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Records of ectoparasites on humans and sheep from Viking-age deposits in the former western settlement of Greenland.

During recent archaeological excavations in Viking Greenland, specimens of the human flea, Pulex irritans L., and the body louse, Pediculus humanus humanus L., were recovered from several farmsteads. Bovicola ovis (Schrank) and the sheep ked, Melophagus ovinus (L.), also were found in associated deposits. The specimens were dated from about AD 990 to AD 1350. These finds raise questions about the levels of hygiene of the Viking farmers and open some interesting medical and biogeographical conundrums.

Animals↗

Head lice: is there a solution?

Head lice is an old problem that won't go away. Infestation with the head louse Pediculus capitis is still common in school-aged children. The majority of information about this condition is based on anecdotal evidence. There is a definite need for the standardization of detection methods for diagnosis and epidemiological purposes, and for properly designed trials to ascertain the effectiveness of the different treatment methods available.

Journal Article↗

Comparative study of permethrin 1% creme rinse and lindane shampoo for the treatment of head lice.

The efficacy and safety of permethrin 1% creme rinse and lindane shampoo were compared for the treatment of head lice (Pediculus humanus var. capitis). A total of 1040 patients in the Nezahualcoyotl community of Mexico City representing 296 family groups were enrolled and randomized to treatment, with one patient in each family designated as the index patient. Among index patients 98% treated with permethrin and 76% treated with lindane were louse-free 2 weeks after treatment (P less than 0.001). Comparable results were found with nonindex patients as well. Mild dermal reactions, such as pruritus or erythema, occurred in 1.2% of permethrin-treated patients and 2.6% of lindane-treated patients. There were no reports of central nervous system adverse effects or conjunctivitis.

Administration, Topical↗

Ivermectin: pharmacology and application in dermatology.

Ivermectin is a synthetic derivative of the antiparasitic class of compounds known as avermectins. It is a macrolide endectocide with activity against both endoparasites with cutaneous tropism (Strongyloides stercoralis, Ancylostoma braziliense, Cochliomyia hominivorax, Dermatobia hominis, Filaria bancrofti, Wucheria malayi, Onchocerca volvulus, Loa-loa) and ectoparasites such as Sarcoptes scabies, Pediculus humanus, Demodex folliculorum, and Cheyletiella sp. Ivermectin is of great interest in the treatment of patients with different forms of scabies, head lice, demodecidosis, cutaneous larva migrans, cutaneous larva currens, myiasis, and filariasis.

Animals↗

Pediculosis and the pediatrician.

Head lice commonly evoke feelings of disgust, revulsion, anger, and shame among parents and patients. There should, however, be no great cause for such alarm if a physician suspects pediculosis capitis. The recent introduction of several new pediculicidal drugs now allows a choice among four distinct therapeutic agents, which should substantially improve control of isolated cases and epidemics. Physicians must be aware that consumer groups are pressing public health authorities and drug manufacturers to establish proper treatment standards and safety warnings for the use of these agents. In addition, some controversy surrounds the use of lindane in children. This paper reviews the epidemiology and clinical appearance of pediculosis capitis in children, with emphasis on these recent developments. Pubic lice (Phthirus pubis) and body lice (Pediculus humanus corporis), both of which are much less common pediatric infestations, are mentioned only briefly.

Child↗

Real-time PCR duplex assay for Rickettsia prowazekii and Borrelia recurrentis.

Rickettsia prowazekii, the etiologic agent for epidemic typhus, and Borrelia recurrentis, the etiologic agent of relapsing fever, both utilize the same vector, the human body louse (Pediculus humanus), to transmit human disease. We have developed an assay to detect both bacterial pathogens in a single tube utilizing real-time PCR. Assays for both agents are specific. The R. prowazekii and B. recurrentis assays do not detect nucleic acid from R. typhi, R. canada, or any of eight spotted fever rickettsiae. In addition they did not react with Neorickettsia risticii, N. sennetsu, Franciscella persica, Bartonella quintana, Legionella pneumophila, Proteus mirabilis, Salmonella enterica, Escherichia coli, and Staphylococcus aureus. Moreover, the B. recurrentis assay did not detect B. duttonii, B. coriaceae, B. afzelii, B. garinii, B. hermsii, or B. burgdorferi nucleic acid. Both assays detected repeatedly only R. prowazekii or B. recurrentis either when tested alone or together in one test tube.

