Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
It is clear from what has been said regarding the life cycle of the
malarial parasite that the mosquito is harmless if not itself diseased.
Hence malarial-bearing species may abound in the neighborhood where
there is no malaria, the disease being absent simply because the
mosquitoes are uninfected. Such a locality is potentially malarious and
needs only the introduction of a malarial patient who is exposed to the
mosquitoes. It is found that such patients may harbor the parasites in
their blood long after they are apparently well and thus may serve as a
menace, just as do the so-called typhoid carriers. In some malarious
regions as high as 80-90 per cent of the natives are such
malaria-carriers and must be reckoned with in antimalaria measures.
Based upon our present day knowledge of the life cycle of the malarial
parasite the fight against the disease becomes primarily a problem in
economic entomology,--it is a question of insect control, in its
broadest interpretation.
[Illustration: 129. Larva of Anopheles. After Howard.]
The lines of defence and offence against the disease as outlined by
Boyce (1909) are:
1. Measures to avoid the reservoir (man):
Segregation.
Screening of patients.
2. Measures to avoid Anopheles:
Choice of suitable locality, when possible.
Screening of houses and porches.
Sleeping under mosquito nets.
3. Measures to exterminate the Anopheles:
Use of natural enemies.
Use of culicides, oiling ponds, etc.
Drainage and scavenging to destroy breeding places.
Enforcement of penalties for harboring larvæ or keeping stagnant
water.
Educational methods.
4. Systematic treatment with quinine to exterminate the parasites.
MOSQUITOES AND YELLOW FEVER
Yellow fever was until recently one of the most dreaded of epidemic
diseases. It is an acute, specific and infectious disease,
non-contagious in character but occurring in epidemics, or endemics,
within a peculiarly limited geographical area. It is highly fatal, but
those who recover are generally immune from subsequent attacks.
It is generally regarded as an American disease, having been found by
Cortez, in Mexico, and being confined principally to the American
continents and islands. It also occurs in Africa and attempts have been
made to show that it was originally an African disease but there is not
sufficient evidence to establish this view.
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