Risk Of Bites Research Articles

Participatory Design of Urban Green Spaces to Improve Residents’ Health

Urban green space (UGS) has important impacts on human health, but an integrated participatory approach to UGS design for improved residents’ health has been lacking to date. The aim of our study was to develop and evaluate such a novel approach to address this gap. The approach was developed following guiding principles from the literature and tested with groups of children and elderly as participants in two neighborhoods of Maastricht (The Netherlands) with a low score in economic and health indicators. The novel aspects of the approach are the inclusion of both positive and negative health effects, the combination of resident self-assessment and model-based assessment of the health effects of UGS designs, and the use of maps to visualize UGS designs and health effects. The participant-generated UGS designs resulted in a considerable (up to fourfold) self-assessed increase in the use of the UGSs for meeting, stress reduction, and leisure-based physical activity as compared to the current situation. The model-assessed positive and negative health effects of the participant-generated UGS designs were limited: heat stress slightly decreased (by 0.1 °C), active transport slightly increased (by 30 m per day), and the perceived unsafety slightly increased (8%). The effects on unattractive views, air pollution, tick bite risk, and traffic unsafety were negligible. The major strength of this approach is that it combines active participation of residents in UGS (re)design with assessment of the health effects of these UGS designs. While in other participatory approaches to UGS design, it often remains unclear whether the resulting designs represent an improvement in terms of health, our combination of computer model-based assessment and a participatory process produced clear outcomes regarding the health benefits and use of UGS designs. A major recommendation for improvement is to involve decision makers already in the initial steps of the approach.

Evaluation of a scheme to identify risks for tail biting in pigs.

The study aimed to assess the effectiveness of a tail-biting risk assessment scheme. The scheme consisted of trained private veterinary practitioners (assessors) applying a risk assessment tool on commercial pig farms to six pens per farm. The assessment tool included animal and non-animal-based observations which were used to determine the perceived risk of tail biting for each pen. For this study 27 farms were assessed, and a subsequent batch of pigs from each farm underwent post-mortem tail lesion scoring at the abattoir. The assessments revealed that a high percentage of pens had fully slatted flooring (92%) and mixed-sex populations (84%), with a significant proportion of pens containing pigs which were all tail docked (92%). Most pens (86%) did not allow all pigs simultaneous access to feeders. Enrichment was present in 88% of the pens, but most (46%) were supplied with only one item, and only 15% offering multiple enrichment types. The study found no significant associations between the risk of tail biting and visible injuries, dirty flanks, or tucked tails, as assessed by the assessors (P > 0.05). Similarly, the risk of tail biting reported per pen was not associated with aggressive, damaging, or exploratory behaviours (P > 0.05). At the abattoir, 96% of pigs' tails exhibited minor skin damage, with only 4% showing moderate to severe damage. Furthermore, no links were found between the scores obtained during slaughter and the risk of tail biting, as reported by the assessors (P < 0.05). Although the tool was useful in identifying several improvements that could be made at farm level in areas such as stocking density, enrichment provision and reducing tail docking, overall the results underscored the need for improved training of assessors, and the challenge of associating management practices and animal based measures with tail-biting risk.

An Integrated Approach to an Emerging Problem: Implementing a Whole Year of Camera Trap Survey in Evaluating the Impact of Wildlife on Tick Abundance

