In 1902 Dutton described a trypanosome, _T. gambiense_, which he and

Forde had found the year before in the blood of a patient suffering from

a peculiar type of fever in Gambia. In 1902-1903 Castellani found the

same parasite in the cerebro-spinal fluid of sleeping-sickness patients

and definitely reported it as the causative organism of the disease. His

work soon found abundant confirmation, and it was discovered that the

sleeping sickness was but the ultimate phase of the fever discovered by

Dutton and Forde.

When Castellani made known his discovery of the trypanosome of sleeping

sickness, Brumpt, in France, and Sambon, in England, independently

advanced the theory that the disease was transmitted by the tsetse-fly,

_Glossina palpalis_. This theory was based upon the geographical

distribution and epidemiology of the disease. Since then it has been

abundantly verified by experimental evidence.

Fortunately for the elucidation of problems relating to the methods of

transfer of sleeping sickness, _Trypanosoma gambiense_ is pathogenic for

many species of animals. In monkeys it produces symptoms very similar to

those caused in man. Bruce early showed that _Glossina palpalis_ "fed on

healthy monkeys eight, twelve, twenty-four and forty-eight hours after

having fed on a native suffering from trypanosomiasis, invariably

transmitted the disease. After three days the flies failed to transmit

it." In his summary in Osler's Modern Medicine, he continues "But this

is not the only proof that these flies can carry the infective agent. On

the lake shore there was a large native population among whom we had

found about one-third to be harboring trypanosomes in their blood. The

tsetse-flies caught on this lake shore, brought to the laboratory in

cages, and placed straightway on healthy monkeys, gave them the disease

in every instance, and furnished a startling proof of the danger of

loitering along the lake shore among those infected flies."

As in the case of nagana, Bruce and most of the earlier investigators

supposed the transmission of the sleeping sickness trypanosome by

_Glossina palpalis_ to be purely mechanical. The work of Kleine (1909)

clearly showed that for _Trypanosoma gambiense_ as well as for

_Trypanosoma brucei_ the fly served as an essential host. Indeed, Kleine

and many subsequent investigators are inclined to think that there is

practically no mechanical transmission of trypanosomes from animal to

animal by _Glossina_ in nature, and that the many successful experiments

of the earlier investigators were due to the fact that they used wild

flies which already harbored the transformed parasite rather than

directly inoculated it from the blood of the diseased experimental

animals. While the criticism is applicable to some of the work, this

extreme view is not fully justified by the evidence at hand.

Kleine states (1912) that _Glossina palpalis_ can no longer be regarded

as the sole transmitter of sleeping sickness. Taute (1911) had shown

that under experimental conditions _Glossina morsitans_ was capable of

transferring the disease and Kleine calls attention to the fact that in

German East Africa, in the district of the Rovuma River, at least a

dozen cases of the disease have occurred recently, though only _Glossina

morsitans_ exists in the district. It appears, however, that these cases

are due to a different parasite, _Trypanosoma rhodesiense_. This

species, found especially in north-east Rhodesia and in Nyassaland, is

transferred by _Glossina morsitans_.

Other workers maintain that the disease may be transmitted by various

blood-sucking flies, or even bugs and lice which attack man. Fulleborn

and Mayer (1907) have shown by conclusive experiments that _Aedes

(Stegomyia) calopus_ may transmit it from one animal to another if the

two bites immediately succeed each other.

It is not possible that insects other than the tsetse-flies (and only

certain species of these), play an important role in the transmission of

the disease, else it would be much more wide-spread. Sambon (1908)

pointed out that the hypothesis that is spread by _Aedes calopus_ is

opposed by the fact that the disease never spread in the Antilles,

though frequently imported there by West African slaves. The same

observation would apply also to conditions in our own Southern States in

the early part of the past century.

Since _Glossina palpalis_ acts as an essential host of the parasite and

the chief, if not the only, transmitter, the fight against sleeping

sickness, like that against malaria and yellow fever, becomes primarily

a problem in economic entomology. The minutest detail of the

life-history, biology, and habits of the fly, and of its parasites and

other natural enemies becomes of importance in attempts to eradicate the

disease. Here we can consider only the general features of the subject.

_Glossina palpalis_ lives in limited areas, where the forest and

undergrowth is dense, along the lake shore or river banks. According to

Hodges, the natural range from shore is under thirty yards, though the

distance to which the flies may follow man greatly exceed this.

It is a day feeder, a fact which may be taken advantage of in avoiding

exposure to its attacks. The young are brought forth alive and

full-grown, one every nine or ten days. Without feeding, they enter the

ground and under favorable conditions, complete their development in a

month or more.

[Illustration: 137. Sleeping sickness concentration camp in German East

Africa. Report of German Commission.]

Methods of control of the disease must look to the prevention of

infection of the flies, and to their avoidance and destruction. Along

the first line, much was hoped from temporary segregation of the sick in

regions where the fly was not found. On the assumption that the flies

acted as carriers only during the first two or three days, it was

supposed that even the "fly belts" would become safe within a few days

after the sick were removed. The problem was found to be a much more

difficult one when it was learned that after a given brief period the

fly again became infective and remained so for an indeterminate period.

Nevertheless, isolation of the sick is one of the most important

measures in preventing the spread of the disease into new districts.

Much, too, is being accomplished by moving native villages from the fly

belts. (c.f. fig. 137.)

All measures to avoid the flies should be adopted. This means locating

and avoiding the fly belts as far as possible, careful screening of

houses, and protection of the body against bites.

Clearing the jungle along the water courses for some yards beyond the

natural range of the fly has proved a very important measure. Castellani

recommends that the area be one hundred yards and around a village three

hundred yards at least.

Detailed studies of the parasites and the natural enemies of the

tsetse-fly are being undertaken and may ultimately yield valuable

results.

SOUTH AMERICAN TRYPANOSOMIASIS--The tsetse-flies are distinctively

African in distribution and until recently there were no trypanosomes

known to infest man in America. In 1909 Dr. Chagas, of Rio de Janeiro

described a new species, _Trypanosoma cruzi_, pathogenic to man.

_Trypanosoma cruzi_ is the causative organism of a disease common in

some regions of Brazil, where it is known as "opilacao." It is

especially to be met with in children and is characterized by extreme

anemia, wasting, and stunted development associated with fever, and

enlargement of the thyroid glands. The disease is transmitted by the

bites of several species of assassin-bugs, or Reduviidae, notably by

_Conorhinus megistus_. The evolution of the parasite within the bug has

been studied especially by Chagas and by Brumpt. From the latter's text

we take the following summary.

The adult trypanosomes, ingested by a _Conorhinus megistus_, of any

stage, first change into Crithidia-like forms and then those which

remain in the stomach become ovoid and non-motile. Brumpt found these

forms in immense numbers, in a _Conorhinus_ which had been infested

fourteen months before. The forms which pass into the intestine quickly

assume the _Crithidia_ form and continue to develop rapidly under this

form. Some weeks later they evolve into the trypanosome forms,

pathogenic for man. They then pass out with the excrement of the bug and

infect the vertebrate host as soon as they come in contact with any

mucous layer (buccal, ocular or rectal). More rarely they enter through

the epidermis.

Brumpt showed that the development could take place in three species;

bed-bugs (_Cimex lectularius_, _C. hemipterus_) and in the tick

_Ornithodoros moubata_. The evolution proceeds in the first two species

of bed-bugs as rapidly as in Conorhinus, or even more rapidly, but they

remain infective for a much shorter time and hence Brumpt considers that

they play a much less important role in the spread of the disease.

_Conorhinus megistus_, like related forms in our Southern States, very

commonly frequents houses and attacks man with avidity. Chagas states

that the bites are painless and do not leave any traces. They are

usually inflicted on the lips, or the cheeks and thus the buccal mucosa

of a sleeper may be soiled by the dejections of the insect and the bite

serving as a port of entry of the virus, remain unnoticed.

The possibility of some of our North American Reduviidae playing a

similar role in the transmission of disease should not be overlooked.

LEISHMANIOSES AND INSECTS--Closely related to the trypanosomes is a

group of intracellular parasites which have recently been grouped by

Ross under the genus _Leishmania_. Five species are known to affect man.

Three of these produce local skin infestations, but two of them,

_Leishmania donovani_ and _L. infantum_, produce serious and often fatal

systemic diseases.

The first of these, that produced by _L. donovani_, is an exceedingly

virulent disease common in certain regions of India and China. It is

commonly known as "Kala-azar," or "dum-dum" fever, and more technically

as tropical leishmaniasis. Patton (1907) believes that the parasite is

transmitted by the bed-bug _Cimex hemipterus_, and has described a

developmental cycle similar to that which can be found in artificial

cultures. On the other hand, Donovan was unable to confirm Patton's work

and believes that the true intermediate host is a Reduviid bug,

_Conorhinus rubrofasciatus_.

_Leishmania infantum_ is the cause of the so-called infantile splenic

leishmaniasis, occurring in northern Africa, Spain, Portugal, Italy, and

possibly other parts of Europe. The parasite occurs habitually in the

dog and is only accidentally transferred to children. Alvares and da

Silva, in Portugal (according to Brumpt, 1913) have found that the

excrement of a flea from a diseased dog contains flagellates, and they

suggest that the infection may be transmitted by the accidental

inoculation of this excrement by means of the proboscis of the flea, as

has been thought to occur in the case of the plague. To this Brumpt

objects that they and other workers who thought to trace the development

of _Leishmania infantum_ were apparently misled by the presence of a

harmless _Herpetomonas_ which infests dog fleas in all countries, even

where the leishmaniasis is unknown.

Basile (1910 and 1911) however, carried on numerous experiments

indicating that the disease was transferred from children to dogs and

from dog to dog by the dog flea, and was able to find in the tissues of

the insects forms perfectly identical with those found in children and

in dogs suffering from leishmaniasis. He also found that _Pulex

irritans_ was capable of acting as the carrier.

Of the cutaneous type of leishmaniasis, the best known is the so-called

"Oriental sore," an ulcerative disease of the skin which is epidemic in

many tropical and subtropical regions. The causative organism is

_Leishmania tropica_, which occurs in the diseased tissues as bodies

very similar to those found in the spleen in cases of Kala-azar. The

disease is readily inoculable and there is no doubt that it may be

transferred from the open sores to abraded surfaces of a healthy

individual by house-flies. It is also believed by a number of

investigators that it may be transferred and directly inoculated by

various blood-sucking insects.

TICKS AND DISEASES OF MAN AND ANIMALS

We have seen that the way to the discoveries of the relations of

arthropods to disease was pointed out by the work of Leuckart and

Melnikoff on the life cycle of _Dipylidium_, and of Fedtschenko and

Manson on that of _Filaria_. They dealt with grosser forms, belonging to

well-recognized parasitic groups.

This was long before the role of any insect as a carrier of pathogenic

micro-organisms had been established, and before the Protozoa were

generally regarded as of importance in the causation of disease. The

next important step was taken in 1889 when Smith and Kilbourne

conclusively showed that the so-called Texas fever of cattle, in the

United States, is due to an intracorpuscular blood parasite transmitted

exclusively by a tick. This discovery, antedating by eight years the

work on the relation of the mosquito to malaria, had a very great

influence on subsequent studies along these lines.

While much of the recent work has dealt with the true insects, or

hexapods, it is now known that several of the most serious diseases of

animals, and at least two important diseases of man are tick borne.

These belong to the types known collectively as _babesioses_ (or

"_piroplasmoses_"), and _spirochaetoses_.

The term _babesiosis_ is applied to a disease of man or animals which is

caused by minute protozoan parasites of the genus _Babesia_, living in

the red blood corpuscles. These parasites have usually been given the

generic name _Piroplasma_ and hence the type of disease which they cause

is often referred to as "_piroplasmosis_." The best known illustration

is the disease known in this country as Texas fever of cattle.

CATTLE TICKS AND TEXAS FEVER--The cattle disease, which in the United

States is known as Texas fever, is a widely distributed, exceedingly

acute disease. In Australia it is known as _redwater fever_ and in

Europe as haemoglobinuria, due to the fact that the urine of the diseased

animals is discolored by the breaking down of the red blood corpuscles

infested by the parasite.

In their historical discussion, Smith and Kilbourne, point out that as

far back as 1796 it was noted that Southern cattle, in a state of

apparent health, might spread a fatal disease among Northern herds. As

observations accumulated, it was learned that this infection was carried

only during the warm season of the year and in the depth of winter

Southern cattle were harmless. Moreover, Southern cattle after remaining

for a short time in the North lost their power to transmit the disease,

and the same was true of cattle which had been driven for a considerable

distance.

Very significant was the fact that the infection was not communicated

directly from the Southern to Northern cattle but that the ground over

which the former passed was infected by them, and that the infection was

transmitted thence to susceptible cattle _after a period of not less

than thirty days had elapsed_.

Of course a disease as striking as this, and which caused such enormous

losses of cattle in the region invaded was fruitful in theories

concerning its causation. The most widespread was the belief that

pastures were infected by the saliva, urine, or manure of Southern

cattle. There were not wanting keen observers who suggested that the

disease was caused by ticks, but little weight was given to their view.

Various workers had described bacteria which they had isolated from the

organs of the diseased animals, but their findings could not be

verified. In 1889, Smith and Kilbourne discovered a minute, pear-shaped

organism (fig. 138) in the red blood corpuscles of a cow which had

succumbed to Texas fever. On account of their shape they were given the

generic name _Pyrososma_ and because they were usually found two in a

corpuscle, the specific name, _bigeminum_. It is now generally accepted

that the parasite is the same which Babes had observed the year before

in Roumanian cattle suffering from haemoglobinuria, and should be known

as _Babesia bovis_ (Babes).

