne on the distinct pedicel.
1. Blunt striated sensory setae, one on the dorsal side of each tarsus of
the first two pairs of legs and one at the base of the palpal tarsus on the ventral
surface.
2. Pointed striated sensory setae, on the genua and tibiae of all legs, the
tarsus of leg I, and the pretarsus of legs I and II. There may be one on tarsus
III and the palpal tarsus, but this is unusual.
3. Microsensory setae, may be present on the genua, tibiae, and tarsi of
legs I and II.
4. Whip-like setae, one or more, may be present on tela-femur, genu,
tibia, and tarsus of leg III.
FIG. 176. Chigger (mite) or harvest mite. Adtllt (left), larva (right) of
Eutrombicula alfreddugesi. (From Ewing's Mantlal of External Parasites.
Courtesy of Charles C. Thomas, Publishers.)
incubation period ranges from 4 to 5 days, when the egg shell breaks
into two portions, anterior and posterior, which become separated; but
the nearly fully developed larva remains insidE! this "deutovum" for six
or seven days more. Having completed the (~eutoval stage the fully
formed red hexapod larva emerges and crawls rapidly about in search of
a host. The larvae can live for about two weeks (probably longer) with-
out feeding. The opportunity to find a suitable host should be good
since it is known that close to a hundred species of vertebrates, mammals,
birds, amphibians, and reptiles may serve as bosts. Ewing (1944, loco
cit.) reports rearing E. alfreddugesi from box nIftIes, Terrapene carolina
(Linn.), and from young toads, Bufo species, 9.s well as from snakes. 45
550 MEDICAL ENTOMOLOGY
Keay 46 reports numerous hosts for T. autumnalis, among these the dog,
horse, shrew, fowl, and sparrow. Engorgement of the chiggers (see next
section explaining feeding habits) takes from 2 to 10 days, after which
they drop to the ground and remain quiescent (protonymph) within
the dead larval skin for 5 to 7 days, emerging with eight legs (the
nymph). The nymphal stage lasts from 21 to 52 days, including the pre-
adult stage, when another molt liberates the adult. The life cycle of E.
hatatas, according to Michener's (lac. cit.) summary requires from 39
to 85 days. The adult may live up to 45 days.
Chigger dermatitis. In many parts of the world, particularly in the
warmer portions and during the late summer months in temperate
climates, persons who have walked among tall weeds and grass, bram-
bles, and low scrub often suffer an intolerable itching, which begins
3 to 6 hours after exposure and is followed by a severe dermatitis con-
sisting of pustules and wheals. When, after a trip through tall weeds
or grass or a patch of berry brambles, itching begins around the ankles,
the knees, and the waist, a careful examination will pretty surely reveal
at least one (there will be others) bright red mite barely visible to the
naked eye either traveling fast or about to attach itself to the skin. A
microscopic examination will show that it has three pairs of legs and no
doubt is the larva of a trombiculid mite-a chigger.
Chiggers do not burrow into the skin as is commonly believed.
Ewing47 observed and studied daily 26 chiggers on his own skin; 21
were attached to the smooth surface of the skin, while five were attached
at the bases of hairs, each having the capitulum thrust into the mouth
of the hair follicle; not a single one had penetrated a pore or hair follicle.
The chigger does not suck blood but injects a digestive fluid (a proteo-
lytic enzyme) when firmly attached. This fluid dissolves the tissues so
that the resulting liquid may be utilized by the chigger. The skin of the
host becomes hardened, and there is formed a tube (stylostome) in
which the chigger lies and continues to imbibe the nourishing liquid until
it is replete; then it retreats and drops to the ground. According to
Michener and Michener 48 it is presumably the action of the digestive
fluid which causes the "bite" to itch after a few hours. Williams 49 points
out that histological preparations of chigger bites on rabbit ears show
that the epidermis is completely penetrated. A tube lined with stratum
germinativum cells is formed which extends to the derma and subcutis.
This tube appears to represent a reaction of the host to the secretion of
the chigger, and its inner layer of cells are necrotic and give evidence
of digestion.
To free infested areas of chiggers, lawns and gardens may be treated
with very fine dusting sulphur applied with a hand duster at the rate of
one pound per 1,000 sq ft, or 50 pounds per acre. Apply at intervals of
MITES 551
two weeks during the chigger season, May to August. The ground should
be carefully treated; the sulphur dust will not injure vegetation, but
bright metal objects are easily tarnished. Dusting with DDT as recom-
mended for tick control is also suggested by some authors. The use of
benzene hexachloride (12 per cent gamma isomer) applied as a dust or
spray at the rate of 4 pounds per acre has recently been reported as a
successful treatment by the United States Bureau of Entomology and
Plant Quarantine. Keeping down weeds and mowing the grass short so
as to expose chiggers to the sun and dry the soil are good preventive
measures.
Having been exposed to chiggers one should immediately take a bath
lathering the body with a sulphur soap and allow the lather to remain
about ten minutes before rinsing off.
Chigger repellents such as dimethyl phthalate and benzyl benzoate
are available for the impregnation of clothing, particularly about the
ankles and at the waistline. Relief from the "bites" may be had by
applying various remedies such as a 5 per cent solution of benzocaine in
alcohol.
Tsutsugamushi disease, also known as "Japanese Hood fever," "Japa-
nese river fever," "kedani fever," and more recently "scrub typhus" and
"Mossman fever" (Australia), is an ancient disease (Blake et al.,50 1945)
first described from Japan. It was long said that the infection is trans-
mitted to man by the larval trombiculid (chigger) mite, Trombicula
akamushi (Brumpt, 1910) from rodent reservoirs (voles, Microtus monte-
belli Sado). It was not, however, until 1916 that positive experimental
evidence to that effect was secured by Miyajima and Okumura 51 in tests
with monkeys. The specific rickettsial nature of the infection was deter-
mined in 1930 by Nagayo et al.,52 who described Rickettsia orientalis.
However, as early as 1920, Hayashi53 reporting on the etiology of tsut-
sugamushi disease gave the name Theileria tsutsugamushi to what he
then believed to be the causal agent. It is contended by Steinhaus 54 and
others that, since it cannot be proved that Hayashi did not see the causal
agent of this disease, the specific name which he gave should not be
ignored. Under the rules of priority the specific name of the causal
organism would then be Rickettsia tsutsugamushi (Hayashi), which
name is accepted by Philip 55 in his account of tsutsugamushi disease in
World War II.
The disease has an incubation period of 6 to 12 days and over. Dur-
ing the first 5 to 7 days it is characterized as follows (Blake, et. al., 1945,
loco cit.): ''headache (postorbital), apathy and general malaise, fever
( chills), relative bradycardia, anorexia, conjunctival congestion, lympha-
denitis, often regional, and an eschar." The eschar is the primary lesion
which originates at the point of "chigger" attack (ankle, shin, groin,
552 MEDICAL ENTOMOLOGY
waistline, or axilla) in the great majority of cases. It is a painless papule
at first, usually unnoted by the patient. It slowly enlarges to a diameter
of 8 to 12 mm, the center becoming very dark and necrotic; a shallow
ulcer may result eventually, leaving a scar. Between the fifth and eighth
day in nearly all cases a characteristic dull red macular or maculopapular
rash appears on the trunk and may spread to the extremities involving
the palms, soles, face, and scalp. This may persist for about two weeks,
often fading in a few days. Enlargement of the spleen, nervous dis-
turbances, delirium, and prostration are common symptoms; in many
cases there is deafness. The majority recover by lysis in three to five
weeks. In extremely severe cases "symptoms and signs of more severe
pneumonitis and encephalitis are constant. Evidences of peripheral cir-
culatory collapse are common and signs of myocarditis may appear.
. . . Thromboses and cerebral or gastrointestinal hermorrhage may take
place." Mortality ranges up to 40 per cent; death results from cardiac
failure, usually in about three weeks. The rickettsiae may readily be
recovered from the blood of patients during the acute stage of the disease
by the intraperitoneal inoculation of 0.2 to 0.3 ml of blood in white mice.
(Blake et al., loco cit.)
Although the greatest number of cases occur at low elevations (sandy
bottom land overgrown with grasses and scrub), infections occur at
elevations of 2,000 to 3,000 feet and, in Formosa, as high as 6,500 feet.
The "chigger" mites have been reported as high as 8,000 feet in India.
The infection is endemic in many parts of southeastern Asia and ad-
jacent islands in the Indian Ocean and southwest Pacific (Ceylon, Japan,
Philippines, Netherlands Indies, Taiwan), and the coastal area of North
Queensland, Australia.
The importance of scrub typhus (tsutsugamushi disease) as a "medi-
cal casualty producer in some areas during the Asiatic-Pacific operation,
1941-1945," according to Philip (loc. cit.), "was second only to malaria
and was more dreaded by the men." Interference with actual combat
operations was greatest, Philip states, on the Assam-Burma front where
"eighteen per cent of a single battalion got scrub typhus in two months
and in that time 5 per cent of the total strength had died of it."
"American Task Force operations in the Schouten Islands resulted
in a thousand cases in the first two months on Owi and Biak, reaching
a total of 1,469 casualties in 6 months time, while at Sansapor beach-
head the curve for weekly admissions on a thousand-per-year basis shot
up to over 900 at the end of the second week, a rate higher for an indi-
vidual episode than any yearly rate for all causes in the entire American
Army in all theatres. . . . These two disasters alone provided a potential
estimated loss of over 150,000 man days to the American Sixth Army."
