Increase of scabies infestations, Norway, 2006 to 2018.

Between October and December 2018, several clinicians in Norway reported an increase in scabies diagnoses. We compared data from the Norwegian Syndromic Surveillance System on medical consultations for mite infestations with scabies treatment sales data to investigate this reported increase. From 2013 to 2018, consultations and sales of scabies treatments had almost increased by threefold, particularly affecting young adults 15-29 years. We recommend to increase awareness among clinicians to ensure timely diagnosis and treatment.

Distribution of Ixodes ricinus ticks and prevalence of tick-borne encephalitis virus among questing ticks in the Arctic Circle region of northern Norway.

This study investigated the geographical distribution of Ixodes ricinus and prevalence of the tick-borne encephalitis virus (TBEV) in northern Norway. Flagging for questing I. ricinus ticks was performed in areas ranging from Vikna in Nord-Trøndelag County, located 190km south of the Arctic Circle (66.3°N), to Steigen in Nordland County, located 155km north of the Arctic Circle. We found that ticks were abundant in both Vikna (64.5°N) and Brønnøy (65.1°N). Only a few ticks were found at locations ∼66°N, and no ticks were found at several locations up to 67.5°N. Real-time PCR (RT-PCR) analyses of the collected ticks (nymphs and adults) for the presence of TBEV revealed a low prevalence (0.1%) of TBEV among the nymphs collected in Vikna, while a prevalence of 0% to 3% was found among nymphs collected at five locations in Brønnøy. Adult ticks collected in Vikna and Brønnøy had higher rates of TBEV infection (8.6% and 0%-9.0%, respectively) than the nymphs. No evidence of TBEV was found in the few ticks collected further north of Brønnøy. This is the first report of TBEV being detected at locations up to 65.1°N. It remains to be verified whether viable populations of I. ricinus exist at locations north of 66°N. Future studies are warranted to increase our knowledge concerning tick distribution, tick abundance, and tick-borne pathogens in northern Norway.

Geographical distribution of cercarial dermatitis in Norway.

Bird schistosomes can cause a disease called cercarial dermatitis, or swimmer's itch, in humans. The disease occurs when people have direct contact with fresh water or sea water containing the free-swimming cercariae of the flukes. The symptoms are well known, and include intense itching, maculae, papulae, urticariae and, in some cases, local oedema with enlarged lymph nodes and fever. In this study, we present the geographical distribution of freshwater cercarial dermatitis in Norway. The study is based on random reports obtained from both individuals and physicians treating patients with itching skin rash after freshwater bathing. The first case of cercarial dermatitis in Norway was reported in 1980 and was traced to a lake near Trondheim in the central part of Norway. In the following years, an increasing number of cases were reported, especially in southern Norway. However, case reports are distributed almost all over the country, even from lakes in northern Norway. As far as we know, these are the northernmost case reports in Europe. So far, only one fluke species (Trichobilharzia franki) from a single infected snail (Radix auricularia) has been identified in Norway. However, unidentified schistosomatid ocellate cercariae have been found on several occasions in snails collected from six lakes where swimmer's itch is frequently reported. Future studies should be performed to identify the fluke species, as well as the most important snail and bird hosts, in Norwegian lakes.

Wind tunnel behavioural response and field trapping of the blowfly Calliphora vicina.

The attraction of the blowfly Calliphora vicina Robineau-Desvoidy, 1830 (Diptera: Calliphoridae) to single synthetic compounds, blends and authentic odours was investigated in a wind tunnel. A total of 1850 C. vicina (1750 females and 100 males) were tested. A comparison of male and female responses showed significant differences in attraction between the sexes. Females were more attracted than males to liver odour. The attraction of females lay in the ranges of 0-22% for single compounds, 26-64% for synthetic blends and 58-88% for authentic odours. Dimethyl trisulphide was the most attractive single compound. Significant improvement in attraction was achieved with blends and a three-component lure, consisting of dimethyl trisulphide, mercaptoethanol and o-cresol, was found to be the best solution for field trapping of C. vicina. Authentic odours from dead fish and mice were significantly more attractive than liver and the three-component blend, and the blend and liver were similarly effective as attractants. Field tests support the results of the wind tunnel study and a high number of C. vicina were caught in funnel traps. Overall, 99.1% of the specimens caught were females.