[Illustration: 138. Babesia bovis in blood corpuscles. After Calli.]

[Illustration: 139. The cattle tick (Boophilus annulatus). (_a_) Female;

(_b_) male. After Comstock.]

By a series of perfectly conclusive experiments carried on near

Washington, D.C., Smith and Kilbourne showed that this organism was

carried from Southern cattle to non-immune animals by the so-called

Southern cattle tick, _Boophilus annulatus_ (= _Margaropus annulatus_)

(fig. 139).

Of fourteen head of native cattle placed in a field with tick-infested

Northern cattle all but two contracted the disease. This experiment was

repeated with similar results. Four head of native cattle kept in a plot

with three North Carolina cattle which had been carefully freed from

ticks remained healthy. A second experiment the same year gave similar

results.

Still more conclusive was the experiment showing that fields which had

not been entered by Southern cattle but which had been infected by

mature ticks taken from such animals would produce Texas fever in native

cattle. On September 13, 1889, several thousand ticks collected from

cattle in North Carolina three and four days before, were scattered in a

small field near Washington. Three out of four native animals placed in

this field contracted the disease. The fourth animal was not examined as

to its blood but it showed no external symptoms of the disease.

[Illustration: 140. Hyalomma aegypticum. After Nuttall and Warburton.]

In these earlier experiments it was believed that the cattle tick acted

as a carrier of the disease between the Southern cattle and the _soil_

of the Northern pastures. "It was believed that the tick obtained the

parasite from the blood of its host and in its dissolution on the

pasture a certain resistant spore form was set free which produced the

disease when taken in with the food." The feeding of one animal for some

time with grass from the most abundantly infected field, without any

appearance of the disease, made this hypothesis untenable.

In the experimental work in 1890 the astonishing fact was brought out

that the disease was conveyed neither by infected ticks disintegrating

nor by their directly transferring the parasite, but that it was

conveyed by the young hatched from eggs of infected ticks. In other

words, the disease was hereditarily transferred to ticks of the second

generation and they alone were capable of conveying it.

Thus was explained the fact that Texas fever did not appear immediately

along the route of Southern cattle being driven to Northern markets but

that after a certain definite period it manifested itself. It was

conveyed by the progeny of ticks which had dropped from the Southern

cattle and deposited their eggs on the ground.

These results have been fully confirmed by workers in different parts of

the world,--notably by Koch, in Africa, and by Pound, in Australia.

The disease is apparently transmitted by _Boophilus annulatus_ alone, in

the United States, but it, or an almost identical disease, is conveyed

by _Ixodes hexagonus_ in Norway, _Ixodes ricinus_ in Finland and France

and by the three species, _Boophilus decoloratus_, _Hyalomma aegypticum_

(fig. 140 and 141), and _Haemaphysalis punctata_ in Africa.

[Illustration: 141. Hyalomma aegypticum. Capitulum of female; (_a_)

dorsal, (_b_) ventral aspect.]

In spite of the detailed study which it has received, the life cycle of

_Babesia bovis_ has not been satisfactorily worked out. The asexual

reproduction in the blood of the vertebrate host has been described but

the cycle in the tick is practically unknown.

More successful attempts have been made to work out the life cycle of a

related species, _Babesia canis_, which causes malignant jaundice in

dogs in Africa and parts of Southern Europe. In this instance, also, the

disease is transmitted by heredity to the ticks of the second

generation. Yet the larval, or "seed ticks," from an infected female are

not capable of conveying the disease, but only the nymphs and adults.

Still more complicated is the condition in the case of _Babesia ovis_ of

sheep, which Motas has shown can be conveyed solely by the adult,

sexually mature ticks of the second generation.

In _Babesia canis_, Christopher (1907) observed developmental stages in

the tick. He found in the stomach of adult ticks, large motile

club-shaped bodies which he considered as ookinetes. These bodies pass

to the ovaries of the tick and enter the eggs where they become globular

in form and probably represent an oocyst. This breaks up into a number

of sporoblasts which enter the tissues of the developing tick and give

rise to numerous sporozoites, which collect in the salivary glands and

thence are transferred to the vertebrate host. A number of other species

of _Babesia_ are known to infest vertebrates and in all the cases where

the method has been worked out it has been found that the conveyal was

by ticks. We shall not consider the cases more fully here, as we are

concerned especially with the method of transfer of human diseases.

TICKS AND ROCKY MOUNTAIN SPOTTED FEVER OF MAN--Ever since 1873 there has

been known in Montana and Idaho a peculiar febrile disease of man, which

has gained the name of "Rocky Mountain spotted fever." Its onset is

marked by chills and fever which rapidly become acute. In about four to

seven days there appears a characteristic eruption on the wrists, ankles

or back, which quickly covers the body.

McClintic (1912) states that the disease has now been reported from

practically all of the Rocky Mountain States, including Arizona,

California, Colorado, Idaho, Montana, Nevada, Oregon, Utah, Washington,

and Wyoming. "Although the disease is far more prevalent in Montana and

Idaho than in any of the other States, its spread has assumed such

proportions in the last decade as to call for the gravest consideration

on the part of both the state and national health authorities. In fact,

the disease has so spread from state to state that it has undoubtedly

become a very serious interstate problem demanding the institution of

measures for its control and suppression."

A peculiar feature of the Rocky Mountain spotted fever is a marked

variation in its severity in different localities. In Montana, and

especially in the famous Bitter Root Valley, from 33 per cent to 75 per

cent of the cases result fatally. On the other hand, the fatality does

not exceed four per cent in Idaho.

In 1902, Wilson and Chowning reported the causative organism of spotted

fever to be a blood parasite akin to the _Babesia_ of Texas fever, and

made the suggestion that the disease was tick-borne. The careful studies

of Stiles (1905) failed to confirm the supposed discovery of the

organism, and the disease is now generally classed as due to an

invisible virus. On the other hand, the accumulated evidence has fully

substantiated the hypothesis that it is tick-borne.

According to Ricketts (1907) the experimental evidence in support of

this hypothesis was first afforded by Dr. L. P. McCalla and Dr. H. A.

Brereton, in 1905. These investigators transmitted the disease from man

to man in two experiments. "The tick was obtained 'from the chest of a

man very ill with spotted fever' and 'applied to the arm of a man who

had been in the hospital for two months and a half, and had lost both

feet from gangrene due to freezing.' On the eighth day the patient

became very ill and passed through a mild course of spotted fever,

leaving a characteristic eruption. The experiment was repeated by

placing the tick on a woman's leg and she likewise was infected with

spotted fever."

The most detailed studies were those of the late Dr. H. T. Ricketts, and

it was he who clearly established the tick hypothesis. In the summer of

1906 he found that guinea pigs and monkeys are very susceptible to

spotted fever and can readily be infected by inoculation of blood from

patients suffering from the disease. This opened the way to experimental

work on tick transmission. A female tick was fed upon an infected guinea

pig for two days, removed and isolated for two days and then placed upon

a healthy guinea pig. After an incubation period of three and a half

days the experimental animal contracted a well-marked case of the

disease.

A similar result was obtained at the same time by King, and later in the

season Ricketts proved that the male tick was also capable of

transmitting the disease. He found that there was a very intimate

relation of the virus to the tick and that the transmission must be

regarded as biological throughout. Ticks remained infective as long as

they lived and would feed for a period of several months. If they

acquired the disease in the larval or nymphal stage they retained it

during molting and were infective in the subsequent stages. In a few

cases the larvae from an infected female were infective.

The evidence indicated that the tick suffers from a relatively harmless,

generalized infection and the virus proliferates in its body. The

disease probably is transferred through the salivary secretion of the

tick since inoculation experiments show that the salivary glands of the

infected adult contain the virus.

It is probable that in nature the reservoir of the virus of spotted

fever is some one or more of the native small animals. Infected ticks

have been found in nature, and as various wild animals are susceptible

to the disease, it is obvious that it may exist among them unnoticed.

Wilson and Chowning suggested that the ground squirrel plays the

principal role.

Unfortunately, much confusion exists regarding the correct name of the

tick which normally conveys the disease. In the medical literature it is

usually referred to as _Dermacentor occidentalis_, but students of the

group now agree that it is specifically distinct. Banks has designated

it as _Dermacentor venustus_ and this name is used in the publications

of the Bureau of Entomology. On the other hand, Stiles maintains that

the common tick of the Bitter Root Valley, and the form which has been

collected by the authors who have worked on Rocky Mountain spotted fever

in that region, is separable from _D. venustus_, and he has described it

under the name of _Dermacentor andersoni_.

Mayer (1911) has shown experimentally that spotted fever may be

transmitted by several different species of ticks, notably _Dermacentor

marginatus_, _Dermacentor variabilis_ and _Amblyomma americanum_. This

being the case, the question of the exact systematic status of the

species experimented upon in the Bitter Root Valley becomes less

important, for since _Dermacentor occidentalis_, _Dermacentor venustus_

and _Dermacentor andersoni_ all readily attack man, it is probable that

either species would readily disseminate the disease if it should spread

into their range.

Hunter and Bishop (1911) have emphasized the fact that in the eastern

and southern United States there occur several species which attack man,

and any one of which might transmit the disease from animal to animal

and from animal to man. The following species, they state, would

probably be of principal importance in the Southern and Eastern States:

the lone star tick (_Amblyomma americanum_); the American dog tick

(_Dermacentor variabilis_); and the gulf-coast tick (_Amblyomma

maculatum_). In the extreme southern portions of Texas, _Amblyomma

cajennense_, is a common pest of man.

Since the evidence all indicates that Rocky Mountain spotted fever is

transmitted solely by the tick, and that some of the wild animals serve

as reservoirs of the virus, it is obvious that personal prophylaxis

consists in avoiding the ticks as fully as possible, and in quickly

removing those which do attack. General measures along the line of tick

eradication must be carried out if the disease is to be controlled. That

such measures are feasible has been shown by the work which has been

done in controlling the tick-borne Texas fever of cattle, and by such

work as has already been done against the spotted fever tick, which

occurs on both wild and domestic animals. Detailed consideration of

these measures is to be found in the publications of the Public Health

and Marine Hospital Service, and the Bureau of Entomology. Hunter and

Bishopp give the following summarized recommendations for control or

eradication measures in the Bitter Root Valley.

(1) A campaign of education, whereby all the residents of the valley

will be made thoroughly familiar with the feasibility of the plan of

eradication, and with what it will mean in the development of the

valley.

(2) The obtaining of legislation to make it possible to dip or oil all

live stock in the Bitter Root Valley.

(3) The obtaining of an accurate census of the horses, cattle, sheep,

mules, and dogs in the valley.

(4) The construction of ten or more dipping vats.

(5) The providing of materials to be used in the dipping mixture.

(6) The organization of a corps of workers to carry on the operations.

(7) The systematic dipping of the horses, cattle, sheep, and dogs of the

valley on a definite weekly schedule from approximately March 10 to June

9.

(8) The treatment by hand of the animals in localities remote from vats,

on the same schedule.

They estimate that after three seasons' operations a very small annual

expenditure would provide against reinfestation of the valley by the

incoming of cattle from other places.

Supplementary measures consist in the killing of wild mammals which may

harbor the tick; systematic burning of the brush and debris on the

mountain side; and in clearing, since the tick is seldom found on land

under cultivation.

CHAPTER X

ARTHROPODS AS ESSENTIAL HOSTS OF PATHOGENIC PROTOZOA [_Continued_]

ARTHROPODS AND SPIROCHAETOSES OF MAN AND ANIMALS

The term spirochaetoses is applied to diseases of man or animals which

are due to protistan parasites belonging to the group of slender, spiral

organisms known as spirochaetes.

There has been much discussion concerning the relationship Of the

spirochaetes. Formerly, they were regarded as bacteria closely related to

the forms grouped in the genus _Spirillum_. The results of the detailed

study which the spirochaetes have received in recent years, have led most

of the workers to consider them as belonging to the protozoa. The merits

of the discussion we are not concerned with here, but rather with the

fact that a number of diseases caused by spirochaetes are

arthropod-borne. The better known of these we shall discuss.

AFRICAN RELAPSING FEVER OF MAN--It has long been known to the natives of

Africa and to travelers in that country, that the bite of a certain

tick, _Ornithodoros moubata_, may be followed by severe or even fatal

fever of the relapsing type. Until recent years, it was supposed that

the effect was due to some special virulence of the tick, just as nagana

of cattle was attributed to the direct effect of the bite of the

tsetse-fly. The disease is commonly known as "tick-fever" or by the

various native names of the tick.

In 1904, Ross and Milne, in Uganda, and Dutton and Todd on the Congo,

discovered that the cause of the disease is a spirochaete which is

transmitted by the tick. This organism has been designated by Novy and

Knapp as _Spirochaeta duttoni_.

_Ornithodoros moubata_ (fig. 142), the carrier of African relapsing

fever, or "tick-fever," is widely distributed in tropical Africa, and

occurs in great numbers in the huts of natives, in the dust, cracks and

crevices of the dirt floors, or the walls. It feeds voraciously on man

as well as upon birds and mammals. Like others of the _Argasidae_, it

resembles the bed-bug in its habit of feeding primarily at night. Dutton

and Todd observed that the larval stage is undergone in the egg and that

the first free stage is that of the octopod nymph.

[Illustration: 142. Ornithodoros moubata. (_a_) Anterior part of venter;

(_b_) second stage nymph; (_c_) capitulum; (_d_) dorsal and (_e_)

ventral aspect of female; (_f_) ventral aspect of nymph; (_g_) capitulum

of nymph. After Nuttall and Warburton.]

The evidence that the fever is transmitted by this tick is conclusive.

