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[Synthetic pyrethroid insecticides and development of resistance to them].

After the structures of pyrethrins, the insecticidal components of pyrethrum flowers, were determined, syntheses of derivatives of them were undertaken, and first generation synthetic pyrethroids, such as allethrin, resmethrin and phenothrin, were produced. Due to lack of photostability in these compounds, their use was limited to the control of sanitary or household pests. The syntheses of second generation synthetic pyrethroids, i.e., permethrin and fenvalerate, overcame a lack of photostability. These are now widely employed in the areas of agriculture and public health. Development of resistance in insect pests is the only difficulty to the future success of ideal insecticides, or synthetic pyrethroides. In this review, information regarding the development of pyrethroid resistance is summerized, and also the importance of nerve insensitivity to the chemicals, as a mechanism of resistance in insects pests, is pointed out.

Animals↗

[Protection of travellers against biting arthropod vectors].

Several diseases are transmitted by hematophageous insect/arthropod and, except for yellow fever and Japanese B encephalitis, there are still no vaccines. Personal protection therefore remains the choice method for disease prevention and can usefully complete chemoprophylaxis if available (such as for malaria). Personal protection can be ensured by three main methods: avoiding risky areas; using repellents on skin and/or garments; using pyrethroids insecticide on garments (permethrin), mosquito nets (several Pyr. available) and any other materials (curtains etc.) including camping tents, plasting "UN sheeting" used in refugees camps etc. Repellent gave some protection for few hours (# 6 hours) and new formulations have been developed to extend their duration. Great care must be taken when using DEET which is not recommended for children and pregnant women. Coils and mats can be used but care must also be taken when using some coils available on local market and which can often be irritating and useless. Mosquito nets impregnated with an insecticide remains the choice method of protection against night-biting insects such as anopheles and is a good way of preventing malaria. Insecticide must be used according to safety measures clearly indicated (or which must be clearly indicated) by companies. All these measures are efficient and must be selected according to local conditions and human behaviour. Travelling is not "risky" but 3 points must be kept in mind: accurate advice must be sought before travelling; this advice must be followed while persuing a "normal life"; a physician must be consulted in case of any trouble during and after the trip.

Animals↗

Cyfluthrin (EW 050)-impregnated bednets in a malaria control program in Ghassreghand (Baluchistan, Iran).

In a study carried out in the Ghassreghand Division (Baluchistan, Iran) from March through November 1995, efficacy of cyfluthrin-impregnated bednets was compared to that of untreated nets, in relation to malaria control. Ten villages with a total population of 4,572 and 3 villages with a total population of 1,935 were used as treatment and control, respectively. The collection, impregnation (target dosage of 40 mg active ingredient [AI]/m2), and redistribution of the nets (9% nylon, 52% light cotton, 30% medium cotton, and 9% heavy cotton), carried out in mid-April, were done by local health workers, supervised by the senior research staff. Anopheles culicifacies was considered to be the main vector of malaria in the named area. This species is mainly zoophilic, endophilic, and exophagic. The initial uptake of the insecticide was lower than the target dosage, with high variation (nylon, 12.5 +/- 5.4 mg AI/m2; light cotton, 33.3 +/- 26.1 mg AI/m2; medium cotton, 25.9 +/- 20 mg AI/m2; heavy cotton, 17.6 +/- 12.5 mg AI/m2). The use of impregnated mosquito nets (used primarily outside) had no significant effect on the incidence of malaria. No difference was detected in the parasite density of patients with positive slides. No significant effect was observed in the parous rate, human blood index, and sporozoite rate of anopheline vectors. Only the indoor resting densities of An. culicifacies and other malaria vectors were drastically reduced after the introduction of the cyfluthrin-impregnated nets into the treatment villages. The residual activity of cyfluthrin was lower than expected. The mortality of anophelines brought in contact with the treated nets for 3 min in bioassays dropped to less than 55% in 3 months. The loss of chemical activity was greatest for the light cotton nets, followed by the medium cotton nets. Cyfluthrin-treated nets were mildly irritating to host-seeking female anophelines in the laboratory. The protective rate of impregnation (all fabric kinds included) in preventing female mosquitoes from biting through the impregnated nets was initially 5-6 times that of the nonimpregnated nets. The study did not detect any significant difference between the use of untreated versus impregnated bednets in the Ghassreghand area. In planning future medium-scale trials, comparison of new compounds and formulations to the more widely used pyrethroids such as permethrin and deltamethrin is highly recommended.

