Posts Tagged ‘mosquitoes’

Hemorrhagic Version of Dengue Fever Now Spreading in Mexico

Friday, July 30th, 2010 by

Mosquito BiteLast week, Mexico’s top epidemiological official reported a rise in the number of cases of dengue hemorrhagic fever (DHF) throughout the Gulf coast state of Veracruz.  The disease is moving towards Tamaulipas state and is getting closer to the United States border.  The recent flooding in Mexico has been a factor in the increased number of cases, with some 1,900 cases and 16 deaths being reported so far this year.

DHF was first recognized in the 1950’s and is a more dangerous version of dengue fever.  DHF frequently requires those infected to be hospitalized, and if not treated properly, the fatality rate for DHF can exceed 20%.  The CDC cites symptoms of DHF as similar to dengue fever, but ratcheted up to include persistent vomiting, severe abdominal pain, and difficulty breathing.  Bleeding from the nose, mouth, and gums can also occur.  As with dengue fever, there are a variety of medications used in the treatment of DHF.  If detected early, it can be treated with fluid replacement therapy.

As we reported in an earlier post, dengue fever is also on the rise in dozens of countries.  Since our last post, we’ve discovered that Thailand, French Polynesia, Indonesia, Cambodia, Nicaragua and Venezuela all belong on the list.  Dengue fever and DHF are both spread by mosquitoes, so travelers should do their best to protect themselves from mosquito bites.  Symptoms begin about 5-7 days after an infected bite.  DHF can be deadly, so it is important that travelers who suspect that they may have DHF see a doctor immediately. We will be keeping a close eye on this growing epidemic.

Photo by James Jordan

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Rift Valley Fever Outbreak in South Africa: An Unwelcome Visitor to the World Cup?

Tuesday, May 18th, 2010 by

Last month, the South African National Institute for Communicable Diseases (NICD) reported an outbreak of Rift Valley Fever (RVF), a viral illness that generally produces relatively mild symptoms of fever, headache, and muscle pains but on rare occasions can lead to internal bleeding, inflammation of the brain and eyes, and even death.  This news raises some eyebrows, coming on the eve of South Africa’s final preparations for a tidal wave of soccer enthusiasts for the FIFA World Cup, scheduled for a month-long run in numerous urban venues throughout South Africa beginning June 11th.

RVF is transmitted to humans primarily by contact with the blood of infected animals, especially cattle, sheep, donkeys and goats.  Because mosquitoes are the primary means of transmission, RVF outbreaks usually occur during heavy, prolonged rains. Fortunately, June and July are among the driest months in South Africa, and most RVF cases in this recent outbreak have been confined to rural areas.  South African health officials are quick to point out that victims to date have been in close proximity to domestic animals, and that mosquito-to-human transmission has not been documented so far.  In addition, the cooler winter weather is expected to encourage heavier clothing and reduce mosquito bites.

What’s the worst case? Kenya and Somalia experienced outbreaks in the summer of 2007, with dozens of reported deaths.  The worst outbreak on record was in Egypt (1977-78) when millions were infected and thousands died.  Fortunately, the vast majority of those who contract the illness recover within 2-7 days.  Less than 2% of cases progress to hemorrhagic fever which carries a 50% mortality rate.

Despite this grim history, the threat of RVF should not deter anyone from traveling to South Africa next month for the World Cup.  However, if a sojourn into rural areas of South Africa is on your itinerary, take precautions such as avoiding livestock and using insect repellent, protective clothing and mosquito netting.  Soccer fans need to rein in their passions long enough to focus on avoiding a rendezvous with the RVF virus, which is also in attendance.

Photo info: http://www.flickr.com/photos/25444043@N02/ / CC BY 2.0
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Mosquitoes – A story of bad news, good news, beer and Malaria

Thursday, March 25th, 2010 by

Two stories concerning mosquitoes caught my attention recently.  In the age-old “bad news, good news” tradition, it goes like this:

“The bad news is that if you drink beer, mosquitoes are more attracted to you and may bite you and give you malaria.  The good news is that scientists have developed a mosquito that could, in theory, vaccinate you against malaria with each bite.”