The vector. There are a number of species of chiggers in endemic
MITES 553
areas which attack man and cause "scrub itch" but are not vectors of
tsutsugamushi disease. In spite of much research during the late war
years, Trombicula akamushi (Brumpt) and Trombicula deliensis Walch
are the only proved vectors, as Philip (1948) points out. Furthermore,
Philip states that he has specimens of supposed T. akamushi from Japan
that are indistinguishable morphologically from T. deliensis; hence there
is good reason to suspect that the latter may really be but a variety of
T. akamushi (Philip and Kohls, 194856 ).
The adult mites measure from 1 to 2 mm in length, are generally
reddish in color, often pale; they are ground-inhabiting and nonparasitic
and are said to feed on insect eggs and minute arthropods; many authors
refer to them as scavengers. The winter is spent in this stage. They are
said to deposit their eggs in late spring or early summer in loose top
soil under leaves, etc., in damp places. The hexapod larvae (0.32 to 0.43
mm in length) hatch in about 3 weeks under favorable temperature
conditions (about 20° C) and wait the coming of a suitable vertebrate
host-mammal or bird (man is an accidental host). Having successfully
encountered a host the chigger attaches itself and begins to feed. Numer-
ous hosts are available, but continuous propagation of the infection is
dependent upon susceptible so-called reservoir animals (many of the
host animals are suitable for the maintenance of the vector species in-
cluding birds and reptiles), the first of which was demonstrated to be a
vole, Microtus montebelli (see above). Wartime studies as reported by
Philip and Kohls (1948, loco cit.) indicate that rats play an important
widespread role in the disease cycle in nature. "Six kinds of rats (among
them Rattus concolor browni and R. flavipectus yunanensis) indigenous
to New Guinea, Burma, or India, plus a species each of field mouse and
tree shrew (Tupaia belangeri versurae) have been added to two murid
species already demonstrated to carry natural infection in Japan and
Malaya, and to others under strong indictment in Formosa, Sumatra, and
Australia." Infection has been demonstrated in the circulation of English
sparrows, pigeons, and turkeys (Philip).
The larval mite (akamushi) is said to remain on the host, commonly
in the ears, feeding for three or four days, then drops to the ground
where in five or six days it molts and the nymphal stage (eight-legged)
is reached. This stage like the adult stage, which it is said to reach with
another molt in about ten weeks, is nonparasitic (Miyajima and Oku-
mura, loco cit.). Experimental evidence is complete showing that larval
mites (chiggers, i.e., akamushi) hatched from eggs layed by such female
mites may transmit the infection to experimental animals. The proportion
of infected larvae is said to be perhaps less than one per cent. That there
is a chigger mite in the United Stales which is a member of the "aka-
mushi" group is a matter of some interest. Wharton 57 states that the
554 MEDICAL ENTOMOLOGY
larva of Trombicula myotis Ewing is more closely related to T. akamushi
than to any other species, and could easily be confused with it.
Control. During the early months of warfare in the southwest Pacific
area little or nothing was known about the ecology of scrub typhus,
information needed to plan successful measures for the control and pre-
vention of the disease. Thus because of the high incidence of infection
among troops bivouacked or maneuvering in the abundant tall kunai grass
warning against such practices were issued; however, severe epidemics
occurred under the "coconut canopy" along the beaches. There were
outbreaks under various ecological conditions, causing considerable con-
fusion. There appear to be several factors, however, that do provide some
basis for control: the mites are extremely sensitive to lowered humidity.
Therefore, clearing of grass and scrub (clean camp sites) is a practical
procedure, with the use of flame thrower and bulldozer suggested; sec-
ondly, rat harborage and a plentiful supply of food for native rats pro-
vide an abundance of hosts for the larval mites, hence rat control is an
important chigger-control procedure.
Protection of the person against chiggers by repellents (dimethyl
phthalate) applied to clothing was achieved during the latter part of
World War II. Dipping uniforms in a dibutyl phthalate-benzyl benzoate
emulsion gives good protection.
LOUSE-LIKE MITES
Family Tarsonemidae
Characteristics of Tarsonemidae. This is a small family of soft-bodied
mites having in the female a characteristic "prominent clavate organ of
uncertain use" between the first and second pairs of legs. The third and
fourth pairs of legs are separated from the first and second pairs by a
long interspace. Sexual dimorphism is marked in the several species. The
piercing, sucking mouth parts are provided with slender needle-like
stylets. Many of the species are predaceous or parasitic on insects, while
others suck the juices of plants.
Pediculoides ventricosus (Newport) (Fig. 177) is a widely distrib-
uted predaceous mite which attacks the larvae of a number of species
of insects such as the Angoumois grain moth [Sitotroga cerealella
(Oliv.)], the wheat joint-worm [Harmolita grandis (Riley)], the peach
twig borer (Anarsia lineatella Zell.), the cotton-boll weevil (Anthonomus
grandis Boh.), the bean and pea weevils [M ylabris quadrimaculatus
(Fabr.) and M. obtectus (Say)], etc. It is, therefore, normally a bene-
ficial mite, but unfortunately it also attacks man, producing a very dis-
agreeable dermatitis commonly called "straw itch."
MITES 555
While the male mite is very tiny, just about visible to the naked eye,
the female when pregnant becomes enormously swollen, measuring
nearly a millimeter in length, the abdomen presenting a globular appear-
ance, the cephalothorax and appendages barely visible.
Within the enlarged abdomen of the female may be found rather
large eggs which hatch internally, and the young mites develop to ma-
turity within the body of the mother before being extruded. The number
of young produced by the female is said to range from a few to nearly
300. The female mites are often fertilized within the body of the mother.
RED SPIDERS
Family Tetranychidae
Characteristics of Tetranychidae. To this family belong the "web-
spinning mites," most commonly infesting vegetation and destructive to
fruit trees and other plants. The term "red spiders" is ordinarily applied
to the group. Tctranychus bimaculatus Harvey, the two-spotted mite,
attacks many species of plants as does the common red spider, T. tclarius
(Linn. ).
Persons employed in picking hops and harvesting almonds, etc., often
complain of itching produced by the red spiders, but this soon disappears.
MITES 557
QUILL MITES
Family Cheyletidae
Syringophilus bipectinatus Heller, the quill mite of poultry, lives in
the shafts of the primary wing feathers. Rebrassier and Martin61 report
that this mite caused a peculiar molt; the loss of feathers extending over
half of the body in most cases and in many instances over the whole body.
The birds were reported to be apparently in good physical condition.
S. columbae Hirst is a quill mite of pigeons.
AIR-SAC MITES
Family Cytoleichidae
Cytoleichus nudus (Vizioli) is known as the air-sac mite of poultry
because of its habitat in the air passages. Laminosioptes cysticola
(VizioU) occurs in the subcutaneous tissue but is considered of no eco-
nomic importance.
THE PENTASTOMIDS
Tongue Worms
The Class Pentastomida, also known as the Linguatulida, compre-
hends the so-called tongue worms, parasites of numerous species of
vertebrate animals, from fishes to man. Because of certain resemblance
to the phytoptid mites the tongue worms have been classed with the
Acarina (Sam bon, 62 1922). Heymons63 points out that the difference
between the pentastomids and annelids is far less than the difference
between them and the arthropods.
These endoparasites inhabit primarily the lungs and air passages of
their hosts. The body consists of a head or cephalothorax and a not
distinctly separated abdomen. The head possesses five ventral openings:
the median opening is the mouth, and the remaining two pairs lead to
hollows from which chitinous hooks protrude. They are legless, vermi-
form, and pseudo-annulated. Development is indirect, in that an inter-
mediate host is required.
The class Pentastomida is divided into two orders ( 1 ) Cephalo-
baenida and (2) Porocephalida. The order Porocephalida consists of two
families (1) Porocephalidae, which includes among others the genus
Porocephalus and the genus Armillifer; (2) Linguatulidae, which in-
cludes the genus Linguatula, to which the tongue worm Linguatula
serrata Frolich helongs.
Pentastomiasis of man is commonly encountered, the cause being
either linguatulids (linguatulosis) or porocephalids (porocephaliasis).
558 MEDICAL ENTOMOLOGY
Linguatulosis infection is primarily due to ingestion of the eggs of
Linguatula serrata Frolich (= L. rhinaria Moniez), the adult of which
normally inhabits the nasal and frontal sinuses of the dog and wolf,
occasionally also those of the fox. The adult female reaches a length of
80 to 120 mm and a breadth of 8 to 10 mm (Fig. 178). The males are
hardly half this size. The eggs are discharged from the nostrils and mouth
of the infected animal and are ingested by the intermediate host with
food and water. Intermediate hosts under natural conditions are as a
rule wild rabbits in whose body cavities the larvae travel freely, invading
the liver and lungs; if infested rabbits are eaten by a dog, wolf, or fox
the larvae develop into the mature form in these animals. Faust6 .! has
reported upon the presence of the immature form (encysted nymph) in
the liver and lungs of a laboratory rabbit in Peking. He states that the
material from the Peking rabbit averaged 4 mm in length by 0.8 mm in
breadth.
Hobmaier and Hobmaier 65 report natural infections of brown rats
(Rattus norvegicus) and artificial infections of ground squirrels (Citellus
beechyi) , both of which may contribute as intermediate hosts to the
cosmopolitan distribution of Linguatula rhinaria.
