Bed bugs: clinical relevance and control options.

Since the late 1990s, bed bugs of the species Cimex lectularius and Cimex hemipterus have undergone a worldwide resurgence. These bed bugs are blood-sucking insects that readily bite humans. Cutaneous reactions may occur and can start out as small macular lesions that can develop into distinctive wheals of around 5 cm in diameter, which are accompanied by intense itching. Occasionally, bullous eruptions may result. If bed bugs are numerous, the patient can present with widespread urticaria or eythematous rashes. Often, bites occur in lines along the limbs. Over 40 pathogens have been detected in bed bugs, but there is no definitive evidence that they transmit any disease-causing organisms to humans. Anemia may result when bed bugs are numerous, and their allergens can trigger asthmatic reactions. The misuse of chemicals and other technologies for controlling bed bugs has the potential to have a deleterious impact on human health, while the insect itself can be the cause of significant psychological trauma. The control of bed bugs is challenging and should encompass a multidisciplinary approach utilizing nonchemical means of control and the judicious use of insecticides. For accommodation providers, risk management procedures should be implemented to reduce the potential of bed bug infestations.

Characterization of virulent West Nile virus Kunjin strain, Australia, 2011.

To determine the cause of an unprecedented outbreak of encephalitis among horses in New South Wales, Australia, in 2011, we performed genomic sequencing of viruses isolated from affected horses and mosquitoes. Results showed that most of the cases were caused by a variant West Nile virus (WNV) strain, WNV(NSW2011), that is most closely related to WNV Kunjin (WNV(KUN)), the indigenous WNV strain in Australia. Studies in mouse models for WNV pathogenesis showed that WNV(NSW2011) is substantially more neuroinvasive than the prototype WNV(KUN) strain. In WNV(NSW2011), this apparent increase in virulence over that of the prototype strain correlated with at least 2 known markers of WNV virulence that are not found in WNV(KUN). Additional studies are needed to determine the relationship of the WNV(NSW2011) strain to currently and previously circulating WNV(KUN) strains and to confirm the cause of the increased virulence of this emerging WNV strain.

A review of the status and significance of the species within the Culex pipiens group in Australia.

The mosquito known in the northern hemisphere as Culex pipiens (a.k.a. Culex pipiens pipiens or Culex pipiens form pipiens) is not known from Australia. However, there are four species of the Culex pipiens group: two indigenous, Culex australicus and Culex globocoxitus, and two introduced, Culex quinquefasciatus and what is known locally as Culex molestus (? = Culex pipiens molestus or Culex pipiens form molestus), all four being members of the pipiens subgroup (= 'pipiens complex'). The species status of the indigenous Cx. australicus and Cx. globocoxitus in Australia appears to be accepted as legitimate; however, the true identity of the mosquito called 'Cx. molestus' in Australia remains contentious, even as its local profile has been increasing over the past 40 years. This paper provides an overview of the taxonomic and biologic knowledge of these species, and their public health significance as vectors of arboviruses in Australia.

Does the monomolecular film aquatain mosquito formula provide effective control of container-breeding mosquitoes in Australia?

The mosquito control potential of the silicone-based monomolecular film Aquatain Mosquito Formula (AMF) was investigated in field tests against the backyard mosquitoes Aedes notoscriptus and Culex quinquefasciatus. Plastic tubs, with and without emergent aquatic vegetation (Cyperus alternifolius), were sampled weekly for 2 wk prior to an application of Aquatain and up to 6 wk postapplication. The mean abundance of mosquito larvae and pupae was compared between pre- and postapplication periods as well as between treatment and control tubs. There was a significant reduction in the abundance of immature stages of both Ae. notoscriptus and Cx. quinquefasciatus within 48 h of application, and the mean weekly abundance of larvae of both species was significantly lower in treatment tubs compared with control tubs for up to 6 wk postapplication. Egg rafts, larvae, and pupae were not detected in treatment tubs until 5 wk postapplication. The results indicate that AMF holds great potential for mosquito control in backyard habitats.

The importance of males: larval diet and adult sugar feeding influences reproduction in Culex molestus.

Culex molestus is an obligatory autogenous mosquito that is closely associated with subterranean habitats in urban areas. The objective of our study was to investigate the influence of larval and adult nutrition on the role of males in determining the expression of autogeny in Cx. molestus. Mosquitoes raised at low and high larval diets had sex ratio, wing length, mating rates, autogenous egg raft size, and hatching rates recorded. There was a higher ratio of males to females when raised at a low larval diet. Mean wing lengths of both males and females were significantly greater when raised at the high larval diet regime. Regardless of larval or adult diet, males mated with only a single female. Mosquitoes raised at the higher larval diet regimes developed significantly more autogenous eggs. However, the egg raft size was reduced when adult females were denied access to sugar. The results of this study indicate that the performance of males in the reproductive process is influenced by both larval diet and adult sugar feeding.