Animals↗

Organophosphate and pyrethroid susceptibilities of Culex salinarius adults from Texas and New Jersey.

Susceptibilities of adults from newly established colonies of Culex salinarius from New Jersey and Texas to commonly used mosquito adulticides were assessed using the insecticide-coated vial bioassay technique. Females from both colonies were similar in their susceptibilities to naled, chlorpyrifos, resmethrin, and permethrin. However, females from the New Jersey colony (established from collections made in Cape May County, NJ) were found to be 9 times more tolerant to malathion than were those from the Texas colony (established from collections made in Chambers County, TX), with median lethal concentration values for malathion tested against these 2 colonies of 0.70 and 0.08 microgram malathion/vial, respectively. The differences between these 2 colonies with respect to their tolerances to malathion may be a product of the age of each colony at the time assessments were made and/or the degree to which the parent stock used to start each colony was previously exposed to malathion in the field.

Animals↗

Status of pyrethroid resistance in Anopheles gambiae sensu lato.

The present study confirms the presence of pyrethroid resistance among Anopheles gambiae s.l mosquitos in Côte d'Ivoire and reports the observation of such resistance in two other countries in West Africa (Benin and Burkina Faso). Malaria vector populations from Cameroon (Central Africa), Senegal (West Africa) and Botswana (southern Africa) were found to be susceptible to pyrethroids. In the most resistant mosquito populations, resistance to permethrin was associated with reduced mortality, not only with respect to this compound but also towards deltamethrin. Moreover, a significant increase in knockdown time was observed in some mosquito populations before any decrease in mortality, suggesting that knockdown time could be a good indicator for the early detection of pyrethroid resistance. In view of the current extension of such resistance, there is an urgent need to set up a network in Africa to evaluate its development. It is also vital that the impact of this resistance on pyrethroid-impregnated bednets be assessed.

Africa↗

Prevalence and treatment of Pediculus capitis infestation among aboriginal school children in northern Taiwan.

In the present study, pediculosis was investigated among a total of 2,725 children from 35 primary schools in Hsiulin District of Hualien County, Jenai District of Nantou County, Wulai District of Taipei County, Chienshih District of Hsinchu County, Fushing District of Taoyuan County, and Nanao District of Ilan County. The overall infestation rate was 12.8%. The rates by districts were 19.7%, 17.3%, 16.7%, 15.1%, 7.9%, and 3.0%, respectively. The pediculicides including Nix (permethrin 1%) 56 gm/tube, Para aerosol (bioallethrin 0.66%) 90 gm/tube, and Perioderm (malathion 1%) cream shampoo 40 gm/tube were used to treat the head louse infestation in 83, 91, and 103 children; the cure rates were 97.3%, 94.1%, and 93.4%, respectively. No significant differences were found in these rates. The reactions were slight and transitory. A total of 636 lice was collected from the hair using fine-toothed combs before treatment and from the used towels after treatment of children in Wulai, Chienshih, Hsiulin, and Jenai Districts. Each child was found infested with a mean of 7.7 lice. The mean intensity of infestation was highest in Jenai (9.3) and Chienshih (8.7) came next. Wulai (3.7) and Hsiulin (3.6) had lower intensities.

Animals↗

Pyrethroid cross resistance spectrum among populations of Anopheles gambiae s.s. from Côte d'Ivoire.

