Insects and Disease

Insects and Disease


DEFINITIONS

Vector = Transmitter of a disease causing organism, an organism that carries pathogens from one host to another.
Disease = Ill health or abnormal physiology caused by infection of a pathogenic microorganism (this is a limited definition related to our topic, in more general terms, disease is caused by a variety of agents not just pathogenic microorganisms).
Pathogen = Infectious organism causing a disease.
Host = Organism in which disease is produced.
Reservoir = Host organism(s) without disease symptoms. Pathogen persists in the reservoir but does not cause apparent ill effects.


Insects and man have many negative interactions. These include insect competition for our food in the field and while it is in storage and insect damage to fibers and our shelters by feeding on wood. But perhaps the most important harmful interaction and the one that causes the most misery and hardship is the connection of arthropods, humans, and disease.

Historically four arthropod vectored diseases have been very important worldwide. These include malaria, yellow fever, typhus, and the plague. A fifth disease, sleeping sickness is important throughout much of Africa. Worldwide about 1 in 6 people are infected by an arthropod vectored disease. In fact more deaths are attributed to insect vectored diseases than to all the wars ever fought.

Malaria

A disease of animals, especially birds, monkeys, apes, reptiles and humans. Malaria is an Italian term meaning bad air.

VECTOR PATHOGEN MAIN HOST
Mosquitoes in the genus Anopheles  feed      

from dusk to dawn
Four protozoan species of of the            

genus
Plasmodium
Monkeys and birds

Occurrence

Most subtropical and tropical regions of the world as well as some temperate areas.

Symptoms

Chills, fever, and sweating. In untreated cases, these attacks recur periodically.

Types by Plasmodium species

  1. Mildest form of malaria - benign tertian malaria, caused by Plasmodium vivax, in which the fever may occur every second day after the initial attack (which may occur within two weeks after infection).
  2. Jungle fever , malignant tertian malaria, caused by P. falciparum, is responsible for most of the deaths from malaria. The organisms in this form of the disease often block the blood vessels of the brain, producing coma, delirium, and finally death.
  3. Quartan malaria , caused by P. malariae, has a longer incubation period than either certain malaria or jungle fever; the first attack does not appear until 18 to 40 days after infection. The attacks recur every third day.
  4. Most rare form of the disease, caused by P. ovale, is similar to benign tertian malaria.

Historical Significance

Traditionally malaria is found throughout tropical and subtropical and into temperate regions of the world. Since 1950 malaria has been eliminated from almost all of Europe and North America and from large areas in Central and South America. It remains a major problem in parts of Africa and in southeastern Asia. About 100 million cases of human malaria develop each year; about 1 percent are fatal. Recently, the incidence of malaria has been increasing because of increasing resistance to drugs used to control the Plasmodium pathogen.

Control Methods

The primary control method is vector control by the use of residual insecticides. This has changed the distribution of malaria.

Since 1638 the infection has been controlled by treating the patient with an extract from the bark of the cinchona tree, known as quinine. Quinine, which is somewhat toxic, suppresses the growth of protozoans within the bloodstream. Synthetic drugs with lower toxicity and greater efficacy have since been developed.


Yellow Fever

VECTOR PATHOGEN                   MAIN HOST
Mosquitoes, mainly Aedes aegypti  

Day flying, usually in urban areas, some rural      
Virus     Monkeys

 Occurrence

Although the disease may have originated in West Africa, the first records are from Central and South America. Outbreaks have since occurred in North America, Europe and other regions.

The main hosts ( and reservoir for the human disease) are treetop dwelling monkeys and normally the mosquitoes that transmit the pathogen do not encounter humans. When logging occurs however, the treetops are brought to the forest flour and the disease can be transmitted to people.

Symptoms

Non-contagious, infectious disease, caused by a virus, and characterized by headache, backache, and in severe cases by high fever, jaundice, and death.