Aircraft disinsection: what is the usefulness as a public health measure?

RATIONALE FOR REVIEW: Insecticide treatments in aircraft (termed 'aircraft disinsection') aim to support the containment of potentially disease-carrying vector insects. The introduction of non-endemic mosquito species is of concern as some mosquitoes can act as vectors of many serious human diseases. Expansion of vectors to previously non-endemic regions, extended flight networks and mosquito resistance to insecticides pose challenges to contemporary vector-control approaches. Despite established efficacy of aircraft disinsection in trials, there is increasing concern over its effectiveness and feasibility in flight operations, and its usefulness as a public health measure. KEY FINDINGS: We explored the literature on disinsection through a narrative approach to obtain a pragmatic assessment of existing and future implementation challenges. We describe the shortcomings that hinder evaluation of the success of aircraft disinsection. These shortcomings include operational constraints that may impact effective treatment outcomes, lack of longitudinal data on pesticide exposure scenarios, lack of compliance mechanisms, pesticide resistance in mosquitoes, and limited evidence of the extent and type of mosquito species potentially transported via aircraft. CONCLUSIONS AND RECOMMENDATIONS: Concerns about the introduction of non-endemic mosquito vectors reinforce the need for effective preventive measures. Import of disease vectors is likely to occur in the future under changing environmental and operational conditions. Optimal impact from disinsection requires appropriate deployment, commitment and use. The current system of evaluation is inadequate for producing the evidence needed for informed policy decisions. While utilizing the results of research into environmentally sustainable vector-control methods for use in aircraft, future approaches to aircraft disinsection require improved evidence of anticipated benefits and harms, reliable monitoring data on insecticide resistance, and must be supported by strong vector control at airports.

A laboratory investigation of the mosquito control potential of the monomolecular film Aquatain mosquito formula against immature stages of Aedes aegypti and Culex quinquefasciatus.

The mosquito larvicidal and pupicidal potential of the silicone-based monomolecular film Aquatain Mosquito Formula (AMF), was investigated in laboratory trials against Aedes aegypti and Culex quinquefasciatus. Larval and pupal mortality was investigated in separate trials. After 48 h of exposure, mean mortality of Cx. quinquefasciatus 4th instars was 94.6%, significantly greater than the mean mortality rate of 33.6% for Ae. aegypti. After 180 min of exposure, 100% mortality of pupae was recorded for both species. Mean larval and pupal mortality rates for both species were significantly greater than mortality rates in untreated controls. The results indicate that AMF holds potential for mosquito control, especially in urban water-holding structures that are becoming increasingly popular in response to water conservation. Nontarget impacts must be investigated before this product can be considered for natural wetlands.

Are commercially available essential oils from Australian native plants repellent to mosquitoes?

While the use of topical insect repellents, particularly those containing synthetic active ingredients such as deet (N,N-diethyl-3-methylbenzamide), are a mainstay in personal protection strategies emphasized in public health messages, there is a growing demand in the community for alternative repellents, particularly those of botanical origin and thus deemed to be "natural." This study evaluated the repellency of essential oils from 11 Australian native plants in 5% v/v formulations against Aedes aegypti, Culex quinquefasciatus, and Culex annulirostris under laboratory conditions. A blend of the top 3 performing oils was then compared with deet and a commercially available botanical insect repellent. All essential oils provided at least some protection against the 3 mosquito species, with the longest protection time (110 min) afforded by Prostanthera melissifolia against Cx. quinquefasciatus. Mean protection times against Ae. aegypti were substantially lower than those for the Culex spp. tested. Deet provided significantly longer protection against Ae. aegypti than both the 5% v/v blend of Leptospermum petersonii, Prostanthera melissifolia, and Melaleuca alternifolia (the 3 most effective oils) and the commercial botanical repellent. The results of this study indicate that these essential oils from Australian native plants offer limited protection against biting mosquitoes and that a blend of essential oils holds may offer commercial potential as a short-period repellent or under conditions of low mosquito abundance. However, it is important that public health messages continue to emphasize the greater effectiveness of deet-based repellents in areas with risks of mosquito-borne disease.

Arboviruses isolated from mosquitoes collected from urban and peri-urban areas of eastern Australia.