Animals↗

Environmental signals generate a differential and coordinated expression of the heme receptor gene family of Bartonella quintana.

Of all bacteria, Bartonella quintana has the highest reported in vitro hemin requirement, yet an explanation for this remains elusive. To produce diseases such as trench fever, endocarditis, and bacillary angiomatosis, B. quintana must survive and replicate in the disparate environments of the Pediculus humanus corporis (body louse) gut and the human vasculature. We previously identified a five-member family of hemin binding proteins (Hbps) synthesized by B. quintana that bind hemin on the outer surface but share no similarity to known bacterial heme receptors. In the present study, we examine the transcription, regulation, and synthesis of this virulence factor family by cultivation of the bacterium in environments that simulate natural heme, oxygen, and temperature conditions encountered in the host and insect vector. First, quantitative real-time PCR data show that hbpC expression is regulated by temperature, where a >100-fold increase in transcript quantity was seen at 30 degrees C relative to 37 degrees C, suggesting that HbpC synthesis would be greatest in the cooler temperature of the louse. Second, cultivation at human bloodstream oxygen concentration (5% relative to 21% atmospheric) significantly decreases the transcript quantity of all hbp genes, indicating that expression is influenced by O2 and/or reactive oxygen species. Third, a differential expression pattern within the hbp family is revealed when B. quintana is grown in a range of hemin concentrations: subgroup I (hbpC and hbpB) predominates in a simulated louse environment (high heme), and subgroup II (hbpA, hbpD, and hbpE) is preferentially expressed in a simulated human background (low heme). By using two-dimensional sodium dodecyl sulfate-polyacrylamide gel electrophoresis, immunoblotting, and matrix-assisted laser desorption ionization-time of flight mass spectrometry fingerprinting, we demonstrate that synthesis of HbpA correlates with hbpA transcript increases observed at low hemin concentrations. Finally, an hbpA promoter-lacZ reporter construct in B. quintana demonstrates that a transcriptional regulator(s) is controlling the expression of hbpA through a cis-acting regulatory element located in the hbpA promoter region.

Bartonella quintana↗

Comparative study of the clinical effectiveness of a pyrethrin-based pediculicide with combing versus a permethrin-based pediculicide with combing.

In a randomized, evaluator-blinded clinical trial, 190 patients were treated for Pediculus humanus capitis infestations with a pyrethrin-piperonyl-butoxide pediculicide (RID; Py-PB) and a permethrin pediculicide (NIX; PM). A total of 160 patients were evaluable for nit-combing speed, 156 patients were evaluable for efficacy at day 7, and 150 patients were evaluable for efficacy at day 14. Both Py-PB and PM showed 100% efficacy at day 7. At day 14, one patient in the PM group had an apparent reinfestation. The Py-PB group had significantly lower mean combing times (P=0.04), but because the PM group had more nits, the two groups were not significantly different in combing speed expressed as seconds per nit. Multiple regression and covariance analyses suggested that the greater speed of the Py-PB comb might have been masked by this baseline difference. Three patients had mild adverse experiences (Py-PB: erythema, PM: erythema and tingling sensation). No patients were removed from the study because of adverse events. In conclusion, this controlled clinical study demonstrated that both Py-PB and PM provided 100% efficacy following a single application. Differences attributable to comb design favored the Py-PB "rake" comb, but this requires additional evaluation and confirmation.

Child↗

Pediculosis prevention and control strategies of community health and school nurses: a descriptive study.

Pediculus humanus capitis (pediculosis capitis) affects several million school children in the United States every year and is more prevalent among children than all other childhood communicable diseases combined. Traditional treatment of pediculosis involves the direct application of pesticides to the scalp of infested individuals. Yet, a single-treatment, 100% ovicidal pediculicide has not been developed. Head lice can be easily detected by an educated screener. The National Pediculosis Association (NPA) recommends regular screenings to control lice outbreaks in school settings. Screening is utilized as a prevention strategy to facilitate early detection and minimize exposure to potentially toxic chemicals. Nurses working with children in the country's schools are in key positions to develop, initiate, and incorporate prevention and control strategies into their child healthcare agenda. An NPA national survey identified specific lice management strategies used by community health nurses (CHNs) and school nurses working in school systems. The purpose of this article is to report the prevention and control strategies used by the nurses. Results of this national survey indicated significant variation in management strategies. A national standardized approach toward prevention and control is not being utilized.