Tick‐borne zoonoses are an emerging health issue. The expansion of ticks is mainly driven by climatic changes but also by new approaches to the management of the natural environment, increasing the abundance of vertebrate host species and thus the potential exposure to tick bites for both humans and companion animals. In this context, a holistic approach to studying ticks’ ecology is required. In the present work, we shed light on the link between environmental tick abundance (global and specific of Ixodes ricinus nymphs, as the highest zoonotic threat) and the temporal occupancy of wildlife host species retrieved from camera traps (namely, wild ruminants, mesocarnivores and wild boar). We modelled this relationship by integrating abiotic factors relevant to tick survival, such as the vegetation cover and saturation deficit, and estimated the accuracy of prediction. To collect these data, we deployed camera traps in a peri‐urban Natural Park in Northwest Italy to monitor wildlife for 1 whole year while collecting ticks in front of camera traps by dragging transects every 2 weeks. Overall, wildlife temporal occupancy showed an additive impact on tick abundance for species that are preferential hosts (deer and mesocarnivores) and a detractive impact for wild boar, which also presented a lower tick burden, particularly with regard to the tick species collected in the environment (mainly I. ricinus and Haemaphysalis punctata). Accuracy of prediction was higher for I. ricinus nymphs rather than the global model. Temporal fluctuations in the tick population were also highlighted. Wildlife temporal occupancy was not constant and varied between seasons according to feeding habits. In conclusion, we highlighted the utility of camera trap data to investigate tick ecology and acarological risk. This information is crucial in informing monitoring and prevention strategies to decrease the risk of tick bites in humans and thus zoonotic risk of tick‐borne diseases.

Management of Snake Bites in the Agricultural Sector

Snake bites are the one that causes high rates of morbidity and mortality among workers in the agricultural sector. Snake bites can be a medical emergency that can endanger human life, and snake venom can damage local tissues, resulting in permanent disability and amputation. This study aims to identify farmers' knowledge related to snakebite management. A literature review searched three databases, Google Scholar, ScienceDirect, and PubMed, for all study designs between 2019 and 2023. The researcher found ten studies that met the inclusion criteria in the review. The high risk of snake bites for farmers makes it essential for farmers to know the most critical things in snakebite management. When bitten by a snake, the most important thing to do is first aid treatment in a threatening situation. Some factors that can affect the management of snake bites on farmers are the characteristics of farmers who are usually male with a low educational background and level of knowledge. In addition, low experience will affect the ability to handle first aid. Nurses can be present as extension workers to increase farmers' knowledge about first aid for snake bites to farmers.

The trouble with a cuddle: Families’ experiences of supervising interactions between children in middle childhood and the family dog

Abstract Background: There is growing scientific interest in the benefits for children of interacting with and engaging with domestic dogs. Since the effects of such pairings on the dog are under explored, this study aimed to explore the lived experiences of family units supervising interactions between children in middle childhood (7–12) and the family dog(s). Methods: Ten families with at least one child aged 7–12 years old (mean 8.6, SD 1.6) and a family dog were recruited via social media to participate in whole family unit face-to-face semi-structured interviews. Experience of the effects of child-dog interaction (CDI) on the family dog was explored through discussion and reflections of CDIs, the dog’s responses, and how these were managed. The interviews were recorded and transcribed verbatim, and thematic analysis using a semantic approach was used to construct key themes. Results: All families reported that the most positive CDIs were of mutual play or that the dog freely approached the child with the ability to move away. This dynamic is subsequently referred to as dog freedom of choice (FOC). Most discussed experiences of dog aggression or avoidance of the child when FOC was compromised by close physical contact (CPC) from the child, such as cuddling. In most cases, the caregivers and children within the family unit were aware that the dog did not always enjoy such a CPC. However, interviewees recognised that such awareness did not always lead to cessation of the interaction. Conclusions: While shared play where FOC was supported suggested mutual benefits, CDIs perceived as expressions of affection, for example, hugs towards the family dog, may compromise dog quality of life and raise the risk of dog bites. Furthermore, a caregiver or child with conscious awareness of a dog reacting aversely to compromised FOC is not always a mechanism for ending of the interaction. This may raise questions about the efficacy of education programmes intended to raise the recognition of dog body language to change human behaviour.