Another linguatulid of man reported by Faust is Armillifer monili-
farmis (Diesing) from the liver of a Tibetan. This species as an adult
MITES 559
described by Hill 66 is parasitic in the respiratory tract of pythons and
has for nymphal host, among many others, such animals as mongooses,
monkeys, ground squirrels and rats. Leiperia gracilis (Diesing) and a
very closely related species, Porocephalus crocodili (Wheeler), occur in
the crocodile. .
BIBLIOGRAPHY
Insect venoms. Insect venoms, like other animal venoms, are toxic
principles probably not greatly unlike the bacterial toxins, but about
which we know comparatively little. Unlike many of the bacterial toxins
which reach toxic proportions only after a period of elapsed time sub-
sequent to the introduction of the infection into the body, the animal
venoms take effect almost instantly, i.e., as soon as introduced and
without incubation.
The venoms act in one or more ways when introduced into the body:
( 1) they may act directly on the blood corpuscles (hemolytic); (2)
they may act directly on the nervous system, producing shock or inhibit-
ing reflexes (neurotoxic); (3) they may produce an infiltration and con-
gestion of blood (hemorrhagic) often in the vicinity of the wound or in
deeper tissue, such as the mesenteries, etc. A given arthropod venom
may act in one or more of these ways.
It is a matter of common observation verified by various investigators
that repeated inoculation of minute or attenuated quantities of a venom
may lead to a degree of immunity, so it is also with the venoms or poi-
sons of bees, bedbugs, mosquitoes, fleas, conenoses, etc. Newcomers to
a flea-infested community may suffer great misery until they have ac-
quired an "immunity"; this may require many months and may never
be acquired by some individuals. Promising results have been obtained
by administering a course of immunization consisting of injections (six)
of a flea antigen1 [extract of Pulex irritans (75 per cent) and Ctenocephal-
ides canis (25 per cent)] given subcutaneously one week apart.
In the ants, bees, and wasps (aculeate Hymenoptera) there are two
poison-secreting glands, one of which is said by some authors to secrete
formic acid, and the other an alkaline fluid. The combination of the two
agents in certain proportions is believed to be necessary to produce
lethal effect on other insects. Koszalka 2 points out that "bee venom is
considered to be a complex organic compound, containing lecithin and
an albumin-free sapotoxin, which produces histamine-like effects and
has a potential hemolytic action."
The scorpion (an arachnid) secretes a large quantity of colorless
563
564 MEDICAL ENTOMOLOGY
acid-reacting liquid soluble in water and heavier than water. According
to Calmette, less than 0.0005 gm from Buthus afer Leach will kill a
white mouse in about two hours.
How the venom is introduced. Arthropod venoms are introduced into
the body of man and other animals in one of three ways: (1) by con-
tact e.g., by means of urticarial hairs of certain caterpillars, such as the
brown-tail moth, Nygmia phaeorrhoea Don. [= Euproctis chrysorrhoea
( Linn. ) ], producing a condition similar to nettling, or with vesicating
fluids of the blister beetles (Meloidae), particularly Lytta vesicatoria
(Linn. ), resulting in a vesicular dermatitis; (2) by the bite, thrust of
piercing mouth parts, as in the conenoses (Reduviidae), or penetration
of the chelicerae of spiders; (3) by the sting, as in the bees and wasps
(aculeate Hymenoptera) and the scorpion. The operation and structure
of the sting of insects and arachnids differ considerably.
Stinging insects. The stinging insects belong to the order Hymen-
optera, suborder Aculeata, the ants, bees, and wasps, in which the
females of all species are provided with a specialized ovipositor known
as a sting, more or less well developed for piercing the skin of higher
animals or other insects. The sting is used either as an organ of defense
or offense; in the latter case often to procure food for the young. The
venom apparatus of the aculeate Hymenoptera, such as bees, wasps,
hornets, and bumblebees, does not differ greatly in structure.
The principal aculeate Hymenoptera are divided into the following
super-families, viz.: Formicoidea, the true ants; Sphecoidea, the digger
wasps; Vespoidea, the true wasps; and Apoidea, the bees.
Morphology of bee sting. The sting of the worker bee is regarded as
a specialized ovipositor; it originates from the seventh and eighth seg-
ments and lies between the oviduct and the rectum above. The darts
of the sting follow the ventral line of the abdomen and are held in
place by the sheath situated above, while the barbs of the darts point
oownward and outward. In a space above the sheath lie the fleshy palpi
(Fig. 179). The delicate attachment between the sting and the organs
of the abdomen accounts for the ease with which the sting is torn from
the abdomen when the barbs become embedded after the darts are
thrust into the skin. The sting can be easily extracted either by separating
the segments of the abdomen fIJJID it by means of dissecting needles, or
by squeezing the live bee between forceps, which causes it to protrude
the sting. The sting can then be grasped with other forceps and drawn
out. After extraction, the sting can be best examined when the parts are
floated out in a few drops of glycerin. The sting may be divided into
three parts, viz.: the piercing apparatus; the lateral plate and append-
ages; the poison sac and glands.
The piercing apparatus itself consists of three parts, one the so-
VENOMOUS AND URTICARIAL ARTHROPODS 565
called sheath, the other two lying within the ~heath, and partially sur-
rounded by it. In appearance the sheath is yt~llowish and translucent.
The darts, which present concave surfaces to one another, are highly
chitinous. 'fbe dista1 one-tbird of t11e dart possesses a series of sharp
l
J
J
/r ,
1
(t)-:,'
"
"
?~~
i "
I.'
FIG. 179. Sting of a honeybee, Apis mellifera: a, the two serrated darts;
b, b', sting palpi; c, venom (poison) sac; d, verJ 0m gland; e, e', triangular
plates or levers; f, 1', semilunar plates or levers; g, g', lateral plates or levers ;
h, h', Y-shaped darts; i, i', points of attachrJ1 ent for darts to levers;
e, e', i, r,
pOints around which levers rotate; k, k', points of attachment for
lever ct, f'). X 17.5.
barbs, whose shape has been aptly compared to the tip of a crochet
needle. Cheshire states that each dart has fron'l three to six barbs, other
writers seem doubtful as to the number. MaflY darts have been care-
fully examined by the writer, but in no instance were less than ten barbs
distinguished on tbe outer edge of each dart (Fig. 179). Several writers
566 MEDICAL ENTOMOLOGY
state that poison pores are to be found at the base of each dart, from
which poison exudes. In this matter the writer agrees with Snodgrass, as
he has failed to observe the exit of poison elsewhere than between the
darts at their tip.
Proceeding upward on the dart from the tiny barbs, the darts are seen
to form a "Y" as they lie within the sheath. The arms of the "Y" grad-
ually bend laterally. Plates are attached to the npper edges of these
laterally bent arms. One of the most remarkable portions of the darts is
the poison valve with which each is provided. At the point of separa-
tion the darts each present a delicate cup-shaped valve, whose closed
portion is directed downward toward the tip of the sting. This is formed
of the same chitinous material as the darts, and each is free to move
with the movement of the dart. In order to accommodate this enlarge-
ment of the darts, the sheath at this point expands to about five times its
smallest diameter, which is at the tip of the sting. For at least one-third
of its length the sheath at this portion is expanded into a symmetrical
oblong body providing ample room for the movement of the darts and
valves within.
A curious structure, said by many writers to be found on the sheath,
consists of two delicate, but strong, chitinous tracks or guide rails on
which the darts, correspondingly grooved, fit and move back and forth.
Since the sheath does not sufficiently surround the darts to direct their
course, this guide-rail system which Carlet has observed, and which is
accepted by other authors, probably explains why the darts move
smoothly and accurately within the sheath.
The lateral appendages are of three kinds: semilunar, triangular, and
lateral, according to shape or position. Both the semilunar and triangular
plates are attached to the bent ends of the Y-shaped darts. The triangular
plates are attached to the arms of the darts almost at their extremities,
while the semilunar ones are connected for about one-third of the dis-
tance from the ends of the arms. The apex of the triangle is attached
to the extremity of the dart. The other two points are directed outward
and downward, and serve as points of attachment for two elevated
edges on the lateral plates which hang thus suspended. As they hang,
half of their surface lies above and covers the dorsal surface of the semi-
lunar plates just beneath them. Continuing in the same straight line with
the semilunar plates and attached at their extremity to them, lie the
fleshy palpi covered with delicate hairs.
The third set of structures which completes the sting are the venom
sac and glands. In order to understand these it is necessary to know
that Hymenoptera are divided into two groups, those which kill their
prey by stinging, and those which only paralyze it. The former are the
more complicated, for they possess two poison glands; the acid gland,
VENOMOUS AND URTICARIAL ARTHROPODS 567
which opens directly into the great poison sac, the larger of the two,
and the other, the alkaline gland, which is comparatively small and is
situated at the base of the poison sac. It is the combination of the acid
and alkaline fluids from the two glands that results in the death of the
attacked insect, or that causes the extreme pain and resulting reactions
in humans.
The formic acid gland alone is found in those Hymenoptera which
only paralyze their prey by their sting. This fact has led various observ-
ers to make chemical tests of both the formic acid and alkaline substance.
The result, according to Carlet and others, has been to show that neither
substance by itself is effective except to paralyze, but when combined
the substances have deadly effects upon other insects. Carlet's experi-
ments to prove this were made on houseflies and blowflies by injecting
each substance singly and then introducing both into the body of a fly.