Koch found that from five per cent to fifteen per cent, and in some

places, fifty per cent of the ticks captured, harbored the spirochaete.

The disease is readily transmitted to monkeys, rats, mice and other

animals and the earlier experiments along these lines have been

confirmed by many workers.

Not only are the ticks which have fed on infected individuals capable of

conveying the disease to healthy animals but they transmit the causative

organism to their progeny. Thus Mollers (1907), working in Berlin,

repeatedly infected monkeys through the bites of nymphs which had been

bred in the laboratory from infected ticks. Still more astonishing was

his discovery that ticks of the third generation were infective. In

other words, if the progeny of infected ticks were fed throughout life

on healthy animals, and on maturity deposited eggs, the nymphs which

hatched from these eggs would still be capable of carrying the

infection.

The developmental cycle of the spirochaete within the tick has not been

fully worked out, though the general conclusions of Leishman (1910) have

been supported by the recent works of Balfour (1911 and 1912), and

Hindle (1912), on the life cycle of spirochaetes affecting fowls.

_Spirochaeta duttoni_ ingested by _Ornithodoros moubata_ apparently

disappear within a few days, but Leishman believed that in reality they

break up into minute granules which are to be found in the alimentary

canal, the salivary glands and the Malpighian tubes of the tick. These

granules, or "coccoid bodies," as Hindle calls them, are supposed to be

the form in which the spirochaetes infect the new host. We shall see

later that Marchoux and Couvy (1913) dissent wholly from this

interpretation.

According to Leishman, and Hindle, the coccoid bodies are not injected

into the vertebrate host with the saliva of the tick, as are the

sporozoites of malaria with that of the mosquito. Instead, they pass out

with the excrement and secondarily gain access to the wound inflicted by

the tick.

Nuttall (1912) calls attention to the fact that the geographical

distribution of _Ornithodoros moubata_ is far wider than our present

records show for the distribution of the relapsing fever in man and that

there is every reason to fear the extension of the disease. Huts where

the ticks occur should be avoided and it should be remembered that in

infected localities there is special danger in sleeping on the ground.

EUROPEAN RELAPSING FEVER--There is widely distributed in Europe a type

of relapsing fever which is caused by _Spirochaeta recurrentis_. It has

long been supposed that this disease is spread by the bed-bug and there

is some experimental evidence to show that it may be conveyed by these

insects.

In 1897, Tictin found that he could infect monkeys by inoculating the

contents of bed-bugs which had fed upon a patient within forty-eight

hours. Nuttall, in 1907, in one experiment succeeded in transmitting

_Spirochaeta recurrentis_ from mouse to mouse by bites of bed-bugs. The

bugs, thirty-five in number, were transferred at short intervals from

one mouse to another, not being allowed to take a full meal on the

first, or infected mouse.

On the other hand, there is much clinical evidence to show that the

European relapsing fever like various other types of the disease is

transmitted from man to man by head and body lice (_Pediculus humanus_

and _Pediculus corporis_).

Interesting supplementary evidence is that of Bayon's observations

(1912), in Moscow. "Having visited the big municipal night hospitals at

Moscow I soon noticed that they were kept with such scrupulous

cleanliness, disinfected so lavishly, the beds of iron, the floor

cemented, that it was not possible for bed-bugs to thrive to any extent

on the premises. The people sleeping there were allowed, however, to

sleep in their own clothes. The introduction of these model homes had

not had any effect on the incidence of relapsing fever, for the places

were still hot-beds of the fever during winter. On the other hand,

though I changed my rooms several times, I found bugs in every

successive lodging, and I was told in Moscow, this can hardly be

avoided. Yet no foreigner, or Russian of the better class, ever catches

relapsing fever. To this may be added the fact that when I asked for

clothes-lice and promised to pay a kopec for two, the attendants from

the night hostel brought me next morning a small ounce bottle crammed

with _Pediculus capitis_ (= _P. humanus_), and _Pediculus vestimentorum_

(= _P. corporis_) collected off the sleepers. If relapsing fever were

transmitted by bed-bugs, it would be much more disseminated than it is

at present in Moscow."

Direct experimental evidence of the agency of lice in transmitting

relapsing fever is especially clear in the case of a type of the disease

prevalent in parts of North Africa. We shall consider this evidence

later.

OTHER TYPES OF RELAPSING FEVER OF MAN--In addition to the three types of

human relapsing fever already referred to, several others have been

distinguished and have been attributed to distinct species of

spirochaetes. The various spirochaetoses of man are:

African, caused by _S. duttoni_; European, caused by _S. recurrentis_;

North African, caused by _S. berbera_; East African, caused by _S.

rossi_; East Indian, caused by _S. carteri_; North American, caused by

_S. novyi_; South American, caused by _S. duttoni_ (?).

Nuttall (1912) in his valuable resume of the subject, has emphasized

that "in view of the morphological similarity of the supposedly

different species of spirochaetes and their individual variations in

virulence, we may well doubt if any of the 'species' are valid. As I

pointed out four years ago, the various specific names given to the

spirochaetes causing relapsing fever in man may be used merely for

convenience _to distinguish strains or races_ of different origin. They

cannot be regarded as valid names, in the sense of scientific

nomenclature, for virulence and immunity reactions are not adequate

tests of specificity."

NORTH AFRICAN RELAPSING FEVER OF MAN--The type of human relapsing fever

to be met with in Algeria, Tunis, and Tripoli, is due to a _Spirochaeta_

to which does not differ morphologically from _Spirochaeta duttoni_, but

which has been separated on biological grounds as _Spirochaeta berberi_.

Experimenting with this type of disease in Algeria, Sergent and Foly

(1910), twice succeeded in transmitting it from man to monkeys by

inoculation of crushed body lice and in two cases obtained infection of

human subjects who had received infected lice under their clothing and

who slept under coverings harboring many of the lice which had fed upon

a patient. Their results were negative with _Argas persicus_, _Cimex

lectularius_, _Musca domestica_, _Haematopinus spinulosus_ and

_Ceratophyllus fasciatus_. They found body lice associated with every

case of relapsing fever which they found in Algeria.

Nicolle, Blaizot, and Conseil (1912) showed that the louse did not

transmit the parasite by its bite. Two or three hours after it has fed

on a patient, the spirochaetes begin to break up and finally they

disappear, so that after a day, repeated examinations fail to reveal

them. They persist, nevertheless, in some unknown form, for if the

observations are continued they reappear in eight to twelve days. These

new forms are virulent, for a monkey was infected by inoculating a

single crushed louse which had fed on infected blood fifteen days

before.

Natural infection is indirect. Those attacked by the insect scratch, and

in this act they excoriate the skin, crush the lice and contaminate

their fingers. The least abrasion of the skin serves for the entrance of

the spirochaetes. Even the contact of the soiled fingers on the various

mucosa, such as the conjunctive of the eye, is sufficient.

As in the case of _Spirochaeta duttoni_, the organism is transmitted

hereditarily in the arthropod vector. The progeny of lice which have fed

on infected blood may themselves be infective.

SPIROCHAETOSIS OF FOWLS--One of the best known of the spirochaetes

transmitted by arthropods is _Spirochaeta gallinarum_, the cause of a

very fatal disease of domestic fowls in widely separated regions of the

world. According to Nuttall, it occurs in Southeastern Europe, Asia,

Africa, South America and Australia.

In 1903, Marchoux and Salimbeni, working in Brazil, made the first

detailed study of the disease, and showed that the causative organism is

transmitted from fowl to fowl by the tick _Argas persicus_. They found

that the ticks remained infective for at least five months. Specimens

which had fed upon diseased birds in Brazil were sent to Nuttall and he

promptly confirmed the experiments. Since that date many investigators,

notably Balfour and Hindle, have contributed to the elucidating of the

life-cycle of the parasite. Since it has been worked out more fully than

has that of any of the human spirochaetes, we present Hindle's diagram

(fig. 143) and quote the brief summary from his preliminary paper

(1911_b_).

"Commencing with the ordinary parasite in the blood of the fowl, the

spirochaete grows until it reaches a certain length (16-19u) and then

divides by transverse division. This process is repeated, and is

probably the only method of multiplication of the parasite within the

blood. When the spirochaetes disappear from the circulation, some of them

break up into the coccoid bodies which, however, do not usually develop

in the fowl. When the spirochaetes are ingested by _Argas persicus_, some

of them pass through the gut wall into the coelomic fluid. From this

medium they bore their way into the cells of the various organs of the

tick and there break up into a number of coccoid bodies. These

intracellular forms multiply by ordinary fission in the cells of the

Malpighian tubules and gonads. Some of the coccoid bodies are formed in

the lumen of the gut and Malpighian tubules. The result is that some of

the coccoid bodies may be present in the Malpighian secretion and

excrement of an infected tick and when mixed with the coxal fluid may

gain entry into another fowl by the open wound caused by the tick's

bite. They then elongate and redevelop into ordinary spirochaetes in the

blood of the fowl, and the cycle may be repeated."

[Illustration: 143. Spirochaeta gallinarum. After Hindle.]

Hindle's account is clear cut and circumstantial, and is quite in line

with the work of Balfour, and of Leishman. Radically different is the

interpretation of Marchoux and Couvy (1913). These investigators

maintain that the granules localized in the Malpighian tubules in the

larvae and, in the adult, also in the ovules and the genital ducts of the

male and female, are not derived from spirochaetes but that they exist

normally in many acariens. They interpret the supposed disassociation

of the spirochaete into granules as simply the first phase, not of a

process of multiplication, but of a degeneration ending in the death of

the parasite. The fragmented chromatin has lost its affinity for stains,

remaining always paler than that of the normal spirochaetes. On the other

hand, the granules of Leishman stain energetically with all the basic

stains.

Further, according to Marchoux and Couvy, infection takes place without

the emission of the coxal fluid and indeed, soiling of the host by the

coxal fluid diluting the excrement is exceptional. All of the organs of

the Argasid are invaded by the parasites, but they pass from the

coelom into the acini of the salivary glands and collect in its

efferent canal. The saliva serves as the vehicle of infection.

Thus, the question of the life cycle of _Spirochaeta gallinarum_, and of

spirochaetes in general, is an open one.

It should be noted that _Argas persicus_, the carrier of _Spirochaeta

gallinarum_, is a common pest of poultry in the southwestern United

States. Though the disease has not been reported from this country,

conditions are such that if accidentally introduced, it might do great

damage.

OTHER SPIROCHAETE DISEASES OF ANIMALS--About a score of other blood

inhabiting spirochaetes have been reported as occurring in mammals, but

little is known concerning their life-histories. One of the most

important is _Spirochaeta theileri_ which produces a spirochaetosis of

cattle in the Transvaal. Theiler has determined that it is transmitted

by an Ixodid tick, _Margaropus decoloratus_.

TYPHUS FEVER AND PEDICULIDAE

Typhus is an acute, and continued fever, formerly epidemically prevalent

in camps, hospitals, jails, and similar places where persons were

crowded together under insanitary conditions. It is accompanied by a

characteristic rash, which gives the disease the common name of

"spotted" or "lenticular" fever. The causative organism is unknown.

Typhus fever has not generally been supposed to occur in the United

States, but there have been a few outbreaks and sporadic cases

recognized. According to Anderson and Goldberger (1912_a_), it has been

a subject of speculation among health authorities why, in spite of the

arrival of occasional cases in this country and of many persons from

endemic foci of the disease, typhus fever apparently does not gain a

foothold in the United States. These same workers showed that the

so-called Brill's disease, studied especially in New York City, is

identical with the typhus fever of Mexico and of Europe.

The conditions under which the disease occurs and under which it spreads

most rapidly are such as to suggest that it is carried by some parasitic

insect. On epidemiological grounds the insects most open to suspicion

are the lice, bed-bugs and fleas.

In 1909, Nicolle, Comte and Conseil, succeeded in transmitting typhus

fever from infected to healthy monkeys by means of the body louse

(_Pediculus corporis_). Independently of this work, Anderson and

Goldberger had undertaken work along this line in Mexico, and in 1910

reported two attempts to transmit the disease to monkeys by means of

body lice. The first experiment resulted negatively, but the second

resulted in a slight rise in temperature, and in view of later results

it seems that this was due to infection with typhus.

Shortly after, Ricketts and Wilder (1910) succeeded in transmitting the

disease to the monkey by the bite of body lice in two experiments, the

lice in one instance deriving their infection from a man and in another

from the monkey. Another monkey was infected by typhus through the

introduction of the feces and abdominal contents of infested lice into

small incisions. Experiments with fleas and bed-bugs resulted

negatively.

Subsequently, Goldberger and Anderson (1912_b_) indicated that the head

louse (_Pediculus humanus_) as well, may become infected with typhus. In

an attempt to transmit typhus fever (Mexican virus) from man to monkey

by subcutaneous injection of a saline suspension of crushed head lice,

the monkeys developed a typical febrile reaction with subsequent

resistance to an inoculation of virulent typhus (Mexican) blood. In one

of the three experiments to transmit the disease from man to monkey by

means of the bite of the head louse, the animal bitten by the presumably

infected head lice proved resistant to two successive immunity tests

with virulent typhus blood.

In 1910, Ricketts and Wilder reported an experiment undertaken with a

view to determining whether the young of infected lice were themselves

infected. Young lice were reared to maturity on the bodies of typhus

patients, so that if the eggs were susceptible to infection at any stage

of their development, they would have every opportunity of being

infected within the ovary. The eggs of these infected lice were

obtained, they were incubated, and the young lice of the second

generation were placed on a normal rhesus monkey. The experimenters were

unable to keep the monkey under very close observation during the

following three or four weeks, but from the fact that he proved

resistant to a subsequent immunity test they concluded that he probably

owed this immunity to infection by these lice of the second generation.