Shifts in the incidence of shark bites and efficacy of beach-focussed mitigation in Australia

Shark-human interactions are some of the most pervasive human-wildlife conflicts, and their frequencies are increasing globally. New South Wales (Australia) was the first to implement a broad-scale program of shark-bite mitigation in 1937 using shark nets, which expanded in the late 2010s to include non-lethal measures. Using 196 unprovoked shark-human interactions recorded in New South Wales since 1900, we show that bites shifted from being predominantly on swimmers to 79 % on surfers by the 1980s and increased 2–4-fold. We could not detect differences in the interaction rate at netted versus non-netted beaches since the 2000s, partly because of low incidence and high variance. Although shark-human interactions continued to occur at beaches with tagged-shark listening stations, there were no interactions while SMART drumlines and/or drones were deployed. Our effect-size analyses show that a small increase in the difference between mitigated and non-mitigated beaches could indicate reductions in shark-human interactions. Area-based protection alone is insufficient to reduce shark-human interactions, so we propose a new, globally transferable approach to minimise risk of shark bite more effectively.

Malaria prevalence and associated factors among symptomatic children aged under five years attending Sheko District Health Center, Southwest Ethiopia: A cross-sectional study.

Malaria is a major cause of morbidity and mortality in children under the age of five worldwide. Although various malaria elimination measures have been implemented over the past decades, malaria remains a serious threat to public health, especially in tropical and subtropical areas. Ethiopia has set targets for eliminating malaria by 2030. No research has been conducted in the study area concerning malaria among children, who are the most malaria-prone segment of a community. The purpose of this study was to assess malaria prevalence and the factors associated with it among children under five years of age who attended the Sheko Health Center, Southwest Ethiopia, from June 1 to October 30, 2022. An institutional-based cross-sectional study was employed from June 1 to October 30, 2022, at the Sheko Health Center. Capillary blood samples were collected from 286 randomly selected symptomatic children. Data on socio-demographics and associated factors were collected using a pre-tested structured questionnaire, and data on parents' and guardians' knowledge about malaria was recorded on Excel 2016 Spreadsheets after interviewing them, and their responses were presented by a frequency table. Data were entered into Epi Data Manager (v4.0.2.101) and analyzed using the Statistical Package for Social Sciences (SPSS) version 25. Associated factors of malaria were analyzed using bivariate and multivariable logistic regression, and statistical significance was set at P < 0.05. Overall, 23.4% (95% CI = 18.6-28.8%) malaria infection was recorded among the children whose blood samples were examined, with Plasmodium falciparum, Plasmodium vivax, and mixed infections (both species) representing 52.2%, 34.3%, and 13.4% of the cases, respectively. The majority of the parents or guardians believed that malaria is transmissible but could be prevented, and 80% of them considered mosquito bites to be the main mode of malaria transmission. Insecticide-treated net (ITN) was mentioned as a malaria prevention strategy by more than half of the respondents, while indoor residual spraying (IRS) was considered only by 19.6%. Based on multivariable logistic regression analysis, a significant association was found in children between the ages of 12 and 36 months (adjusted odds ratio = 5.050; 95% CI: 1.964-12.982), children who lived in rural areas (adjusted odds ratio = 2.901; 95% CI: 1.439-5.845), and children who did not use ITN the past two weeks before sample collection (adjusted odds ratio = 3.341; 95% CI: 1.646-6.781). This study revealed a high malaria prevalence among children aged under five years. Attention must be paid to improving the coverage of the ITN and its use in the study area, which could help reduce the risk of mosquito bites. Health education for the guardians of the children could also help to raise awareness about the prevention and control strategies for malaria transmission and further reduce the impact of the disease.

Describing the experience of livestock producers from Ohio, USA with ticks and associated diseases