Child↗

Head louse infestations in Gaza governorates.

In total, 2,408 primary school girls (6-14 yr old) in two districts within the Gaza Governorate were examined for the presence of head lice, Pediculus humanus capitis De Geer. The localities chosen for the study were the Old Gaza city and the rural village Jabalia. The rate of infestation with lice was 14.1%, and an additional 35% of girls had nits (eggs) only. The prevalence of louse infestation was high among the 6-12-yr-old girls. A sharp decline in infestation was observed after 12 yr of age. No lice were found on the 13 to 14-yr-old girls examined. Approximately 67.1% of infested girls had one to 10 lice and 49.8% had one to 10 nits on their hair. Significant difference in louse and nit only infestations was found between girls with short and long hair.

Adolescent↗

Wash resistance and bioefficacy of Olyset net--a long-lasting insecticide-treated mosquito net against malaria vectors and nontarget household pests.

During recent years, long-lasting insecticide-treated nets (LLINs) have been developed to overcome the problems of low retreatment rates, washing, and erratic dose of the insecticide resulting in the dilution of efficacy of the conventional insecticide-treated mosquito nets. These nets are treated at factory level with insecticide either incorporated into or coated around fibers. Olyset net, a polyethylene net with 2% permethrin incorporated within fibers, is one type of LLIN. Therefore, these nets were evaluated for their wash resistance and bioefficacy against malaria vectors Anopheles culicifacies Giles and Anopheles fluviatilis James (Diptera: Culicidae) and other nontarget species. Cone bioassay tests produced 100% mortality in these two vector species with 3-min exposure. Results of the bioassays on washed nets showed 100% mortality in An. fluviatilis even after 20 washings, whereas in An. culicifacies 100% mortality up to 11 washings and 80% mortality up to 20 washings were observed. Cone bioassay tests also were performed on nontarget mosquito species Culex quinquefasciatus Say; house fly, Musca domestica L.; American cockroach, Periplaneta americana (L.); head louse, Pediculus humanus capitis De Geer; and bed bug, Cimex lectularius L. with 30-min exposure. Except for bed bugs, 100% mortality was observed in these nontarget species after 24-h recovery period. In bed bugs, only 25% mortality was observed. The density of An. culicifacies and An. fluviatilis was significantly reduced in houses with Olyset nets compared with those with untreated nets or no nets. Thus, it may be concluded that Olyset nets are highly effective against malaria vectors and moderately against other nontarget household insects.

Animals↗

[Head Louse Infestation Among The Students In Yongyang-Gun, Kyongsangbuk-To]

The purpose of this study is to know the present situation of head louse infestation among the students in Yongyang-gun, Kyongsangbuk-to From May 11 to June 20, 1984, a total of 5,937 students in 23 primary and 3 middle schools were examined to identify the adult worms of head louse and/or their nits on the hair. The results are as follows: 1. The overall infestation rate was 44.5 percent and the rates ranged from 19.6 percent to 88.6 percent by each school. 2. In primary schools, the rate was 53.0 percent and in middle schools, 27.1 percent. 3. The school boys' rate was 33.2 percent and the school girls' 55.6 percent, and the difference was statistically significant (p<0.001). 4. The rates were different by grades in middle schools. 5. The rates were different by areas (Myons) (p<0.001). 6. The adult worms collected from the students were Pediculus humanus var. capitis.

Journal Article↗

[The prevalence of head louse infestation among urban and rural children in Korea].

The prevalence of head louse (Pediculus hamanus var. capitis) infestation in preschool and school children in 9 urban and 8 rural areas of Korea, was investigated. Of 11,865 children who were examined for head lice and nits, 2,900(24.4%) were found infested. The over-all infestation rate of rural children, 58.9%, was higher than that of urban children, 14.4%. There also existed significant differences in the infestation rate among various regions of urban as well as rural areas. Females were more infested than males. But there was no differences in infestation rate in either sex of preschool age. The infestation rate increased gradually from the age of 6, reached a plateau between 9-12 years of age and thereafter slowly decreased. The infestation rate of an orphanage children was higher than that of general childhood population. Health education and mass-delousing attempt are urgently required to lower such a high prevalence of head louse infestation in Korea.

Adolescent↗

Prevalence of head louse infestation in primary school children in Kangwon-do, Korea.

