Envenomization Reaction/Treatment. (See appendix.)

4. CONENOSE OR KISSING BUGS

(_Triatoma_ spp.)

[Illustration: (unlabelled)]

Identification. Species of the genus _Triatoma_ have the elongate

(cone-shaped) head which is characteristic of the family Reduviidae.

Hence, the name “conenose bugs” is often used to describe these insects.

Orange and black markings are usually present where the abdomen extends

laterally past the folded wings. These insects are flattened dorsally,

and this trait allows them to effectively hide in small cracks and

crevices. The size of mature adults varies from approximately 1 to 3 cm

(0.4-1.2 in) depending upon the species.

Distribution. _Triatoma_ species that attack humans are generally

located in the southern half of the United States.

Biology/Behavior. Conenose bugs are nocturnal insects. They take their

blood meals at night and hide in any available crack or crevice between

feedings. _Triatoma_, as a group, normally feed on small mammals; but in

the absence of their preferred hosts, several species will readily feed

on humans. They are commonly referred to as “kissing bugs” because their

blood meals are occasionally taken from the area around the human lips.

Some of the common sites of human attack, in order of frequency, are the

hands, arms, feet, head, and trunk. This feeding pattern can be expected

since kissing bugs have not been found to feed through clothing.[30]

Avoidance/Control. Since these bugs can feed undetected on a sleeping

victim, it is difficult to avoid their attack in heavily infested areas.

Exposure to kissing bugs can be minimized, however, by destroying

underbrush, rubbish, wood rats’ nests, and any other small-animal

habitat located near a residence.[27] When an infestation is detected

inside a house, two or three treatments with an appropriate insecticide

at 10-day intervals should provide control. To obtain the best results,

thoroughly treat all windows, baseboards, walls, cracks, crevices, and

bedsprings.

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