BackgroundAs tick ranges expand across North America, the risk of tick bites and tick-borne diseases (TBDs, i.e. diseases or syndromes associated with ticks) rises for humans and animals, making prevention critical. Several U.S. studies have examined knowledge, attitudes, and practices regarding ticks and TBDs for various cohorts of people. However, among occupational groups with high exposure risk from ticks and TBDs are livestock producers, of which we know little about. To help address this gap, an electronic questionnaire was distributed to livestock producers in Ohio, U.S, a state with a robust agricultural sector.MethodsWe generated descriptive statistics and conducted a multiple correspondence analysis followed by hierarchical clustering on principal components to identify producers with similar response profiles.ResultsResponses from 57 producers showed that most (52.6%) think the American dog tick (Dermacentor variabilis) is found in Ohio but are unsure about other species. Although several TBDs are present in Ohio, most (> 50%) producers were unsure or unaware of their presence. Interestingly, most (54.4%) thought ticks pose major health risks for their livestock but fewer (49.1%) thought the same for humans. Regardless, most producers did employ at least one prevention method for themselves (96.5%) and their animals (82.5%). Cluster analysis (n = 48) identified three groups: the largest (n = 21) was considered “aware and cautious” consisting primarily of farm owners. The others generally practiced less prevention and consisted primarily of farm employees.ConclusionsOur findings indicate that producers in Ohio practice prevention for themselves and their livestock, but demonstrate gaps in knowledge (e.g., TBD occurrence) and attitudes (e.g., health risks) that could be addressed via educational formats we found producers preferred (e.g., extension materials), to encourage informed prevention. This is especially important for farm employees that may practice less prevention because of lower awareness. Our study can guide others in regions faced with similar tick and TBD risks to protect occupational and livestock health.

Tick bite risk factors and prevention measures in an area with emerging Powassan virus disease.

In the United States (U.S.), Powassan virus is primarily transmitted to humans by the black-legged tick (Ixodes scapularis). Rarely, infections can present as severe neuroinvasive disease. In 2019, four neuroinvasive disease cases were reported in Sussex County, New Jersey, U.S. We administered a survey to county residents to better understand tick bite risk factors and the performance of personal prevention measures. A survey was administered in October 2019 to adult residents of randomly selected households. Questions focused on tick bite prevention and risk factors. Crude and adjusted odds ratios (ORs) and 95% confidence intervals were calculated for various outcomes. Of 274 participants, 25% were previously diagnosed with a tick-borne disease, and 42% reported finding an attached tick in 2019. Yardwork and gardening (OR = 7.38) and spending >50 hours outdoors per week (OR = 8.15) were associated with finding an attached tick. Finding an attached tick was inversely associated with the number of prevention measures used, indicating that a layered approach could reduce the risk of tick bites. Those who performed post-outdoor activity prevention measures (e.g., tick checks) were less likely to have a tick attached compared to finding a crawling tick. Compliance with prevention recommendations was low, despite a high prevalence of reported tick bites and significant outdoor exposures. Older adults and persons who spend significant time outdoors or engage in yardwork or gardening were at the highest risk of tick bites. Additional research is needed to further understand the barriers to tick bite prevention.

High risk of bat bites in an indigenous village in Brazil: Warning of the re-emergence of rabies among the Maxakali People

Bat-mediated human rabies is a viral zoonotic disease that poses a serious threat to the public health of traditional peoples, especially indigenous populations that maintain primitive cultural and social habits, such as the Maxakali ethnic group, located in the southeastern region of Brazil. The sociocultural habit of this population led to the emergence between April and May 2022 of the viral spillover of rabies transmitted by bats, which decimated the lives of four children from this population who maintained contact with this animal as a recreational practice. Because the vampire bats Desmodus rotundus have exceptional ecology and social characteristics that can have important effects on the dynamics of viral dispersion in this indigenous population, I present the dynamics of contact between native children and the bat and the meaning of this relationship, which involves ritualistic and recreational significance. As important as knowing the reasons for this practice is discussing some intrinsic and extrinsic factors that imply risks that intensify the vulnerability of this population to the transmission of the rabies virus at any time. In view of this, I warn of the need to adopt efficient strategies to mitigate the risks of a new emergency in this region. Although emergency containment measures were carried out during the critical period of the outbreak, such animal and environmental control actions must become routine programmatic and structuring interventions. Essential for rabies surveillance in this population is to develop culturally adapted interethnic health education campaigns to guarantee the accessibility of the Maxakali indigenous people to the content taught, so that any attempt at domestication, captivity and recreational practices with bats of any species is discouraged, thus avoiding a possible re-emergence of this anthropozoonosis that has impacted not only the epidemiological scenario in this region, but throughout Brazil, and also throughout Latin America.