Activity-dependent excitability changes in hippocampal CA3 cell Schaffer axons.

The membrane potential changes following action potentials in thin unmyelinated cortical axons with en passant boutons may be important for synaptic release and conduction abilities of such axons. In the lack of intra-axonal recording techniques we have used extracellular excitability testing as an indirect measure of the after-potentials. We recorded from individual CA3 soma in hippocampal slices and activated the axon with a range of stimulus intensities. When conditioning and test stimuli were given to the same site the excitability changes were partly masked by local effects of the stimulating electrode at intervals < 5 ms. Therefore, we elicited the conditioning action potential from one axonal branch and tested the excitability of another branch. We found that a single action potential reduced the axonal excitability for 15 ms followed by an increased excitability for approximately 200 ms at 24 degrees C. Using field recordings of axonal action potentials we show that raising the temperature to 34 degrees C reduced the magnitude and duration of the initial depression. However, the duration of the increased excitability was very similar (time constant 135 +/- 20 ms) at 24 and 34 degrees C, and with 2.0 and 0.5 mM Ca2+ in the bath. At stimulus rates > 1 Hz, a condition that activates a hyperpolarization-activated current (Ih) in these axons, the decay was faster than at lower stimulation rates. This effect was reduced by the Ih blocker ZD7288. These data suggest that the decay time course of the action potential-induced hyperexcitability is determined by the membrane time constant.

Unmyelinated axons in the rat hippocampus hyperpolarize and activate an H current when spike frequency exceeds 1 Hz.

The mammalian cortex is densely populated by extensively branching, thin, unmyelinated axons that form en passant synapses. Some thin axons in the peripheral nervous system hyperpolarize if action potential frequency exceeds 1-5 Hz. To test the hypothesis that cortical axons also show activity-induced hyperpolarization, we recorded extracellularly from individual CA3 pyramidal neurons while activating their axon with trains consisting of 30 electrical stimuli. Synaptic excitation was blocked by kynurenic acid. We observed a positive correlation between stimulation strength and the number of consecutive axonal stimuli that resulted in soma spikes, suggesting that the threshold increased as a function of the number of spikes. During trains without response failures there was always a cumulative increase in the soma response latency. Intermittent failures, however, decreased the latency of the subsequent response. At frequencies of > 1 Hz, the threshold and latency increases were enhanced by blocking the hyperpolarization-activated H current (Ih)by applying the specific Ih blocker ZD7288 (25 microM) or 2 mM Cs+. Under these conditions, response failures occurred after 15-25 stimuli, independent of the stimulation strength. Adding GABA receptor blockers (saclofen and bicuculline) and a blocker of metabotropic glutamate receptors did not change the activity-induced latency increase in recordings of the compound action potential. We interpret these results as an activity-induced hyperpolarization that is partly counteracted by Ih. Such a hyperpolarization may influence transmitter release and the conduction reliability of these axons.

The susceptibility of grayling (Thymallus thymallus) to experimental infections with the monogenean Gyrodactylus salaris.

The pathogenic monogenean Gyrodactylus salaris infecting Atlantic salmon (Salmo salar) is found to attach and reproduce under laboratory conditions on several species in the subfamily Salmoninae other than the Atlantic salmon. The gyrodactylid species Gyrodactylus thymalli infecting grayling (Thymallus thymallus) in another subfamily, Thymallinae, is previously said to be very similar to G. salaris based on morphometry and genetical analysis which prompted the present laboratory experiments to test the susceptibility and resistance of grayling to G. salaris. All 0+ and 1+ grayling became infected with G. salaris during the experimental infection procedure. However, both innate resistant and susceptible grayling were found. In susceptible individually isolated fish, parasite reproduction lasted for more than 35 days. Parasite reproduction also occurred among grouped grayling as judged from the duration of infection of more than 50 days. However, grayling susceptibility as judged from G. salaris reproduction, was very limited. Hence, the results indicate significant biological differences between the function of Atlantic salmon and grayling as host for G. salaris. The grayling is interpreted as unable to sustain G. salaris in nature which implies that G. thymalli is not conspecific with G. salaris. However, G. salaris dispersal by grayling cannot be excluded.