Field samples of Anopheles gambiae s.s. from Côte d'Ivoire were tested with 5 pyrethroids (cyfluthrin, lambda-cyhalothrin, alpha-cypermethrin, deltamethrin, permethrin), 1 pseudo-pyrethroid (etofenprox), and an organochlorine (DDT). With the use of World Health Organization diagnostic tests, 5 out of 6 samples were found cross-resistant to these insecticides. A strong decrease in knockdown effect and mortality was also observed when testing deltamethrin-impregnated nettings. With a polymerase chain reaction amplification of specific alleles diagnostic test, resistance was found associated with the presence of a kdr mutation. The strong correlation between kdr allelic frequency and resistance to DDT or etofenprox indicated that kdr was the main resistance factor for these 2 insecticides. On the contrary, a lower correlation was observed between kdr frequency and resistance to 4 of the 5 pyrethroids tested, suggesting that another mechanism was also involved, likely a metabolic detoxification. These results point out the necessity to monitor pyrethroid resistance and the presence of kdr before implementation of any impregnated bed-net programs for malaria control.

Alleles↗

[Resistance in a strain of Culex quinquefasciatus coming from Medellín, Colombia].

The levels of susceptibility and/or resistance to 5 organophosphate insecticides (malathion, methyl-pyrimifos, clorpirifos, temephos and fenthion), 4 pyrethroids (cypermethrin, deltamethrin, permethrin and lambda-cyhalothrin), and a carbamate (propoxur) were determined in order to know the state of resistance in a strain of Culex quinquefasciatus from a locality of the city of Medellín, Colombia. Resistance to all organophosphate insecticides, though with relatively lower values for methyloirimifos and fenthion, was observed. No resistance to lambda-cyhalothrin and cypermethrin or to propoxur was found. These insecticides may be useful for the control of mosquitoes in Colombia. It was demonstrated by using the piperonil butoxide synergist that the oxidases of multiple function played an important role in the resistance to organophosphate insecticides and pyrethroids. The utilization of S.S.S. tributyl phosphotritiate revealed that the superproduction of unspecific esterases was a mechanism of resistance to organophosphate insecticides, except methyl-pirimifos and for perythroids, except lambda-cyhalothrin. This result should be taken into consideration for the strategies to be used to control Culex quinquefasciatus in Colombia. These two mechanism of resistance are not responsible for the resistance to propoxur. The electrophoretic analysis showed the presence of esterases B1, A6 and B6, which seem to have an important function in resistance.

Animals↗

Drug treatment of common STDs: Part II. Vaginal infections, pelvic inflammatory disease and genital warts.

The Centers for Disease Control and Prevention (CDC) released new guidelines for the treatment of sexually transmitted diseases (STDs) in 1998. Several treatment advances have been made since the previous guidelines were published. Part II of this two-part series on STDs describes recommendations for the treatment of diseases characterized by vaginal discharge, pelvic inflammatory disease, epididymitis, human papillomavirus infection, proctitis, proctocolitis, enteritis and ectoparasitic diseases. Single-dose therapies are recommended for the treatment of several of these diseases. A single 1-g dose of oral azithromycin is as effective as a seven-day course of oral doxycycline, 100 mg twice a day, for the treatment of chlamydial infection. Erythromycin and ofloxacin are alternative agents. Four single-dose therapies are now recommended for the management of uncomplicated gonococcal infections, including 400 mg of cefixime, 500 mg of ciprofloxacin, 125 mg of ceftriaxone or 400 mg of ofloxacin. Advances in the treatment of bacterial vaginosis also have been made. A seven-day course of oral metronidazole is still recommended for the treatment of bacterial vaginosis in pregnant women, but intravaginal clindamycin cream and metronidazole gel are now recommended in nonpregnant women. Single-dose therapy with 150 mg of oral fluconazole is a recommended treatment for vulvovaginal candidiasis. Two new topical treatments, podofilox and imiquimod, are available for patient self-administration to treat human papillomavirus infection. Permethrin cream is now the preferred agent for the treatment of pediculosis pubis and scabies.

Anti-Infective Agents↗

Different response to Plasmodium falciparum in west African sympatric ethnic groups: possible implications for malaria control strategies.