Emergency Department Syndromic Surveillance to Monitor Tick-Borne Diseases: A 6-Year Small-Area Analysis in Northeastern Italy.

Tick-borne diseases (TBD) are endemic in Europe. However, surveillance is currently incomplete. Alternative strategies need to be considered. The aim of this study was to test an Emergency Department Syndromic Surveillance (EDSyS) system as a complementary data source to describe the impact of tick bites and TBD using a small-area analysis approach and to monitor the risk of TBD to target prevention. ED databases in the Local Health Authority 8 District (Veneto, Italy) were queried for tick-bite and TBD-related visits between January 2017 and December 2022. Hospitalisations were also collected. Events involving the resident population were used to calculate incidence rates. A total of 4187 ED visits for tick-bite and 143 for TBD were recorded; in addition, 62 TBD-related hospitalisations (of which 72.6% in over 50 s and 22.6% in over 65 s). ED visits peaked in spring and in autumn, followed by a 4-week lag in the increase in hospital admissions. The small-area analysis identified two areas at higher risk of bites and TBD. The use of a EDSyS system allowed two natural foci to be identified. This approach proved useful in predicting temporal and geographic risk of TBD and in identifying local endemic areas, thus enabling an effective multidisciplinary prevention strategy.

Barriers and opportunities for improving dog bite prevention and dog management practices in northern Indigenous communities.

Globally, people living in northern Indigenous communities are at higher risk of dog bites than the rest of the population living in North America, with annual incidence ranging from 0.61 to 59.6/10,000 inhabitants. Considering that rabies is endemic in wild canid populations in certain regions of the Arctic, the prevention of dog bites and the management of dog populations are of crucial importance for public health in these contexts. Most northern communities lack access to veterinary services, mainly due to their remote geographical location and to limited financial resources. Currently, northern Indigenous communities are using different approaches and strategies to prevent dog bites and manage dog populations, but the effectiveness of these approaches sometimes lacks evidence, and their low acceptability may affect their implementation. This study aims to describe (1) the current access and uses of veterinary services, and (2) the perceived barriers and opportunities related to dog population management practices currently implemented, or that could be implemented, in a Naskapi community and an Innu community located in northern Quebec (Canada). Quantitative data were collected through a survey to inhabitants on veterinary services (n = 122). Qualitative data were collected using individual interviews to inhabitants and health professionals to describe how dog population management measures were perceived, and to identify barriers and opportunities related to their implementation (n = 37). Descriptive and inferential analysis (quantitative data) and thematic analysis (qualitative data) were performed. Results show that the two main measures implemented at the time of the study - dog culling and short-duration veterinary clinics - were not perceived as fully acceptable and sustainable. Reinforcing access to veterinary services and other dog-related services, such as shelters and training programs on dogs, was identified as a need to improve dog bites prevention and dog population management in remote Indigenous communities. The implementation of animal health measures should be decided by concerned Indigenous communities to follow decolonial practices. It includes ensuring informed consent of dog owners, improving communication before, during and after interventions, separating veterinary services from rehoming and, most importantly giving back to Indigenous communities the complete leadership over animal health in their communities.

Species Composition and Population Dynamics of Culicidae during their Peak Abundance Period in Three Peri-Urban Aquatic Ecosystems in Northern Spain