The hippocampal lamella hypothesis revisited.

We have re-examined the hippocampal lamellar organization of the CA3-to-CA1 connection. Based on a new technique with electrophysiological quantification of Schaffer collateral density, and a review of recent literature, we conclude that the lamellar organization remains a useful concept for understanding hippocampal connectivity. Using a sheet-like hippocampal preparation, containing the whole CA1 region, we mapped the distribution of Schaffer collaterals by two procedures. First, we recorded the amplitude of the Schaffer compound action potential in various parts of CA1 after stimulation of a point in CA3. Second, we charted the CA1 positions from which we could antidromically excite individual CA3 neurones. Although the Schaffer collaterals radiated from their CA3 cells of origin within a wide, fan-shaped area, covering a large part of the septo-temporal extent of CA1, the amplitude of the compound action potential was largest in a slightly oblique, transverse band across the CA1 towards the subicular region.

Increased susceptibility of salmonids to the monogenean Gyrodactylus salaris following administration of hydrocortisone acetate.

Gyrodactylus salaris infects numerous salmonid species, ranging from the fully susceptible (Norwegian strains of Salmo salar), through species which, though initially susceptible, eventually eliminate their infections (Salvelinus alpinus and S. fontinalis) to entirely resistant (Salmo trutta) species. Here we describe experiments in which Salvelinus alpinus, S. fontinalis and Salmo trutta, implanted with hydrocortisone acetate to simulate stress-induced immunosuppression, were challenged with G. salaris. With previously uninfected Salvelinus fontinalis, G. salaris infections on fish treated with hydrocortisone acetate grew larger, and for longer, than on sham-treated controls. A similar result was obtained with S. trutta. Patterns of infection on Arctic charr, Salvelinus alpinus, were more complex, because individual fish varied from susceptible to highly resistant. Fish were therefore initially infected with G. salaris, and the most highly resistant group of individuals identified and disinfected. After 6 months recovery from this primary infection, hydrocortisone acetate was administered to half the fish, and all were challenged with G. salaris. Parasite populations on the hydrocortisone-treated individuals were consistently larger than those on the sham-treated controls, exceeding 30 parasites per fish after 5 weeks, in comparison with less than 10 parasites per fish on controls. These results indicate that hydrocortisone administration can lead to enhanced gyrodactylid populations on a range of salmonids. This suggests that the response to G. salaris is mediated by the immune system, and that the spectrum of responses observed in different species are, at least in part, due to the same mechanism. At a practical level, stress-induced immunosuppression during handling and transport of cultured salmonids may prove an important factor in the dissemination of G. salaris between watersheds.

The susceptibility of Atlantic salmon (Salmo salar L.) x brown trout (Salmo trutta L.) hybrids to Gyrodactylus salaris Malmberg and Gyrodactylus derjavini Mikailov.

