Stephen L. Doggett Senior Hospital Scientist Department of Medical Entomology Institute for Clinical Pathology & Medical Research, Pathology West, Westmead Hospital, Westmead NSW 2145 Overview Ticks: overview Biology: lifecycle & ecology Tick Management Avoidance Repellents Efficacy Human safety Ticks Worldwide – about 800 sp. Australia – 75 (~15 attack humans) 2 groups – Soft & Hard ticks Most important - Ixodes holocyclus Paralysis tick, scrub, bush, shell back Seed, grass (larval stage) Adult Female Adult Male 1mm Nymph Larva Tick Life Cycle Paralysis tick, Ixodes holocyclus Host Seeking Behaviour 0.5m 3m When are ticks active? Most of the year Survival dependant on humidity Most active: Following rain Periods of high humidity Larvae far more common than other stages High mortality in larval stage to nymph Animal Hosts Red-necked Wallaby Norwegian Rat Northern Brown Bandicoot House Mouse Bush Rat Southern Brown Bandicoot Magpie Grasslands Melomys Long-nosed Bandicoot Australian Raven Water Rat Mountain Brushtail Possum Domestic Fowl Crimson Rosella Common Brushtail Possum Human Pied Butcherbird Brush-tailed Phascogale Dog Echidna Koala Cat Common Dunnart Swamp Wallaby Pig Feathertail Glider Rabbit Eastern Grey Kangaroo Red-legged Pademelon Black Rat After Roberts (1970) Main Host Bandicoot Tick Removal MAKE SURE YOU REMOVE THE HEAD!!! Tick Management Cultural Control: Behaviour modification Physical Control: Exclusion fencing Biological Control Host removal Habitat modification Chemical Control Habitat treatment Personal Protection Host treatment Tick Control Methods Control Method Control Duration Fire Host Removal Chemical Treatment Personal Protection Environmental Impact Habitat Modification Chemical Control Advantages Rapid control, 97% within 24 hours Cost effective Less environmental damage Disadvantages Not tick specific Relatively short term Pyrethroids: Permethrin, Betacyfluthrin, Bifenthrin Cultural Control Avoid ticky habitat Avoid good ticky times After rain, high humidity Wear light coloured clothing Check oneself regularly during & after Tuck pants into socks, shirts into pants Remove clothing, place into hot dryer Use repellents/permethrin on clothing Formulations Gimmicks APVMA Australian Pesticides & Veterinary Medicines Authority (National Registration Authority: NRA) For insecticides/repellents, assess: Human Toxicity Product Efficacy Environmental Impacts Active Approved use Registered? Directions Repellent Actives DEET (N,N-Diethyl-meta-toluamide) Picaridin Lemon Eucalyptus Oil (PMD) IR3535 Citronella, melaleuca oil “Natural” “Organic” = “Safe” & “Effective” Repellent Efficacy Mosquitoes Fradin & Day, NEJM (2002) Active % Protection Time DEET 24% 302m DEET 20% 234m DEET 6.7% 112m Citronella 10% 20m Citronella 5% 14m Citronella (WB) 25% 0.2m Permethrin Impregnated Clothing Permethrin = toxicant not a repellent Two forms: DIY, ‘dip’ clothing Impregnated fabrics (IF) Studies show: IF better protection than DIY IF more washes than DIY IF less environmental impacts Permethin better protection than repellents Widely used by armies Permethrin Impregnated Clothing? Registered Equip The Travel Doctor Impregnation packs 10ml/4L H2O, soak 2m Effective 6 months Human Safety Risk analysis What is worse: bites or repellents? DEET first registered, 1957 Billions of uses Recommended by WHO & CDC Only product recommended by CDC US EPA: adverse reactions 1:100million EPA: “permethrin factory-treated clothing is unlikely to pose any significant acute or chronic hazard to people” “Naturals” are a greater risk to human health!!! Read & heed the label! WE WANT YOUR TICKS!