To determine the presence of arboviruses in mosquito populations from major urban areas of eastern Australia, a total of 67,825 mosquitoes, representing -60 species, was collected and tested from Cairns, Brisbane, and Sydney between January 2005 and April 2008. Mosquito pools were screened by inoculation onto mosquito cell cultures and the detection of viral antigen using a panel of flavivirus and alphavirus monoclonal antibodies in an enzyme-linked immunosorbent assay. Suspect positive samples were confirmed using virus-specific real-time reverse transcriptase-polymerase chain reaction assays. No flaviviruses were detected, but 2 alphaviruses were isolated from mosquito pools collected from Cairns, with 1 Barmah Forest virus isolate from a pool of 100 Aedes vigilax and 1 Ross River virus isolate from a pool of 83 Verrallina carmenti. In addition, a single Aedes alternans collected from Sydney yielded an isolate most similar to Stretch Lagoon virus, a newly described virus from the genus Orbivirus. These results suggest that during the study, arboviruses were circulating at a low level in the areas sampled. The findings from this study will promote public health awareness of the risk of arboviruses in urban areas, leading to more informative public health campaigns to safeguard the Australian public.

Dispersal of the Mosquito Aedes vigilax (Diptera: Culicidae) From Urban Estuarine Wetlands in Sydney, Australia.

Aedes vigilax (Skuse) is a pest and vector species associated with coastal wetlands and the abundance of this mosquito has been identified as contributing to increased risk of mosquito-borne disease outbreaks. As urban development continues to encroach on these coastal wetlands, pest and public health impacts are becoming of increasing concern and in the absence of broadscale mosquito control. Urban planners are looking to buffer zones and other land use planning options to minimize contact between mosquitoes and humans but gaps in the understanding of dispersal ranges of mosquitoes hamper the adoption of these strategies. A mark-release-recapture experiment was conducted to measure the dispersal of this mosquito from an urban estuarine wetland in Sydney, Australia. An estimated total of over 150,000 wild caught female mosquitoes were marked with fluorescent dust and then released. A network of 38 traps was then operated for 5 d within an area of 28 km2. A total of 280 marked mosquitoes was recaptured, representing less than 1% of the estimate 250,000 marked mosquitoes released. Marked mosquitoes were recaptured up to 3 km from the release point, providing an insight into the dispersal range of these mosquitoes. The mean distance traveled by marked mosquitoes was 0.83 km, a result reflecting the greater proportion of marked mosquitoes recaptured near release point. The findings of this study indicate that effective buffer zones between estuarine wetlands and high-density urban developments would be an impractical approach to minimizing pest and public health impacts associated with this mosquito.

Effects of attachment substrate, larval diet, and temperature on development and survival of immature Coquillettidia linealis (Skuse) and Coquillettidia xanthogaster (Edwards).

A sustainable colony allowed investigations into attachment substrates, diet and temperature in the development of the immature stages of Cq. linealis and its local congener Cq. xanthogaster. As immatures, these mosquitoes attach to submerged plants for respiration, and various field-collected and laboratory-raised plants were compared with non-living substrates. Hydroponically-grown wheat plant seedlings provided the most suitable attachment substrate. Development and survival of immatures to eclosion were investigated with three types and three quantities of a standardized diet. Development and survival at rearing temperatures between 10° and 30° C were also investigated. Diet type appeared to have little influence on development. However, at the lowest diet quantity, development to pupation was significantly reduced while the highest diet quantity impacted on the eclosion of pupae. Mean duration of immature development for Cq. linealis increased as temperature decreased. Time from 1st instar to median eclosion did not differ significantly between 23° C (6.0 weeks) and 25° C (5.3 weeks), although it was 10 weeks at 20° C, and 30° C was lethal. For Cq. xanthogaster, similarly, mean duration of immature development increased as temperature decreased, with development time from 1st instar to median eclosion significantly longer at 20° C (7.5 weeks) compared to 23° C (5.0 weeks) and 30° C (4.0 weeks).

Colonization of Coquillettidia linealis (Skuse) with reference to other Coquillettidia and Mansonia species.

The immature stages of Coquillettidia and Mansonia mosquitoes are cryptic and spend the duration of their development attached to the tissues of subsurface aquatic plants. This obligatory association makes them difficult to collect and has precluded detailed investigation of the biology of Coquillettidia linealis, a species of significant pest and vector status in Australia, as well as other species in the genus Coquillettidia in Australia and elsewhere. This paper describes the first successful establishment and maintenance of a colony of Cq. linealis. Blood-seeking wild adults were collected and induced to oviposit under laboratory conditions, where methods were developed to rear larval populations to adult maturity in a colony that was maintained through eight successive generations. Colonies of Coquillettidia xanthogaster and Coquillettidia sp. nr crassipes were also established and reared through at least six generations and five generations, respectively, while two species of Mansonia, Mansonia uniformis and Mansonia septempunctata, were also reared successfully for six and two generations, respectively.

