By N. R. H. Burgess, G. O. Cowan (auth.)
A there it really is! consultant to bugs of clinical and public future health difficulty, ordinarily within the tropics. each one bankruptcy covers id, existence cycle and conduct of the causative degree and its medical/public overall healthiness significance.
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Once the virus crosses from the vascular to the nervous system, mortality in untreated cases may be as high as 30%, with a further 30% suffering physical or mental impairment. Clinical aspects Arbovirus infection in humans may cause: 1. g. dengue, sandfly fever, West Nile fever. 2. 39 Japanese encephalitis. (a) Patient suffering from the condition. (b) Pigs and chickens can act as reservoirs of Japanese encephalitis. Ample breeding sites are present (Nepal). g. Chikungunya, Ross River fever. 3.
Diagnosis is made by the discovery of microfilariae in stained blood films or by serological methods . Standard treatment has been with diethylcarbama·. zine but this may be replaced by Ivermectin. A summary of diagnostic differentiation between all stages of anopheline and culicine mosquitoes is shown in Fig. 47. Fig. 47 Differentiation of anopheline and culicine mosquitoes. 30 3. Sandfiies SANDFLIES INTRODUCTION AND DESCRIPTION Sandflies are nematocerous Diptera and make up the subfamily Phlebotominae of the family Psychodidae.
Wuchereria bancrofti and Brugia malayi have a nocturnal periodicity, being found in the peripheral blood of the host in the infective microfilarial form at night, whereupon they are taken up by mosquitoes feeding nocturnally. The worm pierces the gut lining and moves to the thoracic muscles where it develops and moults to the infective larval stage. It then moves to the hollow labium, piercing its way through the tip into a new host via the bite puncture when the mosquito feeds. This development takes 10 to 12 days.