Operation of the sting. The sting may be observed in operation by
confining the bee on its back and then prodding it until its sting is
angrily thrust in and out. This process shows three things, viz.: that the
sharp-pointed sheath always appears first when the thrust is made;
second, that the darts inside the sheath work back and forth alternately
and quite independently of the sheath or of one another; third, that the
poison exudes in droplets from the tip of the sting between the darts.
Cheshire (Bees and Bee-Keeping, London, 1886) states that
The sheath has three uses: first, to open the wound; second, to act as an
intermediate conduit for the poison; and third, to hold in accurate position the
long-barbed darts. The sheath does not inclose the darts as a scabbard, but is
cleft down the side which is below, when the sting points backward. The darts,
as soon as their ugly barbs establish a hold, first one and then another drive
back and forth by successive blows. These in turn are followed by the sheath,
when the darts again plunge more deeply, until the murderous little tool is
buried to the hilt. But these movements are the result of a muscular apparatus
yet to be examined. The dovetail guide-rails of the sheath are continued far
above its bulbous portion, and along with these the darts are also prolonged up-
ward, still held to the guides by the grooved arrangement; but both guides and
darts, in the upper part of their length, curve from each other like the arms of
the Y, before mentioned, to points C, C' (Fig. 179) where the darts make
attachment to two levers (i, i'). The levers, or plates, as they are called (Kl and
K'ln), are provided with broad muscles, which terminate by attachment to the
lower segments of the abdomen. These, by contraction, revolve the levers
aforesaid round the points f, f, so that without relative movement of rod and
groove, the points c, c' approach each other. The arms of the Y straighten and
shorten, so that the sheath and darts are driven from their hiding place to-
gether and the thrust is made by which the sheath produces its incision and
fixture. The sides being symmetrical, we may, for simplicity's sake, concentrate
our attention on one, say the le~t in the figure. A muscular contraction of a
568 MEDICAL ENTOMOLOGY
broad strap joining K and D (the dart protractor) now revolves k on 1, so that
a is raised, by which clearly c is made to approach d; that is, the dart is sent
forward, so that the barbs extend beyond the sheath and deepen the punc-
ture. The other dart, and then the sheath, follow, in a sequence already ex-
plained, and which G is intended to make intelligible, representing the entrance
of the sheath, b the advance of the barbs, and c the sheath in its second posi-
tion. The barb retractor muscle is attached to the outer side of i, and by it a
is depressed and the barbs lifted. These movements, following one another
with remarkable rapidity, are entirely reflex, and may be continued long after
the sting has been torn, as is usual, from the insect. By taking a bee under
the microscope and forcing the sting into action, the sting movement will be
seen to be kept up by continued impulses from the fifth abdominal ganglion
and its multitudinous nerves, which penetrate every part of the sting mechan-
ism and may be traced even into the darts. These facts will show why an ab-
domen separated many hours may be able to sting severely.
Reaction to bee stings. The painful effect of the sting of bees is prob-
ably not due to the simple thrusts of the barbs already described, but
more particularly to the introduced venom. The severity is greatly in-
creased in the case of multiple stings; however, one sting in a previously
sensitized person or one inHicted at a vital point (e.g., a vein) may
result fatally. Pawlowsky, according to Martinj,3 estimates 500 bee stings
within a short time as a lethal dose for man. Tolerance to bee stings
appears to be developed in beekeepers, long exposed to stings; how-
ever, this tolerance seems to be lost when exposure to stings is discon-
tinued.
Allergic reactions are generally recognized as due to bee protein
and pollen adhering to the bee. Death may result from anaphylactic
shock.
Treatment for bee sting. If the sting remains in the wound, it must
be removed quickly and carefully so as not to force additional venom
into the puncture. Repeated and long-continued application of a bicar-
bonate of soda paste (soda with. water enough to make a paste) is
recommended. Eau de Javelle 1 to 100 is also recommended, as well as
calcium chloride in water 1 to 60; application of ammonia or alcohol will
also give some relief. If symptoms of envenomization arise, a phYSician
should be consulted. Kozalka (see above) has recently (1949) reported
rapid recovery from multiple bee stings attributable to the parenteral
use of calcium gluconate.
YeHow jackets or hornets such as Vespula ( = Vespa) diabolica
(Sauss. ), Vespula (= Vespa) maculata (Linn.), and Vespula pennsyl-
vanica (Sauss.) are members of the family Vespidae (Order Hymenop-
tera) . There are also several European species, among them Vespa
crabro Linn., Vespa vulgaris Linn., and Vespa germanica Fabr. All of
these species build nests (Fig. 180) of pulp made by masticating wood
VENOMOUS AND URTICARIAL ARTHROPODS 569
fiber. Nests are built in hollow trees, among the branches, under eaves
of houses, and in holes in the ground. The somewhat elongate aerial
nests may reach nine to ten inches in diameter.
The young fertilized queens hibernate throughout the winter am]
start the nest in the spring. In the control of these insects one should
seek out the new nests under construction and destroy them by night
Cw . 180. Aerial nest of yellow jacket; side and top view of the insect, Vespula
diabolica; and longitudinal section of nest below.
when the queen and her progeny are at home. The aerial nests may be
cautiously and quickly enveloped at night with a tight drawstring bag
and then soaked with kerosene, scalding water, or burned. The under-
ground nests should be located by day and the entrance marked, then
treated by pouring an ounce or two of carbon bisulfide into the hole at
night and quickly pressing the entrance shut with the foot. An old-
fashioned yet effective and safe way to handle a yellow jacket problem
is to place a gallon jug, quarter filled with water, near the nest. As these
570 MEDICAL ENTOMOLOGY
insects investigate this new object, the buzzing sound echoing from the
jug prompts them to enter, and as a result fall into the water and are
drowned. In this way one by one the entire colony is lured into the jug
(Melander) .
The small nests with exposed cells made by such forms as Polistes
bellicosus Cresson may be removed at night by quickly placing a tin can
or box with open end over the nest and then slipping a sheet of tin be-
tween the surface and the open end of the can so that the nest is cut
away. The surface from which the nest has been removed may be
daubed with creosote to repel other female hornets from starting a nest
on the same site.
Mud daubers or thread-waisted wasps such as Sphex (Psammophila)
luctuosa Smith, Sphex violaceipennis Lepeletier, Chalybion coeruleum
(Linn. ), and Pelopaeus californicus Sauss., make their nests, usually
quite small, of mud and provision them with insects and spiders to serve
as food for the larvae. These mud nests may be removed as suggested
above for Polistes.
Ants. The true ants belong to the family Formicidae (Order Hymen-
optera), which comprises about 8,000 described species, divided into five
or more subfamilies, e.g., Formicinae, Ponerinae, Dorylinae, Myrmi-
cinae, and Dolichoderinae.
The subfamily Myrmicinae includes several formidable stinging
species of pugnacious nature. Because of their numbers a mass attack
may result seriously. Among the more dangerous species are: (1) the
California or Mexican fire ant, Solenopsis xyloni var. maniosa Wheeler,
the workers of which have a yellowish-red head and a black thorax and
abdomen. They measure from 1.6 to 5.8 mm in length. (2) The Texas
harvester or agricultural ant, Pogonomyrmex barbatus (F. Smith), in
which the head, thorax, and legs are black and the abdomen red; the
workers reach from 7 to 9 mm in length; (S) the California harvester
ant, PogonomYl'mex californicus (Buckley), with a light rusty-red body,
and legs somewhat more yellowish. These ants will readily attack
humans and smaller animals. Young pigs may be killed by the stings of
this species. A small pig may walk leisurely upon an ant mound and
suddenly begin to kick and squeal, due to the terrific attack of ants
rushing forth from the nest. The animals commonly topple over with
legs outstretched and death may ensue.
Ants belonging to the subfamily Ponerinae also have well-developed
stings and a potent venom. This is apparently particularly true of the
Central and South American species, Paraponera clavata (Fabr.), which
is common in high tropical rain forests. Weber4 states that the ants of
this species boil out of their nests in large numbers when disturbed and.
rush for the intruder. He states that the workers are fully an inch in
VENOMOUS AND URTICARIAL ARTHROPODS 571
length and blackish brown in color. The ant is greatly dreaded by the
natives.
For the control of the fire ant, Mallis 5 recommends the use of a mix-
ture of one part of carbon bisulfide and three parts of carbon tetrach-
loride injected into the nest openings by means of an oil can with an
eight-inch curve-tip spout. A few drops of the liquid in each opening
are sufficient. After treatment the openings must be covered. A large
measure of control may be effected by applying kerosene to the nests,
using a funnel or hollow rod to reach the deeper parts; potassium
cyanide in liquid form may also be used, but great care must be exer-
cised both in its preparation and application owing to its very poisonous
nahlre.
Mutillid wasps. Among the less known stinging insects are the mutillid
wasps belonging to the family Mutillidae (Order Hymenoptera). Mem-
bers of this family are commonly known as velvet ants, woolly ants, cow
killers, mule killers, etc. (Fig. 181). The mutillids are covered with a
velvety pubescence; many are brightly colored with orange or red or
yellow. The females are apterous, good runners, and may inflict a pain-
ful sting. They are parasites of bees and other wasps. There are very
many species, some of the commoner forms measuring from 12 to 1
inch in length. Our knowledge concerning these interesting insects has
been greatly advanced by Mickel. 6 A very common species in the cen-
tral United States is Sphaerophthalma occidentalis (Linn.), a black
species with a scarlet band. This species is very common on the beach
sands of Lake Erie, causing barefoot bathers much distress.