In cases of spontaneous recovery, convalescence is rapid, although jaundice may persist for some time. The disease never recurs, one attack providing immunity for life.

HISTORICAL SIGNIFICANCE

For 300 years following the Spanish conquests in Central America, yellow fever was one of the great plagues of the world. The tropical and subtropical regions of the Americas were subjected to devastating epidemics, and serious outbreaks occurred as far north as Boston and as far away as Spain, France, England, and Italy.

Yellow fever stymied the first attempt to construct the Panama canal. After several years the French led effort was abandoned because of high worker mortality and sickness. A later American effort was successful when Walter Reed discovered that spread by mosquitoes and he instituted a mosquito control program.

PREVENTION

No treatment is known for yellow fever. But a vaccine is available and is very effective. It is required for all persons traveling between endemic regions and other locations.


Typhus

Rather than being transmitted by a bite from the vector, typhus is transmitted in the insect feces which is scratched into the skin.

 

VECTOR PATHOGEN                   MAIN HOST
Epidemic typhus     
Human body louse, Pediculus humanis, and rat louse Rickettsia prowazakii (Rickettsia) Rats
Endemic (Murine) typhus    
Flea, Xenopsylla cheopis

Rickettsia typhi (Rickettsia)

Common in SE and S United States.

A less severe form of typhus.

Norway Rat
 

OCCURRENCE

Worldwide, it is associated with people crowded together in filth, cold, poverty, and hunger; with wars and famine; with refugees; prisons and jails; concentration camps; and ships.

The related disease Rocky Mountain spotted fever is endemic to North America and is vectored by ticks.

SYMPTOMS

Symptoms are usually mild in children. Adults experience a variety of symptoms including; headache, loss of appetite, high fever, chills, confusion, nausea, and a rash. Some cases are fatal.

HISTORICAL SIGNIFICANCE

Epidemic typhus has been one of the great disease scourges in human history. Devastating epidemics of typhus occurred intermittently throughout Europe in the 17th, 18th, and 19th centuries. Prominent outbreaks developed during the Napoleonic Wars and during the Irish potato famine of 1846-49. In the early 20th century typhus decreased and then practically disappeared from western Europe as improvements in living conditions and hygiene occurred. The disease remained intermittently epidemic in eastern Europe, the Middle East, and parts of Africa, however. During World War I the disease caused 3,000,000 deaths in Russia, several million other deaths Poland and Romania. In World War II it again caused epidemics, this time among refugees and displaced persons, particularly in the German concentration camps.

Typhus's role in war has been so pronounced that the outcomes of conflicts often was decided by typhus rather than battle. In Napoleons advance into Russia, he began with 450,000 men. At his retreat into Poland he had 80,000 men, most lost to typhus not battle.

CONTROL METHODS

A vaccine was developed during World War II and is generally effective. Pesticides to give louse control can be applied to clothing in outbreak areas. Despite vaccination and delousing, typhus is still an ever-present threat to impoverished and destitute peoples in many parts of the world. Best prevention is avoidance of areas where rats or lice may be present.


Plague

VECTOR PATHOGEN                   MAIN HOST
Fleas Bacillus, Pastuerella pestis  also called Yersinia pestis or Bacillus pestis     Rodents especially rats

Occurrence  

Worldwide

Symptoms

The disease in man has three clinical forms:

  1. bubonic, characterized by swelling of the lymph nodes (buboes)
  2. pneumonic, in which the lungs are extensively involved
  3. septicemic, in which the bloodstream is so invaded that death ensues before the bubonic or pneumonic forms have had time to appear.

The illness in man varies from severe to mere indisposition to violent death. The mild infections are almost always bubonic; pneumonic and septicemic plague are invariably severe and almost always fatal unless treated.