Salmo salar and Salmo trutta co-exist in coastal river systems in Europe and produce hybrids with little loss of viability or growth. This report describes the susceptibility of pure full-sibs of S. salar and S. trutta and their reciprocal half-sib hybrids to their respective gyrodactylids, Gyrodactylus salaris and Gyrodactylus derjavini. The pure-bred salmon and trout, and half-sib hybrids, were produced using eggs and sperm from wild anadromous S. salar (River Alta stock, North Norway) and wild anadromous S. trutta (River Fossbekk stock, Southwest Norway). Infections were initiated by exposing experimental fishes (0+) to S. salar naturally infected with G. salaris (River Lierelva strain) or S. trutta naturally infected with G. derjavini (River Sandvikselva strain). Fishes were then kept individually isolated under standardized conditions at 12 degrees C. Pure-bred S. salar were susceptible but frequently mounted a response to G. salaris without eliminating the infection, whereas pure-bred S. trutta were innately resistant to this species. Pure-bred S. trutta ranged from innately resistant to susceptible to G. derjavini but later most of the susceptible trout mounted a host response to G. derjavini. Pure-bred S. salar were also susceptible to this species, although parasite population growth rates were reduced and a host response frequently appeared eliminating G. derjavini. The abundance of both gyrodactylids was lower on the hybrids than on their respective pure-bred natural hosts, and a parental sire- and dam-influence on the resistance of hybrids was observed. When the sire was S. salar, the susceptibility of hybrids to G. salaris was similar to that of pure S. trutta; when the dam was S. salar both innately resistant, intermediately susceptible and responding individuals were present. In the case of G. derjavini, when the sire was S. trutta, infections on hybrids were similar to those on pure S. salar; when the dam was S. trutta, an increased level of susceptibility was observed. The present results provide evidence that: (1) Norwegian salmon stocks are variable in their susceptibility/resistance, with some fish able to control S. salaris infections; (2) trout stocks are innately resistant to G. salaris; (3) individual trout show a spectrum in susceptibility/resistance to G. derjavini, ranging from innate resistance through slightly susceptible to highly susceptible but with acquired resistance controlling infection; (4) although G. derjavini infections grow poorly on salmon, this host stock is susceptible to the parasite, but can limit infection by a host reaction; (5) susceptibility/resistance traits to gyrodactylids are genetically controlled and resistance can be transferred as a dominant trait through interspecific crosses between different salmonids; (6) interspecific hybrids between susceptible and resistant salmonids have a pattern of susceptibility to gyrodactylids intermediate to that of the parents; (7) resistance to gyrodactylids may be controlled by relatively few genes in salmonids; (8) epidemiologically, hybrids may act as a reservoir for gyrodactylids, may support a wider diversity of species than either parent and may disseminate gyrodactylids of both host species.

Aqueous aluminium eliminates Gyrodactylus salaris (Platyhelminthes, Monogenea) infections in Atlantic salmon.

This study focuses on the effect of acidic water and aqueous aluminium on the monogenean ectoparasite Gyrodactylus salaris, infecting Atlantic salmon (Salmo salar) parr. G. salaris-infected salmon were exposed to various combinations of acidity and aluminium concentrations. The most pronounced effect was the elimination of parasites after 4 days when 202 micrograms Al/l was added to the water. The effect of aluminium was concentration dependent, but was relatively independent of pH (5.2, 5.6 and 5.9). At the lowest pH of 5.0 the effect of aluminium was enhanced. Acidic aluminium-poor water had no or minor effects on the G. salaris infections except at pH 5.0 where all parasites were eliminated within 9 days. The G. salaris populations increased exponentially in untreated control water. The results show for the first time that aqueous aluminium can, to a limited extent, have a positive effect on fish health. This study emphasizes that basic knowledge about abiotic environmental factors is of importance in order to understand the population dynamics, range extension and dispersal of ectoparasites such as G. salaris. Finally, our results suggest that aluminium treatment could form an effective disinfection method against ectoparasites in hatcheries and laboratories, as well as complementing the controversial rotenone treatments used against natural populations of G. salaris.

Killing of Gyrodactylus salaris (Platyhelminthes, Monogenea) mediated by host complement.

Gyrodactylus salaris, an important pathogen of Atlantic salmon Salmo salar, has been shown to be highly sensitive to factors in host serum and mucus, being killed rapidly (50% within 1 h) by serum at a dilution of 1:200. The time needed for killing was inversely proportional to serum concentration. Similar effects were noted using host mucus, which contained approximately 1/20th of the anti-Gyrodactylus activity of serum. Serum activity was abolished completely by heating at 45 degrees C for 30 min, and by addition of EDTA, but not by EGTA + 1 mM magnesium ions. Activity was not dependent on whether the serum was from infected or naive fishes, nor was it species specific. Attempts to pre-coat parasites in salmon anti-Gyrodactylus antibodies also failed to enhance the activity of fresh serum. These observations suggest that killing is due to the complement system of the host, acting via the alternate pathway. G. salaris appears to be exceptionally sensitive to complement, being killed at concentrations which could be experienced in vivo. The role of complement in the protection of fishes against gyrodactylid infection therefore deserves further investigation.