Stinging Eypris. In 1927 von Geldern 7 reported a tiny wasp from
Yolo County, California, identified as belonging to the genus Eypris
which inflicts a severe sting.
572 MEDICAL ENTOMOLOGY
The wasps appear in fairly great numbers in the fall after a warm spell and
invade the house where they get into the bedding and clothing, and sting
when brushed or crushed by clothing or sheets against the skin. . . . The sting
is distinctly felt as a fairly sharp prick, decidedly less intense than a bee
sting. . . . In the oldest and youngest child no further manifestations occur,
but in the parents and second child a decided systemic disturbance follows.
A few minutes after being stung, there is felt a numbness, often at the site of
the sting, but at other times beginning at the finger tips. It remains localized for
a few minutes and then gradually spreads and involves the entire body. In
the mother there is an intense itching of the vulva and in the father an itching
of the pubes. This is followed by a marked diarrhoea, not painful in the father,
but resembling severe uterine cramps in the mother. The diarrhoea and cramps
last for about ten minutes. The mother, who is an asthmatic, experiences no
respiratory difficulty, but with the father, who has never had an attack of
asthma, wheezing occurs occasionally. Accompanying these symptoms there is
marked prostration, weakness and sweating. The duration of the attack is
about half an hour. The second child becomes drowsy and is awakened with
difficulty and wheezing occurs. He also recovers in about the same time as the
parents.
A B
FIG. 182. The Spanish fly, Lytta vesicatoria; (A) female , (B) male.
phosis of these insects and the subterranean predaceous larval habits give
to them some obscurity during their early development; the sudden ap-
pearance and equally sudden disappearance, owing to short adult life,
give rise to the belief that they are migrating forms .
Cantharidin, a crystalline prinCiple, the anhydrid of cantharidic acid,
was isolated by Robiquet in 1812 from the Spanish fly, Lytta vesicatol'ia
(Linn. ). Cantharidin penetrates the epidermis quite readily and pro-
duces, even in very small quantity (7i 0 mg) violent superficial irritation,
resulting in vesication (blistering) in a few hours. Even when applied
to the skin, cantharidin irritates the kidneys so that "fly blisters" are
contraindicated in nephritis. It was formerly used as an aphordisiac, but
its effects may be dangerous to life; hence its use for this purpose has
been largely discontinued.
The collection and preparation of the beetles for medicinal purposes
578 MEDICAL ENTOMOLOGY
provides an occupation for many persons for a brief period. Collecting
and preparing the insects requires special precautions owing to their
vesicating properties. The best quality of cantharidin produced from the
pulverized beetles is the result of special care in the drying, which must
be gradual.
Other blister beetles, causing severe vesicular dermatitis in Africa,
are Mylabris nubica de Marseul, Epicauta tomentosa Maeklin, and
Epicauta sapphirina Maeklin, according to Chalmers and King. 16 Also
Paederus crebripunctatus Epp. is reported to be a severe vesicating
beetle of East Africa 17 affecting Europeans and Africans similarly, al-
though less severely on habitually exposed parts of natives. The term
"Nairobi eye" applies to the conjunctivitis caused when the juices of
crushed beetles are rubbed into the eye. The active principle is can-
tharidin. Roberts and Tonking17 (loc. cit.) recommend a cold compress
of saturated solution of magnesium sulfate.
At least two species, Sessinia collaris (Sharp) and Sessinia decolar
Fairm., belonging to the family Oedomeridae, cause severe blistering
on some of the mid-Pacific Islands where they are called coconut
beetles. Is These beetles fairly swarm about the newly opened male
flowers of the coconut where they feed on pollen. They are readily at-
tracted by light. Corning in contact with one of these beetles causes a
sharp momentary pain, like a burn from hot oil, but the large blister
which forms in a few hours causes little pain.
SPIDERS
Class Arachnida-Order Araneida (Araneae)
General characteristics. Spiders are arachnids in which the prosoma
is uniform, bearing not more than eight eyes, and joined to the opistho-
soma by a pedicle. The opisthosoma is usually unsegmented and bears
not more than four, usually three, pairs of spinnerets. There is no telson.
The chelicerae are two-segmented, moderately large and unchelate, and
contain a poison gland. The pedipalps are six-segmented, leg-like and
tactile in function. The legs consist of seven segments; the tarsi have
two or three claws. Respiration is by book lungs or trachea or, normally,
both. The pedipalps of the male are modified as intromittent organs
(Savory, lac. cit. p. 59).
Though spiders are universally feared, no doubt because of the
knowledge that they are able to kill insects and other small animals by
introducing a venom with the bite, it is nevertheless true that out of the
more than two thousand genera in more than thirty families only a very
few species are actually dangerous to man.
Tarantulas. The term tarantula was first applied to a European spe-
cies, Lycosa tarantula (Linn.), a member of the family Lycosidae (wolf
VENOMOUS AND URTICARIAL ARTHROPODS 579
spiders). In Italy in the vicinity of Taranto there occurred a spider scare
during the seventeenth century which gave rise to a condition known as
"tarantism" resulting from the bite of this species of spider. To rid the
body of the venom those bitten engaged in a frenzied dance known as
the "taranteIla."19
The following account of tarantism is from the Cambridge Natural
History, Vol. 4, p. 361:
The bite of the spider was supposed to induce a species of madness which
found its expression-and its cure-in frantic and extravagant contortions of
the body. If the dance was not sufficiently frenzied, death ensued. In the case
of survivors, the symptoms were said to recur on the anniversary of the bite.
Particular descriptions of music were supposed to incite the patient to the
excessive exertion necessary for his relief; hence the name "Tarantella."
In the middle ages epidemics of "tarantism" were of frequent occurrence
and spread with alarming rapidity. They were seizures of an hysterical char-
acter, analogous to the ancient Bacchic dances, and quite unconnected with the
venom of the spider from which they took their name. The condition of exalta-
tion and frenzy was contagious, and would run through whole districts, with
its subsequent relapse to a state of utter prostration and exhaustion. The evil
reputation of the Tarantula appears to have exceedingly little basis in fact.
In the southwestern United States the term "tarantula" is applied to
the very large spiders belonging to the family Aviculariidae, also known
as "bird spiders." Many of these spiders measure about five inches in
spread of legs. Among these is Eurypelma californica Ausserer; Baerg 20
. reports that this species has been credited with prodigious jumping
power (10 to 25 feet) and is greatly feared on account of its alleged
poisonous nature.
Many tests have been made with the poison of this tarantula. On white
rats and guinea pigs both the bite and injections have been employed. The
injections were made by grinding up both poison glands in distilled water, and
also in physiological salt solution. On guinea pigs no serious effects have ever
been observed. On white rats, one to two months old, four deaths have been
observed. The bite and the injection proved equally fatal. As a rule the bite
of this tarantula is not fatal to rats, but nevertheless it produces fairly definite
symptoms. At first the rat runs about excitedly, and in a jumping and jerky
manner. Then it becomes more quiet and appears to have considerable pain
in the wounded leg. For much of the time the eyes are closed. In about four or
five hours the rat shows evidence of recovery and in another hour it is normal.
On myself I tried the bite of this tarantula twice, and subsequently I have
been bitten by accident. The relatively dull fangs produce a pain that may be
compared to that made by a pin prick. It lasts for only 15 to 30 minutes and
is not accompanied by any inflammation or swelling.
The author has also been bitten by this species with similar benign
effects.
580 MEDICAL ENTOMOLOGY
Sericopelma communis Cambro is a largc- black species of "tarantula"
common in the Panama Canal Zone, where it is generally feared. Baerg
(loc. cit.) allowed a spider of this species to bite him on the finger. He
allowed only one fang to puncture the skill. The finger felt numb in a
few minutes, and in 10 minutes the pain was quite severe. There followed
considerable swelling of the finger, hand, and wrist. After two hours
Baerg put the hand in hot water for 30 Ininutes, when the pain and
swelling subsided. A lame feeling in the small and third fingers remained
for several days. Baerg concludes that altllOugh decidedly painful, the
bite of this tarantula is probably not dangerouS.
Atrax formidabilis Cambridge and A. rubustus Cambridge are cited
by Thorp and Woodson '9 (1945) as dangerous spiders in Australia. The
bite may cause severe symptoms, and death may result. They are funnel-
web spiders of fairly large size, up to 1 Y2 iIlches in length excluding the
legs. The fore part of the body is glossy ebony black, the black abdomen
is covered with a velvety pile, while the under surface bears tufts and
bruShes or rea naIr.
with a range from six to eight. When preparing to molt, she eats nothing
for several days. The old skin splits around the margin of the carapace,
slips off the abdomen, and the spider then gradually pulls its legs free
from its old sheaths, leaving the "ghost" of itself on or near the web. The
entire process requires about an hour. The newly molted spider is rather
delicate and usually remains at rest for a day or so after molting. Indi-
viduals occasionally die during the molting process.
The immature stages. First instar. The abdomen of the newly hatched
spiderling is opalescent white with no markings. The cephalothorax and ap-
pendages are white to pale yellow; short hair covers the body, becoming dark
at the tips of the legs. The tarsi, or last segment of the legs, have two notched
claws and a supplementary third between. Eight simple eyes are on the ante-
rior margin of the cephalothorax in two rows of four, and the anterior medians
are comparatively dark.