For a better understanding of the transmission cycles of mosquito-borne diseases, it is essential to explore the species composition and population dynamics, mainly during their peak abundance period. These investigations do not normally include peri-urban areas, despite their significant epidemiological interest. To address these gaps, an entomological survey was carried out in 2016 and 2017 in three aquatic ecosystems located on the outskirts of the city of Logroño, in northern Spain: the Iregua River and La Grajera (La Rioja) and Las Cañas Reservoirs (Navarra). Mosquitoes were captured using BG-Sentinel traps baited with CO2 and BG-lure, as well as through the human landing collection method. In total, 6793 mosquito specimens were captured, representing 24 taxa within six genera. A specific PCR based on the ITS2 gene was used to differentiate members of the Anopheles claviger complex, and all individuals were identified as An. claviger sensu stricto. La Grajera had the most diverse culicid fauna, with 19 taxa, followed by Las Cañas (n = 15) and the Iregua River (n = 13). The composition and abundance of Culicidae varied across the aquatic ecosystem. We observed that the different hydrological management practices of each environment could play a key role in determining the abundance of mosquito genera. The overall risk of mosquito bites in the study area is expected to be relatively low and will depend on the freshwater ecosystem and the time of year.

Epidemiological pattern and management of dog bite injuries in Karachi, Pakistan: A cross-sectional study

BackgroundDog bite injuries are a common problem globally; however, little is known about the epidemiology of dog bite injury from a low-and-middle-income country like Pakistan. This study aims to determine the epidemiology of dog bite injuries among children and adults from a tertiary care hospital in Karachi, Pakistan. MethodsWe conducted a cross-sectional study on dog bite patients visiting the emergency department from November 2015 to August 2016 of a major public tertiary care hospital. Data was collected using a structured questionnaire on demographic details, bite history, and management of dog bite victims. Descriptive analysis was reported. Chi-square test was applied to check the associations between age-specific dog bite cases and independent variables. Results2178 participants were included in the analysis. 715 (38.8%) were children less than 18 years old, and 1463 (61.2%) were adults over 18 years. A majority of the patients were males (1909, 87.7%). Results show that most dog bite injuries (2052, 94.2%) tend to occur outside the house by stray dogs biting without provocation. People aged 18 years and above (61.2%) and males (children: 84.6%, adults: 89.1%) tend to be bitten more often. Lower limbs are most frequently bitten (children: 69.5%, adults: 85.8%). Free-roaming stray dogs (children: 73.4%, adults: 74.9%) were involved in reported biting cases. Many of the patients did not receive appropriate first aid and instead just washed the wound with soap and water (children: 45.1%, adults: 43.7%). 99% of the victims received Tetanus toxoid, Rabies vaccine, and immunoglobulins while in the emergency department. ConclusionThere is a high burden of dog bite injuries from stray dogs in Karachi, Pakistan. Efforts should be made to create awareness among the general public on the risks of dog bites and on seeking appropriate first aid and medical attention for a dog bite injury.

Exotic (non-native) snakebite envenomation in Japan: A review of the literature between 2000 and 2022

A limited number of studies have investigated the clinical characteristics of snakebite envenomation by exotic (non-native) snakes in Japan. This study reviewed the literature to determine the status and risk of bites by exotic pet snakes in Japan. We reviewed reports of snakebite due to exotic snakes in Japan published between 2000 and 2022, excluding reports of bites by snakes native to Japan, such as Gloydius blomhoffii, Rhabdophis tigrinus, and Protobothrops flavoviridis. During the study period, 11 exotic snakebites were recorded, involving 11 species. The majority of those bitten (10/11 cases) were male, all cases were hand injuries, and there were no fatalities. The snakes responsible belonged to the Colubridae (4/11 cases), Viperidae (4/11 cases), and Elapidae (3/11 cases) families. Cases of envenomation by G. brevicaudus, Bungarus candidus, and Dendroaspis angusticeps were of particular interest. Ten of the eleven patients developed local cytotoxic signs, and three developed “compartment syndrome,” in which the surgeons performed decompressive incisions. Two bites from elapid snakes and one from a viperid snake resulted in respiratory failure. Antivenom was given in two cases. Complications were observed, such as acute kidney injury, rhabdomyolysis, coagulopathy, and residual dysfunction of the affected finger. Emergency rooms should be prepared to manage patients who have been bitten by exotic snakes, even though the number of reported cases is not high in Japan. Initial stabilization of patients is crucial, before a definitive diagnosis is made, as with native snakebite envenomation. Finger bites are reported in most cases, which may result in functional impairment of the fingers. In order to collect more comprehensive patient data in Japan, a reporting system for all snakebite envenomations should be considered.