Anderson and Goldberger (1912_b_) object that due consideration was not

given to the possibility of a variable susceptibility of the monkey to

typhus. Their similar experiment was "frankly negative."

Prophylaxis against typhus fever is, therefore, primarily a question of

vermin extermination. A brief article by Dr. Goldberger (1914) so

clearly shows the practical application of his work and that of the

other investigators of the subject, that we abstract from it the

following account:

"In general terms it may be stated that association with a case of

typhus fever in the absence of the transmitting insect is no more

dangerous than is association with a case of yellow fever in the absence

of the yellow fever mosquito. Danger threatens only when the insect

appears on the scene."

"We may say, therefore, that to prevent infection of the individual it

is necessary for him only to avoid being bitten by the louse. In theory

this may readily be done, for we know that the body louse infests and

attaches itself almost entirely to the body linen, and that boiling

kills this insect and its eggs. Individual prophylaxis is based

essentially, therefore, on the avoidance of contact with individuals

likely to harbor lice. Practically, however, this is not always as easy

as it may seem, especially under the conditions of such intimate

association as is imposed by urban life. Particularly is this the case

in places such as some of the large Mexican cities, where a large

proportion of the population harbors this vermin. Under such

circumstances it is well to avoid crowds or crowded places, such as

public markets, crowded streets, or public assemblies at which the

'peon' gathers."

"Community prophylaxis efficiently and intelligently carried out is,

from a certain point of view, probably easier and more effective in

protecting the individual than is the individual's own effort to guard

himself. Typhus emphasizes, perhaps better than any other disease, the

fact that fundamentally, sanitation and health are economic problems. In

proportion as the economic condition of the masses has improved--that

is, in proportion as they could afford to keep clean--the notorious

filth disease has decreased or disappeared. In localities where it still

prevails, its further reduction or complete eradication waits on a

further improvement in, or extension of, the improved economic status of

those afflicted. Economic evolution is very slow process, and, while

doing what we can to hasten it, we must take such precautions as

existing conditions permit, looking to a reduction in or complete

eradication of the disease."

"When possible, public bath houses and public wash houses, where the

poor may bathe and do their washings at a minimum or without cost,

should be provided. Similar provision should be made in military and

construction camps. Troops in the field should be given the opportunity

as frequently as possible to wash and _scald_ or _boil_ their body

linen."

"Lodging houses, cheap boarding houses, night shelters, hospitals, jails

and prisons, are important factors in the spread and frequently

constitute foci of the disease. They should receive rigid sanitary

supervision, including the enforcement of measures to free all inmates

of such institutions of lice on admission."

"So far as individual foci of the disease are concerned these should be

dealt with by segregating and keeping under observation all exposed

individuals for 14 days--the period of incubation--from the last

exposure, by disinfecting (boiling or steaming) the suspected bedding,

body linen, and clothes, for the destruction of any possible vermin that

they may harbor, and by fumigating (with sulphur) the quarters that they

may have occupied."

"It will be noted that nothing has been said as to the disposition of

the patient. So far as the patient is concerned, he should be removed to

'clean' surroundings, making sure that he does not take with him any

vermin. This may be done by bathing, treating the hair with an

insecticide (coal oil, tincture of larkspur), and a complete change of

body linen. Aside from this, the patient may be treated or cared for in

a general hospital ward or in a private house, provided the sanitary

officer is satisfied that the new surroundings to which the patient has

been removed are 'clean,' that is, free from vermin. Indeed, it is

reasonably safe to permit a 'clean' patient to remain in his own home if

this is 'clean,' for, as has already been emphasized, there can be no

spread in the absence of lice. This is a common experience in native

families of the better class and of Europeans in Mexico City."

"Similarly the sulphur fumigation above prescribed may be dispensed with

as unnecessary in this class of cases."

CHAPTER XI

SOME POSSIBLE, BUT IMPERFECTLY ESTABLISHED CASES OF ARTHROPOD

TRANSMISSION OF DISEASE

INFANTILE PARALYSIS OR ACUTE ANTERIOR POLIOMYELITIS

The disease usually known in this country as infantile paralysis or,

more technically, as acute anterior poliomyelitis, is one which has

aroused much attention in recent years.

The causative organism of infantile paralysis is unknown, but it has

been demonstrated that it belongs to the group of filterable viruses. It

gives rise to a general infection, producing characteristic lesions in

the central nervous system. The result of the injury to the motor nerves

is a more or less complete paralysis of the corresponding muscle. This

usually manifests itself in the legs and arms. The fatal cases are

usually the result of paralysis of the muscles of respiration. Of the

non-fatal cases about 60 per cent remain permanently crippled in varying

degrees.

Though long known, it was not until about 1890 that it was emphasized

that the disease occurs in epidemic form. At this time Medin reported

his observations on an epidemic of forty-three cases which occurred in

and around Stockholm in 1887. Since then, according to Frost (1911),

epidemics have been observed with increasing frequency in various parts

of the world. The largest recorded epidemics have been those in Vermont,

1894, 126 cases; Norway and Sweden, 1905, about 1,500 cases; New York

City, 1907, about 2,500 cases. Since 1907 many epidemics have been

reported in the United States, and especially in the Northern States

east of the Dakotas. In 1912 there were over 300 cases of the disease in

Buffalo, N. Y., with a mortality of somewhat over 11 per cent.

In view of the sudden prominence and the alarming spread of infantile

paralysis, there have been many attempts to determine the cause, and the

manner in which the disease spreads and develops in epidemic form. In

the course of these studies, the question of possible transmission by

insects was naturally suggested.

C. W. Howard and Clark (1912) presented the results of studies in this

phase of the subject. They dealt especially with the house-fly, bedbug,

head, and body lice, and mosquitoes. It was found that the house-fly

(_Musca domestica_) can carry the virus of poliomyelitis in an active

state for several days upon the surface of the body and for several

hours within the gastro-intestinal tract. Mosquitoes and lice were found

not to take up or maintain the virus. On the other hand, the bedbug

(_Cimex lectularius_) was found to take the virus from the infected

monkeys and to maintain it in a living state within the body for a

period of seven days. This was demonstrated by grinding up in salt

solution, insects which had fed on poliomyelitic animals and injecting

the filtrate into a healthy monkey. The experimenters doubted that the

bedbug is a carrier of the virus in nature.

Earlier in the same year, Brues and Sheppard published the results of an

intensive epidemiological study of the outbreak of 1911, in

Massachusetts. Special attention had been paid to the possibility of

insect transfer and the following conclusion was reached:

"Field work during the past summer together with a consideration of the

epidemiology of the disease so far as known, points strongly toward

biting flies as possible carriers of the virus. It seems probable that

the common stable-fly (_Stomoxys calcitrans_ L.) may be responsible to a

certain extent for the spread of acute epidemic poliomyelitis, possibly

aided by other biting flies, such as _Tabanus lineola_. No facts which

disprove such a hypothesis have as yet been adduced, and experiments

based upon it are now in progress."

As stated by Brues (1913), especial suspicion fell upon the stable-fly

because:

1. The blood-sucking habits of the adult fly suit it for the transfer of

virus present in the blood.

2. The seasonal abundance of the fly is very closely correlated with the

incidence of the disease, rising rapidly during the summer and reaching

a maximum in July and August, then slowly declining in September and

October.

3. The geographical distribution of the fly is, so far as can be

ascertained, wider, or at least co-extensive with that of poliomyelitis.

4. _Stomoxys_ is distinctly more abundant under rural conditions, than

in cities and thickly populated areas.

5. While the disease spreads over districts quickly and in a rather

erratic way, it often appears to follow along lines of travel, and it is

known that _Stomoxys_ flies will often follow horses for long distances

along highways.

6. In a surprisingly large number of cases, it appeared probable that

the children affected had been in the habit of frequenting places where

_Stomoxys_ is particularly abundant, i.e., about stables, barnyards,

etc.

The experiments referred to were carried on during the summer of 1912

and in September Dr. Rosenau announced that the disease was transferred

by the bite of the stable-fly.

A monkey infected by inoculation was exposed to the bites of upwards of

a thousand of the _Stomoxys_ flies daily, by stretching it at full

length and rolling it in a piece of chicken wire, and then placing it on

the floor of the cage in which the flies were confined. The flies fed

freely from the first, as well as later, after paralysis had set in.

Alternating with the inoculated monkey, healthy monkeys were similarly

introduced into the cage at intervals. New monkeys were inoculated to

keep a supply of such infected animals and additional healthy ones were

exposed to the flies, which fed willingly and in considerable numbers on

each occasion. "Thus the flies were given every opportunity to obtain

infection from the monkeys, since the animals were bitten during

practically every stage of the disease from the time of the inoculation

of the virus till their death following the appearance of paralysis. By

the same arrangement the healthy monkeys were likely to be bitten by

flies that had previously fed during the various stages of the disease

on the infected monkeys. The flies had meanwhile enjoyed the opportunity

of incubating the virus for periods varying from the day or two which

usually elapses between consecutive feedings, to the two or three-week

period for which at least some (although a very small percentage) of the

flies lived in the cage."

"In all, twelve apparently healthy monkeys of a small Japan species were

exposed to the flies in the manner described for the infected monkeys.

Some were placed in the cage only once or twice and others a number of

times after varying intervals. These exposures usually lasted for about

half an hour, but were sometimes more protracted. No results were

apparent until two or three weeks after the experiment was well under

way, and then in rather rapid succession six of the animals developed

symptoms of poliomyelitis. In three, the disease appeared in a virulent

form, resulting in death, while the other three experienced transient

tremblings, diarrhoea, partial paralysis and recovery."--Brues, 1913.

Very soon after the announcement of the results of experiments by

Rosenau and Brues, they were apparently conclusively confirmed by

Anderson and Frost (1912), who repeated the experiments, at Washington.

They announced that through the bites of the _Stomoxys_ flies that had

previously fed on infected monkeys, they had succeeded in experimentally

infecting three healthy monkeys.

The results of these experiments gained much publicity and in spite of

the conservative manner in which they had been announced, it was widely

proclaimed that infantile paralysis was conveyed in nature by the

stable-fly and by it alone.

Serious doubt was cast on this theory by the results of further

experiments by Anderson and Frost, reported in May of 1913. Contrary to

the expectations justified by their first experience, the results of all

the later, and more extended, experiments were wholly negative. Not once

were these investigators again able to transmit the infection of

poliomyelitis through _Stomoxys_. They concluded that it was extremely

doubtful that the insect was an important factor in the natural

transmission of the disease, not only because of their series of

negative results, "but also because recent experiments have afforded

additional evidence of the direct transmissibility or contagiousness of

poliomyelitis, and because epidemiological studies appear to us to

indicate that the disease is more likely transmitted largely through

passive human virus carriers."

Soon after this, Kling and Levaditi (1913) published their detailed

studies on acute anterior poliomyelitis. They considered that the

experiments of Flexner and Clark (and Howard and Clark), who fed

house-flies on emulsion of infected spinal cord, were under conditions

so different from what could occur in nature that one could not draw

precise conclusions from them regarding the epidemiology of the disease.

They cited the experiments of Josefson (1912), as being under more

reasonable conditions. He sought to determine whether the inoculation of

monkeys with flies caught in the wards of the Hospital for Contagious

Diseases at Stockholm, where they had been in contact with cases of

poliomyelitis, would produce the disease. The results were completely

negative.

Kling and Lavaditi made four attempts of this kind. The flies were

collected in places where poliomyelitics had dwelt, three, four and

twenty-four after the beginning of the disease in the family and one,

three, and fifteen days after the patient had left the house. These

insects were for the greater part living and had certainly been in

contact with the infected person. In addition, flies were used which had

been caught in the wards of the Hospital for Contagious Diseases at

Soderkoping, when numbers of poliomyelitics were confined there.

Finally, to make the conditions as favorable as possible, the emulsions

prepared from these flies were injected without previous filtering,

since filtration often causes a weakening of the virus. In spite of

these precautions, all their results were negative, none of the

inoculated animals having contracted poliomyelitis. They also

experimented with bedbugs which had fed upon infected patients at

various stages of the disease, but the results in these cases also were

wholly negative.

Kling and Levaditi considered at length the possibility of transmission

of the disease by _Stomoxys_. As a result of their epidemiological

studies, they found that infantile paralysis continued to spread in

epidemic form in the dead of winter, when these flies were very rare and

torpid, or were even completely absent. Numerous cases developed in the

northern part of Sweden late in October and November, long after snow

had fallen. On account of the rarity of the Stomoxys flies during the

period of their investigations they were unable to conduct satisfactory

experiments. In one instance, during a severe epidemic, they found a

number of the flies in a stable near a house inhabited by an infected

family, though none was found in the house itself. These flies were used

in preparing an emulsion which, after filtering, was injected into the

peritoneal cavity of a monkey. The result was wholly negative.

As for the earlier experiments, Kling and Levaditi believe if the flies

were responsible for the transmission of the disease in the cases

reported by Rosenau and Brues, and the first experiments of Anderson and

Frost, it was because the virus of infantile paralysis is eliminated

with the nasal secretions of paralyzed monkeys and the flies, becoming

contaminated, had merely acted as accidental carriers.

Still further evidence against the hypothesis of the transmission of

acute anterior poliomyelitis by _Stomoxys calcitrans_ was brought

forward by Sawyer and Herms (1913). Special precautions were used to

prevent the transference of saliva or other possibly infectious material

from the surface of one monkey to that of another, and to avoid the

possibility of complicating the experiments by introducing other

pathogenic organisms from wild flies, only laboratory-bred flies were

used. In a series of seven carefully performed experiments, in which the

conditions were varied, Sawyer and Herms were unable to transmit

poliomyelitis from monkey to monkey through the agency of _Stomoxys_, or

to obtain any indication that the fly is the usual agent for spreading

the disease in nature.