The comparison of malaria indicators among populations with different genetic backgrounds and uniformly exposed to the same parasite strains, is one of the approaches to the study of human heterogeneities in the response to the infection. The results of our comparative studies conducted in Burkina Faso, West Africa, showed consistent interethnic differences in Plasmodium falciparum infection rates, malaria morbidity, prevalence and levels of antibodies to various P. falciparum antigens, and genetic background. The differences in the immune response were not explained by the entomological observations which indicated substantially uniform exposure to infective bites. The presence in the same epidemiological context of individuals characterized by different immune reactivity to malaria represents an ideal opportunity to study the possible relationships between the baseline level of anti-malaria immunity of a population and the protective efficacy of control measures based on the reduction of transmission. In spite of similar reduction of entomological inoculation rates obtained by permethrin-impregnated curtains, ethnic- and age-dependent efficacy was observed. These studies demonstrate the existence of marked interethnic differences in the susceptibility to P. falciparum malaria, probably involving the genetic regulation of humoral immune responses. These differences should be considered in the development of anti-malaria vaccines and in the evaluation and application of malaria control strategies.

Africa, Western↗

Botanical biocides. 4. Mosquitocidal activity of certain Thymus capitatus constituents.

Successive extraction of Thyme plant, Thymus capitatus (L.) Hoffm. and Link (Lamiaceae), by different solvents of increasing polarity, showed that potency was highly attributed to the non-polar fraction (e.g., petroleum ether) when tests were carried out against the larvae and adults of Culex pipiens (L). Of special concern to the mosquitocidal activity, the following fractions and isolates were recognized: the volatile oil, unsaponifiable portion, and certain compounds isolated from the unsaponifiable portion (e.g., Thymol, alpha-Amyrin, Carvacrol + beta-Caryophyllene). The volatile oil, Thymol, and the unsaponifiable portion proved high larvicidal potency against the tested insect (LC50 = 49.0, 58.0, and 100.0 ppm, respectively). Non-lethal concentrations of these substances synergized the toxicity of Malathion, while induced additive or antagonistic effects when mixed with Permethrin or Pirimiphos-methyl. The unsaponifiable portion and volatile oil showed the highest adulticidal potency (LC50 = 0.0070 and 0.0076 mg/cm2, respectively). The efficacy of the tested candidates as repellent agents was found in the following order: unsaponifiable portion > alpha-Amyrin > Thymol > volatile oil > Carvacrol + beta-Caryophyllene. Thymol as well as volatile oil affected egg hatchability, causing Sterility Indices accounting for 0.70 and 0.74, respectively, while the unsaponifiable portion showed lower degree of sterility (0.81). The results obtained in this study may shed light on the importance of T. capitatus as a probable source of some biologically active agents for mosquito control in the future.

Animals↗

Insecticide susceptibility status of Culex tritaeniorhynchus giles, vector of Japanese encephalitis in Delhi.

Laboratory studies were carried out to ascertain the current susceptibility status of adult and larval stages of the Culex tritaeniorhynchus mosquito, vector of Japanese encephalitis, to various insecticides used under public health programs in India. The present study revealed that exposure of adult mosquitoes to diagnostic concentrations of DDT - 4.0%, malathion - 5.0%, fenitrothion - 1.0%, and propoxur - 0.1% could induce only 50.0, 10. 0, 15.0, and 5.0% mortality, respectively, indicating that the species was resistant to all of these insecticides. The LT50 and LT95 values calculated using diagnostic concentrations of DDT, malathion, fenitrothion, and propoxur were found to be 56.4 and 136, 138 and 272, 185 and 258, and 187 and 249 min, respectively. However, when adult mosquitoes were exposed to the diagnostic concentration of synthetic pyrethroids, viz., deltamethrin - 0.025%, permethrin - 0.25%, and lambdacyhalothrin - 0.1%, 100.0% mortality was observed, indicating that the species was highly susceptible to these adulticides. Larval susceptibility tests carried out using diagnostic dosages of DDT- 0.008, temephos- 0.02, fenthion- 0.008, fenitrothion- 0.125, and malathion- 0.005 mg/l failed to induce any mortality, indicating that larvae were resistant to these larvicides. The LC50 and LC90 values calculated for commonly used larvicides, viz., temephos and fenthion, were 0.1511 and 1.9098, and 0.6151 and 2.395 mg/l, respectively. Increase in tolerance level were estimated at 95.5- and 299.4-fold when these LC90 values were compared with diagnostic dosages of temephos and fenthion, respectively.

Animals↗

A consideration of age-dependent differences in susceptibility to organophosphorus and pyrethroid insecticides.