Second instar. All eyes become darker and a black band extends down the
center and around the margin of the carapace. Also the mouth parts and the
appendages become darker as well as the margin of the sternum of the cephalo-
thorax. A double row of black dots extends down the mid region of the dorsum
of the abdomen which remains whitish. On the underside of the abdomen the
white area takes on a broad hourglass design outlined by a dark brown border.
Third instar. From this stage to maturity a wide variation in color pattern
occurs. Distinct lateral stripes begin to appear on the dorsum of the abdomen,
in the region of the dots of the second instar. Intervening areas take on a pale
greenish-yellow cast, and the legs acquire four black bands, and at each end of
the patella, one near the center of the tibia, and one at the junction of the tibia
and the metatarsus. The longitudinal white area on the underside of the ab-
domen becomes tinged with crimson.
Fourth instar. Dark stripes or bands become distinct and faintly bordered
with buff. The spinnerets take on a mottled appearance. Black bands at the
leg joints become more distinct.
Fifth instar. The central dorsal white stripe on the abdomen tends to be
constricted at intervals and acquires a reddish tinge near the tip. All white
areas become lightly colored with brown. Males usually mature at this point.
Sixth and seventh instars. Usually only the females go through these two
stages. All coloration is much darker, and the more variable remaining white
areas become more and more restricted. Often a series of reddish spots are
formed along the middorsal region of the abdomen.
Eighth instar. Only the females pass through this stage, which is often
difficult to distinguish from the mature form. They are usually all black or
sepia w.ith the exception of the characteristic crimson markings and an occa-
sional white band on the anterior margin of abdomen.
The subjective symptoms in Mr. Baerg's case have been very graphically
described by him. The objective symptoms would indicate, as observed by
me, that there is a very marked phagocytosis locally around the area of the
spider bite. The toxicity of the bite was such that the phagocytes very shortly
offered no resistance to the systemic invasion of the poison. The poison in
my opinion was partly transmitted through the blood stream and partly
through the nerve trunk which in this case was the median nerve. Strange
to say in this particular instance the patient had a marked vasomotor disturb-
ance on the flexor side of the forearm, as was evidenced by a narrow strip
something like an inch in width, extending up almost to the elbow in which
there was very marked diaphoresis. This was present during the first 24 hours
after the bite. The toxicity was also manifested by vasomotor changes in the
lumbar muscles and muscles of the extremities, and in all the large joints of the
body, as was shown by intermittent pains and symptoms similar to intermit-
tent claudication. There seems also to be a disposition, on his part, to unload
very slowly, by elimination, the products of poison. More so than is the case
with bites of any of the snakes including the rattler that I have observed."
Clinical case records. The following case records from the Woodland
( California) Clinic are typical of arachnidism:
CASE No.1
Age: 41 Sex: Male Nationality: Dutch
Occupation: laborer .. Date admitted: 9-3-31. .Date dismissed: 9-8-31
9-3-31. About 8:30 P.M. on September 3 patient was taken with a sharp
pain in the glans penis as he was sitting on the stool of an open privy. In about
VENO¥OUS AND URTICARIAL ARTHROPODS 589
15 to 20 minutes the pain spread to the abdomen, hips, and thighs, the pain
being steady, deep, and dull, and so severe that the patient doubled up and
rolled on the floor. His abdomen got hard with the onset of the pain. In about
two hours pain had developed in the back. He was given two hypodermics
(morphine) on entry which relieved him some but stated that he slept only
one-half hour during night. Heat was applied to legs and back. Around 4 this
morning (9-4-31) the pain seemed to shift to legs (below knees) and feet. In
addition to type of pain described in the abdomen, he had an intense burning
sensation of skin, worse on soles of the feet. Patient has slight pain in chest,
no appetite, and feels weak and shaky all over. Patient unable to urinate.
9-4-31. Patient now has pain in back and legs. Sweating profusely. Pulse,
80. Abdomen absolutely rigid-"board-like." Legs flaccid, neck not stiff. Ex-
amination of penis reveals old scars, no recent lesion seen. Impression-
arachnidism.
9-5-31. Pain practically gone. Voiding and eating well.
9-7-31. Free of pain. Except for weakness, feels well.
9-8-31. Free of pain. Feels well. Dismissed.
Chart shows patient's temperature Ructuated but not abnormally, pulse
somewhat above normal, and respiration normal.
CASE No.2
Age: 24 Sex: Male Nationality: American
Occupation: laborer.. Date admitted: 6-17-32 .. Date dismissed: 6-31-32
6-17-32. About 9 P.M. last evening patient retired and after getting in bed
something dropped on his right shoulder. After turning on the light he dis-
covered a large jet-black spider which he killed. About midnight he noted a
tightness in his abdomen and a rather severe lumbar backache. Went to a
local physician who gave him a hypodermic about 2 A.M. Abdominal tenseness
and pain increased and patient began to note leg pain.
6-17-32. Patient admitted at 3:30 A.M. and examined. Eight hundred
cubic centimeters of 5 per cent glucose in normal saline given intravenously
after which pulse, which was thready, became fuller and stronger. At 4:45 A.M.
considerable back pain and given morphine sulphate (14 grain).
6-18-32. Abdomen softer. Considerable pain in feet. Profuse perspiration-
now apparently out of danger.
6-20-32. Abdomen soft, eyelid edema gone. Considerable discomfort in
both feet. Still perspiring but reduced.
6-31-32. Patient discharged. Fingernails look blue.
Chart shows patient's temperature to be slightly above normal, pulse
fluctuating, and respiration normal.
were usually slightly above normal, and the respiration normal. Mor-
phine sulphate (]i4 grain) was employed in 25 cases and other drugs
such as codeine, amidopyrine, atropine, hyoSCine, etc., in the remainder.
Although spider-bite cases were admitted to this hospital every month in
the year except December and January, the greatest number were ad-
mitted during June, July, and August. There was no correlation between
the time of day and the bites. The spider was seen in 11 cases. None of
the patients reported any after effects on the follow-up inquiry.
Only two deaths were reported in these records, one (6/ 25/ 24) of a
male 78 years of age, with heart and syphilitic complications, and the
other (7/ 13/ 25) also of a male (an itinerant) aged 44 years who died
four days after being bitten. Post-mortem examination of the latter pa-
tient showed a ballooned intestine, and he was recorded as dying of a
paralytic ileus resulting from a black widow spider bite.
Venom apparatus. Spiders are equipped with a poison apparatus for
pnrposes of killing their prey. The venom apparatus of Latrodectus
mactans (Fabr.) consists of two poison sacs each with an attached duct
leading into the heavily chitinized chelicerae (horny fangs) from which
the poison is expelled at the time of biting (Fig. 185) . The venom ap-
paratus is present in both the male and the female spider. In the male
the venom is primarily of use in the immature stages. The mature male
does not attack prey, and the poison apparatus appears to become in-
active with maturity and remains small in size. In the case of the female
spider the venom apparatus increases in size and strength with maturity.
The large quantity of the venom present in the poison glands of the
female black widow spider makes her presence perilous. The poison
glands of the mature female average about 0.40 mm in diameter and
2.70 mm in length, and in the mature male they average 0.16 mm in
diameter and 0.66 mm in length.
The poison glands are located in the cephalothorax extending pos-
teriorly about two-thirds of the way to the junction of the cephalothorax
with the abdomen. The long narrow glands curve outwardly around the
fovea media, that is, the indentation in the center of the cephalothorax
for muscular attachment; this is due to the position of the sucking
stomach directly below. If the glands were over the sucking stomach
VENOMOUS AND URTICARIAL ARTHROPODS 591
they would be squeezed together every time the sucking stomach IDled
with food and cause a loss of venom. In the female (all stages) the
glands are opaque aI).d filled with venom, while in the mature male
they are rather translucent but according to experimental evidence con-
tain sufficient venom to produce symptoms of arachnidism in white mice.
Nature of the venom. There is good evidence showing that the so-
called poison glands are not glandular in nature, but function as ab-
sorptive organs which take up the poisonous constituents from the body
fluid of the spider. Sachs (1902) and Kobert in 1901 and 1906, according
to Bogen, isolated from the spider body a specific poisonous principle
named "arachnolysin" which they claim has a hemolytic effect on the
blood of various animals [see also Hall and Vogelsang 21 (1932)]. Ex-
perimental evidence indicates that the venom of L. mactans acts pri-
marily as a neurotoxin. 28 Spider poison is not limited to the poison glands
but is also carried in the body fluids as pointed out by Sachs and by
Kobert.
Blyth and Blyth29 also state that the poison of Latrodectus lugubris,
. is not only found in special glands, but is also diffused through the body.
. it is a generic type of poison of spiders; the active principle is neither
a glucoside, acid, nor an alkaloid. It does not dialyse, and drying destroys
its activity; it has the characters of a toxalbumin, and has much similarity
to the action of ricin and abrin. The "Kara-Kurt" poison dissolves the color-
ing matter of the red blood corpuscles even with a dilution of 1: 127,000;
it has a paralyzing effect on the heart, either due to action on the motor
ganglia, or possibly a direct action on the muscle itself. The blood pressure
sinks, the walls of the smallest arteries and capillaries become so changed
as to allow the transudation of the blood and serum, producing punctiform
hemorrhages and edema. This is best seen in the lungs. . . . The poison also
has a paralyzing action on the central nervous system, but it is not clear
whether this action is primary, or whether it depends on the circulation
troubles.