A semi-field evaluation in Thailand of the use of human landing catches (HLC) versus human-baited double net trap (HDN) for assessing the impact of a volatile pyrethroid spatial repellent and pyrethroid-treated clothing on Anopheles minimus landing

BackgroundThe mosquito landing rate measured by human landing catches (HLC) is the conventional endpoint used to evaluate the impact of vector control interventions on human-vector exposure. Non-exposure based alternatives to the HLC are desirable to minimize the risk of accidental mosquito bites. One such alternative is the human-baited double net trap (HDN), but the estimated personal protection of interventions using the HDN has not been compared to the efficacy estimated using HLC. This semi-field study in Sai Yok District, Kanchanaburi Province, Thailand, evaluates the performance of the HLC and the HDN for estimating the effect on Anopheles minimus landing rates of two intervention types characterized by contrasting modes of action, a volatile pyrethroid spatial repellent (VSPR) and insecticide-treated clothing (ITC).MethodsTwo experiments to evaluate the protective efficacy of (1) a VPSR and (2) ITC, were performed. A block randomized cross-over design over 32 nights was carried out with both the HLC or HDN. Eight replicates per combination of collection method and intervention or control arm were conducted. For each replicate, 100 An. minimus were released and were collected for 6 h. The odds ratio (OR) of the released An. minimus mosquitoes landing in the intervention compared to the control arm was estimated using logistic regression, including collection method, treatment, and experimental day as fixed effects.ResultsFor the VPSR, the protective efficacy was similar for the two methods: 99.3%, 95% CI (99.5–99.0) when measured by HLC, and 100% (100, Inf) when measured by HDN where no mosquitoes were caught (interaction test p = 0.99). For the ITC, the protective efficacy was 70% (60–77%) measured by HLC but there was no evidence of protection when measured by HDN [4% increase (15–27%)] (interaction test p < 0.001).ConclusionsInteractions between mosquitoes, bite prevention tools and the sampling method may impact the estimated intervention protective efficacy. Consequently, the sampling method must be considered when evaluating these interventions. The HDN is a valid alternative trapping method (relative to the HLC) for evaluating the impact of bite prevention methods that affect mosquito behaviour at a distance (e.g. VPSR), but not for interventions that operate through tarsal contact (e.g., ITC).

Factors affecting length and complexity of hospital stay in pediatric dog bite patients

BackgroundDog bite injuries are a source of significant morbidity and expense in the USA, and rates of hospitalization have been rising. Children are at increased risk of dog bites compared...

Associations between wildlife observations, human-tick encounters and landscape features in a peri-urban tick hotspot

Zoonotic disease vectors, their wildlife hosts, and the surrounding landscape interact in complex ways that vary spatially, temporally and with anthropogenic change. Ticks (Acari: Ixodidae) are one of the most important vectors of human disease globally but managing the risk of tick bites in urban areas requires a detailed understanding of these complex vector-host-environment relationships at multiple spatial scales. Extensive knowledge gaps of these interactions in Australia limits options for managing ticks and exacerbates human-wildlife conflict. To address this, we used an online survey to determine the potential drivers of human-tick encounters operating at the local, yard scale and at the broader, landscape scale in a peri-urban area of Australia. We explored the relationships between reported tick encounters in yards and yard traits, host sightings (yard-scale) and broader landscape traits (landscape-scale). We found that sightings of potential hosts such as long-nosed bandicoots (Perameles nasuta) and brush-turkeys (Alectura lathami), and broader landscape traits such as distance to wet sclerophyll forest, were important predictors of reported tick encounters. Yard traits such as garden mulching and leaf litter cover showed no relationships with tick encounters. However, garden mulching and the absence of pets were predictors of frequent bandicoot sightings in yards. Mulching over 20m2, moderate to dense leaf litter cover on lawns, and living adjacent to bush were predictors of frequent brush-turkey sightings in yards. Our results suggest that residents may be able to reduce tick encounter risk by making yards less attractive to potential hosts. The observed relationships provide a critical foundation for field studies that can determine underlying mechanisms and inform appropriate tick management in urban environments.Graphical abstract