Evidence that neonates are more sensitive than adults to organophosphorus (OP) and pyrethroid insecticides is largely based on studies that compare toxicity at acute lethal doses. Under such circumstances, the greater susceptibility of the neonate appears to be due to limited metabolic capacity rather than an inherent difference in the sensitivity of target sites. For purposes of risk assessment with food-use pesticides, the more relevant issue is whether the neonate is more sensitive than the adult to lower levels of exposure, approximating levels used to establish acceptable residue limits (tolerances) on various food products. If infants and children are not more sensitive to environmentally-relevant levels of exposure, then the existing tolerances for dietary exposure will provide adequate protection. If, on the other hand, they may be more sensitive, then additional studies with young animals or an additional uncertainty factor may be needed for added protection. This paper examines two sets of studies that address this issue. The first involves multi-generation reproduction studies with rats that were treated with OP insecticides (coumaphos, fenamiphos, tribufos, trichlorfon, or oxydemeton-methyl) through the diet and examined for effects, including cholinesterase (ChE) inhibition. The second involves rats that were treated by gavage with an acute dose of a pyrethroid (cismethrin, permethrin, deltamethrin or cypermethrin) to establish relative sensitivity to either a lethal dose or to a low, behaviorally-active dose. The results with the OP insecticides support ChE inhibition as the most sensitive measure of exposure and the critical effect (i.e., the lowest NOEL) for each study was based on ChE inhibition in the adult. The magnitude of ChE inhibition in pups (measured on postnatal day (PND) 4 and 21) was consistently less than for adults at a given dietary level. For the representative Type I pyrethroids, there was no evidence that pups are more sensitive than adults at any dose level. For both Type II pyrethroids, young rats were considerably more sensitive than adults to a lethal dose but not to lower doses. Levels of deltamethrin in whole-brain tissue support kinetics as the basis for the greater sensitivity of young rats to a lethal dose, with the immature systems involved with detoxification being overwhelmed at such high dose levels. These findings indicate that young animals are not more sensitive than adults to lower doses of OP or pyrethroid insecticides. This outcome supports the conclusion that infants and children are protected by existing tolerances, without the need for an additional uncertainty factor.

Acoustic Stimulation↗

[Cheyletiella dermatitis: an uncommon cause of vesiculobullous eruption].

BACKGROUND: Species of Cheyletiella mites are parasites hosted by dogs, cats and rabbits. In humans, they cause a dermatosis not well known by dermatologists. We report a case of an unusual, purely vesiculobullous eruption due to Cheyletiella blakei acquired from an infected cat. CASE REPORT: A 76-year-old woman presented a very pruritic eruption of vesicles and bullous lesions located on the trunk and external areas of the arms. Biopsy showed dermoepidermal cleavage and polynuclear infiltrate with prominent eosinophils, consistent with the diagnosis of bullous pemphigoid. We suspected a Cheyletiella dermatitis due to the aspect and distribution of the elementary lesions and the fact that prior to the eruption the patient had acquired a cat that sometimes slept in her bed. The diagnosis was confirmed by a veterinary examination and isolation of Cheyletiella blakei from the cat's skin. The cat was treated successfully with ivermectin, while the household was disinfected with permethrin. A treatment with benzyl benzoate (Ascabiol) resolved all the patient's symptoms. DISCUSSION: This case is particularly interesting due to the purely vesiculobullous pattern of the rash and by the difficulty and considerable delay of diagnosis. Patients who have recently acquired a cat or dog before developing a pruritic dermatosis may indeed have cheyletiellosis.

Aged↗

Comparative efficacy of treatments for pediculosis capitis infestations: update 2000.