The fatal dose of the poison, injected subcutaneously or intravenously,
is extremely small. Cats are killed by quantities equal to 0.2 to 0.35 milligram
per kilogram body weight. Repeated injections of nonfatal doses confer im-
munity.
SCORPIONS
Class Arachnida, Order Scorpionida
Genera) cnaraclerlstks. -::'corpions are easiiy Teeogn'neo. 'oy Ynei:r more
or less crab-like appearance but particularly by the long fleshy five-
segmented tail-like postabdomen terminating in a bulbous sac and promi-
nent sting (Fig. 186). The pedipalps are greatly enlarged, and the last
two segments form strong chelae or pincers. The true jaws, chelicerae,
are small and partly concealed from above by the front edge of the
carapace. There are four pairs of terminally clawed legs.
The cephalothorax bears a pair of conspicuous eyes near the mid-
dorsal line (median eyes), and several smaller ocelli in groups of from
two to five, on the lateral margins (lateral eyes). Some species are eye-
less. Scorpions breathe by means of lung booles. They are ovoviviparous,
and when the young are born they are carried attached by their pincers
to the body of the mother. Although the sexes are very similar in appear-
ance, the males have a longer cauda and broader chelae. An excellent
account of the morphology as well as characters used in classification of
scorpions is given by Moreno 4o in "Scorpiologia Cubana."
Scorpions are found most commonly in warmer climates. They are
nocturnal, remaining hidden during the day beneath loose stones, loose
bark of fallen trees, boards, piles of lumber, floors of outbuildings, and
debris; some bury themselves in sand or loose earth. They feed upon
large insects and spiders, which they seize with their chelae and sting
with their powerful sting, which is thrust forward over the scorpion's
back.
Scorpion sting. The "aculeus" or sting of the scorpion is situated
terminally on the final bulbous segment. This segment qpntains a'pair of
venom glands, which are separated by a muscular septum. From the
glands are given off fine efferent ducts opening at the apex of the sting
(Pawlowsky41 ). The sting curves downward when the "tail" is extended
596 MEDICAL ENTOMOLOGY
but upward and forward when the scorpion poises for attack or defense,
the entire tail-like postabdomen being curved dorsally and forward. The
victim is struck quickly and repeatedly, the thrust being made quite
close to the front of the carapace.
The venom is a transparent liquid, acid in reaction. The toxic princi-
ple is said to be a neurotoxin. "It also has a lecithide which haemolyzes
WHIP SCORPIONS
Class Arachnida, Order Pedipalpida
Characteristics of Pedipalpida. The Pedipalpida are tropical and sub-
tropical arachnids although very unevenly distributed. They are said to
be absent from Europe and North Africa (Savory). The term "whip
scorpion" is applied to the Family Thelyphonidae because the terminal
VENOMOUS AND URTICARIAL ARTHROPODS 601
arthropods if not too hard or too active. A closely related species, if not
identical, occurs in southern California, mainly in sandy desert places
where it burrows in sand under debris. It is commonly regarded as
poisonous, although it cannot sting but may bite. The writer has found
that many persons living in the arid parts of California fear this creature
very much, but knows of no evidence to justify this fear . Ewing states
602 MEDICAL ENTOMOLOGY
that on no occasion was there more than a trivial mechanical effect from
the bite, similar to that of a slight pinprick. He states that when handled
it gives off a repellent fluid which has the odor of vinegar. This fluid may
possibly produce some irritation to persons with a tender skin.
SOLPUGIDS
Class Arachnida, Order Solpugida
Characteristics of the Solpugida. The solpugids (Fig. 188), commonly
known as "sun spiders" and "wind scorpions," are in general appearance
spider-like, although there is no pedicle; they are very hairy, largely
nocturnal, occurring mainly in desert, tropical, and subtropical regions.
FIG. 188. (Left) a soIpugid, commonly called "sun spider"; (right) eggs.
They are common in many parts of California and have been reported
as far north as Nebraska. The chelicerae are large and powerful and
are two-segmented. The second segment is movable and articulates in
such fashion as to work in a more or less vertical plane. Food is crushed
to a pulp, the fluid is swallowed, and the hard parts are ejected. The
first pair of legs are used as tactile organs. Respiration is tracheate. They
are commonly but erroneously regarded as exceedingly venomous. The
writer has been told that the presence of one of these animals in a water-
ing trough would result in the death of any animal drinking from the
same. There is evidently not the slightest foundation for this belief. Al-
though these animals are able to inflict a painful bite by means of their
powerful jaws, the effect is fleeting. Poison glands are absent.
There are said to be only twelve species in the United States, all but
one belonging to the two genera, Eremobates, e.g., Eremobates formi,
VENOMOUS AND URTICARIAL ARTHROPODS 603
carius (Koch) and E. formidabilis (Simon); and Ammotrecha, e.g.,
Ammotrecha limbata (Lucas).
VENOMOUS TICKS
Class Arachnida, Order Acarina
Ticks belonging to both familes, Ixodidae and Argasidae, may cause
local as well as systemic disturbances by their bite (see Chapter XX).
Ordinarily little or no injury results from the mere bite of an ixodine
tick; the writer has known of Dermacentor occidentalis Neumann and
Dermacentor variabilis (Say) to remain attached to a person for days
without causing great inconvenience and occaSionally quite unobserved
by the host. However, Nuttall (1911, loco cit.) records a number of cases
cited by other authors in which the bite of Ixodes ricinus (Linn.) has
caused serious consequences, notably a case described by Johannessen
of a "boy where the tick's body was removed but the capitulum re-
mained embedded in the skin at the back of the head. Swelling followed
at the point of injury, accompanied by headaches, stiffening and cramps
in the muscles of one side, partial loss of memory and polyuria; the pupils
became dilated, etc. The boy made a slow recovery." The bite of Ixodes
pacificus commonly results in more or less marked systemic disturbances
as observed by the author in California.
Quite a number of species belonging to the family Argasidae are
known to cause more or less serious consequences by their bites alone,
notably Ornithodoros moubata (Murray), O. coriaceus Koch, O. talate
(G.-M.), and O. turicata (Duges).
Ornithodoros moubata (Murray) has been reported repeatedly as
causing marked disturbances by its bite. Wellman, as quoted by Nuttall
and Warburton (1908, loco cit., p. 98), "states that the bite is very pain-
ful, the swelling and irritation (especially in Europeans) not subSiding
for days. The wheals are hard, raised and swell most disagreeably if
scratched, and this even a week after being bitten. The bite of young
ticks (nymphae) is said by the natives to be more severe than that of
the adults."
Ornithodoros coriaceus Koch. This species (Fig. 189) occurs com-
monly in the more mountainous coastal counties of California, having
been first described from Mexico, where it is known as the "tlalaja." In
California it is known as the "pajaroello." The writer has collected it on
Mount Hamilton where it flourishes in the deer beds among the low
scrub oaks (Quercus dumosa). The following description of the species
is a translation by Nuttall from the original:
Shaped like the sole of a shoe, thick margined, roughly shagreened, yellow-
ish-earthly color, spotted rusty-red, legs toothed dorsally. Length 9.3 mm. Body
604 MEDICAL ENTOMOLOGY
about twice as long as wide, width fairly uniform, indented on the sides,
. pointed above the mouth parts, rounded posteriorly, a thick turned-up border
all around; the whole surface above and below thickly granulated like fish skin
(shagreen), the granules flat above, consequently, the whole leathery, on the
back unequal folds and grooves. Beneath in the front of the body a deep groove
FIG. 189. Showing Ornithodoros coriaceus just backing away from her
eggs recently deposited in the sand. Note protective coloration of the tick.
x5.
running to the stigmata and on the inner protrusion the rather large round
quite clearly marked eyes. The coxae gradually thicken toward the distal ex-
tremity and are somewhat bent; the other articles somewhat compressed and
clearly notched or round toothed. The whole surface, above and below, dirty
yellowish-earthy color, rusty-red spots irregularly distributed throughout.
Capitulum and palps light yellow. Legs gray-brown. Female.
VENOMOUS AND URTICARIAL ARTHROPODS 605
The "pajaroello" is more feared than the rattlesnake by persons living
where it exists, and many harrowing tales are told regarding the loss of
an arm or leg, or even death resulting from its bite. Much of this is, of
course, gross exaggeration. However, the following is an account of two
bites which a former student suffered some years ago in July. He ex-
perienced a sharp pain on the left arm and upon rolling up his sleeve
discovered a large tick, partly engorged, attached to the upper arm in
front. He dislodged the tick and sucked the lesion. The lesion when
first discovered showed a small dark purple ring surrounding a bright
red spot, the point of attachment. The discoloration disappeared in a
short time, but the arm was "highly irritable for two or three days and
at the point of attachment a minute clear scab formed." The tick proved
to be a "pajaroello."
The second bite took place two weeks later while he was seated in
a thicket of willows (the first bite had occurred while he was riding over
segment which are widely separated at the bases, the antennae are
many-jointed, the genital pore is located on the terminal body segment.
The larger species, at least, are predaceous, feeding mainly on insects.
Notwithstanding the confusing abundance of walking appendages, the
centipedes crawl very rapidly.
The centipedes are provided with powerful poison claws located
immediately ventral to the mouth and connected by means of a hollow
tube with large poison glands. The first pair of legs which terminate
in these claws are bent in position to form maxillipeds.
