Ticks are currently considered to be second only to mosquitoes as vectors of human infectious diseases in the world. Each tick species has preferred environmental conditions and biotopes that determine the geographic distribution of the ticks and, consequently, the risk areas for tickborne diseases. This is particularly the case when ticks are vectors and reservoirs of the pathogens. Since the identification of Borrelia burgdorferi as the agent of Lyme disease in 1982, 15 ixodid-borne bacterial pathogens have been described throughout the world, including 8 rickettsiae, 3 ehrlichiae, and 4 species of the Borrelia burgdorferi complex. This article reviews and illustrate various aspects of the biology of ticks and the tickborne bacterial diseases (rickettsioses, ehrlichioses, Lyme disease, relapsing fever borrelioses, tularemia, Q fever), particularly those regarded as emerging diseases. Methods are described for the detection and isolation of bacteria from ticks and advice is given on how tick bites may be prevented and how clinicians should deal with patients who have been bitten by ticks.

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Ticks and tickborne bacterial diseases in humans: an emerging infectious threat

Volatile oils extracted by steam distillation from four plant species (turmeric (Curcuma longa), kaffir lime (Citrus hystrix), citronella grass (Cymbopogon winterianus) and hairy basil (Ocimum americanum)), were evaluated in mosquito cages and in a large room for their repellency effects against three mosquito vectors, Aedes aegypti, Anopheles dirus and Culex quinquefasciatus. The oils from turmeric, citronella grass and hairy basil, especially with the addition of 5% vanillin, repelled the three species under cage conditions for up to eight hours. The oil from kaffir lime alone, as well as with 5% vanillin added, was effective for up to three hours. With regard to the standard repellent, deet alone provided protection for at least eight hours against Ae. aegypti and Cx. quinquefasciatus, but for six hours against An. dirus. However, deet with the addition of 5% vanillin gave protection against the three mosquito species for at least eight hours. The results of large room evaluations confirmed the responses for each repellent treatment obtained under cage conditions. This study demonstrates the potential of volatile oils extracted from turmeric, citronella grass and hairy basil as topical repellents against both day- and night-biting mosquitoes. The three volatile oils can be formulated with vanillin as mosquito repellents in various forms to replace deet (N,N-diethyl-3-methylbenzamide), the most common chemical repellent currently available.

http://webdb.dmsc.moph.go.th/ifc_nih/applications/files/16_Entomo%20E.pdf

Repellency of volatile oils from plants against three mosquito vectors.

Characterization and mosquito repellent activity of citronella oil nanoemulsion.

Repellent activity of selected essential oils against Aedes aegypti.

Repellency of essential oils of some plants from the Kenyan coast against Anopheles gambiae

This review is intended to provide the reader with an overview of the all-purpose topical insect repellent N,N-diethyl-3-methylbenzamide (deet), with emphasis on its pharmacokinetics, formulation, and safety aspects. N,N-diethyl-3-methylbenzamide is effective against a variety of mosquitoes, flies, fleas, and ticks, and its protection efficacy depends on factors such as type of formulation, application pattern, physical activity of the user, environment, and species and feeding behavior of the insects. It offers an inexpensive and practical means of preventing the attack of biting insects and, more importantly, the transmission of vector-borne diseases. In both humans and animals, deet skin penetration and biodistribution are rapid and extensive, and metabolism and elimination appear to be complete. As evidenced by over 4 decades of human experience and rigorous animal testing, deet is generally safe for topical use if applied as recommended, although it has occasionally been related to side effects such as toxic encephalopathy, seizure, acute manic psychosis, cardiovascular toxicity, and dermatitis, along with a few cases of death due to extensive skin absorption. N,N-diethyl-3-methylbenzamide may compete in metabolism with and alter the biodistribution properties of other compounds to which a subject is simultaneously exposed, resulting in an added risk of side effects. The appropriate use of formulation techniques and new formulation excipients not only offers a way to extend the duration of protection, but also reduces deet skin penetration. In addition to extended repellency, minimal skin penetration of deet should be an important consideration in the evaluation of a deet formulation during new product development.

H W Jun

Papers

Pharmacokinetics, formulation, and safety of insect repellent N,N-diethyl-3-methylbenzamide (deet): a review.