OBJECTIVE: To evaluate the pediculicidal and ovicidal activity of 5 head lice products. DESIGN: In vitro pediculicidal and ovicidal product comparison. SETTING: Tropical field station in Panama. PARTICIPANTS: Head lice and eggs were harvested from healthy children infested with Pediculus capitis. INTERVENTION: Within 2 hours of capture, lice were placed in continuous, direct contact with the pediculicide products and observed at regular intervals. Fresh, viable eggs were immersed in the pediculicides for 10 minutes, rinsed, air-dried, and incubated for 2 weeks. MAIN OUTCOME MEASURES: Percentage of lice dead at regular observation intervals between 5 minutes and 3 hours of continuous exposure to the pediculicide and percentage of eggs not hatched after 2 weeks. RESULTS: All lice treated with Ovide lotion (0.5% malathion) were dead within 10 minutes and none of the eggs hatched. There was no significant change in the effectiveness of 0.5% malathion lotion or A-200 shampoo compared with the results of an earlier study (1986). There were significant declines in the pediculicidal activity of RID and the ovicidal activity of lindane. Nix (1% permethrin), which was not on the market at the time of the original study, killed lice in less than 30 minutes, and ovicidal activity ranged from 73% to 90% (diluted and undiluted, respectively). CONCLUSIONS: Ovide lotion (0.5% malathion) was the fastest-killing pediculicide and the most effective ovicide. One percent lindane shampoo was the slowest-acting pediculicide and least effective ovicide. Nix was highly effective in both undiluted and diluted forms.

Animals↗

Indoor thermal fogging application of pesguard FG 161, a mixture of d-tetramethrin and cyphenothrin, using portable sprayer against vector mosquitoes in the tropical environment.

Indoor bioefficacy of the thermal fogging application of Pesguard FG 161, a formulation containing both knockdown and killing agents (active ingredient [AI]: d-tetramethrin 4% [w/w] and cyphenothrin 12% [w/w]) was compared with Resigen5 (AI: s-bioallethrin 0.8% [w/w], permethrin 125/75] 18.7% [w/w], and piperonyl butoxide 16.8% [w/w]), another pyrethroid formulation, as larvicides and adulticides against Aedes aegypti, Aedes albopictus, Anopheles sinensis, and Culex quinquefasciatus using a portable Agrofog AF35 sprayer indoors in houses on Penang Island, Malaysia. Pesguard FG 161 at the concentrations tested was effective against all 4 mosquito species tested. The water-based Pesguard FG 161 performed far better as a larvicide than the diesel-based formulation. Resigen was also effective as a larvicide and adulticide against all 4 mosquito species tested. Larvae of Ae. aegypti were most susceptible to water-based Pesguard FG 161, followed by Cx. quinquefasciatus, An. sinensis, and Ae. albopictus. Even at the lowest concentrations tested, Pesguard FG 161 showed adequate adulticidal properties. At higher dosages, water-based Pesguard FG 161 proved effective as a larvicide against all 4 mosquito species.

Aedes↗

Evaluation of certain veterinary drug residues in food.

This report presents the conclusions of a Joint FAO/WHO Expert Committee convened to evaluate the safety of residues of certain veterinary drugs in food and to recommend maximum levels for such residues in food. The first part of the report considers the interpretation of data on inhibition of cholinesterase activity and recommendations arising from an informal meeting on harmonization with the Joint FAO/WHO Meeting on Pesticide Residues. A summary follows of the Committee's evaluations of toxicological and residue data on a variety of veterinary drugs: one anthelminthic agent (ivermectin); four antimicrobial agents (flumequine, lincomycin, oxytetracycline and tilmicosin); six insecticides (cyhalothrin, cypermethrin, alpha-cypermethrin, dicyclanil, permethrin and metrifonate (trichlorfon)); and one production aid (melengestrol acetate). Annexed to the report are a summary of the Committee's recommendations on these drugs, including Acceptable Daily Intakes and Maximum Residue Limits and further information required.

Animals↗

A case of pubic lice resistant to pyrethrins.

BACKGROUND: Effective therapeutic protocols for the treatment of pubic lice include application of approved insecticidal products to all body and scalp hair, retreatment at seven days, and use of mechanical removal of lice and eggs. OBJECTIVE: We report here infection with pubic lice in a 43 year old male in Australia which failed to be eradicated by adequate therapy with a pyrethrin and piperonyl butoxide product. DISCUSSION: Pubic lice collected from the case survived after exposure to the same product in vitro. The infestation was cured by use of 5% permethrin. This appears to be the first report of Pthirus pubis resistant to insecticides, in this case pyrethrins and their synergist, piperonyl butoxide.

Adult↗