The larger centipedes (Fig. 191) are commonly regarded as veno-
mous and are generally much feared. Large insects are quickly killed
when the poison claws close upon them. It is true that the larger species
belonging to the genus Scolopendra and even the smaller house centi-
pede, Cermatia (= Scutigera) forceps (Raf.), are able to pierce the skin
with their poison claws and cause severe pain with same swelling at the
site of the bite. Cases are reported showing a double reddish streak on
the skin when the centipede had crawled. This condition may be caused
by the dragging sharp tips of the terminal pair of legs. Among the several
formidable-appearing species of the genus Scolopendra are S. heros
Gir. of the southern United States, S. polymorpha Wood of the south-
western states and Mexico, S. viridis Say, a Mexican species, and S.
sumichrasti Sauss. from the Canal Zone. All of these species may reach
a length of from five to six inches. Many of the centipedes are markedly
phosphorescent, notably Geophilus electricus (Linn.) and G. phos-
phoreus Gervais.
Millipedes. The DipJopoda are commonly separated into two groups
depending upon the presence or absence of repugnatorial glands. In the
Chilognatha these glands are present and are capable of producing
irritating effects (Burt' S ). Certain large tropical species, such as Rhino-
cricus spp., are able to squirt irritating fluids a distance of 18 to 33 inches.
Halstad and Ryckman 49 (1949) report a conclusively proven case of
vesicular dermatitis in Montemorelos, Nuevo Leon, Mexico, caused by
a diplopod of the genus Orthoporus.
BIBLIOGRAPHY
1. Cherney, L. S.; Wheeler, C. M.; and Reed, Alfred C.; 1939. "Flea-
antigen in prevention of flea bites," Am. J. Trop. Med., 19:327-32.
608 MEDICAL ENTOMOLOGY
2. Koszalka, M. F., 1949. "Multiple bee stings with hemoglobinuria and
recovery: Report of a case," Bull. U. S. Army Med. Dept., 9:212-17.
3. Martini, E., 1932. Zoonosen der Haut in wiirmeren Liindern, aus
Handbuch der Haut- und Geschlechtskrankheiten (12:575-707). Berlin: Julius
Springer. 133 pp.
4. Weber, Neal A., 1937. "The sting of an ant," Am. J. Trop. Med., 17:
765-68.
5. Mallis, Arnold, 1938. "The California fire ant and its control," Pan-
Pacific Entomol., 14:87-91.
6. Mickel, C. E., 1928. Biological and Taxonomic Investigations on the
Mutillid Wasp. Washington, D. C.: Smithsonian Institution, in U. S. Nat.
Museum Bull., no. 143,352 pp.
7. von Geldern, Chas. E., 1927. "Systemic effects following the sting of
a species of Epyris," Science, 65:302-03.
8. Essig, E. 0., 1932. "A small insect which stings severely," Science,
75:242-43.
9. Ewing, H. E., 1928. "Observations on the habits and the injury caused
by the bites and stings of some common North American arthropods," Am. J.
Trop. Med., 8:39-62.
10. Myers, J. G., 1929. "Facultative bloodsucking in phytophagous Hemi-
ptera," Parasitio!ogy, 21 :472-80.
11. Bailey, S. F., 1936. "Thrips attacking man," Canad. Entomologist,
68:95-98.
12. Caffrey, D. J., 1918. "Notes on the poisonous urticating spines of
Hemileuca oliviae larvae," J, Econ. Entomol., 11:363-67.
13. Tyzzer, E. E., 1907. The Pathology of the Brown-tail Moth Dermatitis.
Second Report, Supt. for Suppressing the Gypsy and Brown-tail Moths. pp.
154-68.
14. Bishopp, F. C., 1923. The Puss Caterpillar and the Effects of its Sting
on Man. Washington, D. C.: Dept. Agric., in Dept. Circ., no. 288. 14 pp.
15. Weidner, Herbert, 1936. "Beitriige zu einer Monographie der Raupen
mit Gifthaaren," Zeits. f. Angewandte Entomol., 23:432-84.
16. Chalmers, A. J., and King, H. H., 1917. "Blister beetles as a public
nuisance," New Orleans M. & S. J., 70:445-55.
17. Roberts J. 1., and Tonking, H. D., 1935. "Notes on an East African
vesicant beetle, Paedurus crebripunctatus Epp.," Ann. Trap. Med., 29:415-
20.
18. Herms, W. B., 1925. "Entomological observations on Fanning and
Washington Islands," Pan-Pacific Entomologist, 2:49-54.
19. Thorp, Raymond W., and Woodson, Weldon D., 1945. Black Widow,
America's Most Poisonous Spider. Chapel Hill: Univ. North Carolina Press,
xi + 222 pp.
20. Baerg, W. J., 1929. "Some poisonous arthropods of North and Central
America," Tr. 4th Internat. Congo Entomol., Ithaca, 1928, 2:418-38.
21. D'Amour, F. E.; Becker, F. E.; and Van Riper, W., 1936. "The black
widow spider," Quart. Rev. Biol., 2:123-60.
22. Herms, W. B.; Bailey, S. F.; and McIvor, Barbara; 1935. The Black
VENOMOUS AND URTICARIAL ARTHROPODS 609
Widow Spider. Berkeley: Univ. Calif., in Agric. Exper. Sta. Bull., no. 591. 30
pp.
23. Lawson, P. B., 1933. "Notes on the life history of the hour-glass
spider," Ann. Entomolog. Soc. Amer., 26:568-74.
24. Bogen, E., 1932 . "Poisonous spider bites: newer developments in
our knowledge of arachnidism," Ann. Int. Med., 6:375-88.
25. Baerg, W. J., 1923. "The effects of the bite of Latrodectus mactans.
Fabr., f. Parasitol., 9:161-69.
26. Halter, B. L., and Kuzell, W. C., 1943. "Black widow spider bites
in the adult male," Mil. Surgeon, 92:427-32.
27. Hall, W. W., and Vogelsang, W. A., 1932. "Spider poisoning: A
study of the toxin of the black widow spider (Latrodectus mactans)," U. S.
Naval Medical Bull., 30:471-78.
28. Vellard, J., 1936. Le venin des Amignees. Monographies Inst. Pasteur.
Paris. 311 pp. •
29. Blyth, A. W., and Blyth, M. W., 1920. Poisons: Their effects and de-
tection. 5th ed., London: Chas. Griffin Co. 745 pp.
30. Kellogg, V. L., 1915. "Spider poison," J. Parasitol., 1:107-12.
31. Herms, W. B.; McIvor, Barbara C.; and Ladenheim, Charles; 1940.
"The effects of ingestion of black widow spiders with canned food." J. Econ.
Entomol., 33:550-54.
32. Gilbert, E. W., and Stewart, C. M., 1935. "Effective treatment of
arachnidism by calcium salts, a preliminary report," Am. J. Med. Sc., 189:
532-36.
33. Herms, William B., 1947. "The black widow spider menace," Pest
Control and Sanitation, 2:8-11.
34. Irving, W. G., and Hinman, E. H., 1935. "The blue mud-dauber as
a predator of the black widow spider," Science, 82:395-96.
35. Cowles, R. B., 1937. "The San Diegan aJligator lizara ana the bJack
widow spider," Science, 85:99-100.
36. Kaston, B. J., and Jenks, G. E., 1937. "Dipterous parasites of spider
egg sacs," Bull. Brooklyn Entomol. Soc., 32:160-65.
37. Ewing, H. E., 1933. "Afield with the spiders," National Geographic
Magazine, 64:163-94.
38. Passmore, Lee, 1933. "California trap-door spider performs engineer-
ing marvels," National Geographic Magazine, 64:195-211.
39. Escomel, E., 1917. "The Latrodectus mactans and the Gliptocranium
gasteracanthoides in the department of Arequipa, Peru," Tr. Am. Soc. Trop.
Med., 2:95-108.
40. Moreno, Abelardo, 1940. "Scorpiologia Cubana," Rev. Universidad
Habana, nos. 23, 26 and 27.75 pp.
41. Pawlowsky, E. N., 1924. "Studies on the organization and development
of scorpions," Quart. ]. Micr. Sc., 68:615-40 (3 plates).
42. Waterman, J. A., 1938. "Some notes on scorpion poisoning in Trini-
dad," Tr. Roy. Soc. Trap. Med. & Hyg., 31:607-24.
43. Stahnke, Herbert L., 1944. "Scorpions of the United States," Turtox
News, 22:20-22.
610 MEDICAL ENTOMOLOGY
44. Ewing, H. E., 1928. "The scorpions of the western part of the United
States, with note on those occurring in northern Mexico," Proc. U. S. Nat.
Museum, 73 (Art. 9): 1-24 (2 plates).
45. Wilson, W. H., 1904. "On the venom of scorpions," Records Egyptian
Covt. School Medicine, 2:1-44 (3 plates).
46. Shulov, A., 1939. "The venom of the scorpion Buthus quinquestriatus
and the preparation of an anti-serum," Tr. Royal Soc. Trap. Med. & Hyg.,
33:253-56.
47. Smith, Carroll N., 1944. "The life history of the tick Ornithodoros
coriaceU8 Koch (Argasidae) ," Ann. Entomolog. Soc. Amer., 37 :325-35.
48. Burt, E., 1947. "Exudate from millipedes, with particular reference
to its injurious effects," Trap. Dis. Bull., 44:7-12.
49. Halstead, B. W., and Ryckman, R. E., 1949. "Injurious effects from
contacts with millipedes" (in manuscript).
INDEX
._.
Bold face figures indicate bold face headings in text