The evidence at hand to date indicates that acute anterior

poliomyelitis, or infantile paralysis, is transmitted by contact with

infected persons. Under certain conditions insects may be agents in

spreading the disease, but their role is a subordinate one.

Pellagra

PELLAGRA is an endemic and epidemic disease characterized by a peculiar

eruption or erythema of the skin (figs 144 and 145), digestive

disturbances and nervous trouble. Insanity is a common result, rather

than a precursor of the disease. The manifestations of pellagra are

periodic and its duration indeterminate.

[Illustration: 144. Pellagrous eruption on the face. After Watson.]

The disease is one the very name of which was almost unknown in the

United States until within the past decade. It has usually been regarded

as tropical, though it occurs commonly in Italy and in various parts of

Europe. Now it is known that it not only occurs quite generally in the

United States but that it is spreading. Lavinder (1911) says that "There

are certainly many thousand cases of the disease in this country, and

the present situation must be looked upon with grave concern."

It is not within the scope of this book to undertake a general

discussion of pellagra. The subject is of such importance to every

medical man that we cannot do better than refer to Lavinder's valuable

precis. We can only touch briefly upon the entomological phases of the

problems presented.

The most commonly accepted theories regarding the etiology of the

disease have attributed it to the use of Indian corn as an article of

diet. This supposed relationship was explained either on the basis of,

(a) insufficiency of nutriment and inappropriateness of corn as a prime

article of food; (b) toxicity of corn or, (c) parasitism of certain

organisms--fungi or bacteria--ingested with either sound or deteriorated

corn.

In 1905, Sambon proposed the theory of the protozoal origin of pellagra

and in 1910 he marshalled an imposing array of objections to the theory

that there existed any relationship between corn and the disease. He

presented clear evidence that pellagra existed in Europe before the

introduction of Indian corn from America, as an article of diet, and

that its spread was not _pari passu_ with that of the use of corn. Cases

were found in which the patients had apparently never used corn, though

that is obviously difficult to establish. He showed that preventive

measures based on the theory had been a failure. Finally, he believed

that the recurrence of symptoms of the disease for successive springs,

in patients who abstained absolutely from the use of corn, militated

against the theory.

[Illustration: 145. Pellagrous eruption on the hand. After Watson.]

On the other hand, Sambon believed that the periodicity of the symptoms,

peculiarities of distribution and seasonal incidence, and analogies of

the symptoms to those of other parasitic diseases indicated that

pellagra was of protozoal origin, and that it was insect-borne.

The insect carriers, he believed to be one or more species of Simuliidae,

or black-flies. In support of this he stated that _Simulium_ appears to

effect the same topographical conditions as pellagra, that in its imago

stage it seems to present the same seasonal incidence, that it has a

wide geographical distribution which seems to cover that of pellagra,

and that species of the genus are known to cause severe epizootics.

Concluding from his studies in Italy, that pellagra was limited almost

wholly to agricultural laborers, he pointed out that the Simulium flies

are found only in rural districts, and as a rule do not enter towns,

villages, or houses.

[Illustration: 146. A favorite breeding place of Simulium. Ithaca, N.

Y.]

When Sambon's detailed report was published in 1910, his theory was

seized upon everywhere by workers who were anxious to test it and who,

in most cases, were favorably disposed towards it because of the

wonderful progress which had been made in the understanding of other

insect-borne diseases. In this country, the entomological aspects of the

subject have been dealt with especially by Forbes (1912), and by King

and Jennings, under the direction of W. D. Hunter, of the Bureau of

Entomology, and in cooperation with the Thompson-McFadden Pellagra

Commission of the Department of Tropical Medicine of the New York

Post-Graduate Medical School. An important series of experiments with

monkeys has been undertaken by S. J. Hunter, of Kansas, but

unfortunately we have as yet no satisfactory evidence that these animals

are susceptible to the disease--a fact which renders the whole problem

difficult.

The accumulated evidence is increasingly opposed to Sambon's hypothesis

of the transmission of pellagra by _Simulium_. This has been so clearly

manifested in the work of the Thompson-McFadden Commission that we quote

here from the report by Jennings (1914):

"Our studies in 1912 convinced us that there was little evidence to

support the incrimination of any species of _Simulium_ in South Carolina

in the transmission of pellagra. Reviewing the group as a whole, we find

that its species are essentially "wild" and lack those habits of

intimate association with man which would be expected in the vector of

such a disease as pellagra. Although these flies are excessively

abundant in some parts of their range and are moderately so in

Spartanburg County, man is merely an incidental host, and no disposition

whatever to seek him out or to invade his domicile seems to be

manifested. Critically considered, it is nearer the fact that usually

man is attacked only when he invades their habitat."

"As our knowledge of pellagra accumulates, it is more and more evident

that its origin is in some way closely associated with the domicile. The

possibility that an insect whose association with man and his immediate

environment is, at the best, casual and desultory, can be active in the

causation of the disease becomes increasingly remote."

"Our knowledge of the biting habits of _Simulium_ is not complete, but

it is evident, as regards American species at least, that these are

sometimes not constant for the same species in different localities.

Certain species will bite man freely when opportunity offers, while

others have never been known to attack him. To assume that the proximity

of a _Simulium_-breeding stream necessarily implies that persons in its

vicinity must be attacked and bitten is highly fallacious. In

Spartanburg County attacks by _Simulium_ seems to be confined to the

immediate vicinity of the breeding-places. Our records and observations,

exceedingly few in number, refer almost exclusively to such locations.

Statements regarding such attacks, secured with much care and

discrimination from a large number of persons, including many

pellagrins, indicate conclusively that these insects are seldom a pest

of man in this county. A certain number of the persons questioned were

familiar with the gnats in other localities, but the majority were

seemingly ignorant of the existence of such flies with biting habits.

This is especially striking, in view of the fact that the average

distance of streams from the homes of the pellagra cases studied was

about 200 yards, many being at a distance of less than 200 yards, and

that 78 per cent of these streams were found to be infested by larval

_Simulium_. Such ignorance in a large number of persons cannot be

overlooked and indicates strongly that our belief in the negligible

character of local attacks by _Simulium_ is well founded."

"In localities infested by 'sand-flies,' mosquitoes, etc., these pests

are always well known and the ignorance described above is very

significant."

"Such positive reports as we received nearly always referred to bites

received in the open, along streams, etc., and observations made of

their attack were of those on field laborers in similar situations.

Males engaged in agricultural pursuits are almost exempt from pellagra

in Spartanburg County. During the season of 1913, in some two or three

instances, observations were made of the biting of _Simulium_ and some

additional and entirely creditable reports were received. These

observations and reports were under conditions identical with those

referred to in the reports of 1912 and confirm the conclusions based on

the observations of that year. I would repeat with emphasis that it is

inconceivable that a fly of the appearance and habits of the prevalent

species of _Simulium_ could be present in such a region, especially

about the haunts of man and attack him with sufficient frequency and

regularity to satisfactorily account for so active and prevalent a

disease as pellagra without being a well-known and recognized pest."

"In connection with the conditions in the Piedmont region of South

Carolina, it may be well to cite the results of a study of those in the

arid region of western Texas."

"In May, 1913, in company with Capt. J. F. Siler of the

Thompson-McFadden Pellagra Commission, I visited the region of which

Midland in Midland County is the center. This region is very dry and

totally devoid of running water for a long distance in every direction.

The only natural source of water-supply, a few water holes and ponds,

were visited and found to be of such a nature that the survival of

_Simulium_, far less its propagation in them, is absolutely impossible.

The nearest stream affording possibilities as a source of _Simulium_ is

60 miles away, while the average distance of such possibility is not

less than 100 miles."

"Artificial sources of water-supply were also investigated carefully and

were found to offer no opportunity for the breeding of _Simulium_."

"At Midland the histories of five cases of pellagra were obtained, which

gave clear evidence that this place or its immediate vicinity was the

point of origin. Persons of long residence in the country were

questioned as to the occurrence of such flies as _Simulium_ and returned

negative answers. These included a retired cattle owner, who is a man of

education and a keen observer, an expert veterinarian stationed in the

country who has the cattle of the country under constant observation,

and a practical cattle man, manager of a ranch and of wide experience.

The latter had had experience with 'Buffalo gnats' in other localities

(in the East) and is well acquainted with them. His close personal

supervision of the cattle under his charge, makes it practically certain

that he would have discovered these gnats had they been present in the

country."

"At the time the study was made, _Simulium_ was breeding and active in

the adult state in the vicinity of Dallas, Texas, in the eastern part of

the state. We have here a region in which cases of pellagra have

originated, yet in which _Simulium_ does not and cannot breed."

Other possible insect vectors of pellagra have been studied in great

detail and the available evidence indicates that if _any_ insect plays a

role in the spread of the disease, _Stomoxys calcitrans_ most nearly

fills the conditions. This conclusion was announced by Jennings and King

in 1912, and has been supported by their subsequent work.

Yet, after all the studies of the past decade, the old belief that

pellagra is essentially of dietary origin is gaining ground. Goldberger,

Waring and Willets (1914) of the United States Public Health Service

summarize their conclusions in the statement, (1) that it is dependent

on some yet undetermined fault in a diet in which the animal or

leguminous protein component is disproportionately large and (2) that no

pellagra develops in those who _consume_ a mixed, well-balanced, and

varied diet, such, for example, as that furnished by the Government to

the enlisted men of the Army, Navy, and Marine Corps.

Leprosy

LEPROSY is a specific, infectious disease due to _Bacillus leprae_, and

characterized by the formation of tubercular nodules, ulcerations, and

disturbances of sensation. In spite of the long time that the disease

has been known and the dread with which it is regarded, little is known

concerning the method of transfer of the causative organism or the means

by which it gains access to the human body.

It is known that the bacilli are to be found in the tubercles, the scurf

of the skin, nasal secretions, the sputum and, in fact in practically

all the discharges of the leper. Under such conditions it is quite

conceivable that they may be transferred in some instances from diseased

to healthy individuals through the agency of insects and other

arthropods. Many attempts have been made to demonstrate this method of

spread of the disease, but with little success.

Of the suggested insect carriers none seem to meet the conditions better

than mosquitoes, and there are many suggestions in literature that these

insects play an important role in the transmission of leprosy. The

literature has been reviewed and important experimental evidence

presented by Currie (1910). He found that mosquitoes feeding, under

natural conditions, upon cases of nodular leprosy so rarely, if ever,

imbibe the lepra bacillus that they cannot be regarded as one of the

ordinary means of transference of this bacillus from lepers to the skin

of healthy persons. He believes that the reason that mosquitoes that

have fed on lepers do not contain the lepra bacillus is that when these

insects feed they insert their proboscis directly into a blood vessel

and thus obtain bacilli-free blood, unmixed with lymph.

The same worker undertook to determine whether flies are able to

transmit leprosy. He experimented with five species found in

Honolulu,--_Musca domestica_, _Sarcophaga pallinervis_, _Sarcophaga

barbata_, _Volucella obesa_ and an undetermined species of _Lucilia_.

The experiments with _Musca domestica_ were the most detailed. From

these experiments he concluded, first, that all of the above-named

flies, when given an opportunity to feed upon leprous fluids, will

contain the bacilli in their intestinal tracts and feces for several

days after such feeding. Second, that considering the habits of these

flies, and especially those of _Musca domestica_, it is certain that,

given an exposed leprous ulcer, these insects will frequently convey

immense numbers of lepra bacilli, directly or indirectly, to the skins,

nasal mucosa, and digestive tracts of healthy persons. Additional

evidence along this line has recently been brought forward by Honeij and

Parker (1914), who incriminate both _Musca domestica_ and _Stomoxys

calcitrans_. Whether or not such insect-borne bacilli are capable of

infecting persons whose skin and mucosa are thus contaminated, Currie

was unwilling to maintain, but he concludes that until we have more

accurate knowledge on this point, we are justified in regarding these

insects with grave suspicion of being one of the means of disseminating

leprous infection.

Various students of the subject have suggested that bed-bugs may be the

carriers of leprosy and have determined the presence of acid-fast

bacilli in the intestines of bed-bugs which had fed on leprous patients.

Opposed to this, the careful experiments of Thompson (1913) and of

Skelton and Parkham (1913) have been wholly negative.

Borrel has recently suggested that _Demodex_, may play a role in

spreading the infection in families. Many other insects and acariens

have been suggested as possible vectors, but the experimental data are

few and in no wise conclusive. The most that can be said is that it is

quite possible that under favorable conditions the infection might be

spread by any of the several blood-sucking forms or by house-flies.

Verruga peruviana

VERRUGA PERUVIANA is defined by Castellani and Chalmers as "a chronic,

endemic, specific, general disorder of unknown origin, not contagious,

but apparently inoculable, and characterized by an irregular fever

associated with rheumatoid pains, anemia, followed by granulomatous

swellings in the skin, mucous membranes, and organs of the body." It has

been generally believed by medical men interested that the comparatively

benign eruptive verruga is identical with the so-called Oroya, or

Carrion's fever, a malignant type. This view is not supported by the

work of Strong, Tyzzer and Brues, (1913).

The disease is confined to South America and to definitely limited areas

of those countries in which it does occur. It is especially prevalent in

some parts of Peru.

The causative organism and the method of transfer of verruga are

unknown. Castellani and Chalmers pointed out in 1910 that the study of

the distribution of the disease in Peru would impress one with the

similarity to the distribution of the Rocky Mountain fever and would

lead to the conclusion that the aetiological cause must in some way be

associated with some blood-sucking animal, perhaps an arachnid, and that

this is supported by the fact that the persons most prone to the

infection are those who work in the fields.