The first study, Beer Consumption Increases Human Attractiveness to Malaria Mosquitoes, was conducted in Burkina Faso by a team of researchers led by Thierry Lefèvre from Emory University and published by PLoS ONE, an interactive open-access journal.  It concluded that “beer consumption consistently increased volunteers’ attractiveness to mosquitoes.”  The researchers believe that the alcohol in the local beer causes the increased attractiveness; however, further studies are necessary to eliminate other possibilities.  I saw that the local beer is fairly low in alcohol content and wondered what the curve would look like as the strength varied.  Is it a linear relationship, or would it yield an upside-down “U” shape?  If the latter, one could stick to more toxic drinks (although this flies in the face of the researchers who also noted that alcohol consumption has other negative health effects and can lower one’s ability to defend against parasites and other threats to the immune system).  I was lucky enough to learn about the African drink, dawa, from my wife (it was a huge hit on our wedding night).  Dawa means “medicine” or “magical potion” in Swahili and is a much stronger drink than the local beer in Burkina Faso, so perhaps they already know about the shape of the curve.

The second study, Flying vaccinator; a transgenic mosquito delivers a Leishmania vaccine via blood feeding, was published in the April 2010 issue of Insect Molecular Biology and conducted by Associate Professor Shigeto Yoshida and his research team from Jichi Medical University. Unfortunately, there are ethical issues with using wild mosquitoes (are there domesticated ones?) to transmit a vaccine.  How would the pharmas get paid for it, for example?  Oh, yeah, that is not an ethical issue so much as an economical one.  In all seriousness, it does sound like this idea may be years away if it ever gets off the ground (no pun intended).  The mere fact that they did successfully use the mosquito’s saliva to deliver the payload, however, does hold promise for other therapies in the future.

Malaria is a very serious problem worldwide, affecting hundreds of millions of people each year and killing millions, mostly sub-Saharan children.  If you took the time to read this, please think about helping to stop this disease and perhaps contributing to a worthy organization.  It is money well spent. Also, if you are traveling to areas where malaria is a risk, learn about which preventive medicine is right for you and make sure that you take it.

Photo info: http://www.flickr.com/photos/trebol_a/ / CC BY-NC 2.0
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Malaria Strikes in Haiti; Dengue in Puerto Rico

Friday, March 5th, 2010 by

The US military announced on February 27 that 6 soldiers involved in the Haiti earthquake relief have been diagnosed with malaria. One day later, health authorities declared a dengue fever epidemic in Puerto Rico, which reported 210 cases in January. These news stories are a reminder that relief workers and tourists in the Caribbean face dangerous threats.

Serving in Haiti can be very rewarding, but there are significant health and security risks which must be considered before jumping on the volunteer bandwagon. An increase in the incidence of malaria and other infectious diseases already endemic in Haiti has been widely expected since relief efforts began almost seven weeks ago.  Although the greatest risk is among the weak and those in poor health living in the streets or in severely cramped quarters, healthy volunteers are also susceptible.

Even before the earthquake hit, Haiti was considered by the World Health Organization as a “high risk” country for becoming infected with the malaria parasite and was ranked 34th in the Maplecroft Malaria Risk Index.  ”Overcrowding in the camps for the displaced, inadequate shelter and sanitation, overburdened medical facilities, ruptured sewer systems — all these factors provide favorable conditions for the breeding of malaria vectors,” said Fiona Place, a British researcher specializing in disease risk analysis.

The CDC has published “Guidance for Relief Workers and Others Traveling to Haiti for Earthquake Response” for anyone intending to assist in the relief effort.  Take the proper precautions or risk becoming a victim yourself

Dengue fever, a viral illness with symptoms of fever, muscle aches, headache and occasionally a faint rash on the trunk and back, is relatively new to Puerto Rico but common in Haiti.  There is no vaccination or treatment. Since the disease is transmitted by mosquitoes, the same precautions taken to prevent malaria will help to avoid infection with the Dengue virus. Bug sprays that contain DEET, picaridin or oil of lemon eucalyptus are effective.

Photo info: http://www.flickr.com/photos/teutoburg/ / CC BY-NC-SA 2.0
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