HISTORICAL SIGNIFICANCE

In the 14th century outbreak known as the Black Death, the number of deaths was enormous, reaching in various parts of Europe two-thirds or three-fourths of the population in the first pestilence. It has been calculated that one-fourth of the population of Europe, or 25,000,000 persons, died from plague during the great epidemic.  This 3 times the fatalities in WWI. The Great Plague of London in 1664-65 resulted in more than 70,000 deaths in a population estimated at 460,000. An outbreak in Canton and Hong Kong in 1894 left 80,000 to 100,000 dead, and within 20 years the disease spread from the southern Chinese ports throughout the whole world, resulting in more than 10,000,000 deaths.

PREVENTION

Plague is primarily a disease of rodents, and infections of man are accidental. When an outbreak in rodents reduces their population, the rat fleas may transfer to humans and bring the disease with them. At first the cases are sporadic, but under suitable conditions large numbers of persons may be infected.


Trypanosomiasis

Called sleeping sickness in humans, is also a disease of cattle and other animals in Africa, which serve as the reservoir for the protozoa. In cattle the disease is called nagana.

VECTOR       PATHOGEN                   RESERVOIR
Tsetse flies Glossina Protozoa, Trypanosoma     Wild hoofed animals

Occurrence

Two variations of the disease occur in central and western Africa.

In South America, another version of the protozoan, T. cruzi, is transmitted by the triatoma bug (kissing bug) and is called Chagas' disease.

Symptoms

African sleeping sickness begins with a chancre at the site of the insect bite, an accelerated heartbeat, an enlargement of the spleen, and rash and fever. Over the next few months the nervous system is attacked, with accompanying mood changes, sleepiness, lack of appetite, eventual coma, and, frequently, death.

Sleeping sickness is usually fatal to humans as well as to domestic horses, camels, dogs, and mules. Cattle and sheep usually survive but do poorly.

Historical Significance

Sleeping sickness is endemic in approximately 25% of Africa. The disease has proven to be extremely difficult to treat and prevent and control of the flies is not practical. A consequence of the disease is that much of Africa has remained wilderness and this has allowed many wild animals to survive.

Prevention

Avoid bites of tsetse flies.


Insect Transmitters of Organisms That Cause Disease in Humans

 

Insect Vectors Disease Organisms Disease
Order Diptera    
Anopheles, mosquitoes Plasmodium (Protozoa) Malaria
Aedes, mosquitoes Virus

Virus
Yellow fever

Dengue
Culex and Aedes mosquitoes, several species Virus

Filaria (Nematode)
several Encephalitides,

Filariasis, Elephantiasis
Simulium, black flies Filaria (Nematode) Onchocerciasis
Phlebotomus, sand flies

Leishmania (Protozoan)

Bartonella (Rickettsia)

Virus

Kala-azar, Oriental sore, Espundia

Verruga

Papataci fever

Tabanus, horse flies Bacillus anthracis (Bacteria) Anthrax
Chryops, deer flies Pasteurella tularensis (Bacteria) Tularemia
Glossina, tsetse flies Trypanosoma (Protozoan) African sleeping sickness
Order Siphonaptera, Fleas    
Xenopsylla Pastuerella pestis (Bacteria) Bubonic plague
Nosopsyllus Rickettsia typhi (Rickettsia) Endemic typhus
Order Hemiptera    
Triatoma and Rhodnius (kissing bugs) Trypanosoma cruzi (Protozoa) Chagas' disease
Order Anoplura, Sucking Lice    
Pediculus humanis Pasteurella tularensis (Bacteria) Tularemia
lice

Borrelia recurrentis (Spiroch.)

Rickettsia prowazakii (Ricket.)

Rickettsia quinatana (Rickett.)

Relapsing fever

Epidemic typhus

Trench fever

Source: Peters, T. M. 1988. Insects and Human Society, P. 272.  

 


Link to Entomology 2004 - An On-line Lecture on Insects and Human Society at Virginia Polytechnic Institute and State University at Blacksburg, Jan. 11, 2001

World Health Organization Division of Control of Tropical Diseases, Jan. 11, 2001


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Last updated 11 Jan., 2001
Gary Brewer
Professor and Chair