More recently, Townsend (1913), in a series of papers, has maintained

that verruga and Carrion's disease are identical, and that they are

transmitted to man by the bites of the Psychodid fly, _Phlebotomus

verrucarum_. He succeeded in producing the eruptive type of the disease

in experimental animals by injecting a physiological salt trituration of

wild Phlebotomus flies. A cebus monkey was exposed from October so to

November 6, by chaining him to a tree in the verruga zone, next to a

stone wall from which the flies emerged in large numbers every night.

Miliar eruption began to appear on the orbits November 13 and by

November 21, there were a number of typical eruptions, with exudation on

various parts of the body exactly like miliar eruptive sores commonly

seen on legs of human cases.

An assistant in the verruga work, George E. Nicholson, contracted the

eruptive type of the disease, apparently as a result of being bitten by

the Phlebotomus flies. He had slept in a verruga zone, under a tight

net. During the night he evidently put his hands in contact with the

net, for in the morning there were fifty-five unmistakable Phlebotomus

bites on the backs of his hands and wrists.

Townsend believes that in nature, lizards constitute the reservoir of

the disease and that it is from them that the Phlebotomus flies receive

the infection.

Cancer

There are not wanting suggestions that this dread disease is carried, or

even caused, by arthropods. Borrel (1909) stated that he had found mites

of the genus _Demodex_ in carcinoma of the face and of the mammae. He

believed that they acted as carriers of the virus.

Saul (1910) and Dahl (1910) go much further, since they attribute the

production of the malignant growth to the presence of mites which Saul

had found in cancers. These Dahl described as belonging to a new

species, which he designated _Tarsonemus hominis_. These findings have

since been confirmed by several workers. Nevertheless, the presence of

the mite is so rare that it cannot be regarded as an important factor in

the causation of the disease. The theory that cancer is caused by an

external parasite is given little credence by investigators in this

field.

IN CONCLUSION, it should be noted that the medical and entomological

literature of the past few years abounds in suggestions, and in

unsupported direct statements that various other diseases are

insect-borne. Knab (1912) has well said "Since the discovery that

certain blood-sucking insects are the secondary hosts of pathogenic

parasites, nearly every insect that sucks blood, whether habitually or

occasionally, has been suspected or considered a possible transmitter of

disease. No thought seems to have been given to the conditions and the

characteristics of the individual species of blood-sucking insects,

which make disease transmission possible."

He points out that "in order to be a potential transmitter of human

blood-parasites, an insect must be closely associated with man and

normally have opportunity to suck his blood repeatedly. It is not

sufficient that occasional specimens bite man, as, for example, is the

case with forest mosquitoes. Although a person may be bitten by a large

number of such mosquitoes, the chances that any of these mosquitoes

survive to develop the parasites in question, (assuming such development

to be possible), and then find opportunity to bite and infect another

person, are altogether too remote. Applying this criterion, not only the

majority of mosquitoes but many other blood-sucking insects, such as

Tabanidae and Simuliidae, may be confidently eliminated. Moreover,

these insects are mostly in evidence only during a brief season, so that

we have an additional difficulty of a very long interval during which

there could be no propagation of the disease in question." He makes an

exception of tick-borne diseases, where the parasites are directly

transmitted from the tick host to its offspring and where, for this

reason, the insect remains a potential transmitter for a very long

period. He also cites the trypanosome diseases as possible exceptions,

since the causative organisms apparently thrive in a number of different

vertebrate hosts and may be transmitted from cattle, or wild animals, to

man.

Knab's article should serve a valuable end in checking irresponsible

theorizing on the subject of insect transmission of disease.

Nevertheless, the principles which he laid down cannot be applied to the

cases of accidental carriage of bacterial diseases, or to those of

direct inoculation of pyogenic organisms, or of blood parasites such as

the bacillus of anthrax, or of bubonic plague. Accumulated evidence has

justified the conclusion that certain trypanosomes pathogenic to man are

harbored by wild mammals, and so form an exception. Townsend believes

that lizards constitute the natural reservoir of verruga; and it seems

probable that field mice harbor the organism of tsutsugamushi disease.

Such instances are likely to accumulate as our knowledge of the relation

of arthropods to disease broadens.

CHAPTER XII

HOMINOXIOUS ARTHROPODS

The following synoptic tables are presented in the hope that they may be

of service in giving the reader a perspective of the relationships of

the Arthropoda in general and enabling him to identify the more

important species which have been found noxious to man. Though

applicable chiefly to the arthropods found in the United States, exotic

genera and species which are concerned in the transmission of disease

are also included. For this reason the keys to the genera of the Muscids

of the world are given. As will be seen, the tables embrace a number of

groups of species which are not injurious. This was found necessary in

order that the student might not be lead to an erroneous determination

which would result were he to attempt to identify a species which

heretofore had not been considered noxious, by means of a key containing

only the noxious forms. The names printed in BOLD FACED TYPE indicate

the hominoxious arthropods which have been most commonly mentioned in

literature.

CRUSTACEA

Arthropods having two pairs of antennae which are sometimes modified for

grasping, and usually with more than five pairs of legs. With but few

exceptions they are aquatic creatures. Representatives are: Crabs,

lobsters, shrimps, crayfish, water-fleas, and woodlice. To this class

belongs the CYCLOPS (fig. 122) a genus of minute aquatic crustaceans of

which at least one species harbors _Dracunculus medinensis_, the Guinea

worm (fig. 121).

MYRIAPODA

Elongate, usually vermiform, wingless, terrestrial creatures having one

pair of antennae, legs attached to each of the many intermediate body

segments. This group is divided into two sections, now usually given

class rank: the DIPLOPODA or millipedes (fig. 13), commonly known as

thousand legs, characterized by having two pairs of legs attached to

each intermediate body segment, and the CHILOPODA or centipedes (fig.

14) having only one pair of legs to each body segment.

ARACHNIDA

In this class the antennae are apparently wanting, wings are never

present, and the adults are usually provided with four pairs of legs.

Scorpions, harvest-men, spiders, mites, etc.

HEXAPODA (Insects)

True insects have a single pair of antennae, which is rarely vestigial,

and usually one or two pairs of wings in the adult stage. Familiar

examples are cockroaches, crickets, grasshoppers, bugs, dragon-flies,

butterflies, moths, mosquitoes, flies, beetles, ants, bees and wasps.

ORDERS OF THE ARACHNIDA

a. Abdomen distinctly segmented. A group of orders including scorpions,

(fig. 11), whip-scorpions (fig. 10), pseudo-scorpions, solpugids

(fig. 12) harvest-men (daddy-long-legs or harvestmen), etc.

ARTHROGASTRA

aa. Abdomen unsegmented, though sometimes with numerous annulations

SPHAEROGASTRA

b. A constriction between cephalothorax and abdomen (fig. 7). True

Spiders ARANEIDA

bb. No deep constriction between these parts.

c. Legs usually well developed, body more or less depressed (fig.

49). Mites ACARINA

cc. Legs stumpy or absent, body more or less elongate or vermiform,

or if shorter, the species is aquatic or semi-aquatic in habit.

d. Four pairs of short legs; species inhabiting moss or water.

Water-bears. TARDIGRADA

dd. Two pairs of clasping organs near the mouth, instead of legs,

in the adult; worm-like creatures parasitic within the nasal

passages, lungs, etc. of mammals and reptiles (fig. 148).

Tongue worms. LINGUATULINA

[Illustration: 148. Linguatula. (_a_) larva; (enlarged). (_b_) adult;

(natural size).]

ACARINA[E]

a. Abdomen annulate, elongate; very minute forms, often with but four

legs (fig. 62). DEMODICOIDEA

b. With but four legs of five segments each. Living on plants, often

forming galls. ERIOPHYIDAE

bb. With eight legs, of three segments each. Living in the skin of

mammals. DEMODICIDAE

To this family belongs the genus DEMODEX found in the sebaceous

glands and hair follicles of various mammals, including man. _D.

phylloides_ Csokor has been found in Canada on swine, causing

white tubercles on the skin. _D. bovis_ Stiles has been reported

from the United States on cattle, upon the skin of which they

form swellings. D. FOLLICULORUM Simon is the species found on

man. See page 78.

aa. Abdomen not annulate nor prolonged behind; eight legs in the adult

stage.

b. With a distinct spiracle upon a stigmal plate on each side of the

body (usually ventral) above the third or fourth coxae or a little

behind (fig. 50); palpi free; skin often coriaceous or leathery;

tarsi often with a sucker.

c. Hypostome large (fig. 50), furnished below with many recurved

teeth; venter with furrows, skin leathery; large forms, usually

parasitic. IXODOIDEA

d. Without scutum but covered by a more or less uniform leathery

integument; festoons absent; coxae unarmed, tarsi without

ventral spurs; pulvilli absent or vestigial in the adults;

palpi cylindrical; sexual dimorphism slight. ARGASIDAE

e. Body flattened, oval or rounded, with a distinct flattened

margin differing in structure from the general integument;

this margin gives the body a sharp edge which is not

entirely obliterated even when the tick is full fed.

Capitulum (in adults and nymphs) entirely invisible

dorsally, distant in the adult by about its own length from

the anterior border. Eyes absent. ARGUS Latr.

f. Body oblong; margin with quadrangular cells; anterior tibiae

and metatarsi each about three times as long as broad. On

poultry, southwest United States. A. PERSICUS MINIATUS

_A. brevipes_ Banks, a species with proportionately shorter

legs has been recorded from Arizona.

ff. With another combination of characters. About six other

species of _Argas_ from various parts of the world,

parasitic on birds and mammals.

ee. Body flattened when unfed, but usually becoming very convex

on distention; anterior end more or less pointed and

hoodlike; margin thick and not clearly defined, similar in

structure to the rest of the integument and generally

disappearing on distention; capitulum subterminal, its

anterior portions often visible dorsally in the adult; eyes

present in some species.

f. Integument pitted, without rounded tubercles; body provided

with many short stiff bristles; eyes absent. On horses,

cattle and man (fig. 48). OTIOBIUS Banks.

O. MEGNINI, a widely distributed species, is the type of

this genus.

ff. Integument with rounded tubercles or granules; body

without stiff bristles. ORNITHODOROS Koch.

g. Two pairs of eyes; tarsi IV with a prominent subterminal

spur above; leg I strongly roughened. On cattle and man.

O. CORIACEUS

gg. No eyes; no such spur on the hind tarsi.

h. Tarsi I without humps above. _O. talaje._

hh. Tarsi I with humps above.

i. Tarsi IV without distinct humps above. On hogs,

cattle and man. O. TURICATA

ii. Tarsi IV with humps nearly equidistant (fig. 142).

Africa. O. MOUBATA

[Illustration: 149. Haemaphysalis wellingtoni. Note short palpi. After

Nuttall and Warburton.]

dd. With scutum or shield (fig. 50); festoons usually present;

coxae usually armed with spurs, tarsi generally with one or two

ventral spurs; pulvilli present in the adults; sexual

dimorphism pronounced. IXODIDAE

e. With anal grooves surrounding anus in front; inornate;

without eyes; no posterior marginal festoons; venter of the

male with non-salient plates. Numerous species, 14 from the

United States, among them I. RICINUS (fig. 49 and 50),

SCAPULARIS, COOKEI, _hexagonus_, _bicornis_. IXODES Latr.

(including Ceratixodes).

ee. With anal groove contouring anus behind, or groove faint or

obsolete.

f. With short palpi (fig. 149).

g. Without eyes, inornate, with posterior marginal festoons;

male without ventral plates. Numerous species. _H.

chordeilis_ and _leporis-palustris_ from the United

States. _Haemaphysalis_ Koch.

[Illustration: 150. Stigmal plate of Dermacentor andersoni; (_a_) of

male, (_b_) of female. After Stiles. (_c_) Dermacentor variabilis, male;

(_d_) Glyciphagus obesus; (_e_) Otodectes cynotis; (_f_) Tyroglyphus

lintneri; (_g_) Tarsonemus pallidus; (_h_) anal plate and mandible of

Liponyssus; (_c_) to (_h_) after Banks.]

gg. With eyes.

h. Anal groove distinct; posterior marginal festoons

present.

i. Base of the capitulum (fig. 150c) rectangular

dorsally; usually ornate. DERMACENTOR Koch.

j. Adults with four longitudinal rows of large

denticles on each half of hypostome; stigmal plate

nearly circular, without dorso-lateral

prolongation, goblets very large, attaining 43u to

115u in diameter; not over 40 per plate, each

plate surrounded by an elevated row of regularly

arranged supporting cells; white rust wanting;

base of capitulum distinctly broader than long,

its postero-lateral angles prolonged slightly, if

at all; coxae T with short spurs; trochanter I with

small dorso-terminal blade. Texas, Arizona, etc.