Vector competence of three Australian mosquitoes, Verrallina carmenti, Verraullina lineata, and Mansonia septempunctata (Diptera: Culicidae), for Ross River virus.

The vector competence of Verrallina carmenti (Edwards), Verrallina lineata (Taylor), and Mansonia septempunctata (Theobald) (Diptera: Culicidae) from north Queensland, Australia, was tested using two isolates of Ross River virus (family Togaviridae, genus Alphavirus, RRV). All three species were tested using RRV isolate RR102MP (ex-Cairns, Queensland, Australia), whereas Ve. carmenti and Ve. lineata also were tested using RR2186 (ex-Bourke, New South Wales, Australia). Transmission was tested using the capillary tube method, with infection of mosquito bodies and saliva determined using cell culture. Infection with RR102MP resulted in 27.5% of Ve. carmenti, 19.2% of Ve. lineata and 13.3% of Ma. septempunctata transmitting virus. When Ve. carmenti and Ve. lineata were infected with RR2186, transmission rates for both species were generally < 10%, although a transmission rate of 25% was recorded for Ve. lineata exposed to high titer virus. These results indicated that the three mosquito species have the potential to contribute to local transmission cycles.

Is there a risk of malaria transmission in NSW?

NSW has a putative malaria vector in Anopheles annulipes, and increased numbers of immigrants from malaria endemic countries who may be infective to mosquitoes but asymptomatic. We examine the factors known to influence malaria transmission and conclude that local transmission is possible but unlikely. The public health implications are that there should be systematic screening of immigrants from malaria endemic countries on arrival, and that the public health capacity to identify and respond to a malaria outbreak should be maintained.

A curious coincidence: mosquito biodiversity and the limits of the Japanese encephalitis virus in Australasia.

BACKGROUND: The mosquito Culex annulirostris Skuse (Diptera: Culicidae) is the major vector of endemic arboviruses in Australia and is also responsible for the establishment of the Japanese encephalitis virus (JEV) in southern Papua New Guinea (PNG) as well as its incursions into northern Australia. Papua New Guinea and mainland Australia are separated by a small stretch of water, the Torres Strait, and its islands. While there has been regular JEV activity on these islands, JEV has not established on mainland Australia despite an abundance of Cx. annulirostris and porcine amplifying hosts. Despite the public health significance of this mosquito and the fact that its adults show overlapping morphology with close relative Cx. palpalis Taylor, its evolution and genetic structure remain undetermined. We address a hypothesis that there is significant genetic diversity in Cx. annulirostris and that the identification of this diversity will shed light on the paradox that JEV can cycle on an island 70 km from mainland Australia while not establishing in Australia itself. RESULTS: We sequenced 538 bp of the mitochondrial DNA cytochrome oxidase I gene from 273 individuals collected from 43 localities in Australia and the southwest Pacific region to describe the phylogeography of Cx. annulirostris and its sister species Cx. palpalis. Maximum Likelihood and Bayesian analyses reveal supporting evidence for multiple divergent lineages that display geographic restriction. Culex palpalis contained three divergent lineages geographically restricted to southern Australia, northern Australia and Papua New Guinea (PNG). Culex annulirostris contained five geographically restricted divergent lineages, with one lineage restricted to the Solomon Islands and two identified mainly within Australia while two other lineages showed distributions in PNG and the Torres Strait Islands with a southern limit at the top of Australia's Cape York Peninsula. CONCLUSION: The existence of divergent mitochondrial lineages within Cx. annulirostris and Cx. palpalis helps explain the difficulty of using adult morphology to identify Cx. annulirostris and its ecological diversity. Notably, the southern limit of the PNG lineages of Cx. annulirostris coincides exactly with the current southern limit of JEV activity in Australasia suggesting that variation in these COI lineages may be the key to why JEV has not yet established yet on mainland Australia.

Impact of a bifenthrin-treated lethal ovitrap on Aedes aegypti oviposition and mortality in north Queensland, Australia.