Human scent guides mosquito thermotaxis and host selection under naturalistic conditions

The African malaria mosquito Anopheles gambiae exhibits a strong innate drive to seek out humans in its sensory environment, classically entering homes to land on human skin in the hours flanking midnight. To gain insight into the role that olfactory cues emanating from the human body play in generating this epidemiologically important behavior, we developed a large-scale multi-choice preference assay in Zambia with infrared motion vision under semi-field conditions. We determined that An. gambiae prefers to land on arrayed visual targets warmed to human skin temperature during the nighttime when they are baited with carbon dioxide (CO2) emissions reflective of a large human over background air, body odor from one human over CO2, and the scent of one sleeping human over another. Applying integrative whole body volatilomics to multiple humans tested simultaneously in competition in a six-choice assay, we reveal high attractiveness is associated with whole body odor profiles from humans with increased relative abundances of the volatile carboxylic acids butyric acid, isobutryic acid, and isovaleric acid, and the skin microbe-generated methyl ketone acetoin. Conversely, those least preferred had whole body odor that was depleted of carboxylic acids among other compounds and enriched with the monoterpenoid eucalyptol. Across expansive spatial scales, heated targets without CO2 or whole body odor were minimally or not attractive at all to An. gambiae. These results indicate that human scent acts critically to guide thermotaxis and host selection by this prolific malaria vector as it navigates towards humans, yielding intrinsic heterogeneity in human biting risk.

169 Engaging Pennsylvania horse owners with a tick-check extension program

With no available vaccine for Lyme disease or equine anaplasmosis for horses, tick bite prevention is the recommended method to prevent tick-borne diseases (TBDs) transmission. Routine tick checks, which allow horse owners to remove ticks before tick bites, can reduce the incidence of TBD in horses. The objective of this extension program was to engage Pennsylvania (PA) horse owners in community science to conduct weekly tick checks on horses and report tick numbers and locations. Horse owners (n = 35) were recruited who had horses (n = 55) that resided in PA for most of the year. Participants were required to attend a webinar where they learned how to conduct tick checks and then completed a survey assessing their current tick management practices. Participants were mailed a tick-check kit and asked to conduct tick checks twice a week for 7 weeks (April–May 2022). Numbers and locations of ticks were recorded on data sheets; these and the ticks were sent to Penn State for identification. A post-program survey was completed at the end of the program. Most respondents (72%) cared for 2–5 horses. The majority (85%) turned out horses in or near forested habitats from April to November. Each time tick checks were performed, 72% found 1–2 ticks, and the most common location was under the jaw. Most owners used on-animalrepellents (65%) as a primary method of tick control, followed by pasture/landscape management (24%). Data sheets (n = 645) showed 343 ticks found; however, 83% of all reported ticks came from one horse. With this outlier removed, most (32%) ticks were found between the front legs. The post-program survey indicated that knowledge of tick basics, TBDs, and tick checks increased (3.53 ± 1.01, 3.14 ± 0.82, 3.72 ± 1.24, respectively) as a result of participation and that 67% of respondents had “a lot” or “a great deal” higher confidence in performing tick checks. Most respondents (72%) will continue performing full-body tick checks on all or some of their horses and will do so either once a week (39%) or 2–6 times a week (39%). Most respondents (66%) found fewer ticks than they expected. Most respondents (69%) were not any more or less concerned about risk of tick bites than they were before the study. This study shows that horse owners are willing to commit to community science projects and provide data. The numbers and locations of ticks found during the program did not match participants’ expectations pre-study. This Extension project resulted in behavior change as a result of education and training.