_D. nitens_

[Illustration: 151. Rhipicephalus bursa, male. After Nuttall and

Warburton.]

jj. Adults with three longitudinal rows of large

denticles on each half of hypostome; goblet cells

always more than 40 per plate; whitish rust

usually present.

k. Dorso-lateral prolongation of stigmal plate small

or absent; plates of the adults distinctly

longer than broad; goblet cells large, usually

30u to 85u in diameter, appearing as very coarse

punctations on untreated specimens, but on

specimens treated with caustic potash they

appear very distinct in outline; base of

capitulum distinctly (usually about twice)

broader than long, the postero-lateral angles

distinctly produced caudad; spurs of coxae I

long, lateral spur slightly longer than median;

trochanter I with dorso-terminal spur. _D.

albipictus_, (= _variegatus_), _salmoni_,

_nigrolineatus_.

kk. Dorso-lateral prolongation of stigmal plate

distinct.

l. Body of plate distinctly longer than broad;

goblet cells of medium size, usually 17.5u to

35u or 40u in diameter, appearing as medium

sized punctuations on untreated specimens, but

on the specimens treated with caustic potash

they appear very distinct in outline, which is

not circular; base of capitulum usually less

than twice as broad as long, the

postero-lateral angles always distinctly

prolonged caudad.

m. Trochanter I with distinct dorso-subterminal

retrograde sharp, digitate spur;

postero-lateral angles of capitulum

pronouncedly prolonged caudal, 112u to 160u

long; goblet cells attain 13u to 40u in

diameter; type locality California. D.

OCCIDENTALIS

mm. Trochanter I with dorso-terminal blade;

postero-lateral angles of capitulum with

rather short prolongations.

n. Stigmal plate small, goblet cells not

exceeding 45 in the male or 100 in the

female; scutum with little rust, coxa I

with short spurs, the inner distinctly

shorter than the outer. _D.

parumapertus-marginatus_

nn. Stigmal plate larger; goblet cells over 70

in the male and over 100 in the female;

coxa I with longer spurs, inner slightly

shorter than the outer; scutum with

considerable rust. D. VENUSTUS[F]

ll. Goblet cells small, rarely exceeding 17.6u,

occasionally reaching 19u in diameter; on

untreated specimens they appear as very fine

granulations, and on specimens treated with

caustic potash they may be difficult to see,

but their large number can be determined from

the prominent stems of the goblets; surface of

outline of the goblets distinctly circular;

base of the capitulum usually less than twice

as broad as long, the postero-lateral angle

distinctly prolonged caudad; spurs of coxae I

long. _D. reticulatus_ and _electus_ (=

_variabilis_?)

ii. Base of the capitulum (fig. 151) usually hexagonal

(except in the male of _puchellus_); and usually

inornate.

j. No ventral plate or shield in either sex (fig.

153). R. BICORNIS from the United States.

RHIPICENTOR Nuttall

jj. Males with a pair of adanal shields, and usually a

pair of accessory adanal shields. Numerous

species, among them _R. sanguineus_ (fig. 154) and

_texanus_, the latter from the United States.

_Rhipicephalus_ Koch

hh. Anal grooves faint or obsolete; no marginal festoons.

i. Short palpi; highly chitinized; unfed adults of large

size; coxae conical; male with a median plate

prolonged in two long spines projecting caudad;

segments of leg pair IV greatly swollen (fig. 155,

156). _M. winthemi_ _Margaropus_ Karsch

[Illustration: 152. Monieziella (Histiogaster) emtomophaga-spermatica,

ventral aspect, male and female. After Trouessart.]

ii. Very short palpi, ridged dorsally and laterally;

slightly chitinized; unfed adults of smaller size;

coxae I bifid; male with adanal and accessory adanal

shields (fig. 139). B. ANNULATUS. BOOPHILUS Curtis

ff. Palpi longer than broad (fig. 157).

g. Male with pair of adanal shields, and two posterior

abdominal protrusions capped by chitinized points;

festoons present or absent. Several species, among them

H. AEGYPTICUM (fig. 140) from the old world. HYALOMMA

Koch

gg. Male without adanal shields but small ventral plaques

are occasionally present close to the festoons. Many

species, a few from the United States (fig. 157).

AMBLYOMMA Koch

h. Coxa I with but one spine; metatarsi (except I) with

two thickened spurs at tips. _A. maculatum_

hh. Coxa I with two spines; metatarsi without stout spurs

at tips, only slender hairs.

i. Projections of coxa I blunt and short. Large species

on the gopher tortoise in Florida. _A. tuberculatum_

ii. Projections of coxa I longer, and at least one of

them sharp pointed; second segment of palpus twice

as long as the third; coxa IV of the male with a

long spine.

j. Porose areas nearly circular; shield of both sexes

pale yellowish, with some silvery streaks and

marks, and some reddish spots; shield of female as

broad as long. A. CAJENNENSE (= MIXTUM).

jj. Porose areas elongate, shield brown, in the female

with an apical silvery mark, in the male with two

small and two or four other silvery spots; shield

of the female longer than broad (fig 158 e). A.

AMERICANUM.

[Illustration: 153. Rhipicentor bicornis, ventral aspect, male. After

Nuttall and Warburton.]

cc. Hypostome small, without teeth, venter without furrows; body

often with coriaceous shields, posterior margin of the body

never crenulate (i.e. without festoons); no eyes. GAMASOIDEA.

d. Parasitic on vertebrates; mandibles fitted for piercing; body

sometimes constricted. DERMANYSSIDAE.

e. Anal plate present. DERMANYSSINAE.

f. Body short; legs stout, hind pair reaching much beyond the

tip of the body. On bats. _Pteroptus_ Dufour.

ff. Body long; hind legs not reaching beyond the tip of the

body.

g. Peritreme on the dorsum, very short; body distinctly

constricted. _Ptilonyssus_ Berl.

gg. Peritreme on the venter, longer; body not distinctly

constricted.

h. Mandibles in both sexes chelate. Parasitic on bats,

mice and birds (fig. 150, h). LIPONYSSUS Kol.

The species L. (= LEIOGNATHUS) SYLVIARUM frequents the

nests of warblers. An instance is on record of

these mites attacking man, causing a pruritis.

hh. Mandibles in the male chelate (fig. 158 j), in the

female long, styliform. Parasitic on birds.

DERMANYSSUS Dug. Two species of importance may be

noted, _D. hirundinus_ and D. GALLINAE. The latter

(fig. 51) is a serious pest of poultry, sometimes

attacking man, causing itching and soreness.

ee. Anal plate absent. In lungs and air passages of some

mammals. HALARACHNINAE.

dd. Free or attached to insects, rarely on vertebrates.

e. First pair of legs inserted within the same body opening as

the oral tube; genital apertures surrounded by the sternum.

On insects. UROPODIDAE.

[Illustration: 154. Rhicephalus sanguineus, male. After Nuttall and

Warburton.]

ee. First pair of legs inserted at one side of the mouth

opening; male genital aperture usually on the anterior

margin of the sternal plate. GAMASIDAE.

This family contains a number of genera, some of which are

found upon mammals, though the majority affect only other

arthropods. One species, LAELAPS STABULARIS, frequents the

bedding in stables, and in one instance at least, has

occasioned irritation and itching, in man.

bb. No distinct spiracle in the stigmal plate on each side of the

body.

c. Body usually coriaceous, with few hairs, with a specialized seta

arising from a pore near each posterior corner of the

cephalothorax; no eyes; mouth parts and palpi very small;

ventral openings of the abdomen large; tarsi without sucker. Not

parasitic. ORIBATOIDEA.

cc. Body softer; without such specialized seta.

d. Aquatic species. HYDRACHNOIDEA.

dd. Not aquatic.

e. Palpi small, three segmented, adhering for some distance to

the lip; ventral suckers at genital opening or near anal

opening usually present; no eyes; tarsi often end in

suckers; beneath the skin on the venter are seen rod-like

epimera that support the legs; body often entire. Adults

frequently parasitic. SARCOPTOIDEA.

f. With tracheae; no ventral suckers; legs ending in claws;

body divided into cephalothorax and abdomen; the female

with a clavate hair between legs I and II. Usually not

parasitic on birds and mammals. TARSONEMIDAE

g. Hind legs of female ending in claw and sucker as in the

other pairs. PEDICULOIDINAE

To this sub-family belongs the genus PEDICULOIDES

P. ventricosus is described on page 69.

[Illustration: 155. Margaropus winthemi, male. After Nuttall and

Warburton.]

[Illustration: 156. Margaropus winthemi, capitulum and scutum.

After Nuttall and Warburton.]

gg. Hind legs of the female end in long hairs. TARSONEMINAE

TARSONEMUS INTECTUS Karpelles, normally found upon grain,

is said to attack man in Hungary and Russia. Other

species of the genus affect various plants (c.f. fig.

150, g).

ff. Without tracheae; no such clavate hair.

g. Genital suckers usually present; integument usually

without fine parallel lines.

h. Legs short, without clavate hair on tarsi I and II. On

insects. CANESTRINIDAE.

hh. Legs longer, with a clavate hair on tarsi I and II.

Not normally parasitic except on bees. TYROGLYPHIDAE

i. Dorsal integument more or less granulate; claws very

weak, almost invisible; some hairs of the body

plainly feathered; ventral apertures large.

GLYCIPHAGUS Her.

This genus occurs in the United States. In Europe the

mites have been found feeding on all sorts of

substances. They are known as sugar mites and

cause the disease known as grocer's itch. G.

DOMESTICUS and G. PRUNORUM are old world species

(fig. 150, d).

ii. Dorsal integument not granulate; claws distinct; no

prominent feathered hairs; ventral aperture small.

j. Mandibles not chelate; elongate, and toothed below;

body without long hairs; palpi enlarged at tip and

provided with two divergent bristles. Species feed

on decaying substances. _Histiostoma_ Kram.

jj. Mandibles chelate; palpi not enlarged at the tip,

nor with two bristles.

k. No clavate hair on the base of tarsi I and II; no

suture between cephalothorax and abdomen. Live

on bees or in their nests. _Trichotarsus_ Can.

kk. A clavate or thickened hair at the base of tarsi

I and II.

l. The bristle on the penultimate segment of the

legs arises from near the middle; no suture

between the cephalothorax and abdomen. The

species, some of which occur in the United

States, feed on dried fruit, etc.

_Carpoglyphus_ Robin.

ll. The bristle on the penultimate segment of the

legs arise from near the tip; a suture between

cephalothorax and abdomen.

m. Cephalothorax with four distinct and long

bristles in a transverse row; tarsi I and II

about twice as long as the preceding segment

(fig. 150 f). TYROGLYPHUS Latr.

n. Some bristles on tarsi I and II near

middle, distinctly spine-like; the sense

hair about its length from the base of the

segment. Several species in the United

States belong to this group.

nn. No spine-like bristles near the middle of

the tarsi; sense hair not its length from

the base of the segment.

o. Of the terminal abdominal bristles, only

two are about as long as the abdomen;

leg I of the male greatly thickened and

with a spine at apex of the femur below.

T. FARINAE.

oo. Of the terminal abdominal bristles at

least six or more are very long, nearly

as long as the body.

p. Bristles of the body distinctly plumose

or pectinate; tarsi very long. T.

LONGIOR.

pp. Bristles of the body not pectinate.

q. In mills, stored foods, grains, etc.

Third and fourth joints of hind legs

scarcely twice as long as broad;

abdominal bristles not unusually

long; legs I and II of the male not

unusually stout. T. AMERICANUS.

qq. With other characters and habits.

_T. lintneri_ (fig. 150 f) the

mushroom mite, and several other

species.

mm. Cephalothorax with but two long distinct

bristles (besides the frontal pair), but

sometimes a very minute intermediate pair;

tarsi I and II unusually short and not twice

as long as the preceding segment.

n. Tarsi with some stout spines. RHIZOGLYPHUS

Clap.

The species of this genus are vegetable

feeders. Several occur in the United

States. R. PARASITICUS and R.

SPINITARSUS have been recorded from the

old world, attacking human beings who

handle affected plants.

nn. Tarsi with only fine hairs. MONIEZIELLA

Berl.

The species of this genus, as far as known,

are predaceous or feed on recently

killed animal matter. Several species

occur in the United States. M. (=

HISTIOGASTER) ENTOMOPHAGA (fig. 152)

from the old world has been recorded as

injurious to man.

gg. Genital suckers absent; integument with fine parallel

lines. Parasitic on birds and mammals.

h. Possessing a specially developed apparatus for clinging

to hairs of mammals. LISTROPHORIDAE.

hh. Without such apparatus.

i. Living on the plumage of birds. ANALGESIDAE.

ii. In the living tissues of birds and mammals.

j. Vulva longitudinal. In the skin and cellular

tissues of birds. CYTOLEICHIDAE.

This family contains two species, both occurring in

the United States on the common fowl.

_Laminosioptes cysticola_ occurs on the skin and

also bores into the subcutaneous tissue where it

gives rise to a calcareous cyst. _Cytoleichus

nudus_ is most commonly found in the air

passages and air cells.

jj. Vulva transverse. In the skin of mammals and

birds. SARCOPTIDAE

k. Anal opening on the dorsum.

l. Third pair of legs in the male without apical

suckers. On cats and rabbits. NOTOEDRES

Rail.

The itch mite of the cat, N. CATI (fig. 61) has

been recorded on man.

ll. Third leg in the male with suckers. On bats

_Prosopodectes_ Can.

kk. Anal opening below.

l. Pedicel of the suckers jointed; mandibles

styliform and serrate near the tip. PSOROPTES

Gerv. P. COMMUNIS OVIS is the cause of sheep

scab.

ll. Pedicel of the suckers not jointed; mandibles

chelate.

m. No suckers on the legs of the females;

parasitic on birds, including chickens. _C.

mutans_ is itch mite of chickens.

_Cnemidocoptes_ Furst.

mm. Suckers at least on legs I and II; parasitic

on mammals.

n. Legs very short; in the male the hind pairs

equal in size; body usually short.

SARCOPTES Latr.

S. SCABIEI is the itch mite of man (fig.

56).

[Illustration: 157. Amblyomma, female. After Nuttall and Warburton.]

nn. Legs more slender; in the male the third

pair is much larger than the fourth; body

more elongate.

o. Female with suckers on the fourth pair of

legs. Species do not burrow in the skin,

but produce a scab similar to sheep

scab. They occur in the ox, horse, sheep

and goat. CHORIOPTES Gerv. C. SYMBIOTES

BOVIS of the ox has been recorded a few

times on man.

oo. Female without suckers to the fourth

legs.

p. Hind part of the male abdomen with two

lobes. On a few wild animals.