Lethal ovitraps (LOs) containing an insecticide-treated ovistrip are used as a lure-and-kill device for the container-breeding dengue vector, Aedes aegypti (L.). We aimed to affirm that the pyrethroid bifenthrin could be used effectively in LOs against Ae. aegypti in north Queensland, Australia, by quantifying oviposition in and mortality caused by LOs. Small cage experiments in which individual gravid Ae. aegypti were given a choice of LOs and untreated ovitraps revealed that although LOs were less acceptable for oviposition, they provided an average 64.6% adjusted mortality. Although 92% of mosquitoes ovipositing in LOs died, 61.8% of mosquitoes that visited but did not oviposit in an LO also died, demonstrating that lethal contact occurred without egg laying. The bifenthrin content of strips (approximately 0.1 mg/cm2; 7 mg/strip) did not decrease significantly after 4 wk of field exposure nor did the toxic effect of the LOs. Large cage trials with groups of 10 Ae. aegypti confirmed that bifenthrin-treated LOs provided consistent control (average adjusted mortality 79.7%). Four-week field trials in north Queensland showed that although LOs were acceptable to ovipositing Ae. aegypti (mean time to first egg 10.9 d; mean eggs 47.3), insecticide-free ovitraps were oviposited in more readily (6.8 d, 199 eggs). The number of eggs laid per mosquito in laboratory LOs allowed calculation of the number of Ae. aegypti killed in field-deployed LOs; rapid estimates can be made by simply dividing the number of eggs on the strip by 2.84. Overall, the studies demonstrated that bifenthrin-treated LOs have potential for use as a lure-and-kill device against Ae. aegypti and that they should be effective in the field for at least 4 wk. Given that untreated ovitraps were more acceptable for Ae. aegypti oviposition, the removal of alternative oviposition sites before deployment of LOs in the field should maximize their effectiveness.

Aedes aegypti population sampling using BG-Sentinel traps in north Queensland Australia: statistical considerations for trap deployment and sampling strategy.

BG-Sentinel mosquito traps were trialed as a tool for the rapid assessment (24-h collections) and routine monitoring (72-h collections) of adult Aedes aegypti L. populations in north Queensland. Analysis of Ae. aegypti collections using BG-Sentinels set in suburban Cairns for 24 h permitted the calculation of sample size for a range of precision levels. Clusters of houses with BG-Sentinels operating continuously for 15 d, with collections every 72 h, also permitted required sample size calculation. Evidence of Ae. aegypti spatial clustering at the house scale was revealed, with statistically significant effects detected for all collection days. Less variation was detected at each trap location, with only nine of 32 trap locations revealing significant clustering over time. Trap-out effects through continuous BG-Sentinel operation at a fixed location were absent. The findings support fixed position sampling at 72-h intervals for routine monitoring ofAe. aegypti populations in Cairns. Despite the relationship between collections of adult vectors and the incidence of disease remaining unknown, BG-Sentinel collections provide an alternative and less labor-intensive abundance measure for assessing risk of dengue virus transmission and success of dengue vector control programs.

Is the extract from the plant catmint (Nepeta cataria) repellent to mosquitoes in Australia?

The repellency of Nepeta cataria (catmint or catnip) was tested against Aedes aegypti, Ae. vigilax, Culex annulirostris, and Cx. quinquefasciatus, and compared with a blend of natural plant extracts and N,N-diethyl-3-methylbenzamide (deet) on human skin. The catmint and natural plant extract blend did not provide the same level of protection from biting mosquitoes as deet. There were significant differences in the level of protection provided by catmint to the 4 species of mosquito, with mean protection times ranging from 0 min for Ae. aegypti up to 240 +/- 60 min for Cx. quinquefasciatus. Significant differences in the mean landing rates of the 4 mosquito species on untreated forearms highlighted the difficulties in comparing laboratory tests of repellents between species.

Encasing mattresses in black plastic will not provide thermal control of bed bugs, Cimex spp. (Hemiptera: Cimicidae).

The suggestion that bed bug (Cimex spp.; Hemiptera: Cimicidae)-infested mattresses wrapped in black plastic and exposed to sunlight will be heated sufficiently to kill the bed bugs was tested. Two types of mattresses were tested: a thin mattress of solid foam rubber and a thick multilayered inner spring mattress. Temperature probes were placed on both upper and lower sides of the mattresses, which were wrapped in black plastic and placed outside on a summer day for >9 h wherein the ambient temperature peaked at 36.5 degrees C. The maximum recorded temperature on the upper (sun-exposed) sides was 85 degrees C for both mattresses, whereas lower side temperatures for the thick mattress never exceeded 35 degreesC, and some areas of the thin mattress failed to exceed 36.50C. Therefore, with published thermal death points of 40-45 degrees C depending on exposure time, and opportunities for bed bugs to avoid lethal temperatures by retreating from hot zones, this technique seems to be not suitable for bed bug management.