We tried to reveal the prevalence rates of the head louse infestation in school children in Kangwon-do, Korea in December 1990. A total of 912 children in four primary schools was examined. The positive rate for adults and/or nits of Pediculus humanus capitis was 37.2%. One school was followed-up without specific intervention. There was no significant change of the prevalence rate 6 months after the first examination from 66.0% to 57.3%. We could see the persistent infestation rate if there was no intervention. We are emphasizing the significance of worm positive rate because it represents the potentiality of active transmission.

Age Factors↗

[Epidemic typhus in Africa].

Epidemic typhus is caused by a small strictly intracellular virus named Rickettsia prowazekii, a member of the Rickettsial family. It is transmitted to man by the body louse, Pediculus humanus. Although now rare in Western countries, exanthematic typhus remains common in the Southern hemisphere due to poverty, inadequate clothing hygiene, and poor socioeconomic conditions. In Africa, outbreaks have historically occurred in Burundi, Rwanda, southwest Ouganda, and Ethiopia. The largest outbreak of epidemic typhus since the World War II was reported in Burundi where ongoing civil war since October 1993 has forced 10 p. 100 of the population of Burundi to live in cold, promiscuity, and malnutrition of makeshift refugee camps. The purpose of this report based on our two-year experience working with this unfortunate population is to describe the characteristics of this disease in Africa where the epidemic form had become rare until recently. Indeed political unrest as well as numerous civil wars are now epidmiological factors favorizing outbreaks of epidemic typhus at any time. This overview also provides an opportunity to recall epidemiological, bacteriological, and clinical aspects of typhus as well as diagnosis and treatment of the disease in the context of Africa.

Africa↗

[The state of in vitro breeding of lice and fleas]

Laboratory breeding of lice, fleas and other bloodsucking arthropods is necessary for developing and testing the efficacy of new drugs and alternative arthropod control methods. They are necessary to investigate their role as vectors of pathogens and to develop methods for diagnosis and therapy of arthropod caused or transmitted diseases. To date, it is not possible to replace rabbits as natural blood sources for breeding lice colonies (Pediculus spp.). But on the base of the knowledge about lice feeding and about in vitro-breeding of other arthropods it would be possible to develop an in vitro-feeding method for lice. For about three years an equipment is available in the USA for in vitro-breeding of cat fleas (Ctenocephalides felis). Using this so called "Artificial dog" it would be possible to replace numerous of cats used as hosts of laboratory flea colonies in pharmaceutical companies and other research laboratories

Journal Article↗

[Sexual abuse in children: prevention of sexually transmitted diseases].

When a child suffers from sexual abuse clinical guidelines must be established. There is a risk of infection from the following agents responsible for sexually transmitted diseases: the hepatitis B, hepatitis C and human immunodeficiency viruses, Neisseria gonorrhoeae, Chlamydia trachomatis, syphilis, herpes simplex virus, bacterial vaginosis, papillomavirus, Trichomonas vaginalis and Pediculus pubis. Therefore, a follow-up with periodic serological monitoring for 1year and immunoprophylaxis or chemoprophylaxis for some of these diseases should be started. Postpuberal girls should receive emergency contraception.

Child↗

[Henry Foley and the discovery in 1908 of the role played by the louse in the transmission of relapsing fever].

The author recalls the very fine clinical, epidemiological and experimental work undertaken since 1907 at Beni Ounif de Figuig, south of Oran near the algerian-moroccan border which led Henry Foley and Edmond Sergent to suspect and later demonstrate the exclusive role played by the louse (Pediculus corporis or more precisely P. vestimenti) in the transmission of relapsing fever of which they studied an important epidemic occurring there between 1907-1910. This discovery led them to incriminate also the louse in the transmission of exanthematic typhus of which the epidemiology is practically similar. On the occasion of a tunisian epidemic of relapsing fever Charles Nicolle resumed Sergent's and Foley's work which he contested without any justification. Trying to attribute to himself all the merit of the discovery of the role of the louse in the transmission of relapsing fever, Charles Nicolle quotes Sergent's and Foley's works contesting them with a certain bad faith. In 1912 he mentions only Sergent's and Foley's 1910 works (posterior of only one year to his confirmation of the role of the louse in the transmission of exanthematic typhus) and ignores totally their 1908 preliminary paper. One must therefore give full credit to Henry Foley associated with Edmond Sergent for this essential discovery of the role of the louse in human pathology in which they occupy the first place.

Animals↗