_Caparinia_ Can.

pp. Hind part of the male abdomen without

lobes. Live in ears of dogs and cats.

_Otodectes_ Canestr.

_O. cynotis_ Hering (fig. 150 e) has

been taken in the United States.

ee. Palpi usually of four or five segments, free; rarely with

ventral suckers near genital or anal openings; eyes often

present; tarsi never end in suckers; body usually divided

into cephalothorax and abdomen; rod-like epimera rarely

visible; adults rarely parasitic.

f. Last segment of the palpi never forms a thumb to the

preceding segment; palpi simple, or rarely formed to hold

prey; body with but few hairs. EUPODOIDEA.

g. Palpi often geniculate, or else fitted for grasping prey;

mandibles large and snout like; cephalothorax with four

long bristles above, two in front, two behind; last

segment of leg I longer than the preceding segment,

often twice as long. BDELLIDAE.

gg. Palpi never geniculate (fig. 158a), nor fitted for

grasping prey: beak small; cephalothorax with bristles

in different arrangement; last segment of leg I shorter

or but little longer than the preceding joint; eyes when

present near posterior border. EUPODIDAE

Moniez has described a species from Belgium (TYDEUS

MOLESTUS) which attacks man. It is rose colored;

eyeless; its legs are scarcely as long as its body,

the hind femur is not thickened; the mandibles are

small and the anal opening is on the venter. The

female attains a length of about 0.3 mm.

ff. Last segment of the palpus forms a thumb to the preceding,

which ends in a claw (with few exceptions); body often

with many hairs (fig. 158 k). TROMBIDOIDEA.

g. Legs I and II with processes bearing spines; skin with

several shields; coxae contiguous. CAECULIDAE.

gg. Legs I and II without such processes; few if any

shields.

h. Palpi much thickened on the base, moving laterally,

last joint often with two pectinate bristles; no eyes;

legs I ending in several long hairs; adult sometimes

parasitic. CHEYLETIDAE

CHEYLETUS ERUDITUS, which frequents old books, has once

been found in pus discharged from the ear of man.

hh. Palpi less thickened, moving vertically; eyes usually

present; leg I not ending in long hairs.

i. Coxae contiguous, radiate; legs slender, bristly; body

with few hairs; no dorsal groove; tarsi not swollen.

ERYTHRAEIDAE.

ii. Coxae more or less in two groups; legs less bristly.

[Illustration: 158. (_a_) Tydeus, beak and leg from below; (_b_)

Cheyletus pyriformis, beak and palpus; (_c_) beak and claw of

Pediculoides; (_d_) leg of Sarcoptes; (_e_) scutum of female of

Amblyomma americana; (_f_) leg I and tip of mandible of Histiostoma

americana; (_g_) Histiogaster malus, mandible and venter; (_h_)

Aleurobius farinae, palpus and leg I of male; (_i_) Otodectes cynotis,

tip of abdomen of male, (_j_) beak and anal plate of Dermanyssus

gallinae female; (_k_) palpus of Allothrombium. (_a_) to (_j_) after

Banks.]

j. Body with fewer, longer hairs; often spinning

threads; no dorsal groove; tarsi never swollen;

mandibles styliform (for piercing). TETRANYCHIDAE

The genus TETRANYCHUS may be distinguished from the

other genera occurring in the United States by

the following characters: No scale-like

projections on the front of the cephalothorax;

legs I as long or longer than the body; palp

ends in a distinct thumb; the body is about 1.5

times as long as broad. T. MOLESTISSIMUS Weyenb.

from South America, and T. TELARIUS from Europe

and America ordinarily infesting plants, are

said also to molest man.

jj. Body with many fine hairs or short spines; not

spinning threads; often with dorsal groove; tarsi

often swollen.

k. Mandibles styliform for piercing. RHYCHOLOPHIDAE.

kk. Mandibles chelate, for biting. TROMBIDIDAE

The genus TROMBIDIUM has recently been subdivided

by Berlese into a number of smaller ones, of

which some five or six occur in the United

States. The mature mite is not parasitic but

the larvae which are very numerous in certain

localities will cause intense itching,

soreness, and even more serious complications.

They burrow beneath the skin and produce

inflamed spots. They have received the popular

name of "RED BUG." The names LEPTUS AMERICANUS

and L. IRRITANS have been applied to them,

although they are now known to be immature

stages. (Fig. 44.)

HEXAPODA (Insecta)

The Thysanura (springtails and bristletails), the Neuropteroids

(may-flies, stone-flies, dragon-flies, caddis-flies, etc.), Mallophaga

(bird lice), Physopoda (thrips), Orthoptera (grasshoppers, crickets,

roaches), are of no special interest from our viewpoint. The remaining

orders are briefly characterized below.

SIPHUNCULATA (page 275)

Mouth parts suctorial; beak fleshy, not jointed; insect wingless;

parasitic upon mammals. Metamorphosis incomplete. Lice.

HEMIPTERA (page 275)

Mouth parts suctorial; beak or the sheath of the beak jointed; in the

mature state usually with four wings. In external appearance the

immature insect resembles the adult except that the immature form (i.e.

nymph) never has wings, the successive instars during the process of

growth, therefore, are quite similar; and the metamorphosis is thus

incomplete. To this order belong the true bugs, the plant lice, leaf

hoppers, frog hoppers, cicadas, etc.

LEPIDOPTERA

The adult insect has the body covered with scales and (with the rare

exception of the females of a few species) with four wings also covered

with scales. Proboscis, when present, coiled, not segmented, adapted for

sucking. Metamorphosis complete, i.e. the young which hatches from the

egg is quite unlike the adult, and after undergoing several molts

transforms into a quiescent pupa which is frequently enclosed in a

cocoon from which the adult later emerges. The larvae are known as

caterpillars. Butterflies and moths.

DIPTERA (page 285)

The adult insect is provided with two, usually transparent, wings, the

second pair of wings of other insects being replaced by a pair of

halteres or balancers. In a few rare species the wings, or halteres, or

both, are wanting. The mouth parts, which are not segmented, are adapted

for sucking. The tarsi are five-segmented. Metamorphosis complete. The

larvae, which are never provided with jointed legs, are variously known

as maggots, or grubs, or wrigglers. Flies, midges, mosquitoes.

SIPHONAPTERA (page 316)

Mouth parts adapted for sucking; body naked or with bristles and spines;

prothorax well developed; body compressed; tarsi with five segments;

wings absent. Metamorphosis complete. The larva is a wormlike creature.

Fleas.

COLEOPTERA

Adult with four wings (rarely wanting), the first pair horny or

leathery, veinless, forming wing covers which meet in a line along the

middle of the back. Mouth parts of both immature stages and adults

adapted for biting and chewing. Metamorphosis complete. The larvae of

many species are known as grubs. Beetles.

HYMENOPTERA

Adult insect with four, usually transparent, wings, wanting in some

species. Mouth parts adapted for biting and sucking; palpi small; tarsi

four or five-segmented. Metamorphosis complete. Parasitic four-winged

flies, ants, bees, and wasps.

SIPHUNCULATA AND HEMIPTERA

a. Legs with claws fitted for clinging to hairs; wings wanting;

spiracles of the abdomen on the dorsal surface. (= ANOPLURA =

PARASITICA) SIPHUNCULATA.

b. Legs not modified into clinging hooks; tibia and tarsus very long

and slender; tibia without thumb-like process; antennae

five-segmented. HAEMATOMYZIDAE Endr.

_Haematomyzus elephantis_ on the elephant.

bb. Legs modified into clinging hooks; tibia and tarsus usually short

and stout; tibia with a thumb-like process; head not anteriorly

prolonged, tube-like.

c. Body depressed; a pair of stigmata on the mesothorax, and

abdominal segments three to eight; antennae three to

five-segmented.

d. Eyes large, projecting, distinctly pigmented; pharynx short and

broad; fulturae (inner skeleton of head) very strong and broad,

with broad arms; proboscis short, scarcely attaining the

thorax. PEDICULIDAE

e. Antennae three-segmented. A few species occurring upon old

world monkeys. _Pedicinis_ Gerv.

ee. Antennae five-segmented.

f. All legs stout; thumb-like process of the tibia very long

and slender, beset with strong spines, fore legs stouter

than the others; abdomen elongate, segments without

lateral processes; the divided telson with a conical

process posteriorly upon the ventral side. PEDICULUS L.

g. Upon man.

h. Each abdominal segment dorsally with from one to three

more or less regular transverse rows of small setae;

antenna about as long as the width of the head. Head

louse (fig. 65). P. HUMANUS.

hh. "No transverse rows of abdominal setae; antenna longer

than the width of the head; species larger." Piaget.

Body louse of man. P. CORPORIS.

gg. Upon apes and other mammals. _P. pusitatus_ (?).

ff. Fore legs delicate, with very long and slender claws;

other legs very stout with short and stout claws;

thumb-like process of the tibia short and stout; abdomen

very short and broad; segment one to five closely crowded,

thus the stigmata of segments three to five apparently

lying in one segment; segments five to eight with lateral

processes; telson without lateral conical appendages (fig.

69). Crab louse of man. PHTHIRUS PUBIS.

dd. Eyes indistinct or wanting; pharynx long and slender, fulturae

very slender and closely applied to the pharynx; proboscis

very long. Several genera found upon various mammals.

HAEMATOPINIDAE.

cc. Body swollen; meso- and metathorax, and abdominal segments two

to eight each with a pair of stigmata; eyes wanting; antennae

four or five-segmented; body covered with stout spines. Three

genera found upon marine mammals. ECHINOPHTHIRIIDAE

aa. Legs fitted for walking or jumping; spiracles of abdomen usually

ventral; beak segmented.

b. Apex of head usually directed anteriorly; beak arising from its

apex; sides of the face remote from the front coxae; first pair of

wings when present thickened at base, with thinner margins.

HETEROPTERA

[Illustration: 159. Taxonomic details of Hemiptera-Heteroptera. (_a_)

Dorsal aspect; (_b_) seta from bedbug; (_c_) wing of Heteropteron; (_d_)

leg; (_e_) wing of Sinea.]

c. Front tarsi of one segment, spade-form (palaeformes); beak short,

at most two-segmented; intermediate legs long, slender;

posterior pair adapted for swimming. CORIXIDAE

cc. Front tarsi rarely one-segmented, never spade-form; beak free,

at least three-segmented.

d. Pulvilli wanting.

e. Hemelytra usually with a distinct clavus (fig. 159), clavus

always ends behind the apex of the scutellum, forming the

commissure. (Species having the wings much reduced or

wanting should be sought for in both sections.)

f. Antennae very short; meso- and metasternum composite; eyes

always present.

g. Ocelli present; beak four-segmented. OCHTERIDAE and

NERTHRIDAE.

gg. Ocelli wanting; antennae more or less hidden in a groove.

h. Anterior coxae inserted at or near anterior margin of

the prosternum; front legs raptorial; beak

three-segmented BELOSTOMIDAE (with swimming legs),

NEPIDAE, NAUCORIDAE.

i. Metasternum without a median longitudinal keel;

antennae always four-segmented.

j. Beak short, robust, conical; the hairy fleck on the

corium elongate, large, lying in the middle

between the inner angle of the membrane and the

outer vein parallel to the membrane margin;

membrane margin S-shaped.

k. The thick fore femur with a relatively deep

longitudinal furrow to receive the tibia.

Several American species (fig. 19f.). BELOSTOMA

(= Lethocerus Mayer)

kk. The less thickened fore femur without such a

furrow. B. GRISEUS. BENACUS Stal.

jj. Beak slender, cylindrical; the hairy spot on the

corium rounded lying next to the inner angle of

the membrane.

k. Membrane large, furrow of the embolium broadened.

_Z. aurantiacum_, _fluminea_, etc. _Zaitha_

kk. Membrane very short; furrow of embolium not

broadened. Western genus. _Pedinocoris_

ii. Metasternum with a long median longitudinal keel.

Southwestern forms. _Abedus ovatus_ and _Deniostoma

dilatato_

hh. Anterior coxae inserted at the posterior margin of the

prosternum; legs natatorial. Back swimmers (fig. 19 b.).

NOTONECTIDAE

i. Apices of the hemelytra entire; the three pairs of legs

similar in shape; beak three-segmented; abdomen not

keeled or hairy. _Plea_ Leach

ii. Apices of hemelytra notched; legs dissimilar; beak

four-segmented; abdomen keeled and hairy.

j. Hemelytra usually much longer than the abdomen;

fourth segment of the antenna longer than the third

segment; hind tarsi with claws. _Bueno_ Kirk.

jj. Hemelytra but little longer than the abdomen; fourth

segment of the antenna shorter than the third

segment; hind tarsi without claws (fig. 19b).

NOTONECTA L.

ff. Antennae longer than the head; or if shorter, then the eyes

and ocelli absent.

g. Eyes, ocelli, and scutellum wanting; beak

three-segmented; head short; hemelytra always short;

membrane wanting. Insects parasitic on bats. POLYCTENIDAE

gg. Eyes present.

h. First two antennal segments very short, last two long,

pilose, third thickened at the base; ocelli present,

veins of the hemelytra forming cells. DIPSOCORIDAE (=

CERATOCOMBIDAE) including SCHIZOPTERIDAE.

hh. Third segment of the antenna not thickened at the

base, second as long or longer than the third, rarely

shorter.

Handbook of Medical Entomology · 第 15 / 17 章